Empathy and the Practice of Medicine

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Beyond Pills and the Scalpel

Edited by Howard Spiro, Enid Peschel, Mary G. McCrea Curnen, and Deborah St. James

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The treatment of medical illness today depends much more on science and technology than on the physician's ability to listen, comfort, and prescribe. Medicine is not only increasingly technical but is also increasingly involved with legal, governmental, and insurance constraints on patient care, and this state of affairs has done much to distance physicians from their patients. This important book seeks to restore empathy to medical practice, to demonstrate how important it is for doctors to listen to their patients, to experience and understand what their patients are feeling.
 
The book—a collection of essays by physicians, philosophers, and a nurse—is divided into three parts: one deals with how empathy is weakened or lost during the course of medical education and suggests how to remedy this; another describes the historical and philosophical origins of empathy and provides arguments for and against it; and a third section offers compelling accounts of how physicians' empathy for their patients has affected their own lives and the lives of those in their care. We hear, for example, from a physician working in a hospice who relates the ways that the staff tries to listen and respond to the needs of the dying; a scientist who interviews candidates for medical school and tells how qualities of empathy are undervalued by selection committees; a health professional who considers what her profession can teach physicians about empathy; another physician who ponders whether the desire to be empathic can hinder the detachment necessary for objective care; and several contributors who show how literature and art can help physicians to develop empathy. Medicine, asserts most of these authors, is both science and narrative, reason and intuition. Empathy underlies the qualities of the humanistic physician and must frame the skills of all professionals who care for patients.


Prepared under the auspices of the Program for Humanities in Medicine, Yale University School of Med

Howard Spiro, M.D., professor of medicine at Yale University School of Medicine, is Director of The Program for Humanities in Medicine. Mary G. McCrea Curnen, M.D., D.P.H., is clinical professor of epidemiology and pediatrics at Yale University School of Medicine. Enid Peschel, Ph.D., is Co-director of The Program for Humanities in Medicine and assistant professor adjunct of internal medicine at Yale University School of Medicine. Deborah St. James is supervisor of editorial services at Miles, Inc.
ISBN: 9780300066708
Publication Date: February 21, 1996
Publishing Partner: Prepared under the auspices of the Program for Humanities in Medicine, Yale University School of Med
222 pages, 6 1/4 x 9 1/2