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Emotional Intelligence, Alexithymia, and the Doctor-Patient Relationship

  • Arnstein FinsetEmail author
Chapter

Abstract

Emotional topics are common in medical consultations as well as in psychotherapy. Patients often present to the doctors and therapists their hopes, uncertainties, feelings, and worries. However, patients often will not refrain from conveying their emotions explicitly in the consultation. Rather, emotions may be expressed as an indirect hint about underlying worries or concerns, often referred to as cues [1–3] or clues [4]. Studies indicate that most consultations contain rather few cues to underlying emotions. Feelings may also be expressed more unambiguously, labeled in the literature, for instance, as concerns [1] or empathic opportunities [5].

Keywords

Emotion Regulation Trait Anxiety Emotional Intelligence Medical Consultation Fibromyalgia Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Zimmermann, C., Del Piccolo, L., & Finset, A. (2007). Cues and concerns by patients in medical consultations: A literature review. Psychological Bulletin, 133, 438–463.PubMedCrossRefGoogle Scholar
  2. 2.
    Maguire, P., Booth, K., Elliott, C., et al. (1996). Helping health professionals involved in cancer care acquire key interviewing skills -the impact of workshops. European Journal of Cancer, 32A, 1486–1489.PubMedCrossRefGoogle Scholar
  3. 3.
    Lussier, M. T., & Richard, C. (2009). Handling cues from patients. Canadian Family Physician, 55, 1213–1214.PubMedGoogle Scholar
  4. 4.
    Levinson, W., Gorawara-Bhat, R., & Lamb, J. (2000). A study of patient clues and physician responses in primary care and surgical settings. The Journal of the American Medical Association, 284, 1021–1027.CrossRefGoogle Scholar
  5. 5.
    Suchman, A. L., Markakis, K., Beckman, H. B., et al. (1997). A model of empathic communication in the medical interview. The Journal of the American Medical Association, 277, 678–682.CrossRefGoogle Scholar
  6. 6.
    Mjaaland, T. A., Finset, A., Jensen, B. F., et al. (2011). Physicians’ responses to patients’ expressions of negative emotions in hospital consultations: A video-based observational study. Patient Education and Counseling, 84, 332–337.PubMedCrossRefGoogle Scholar
  7. 7.
    Butow, P. N., Brown, R. F., Cogar, S., et al. (2002). Oncologists’ reactions to cancer patients’ verbal cues. Psycho-Oncology, 11, 47–58.PubMedCrossRefGoogle Scholar
  8. 8.
    Pollak, K. I., Arnold, R., Alexander, S. C., et al. (2010). Do patient attributes predict oncologist empathic responses and patient perceptions of empathy? Supportive Care in Cancer, 18, 1405–1411.PubMedCrossRefGoogle Scholar
  9. 9.
    Bell, R. A., Kravitz, R. L., Thom, D., et al. (2002). Unmet expectations for care and the patient-physician relationship. Journal of General Internal Medicine, 17, 817–824.PubMedCrossRefGoogle Scholar
  10. 10.
    Pollak, K. I., Arnold, R. M., Jeffreys, A. S., et al. (2007). Oncologist communication about emotion during visits with patients with advanced cancer. Journal of Clinical Oncology, 25, 5748–5752.PubMedCrossRefGoogle Scholar
  11. 11.
    Ryan, H., Schofield, P., Cockburn, J., et al. (2005). How to recognize and manage psychological distress in cancer patients. European Journal of Cancer Care, 14, 7–15.PubMedCrossRefGoogle Scholar
  12. 12.
    Epstein, R. M., Hadee, T., Carroll, J., et al. (2007). “Could this be something serious?” Reassurance, uncertainty, and empathy in response to patients’ expressions of worry. Journal of General Internal Medicine, 22, 1731–1739.PubMedCrossRefGoogle Scholar
  13. 13.
    Uitterhoeve, R., Bensing, J., Dilven, E., et al. (2009). Nurse-patient communication in cancer care: Does responding to patient’s cues predict patient satisfaction with communication. Psycho-Oncology, 18, 1060–1068.PubMedCrossRefGoogle Scholar
  14. 14.
    Eide, H., Sibbern, T., Egeland, T., et al. (2001). Fibromyalgia patients’ communication of cues and concerns: Interaction analysis of pain clinic consultations. The Clinical Journal of Pain, 27, 602–610.CrossRefGoogle Scholar
  15. 15.
    Del Piccolo, L., Mazzi, M.A., Goss, C., et al. (2012). How emotions emerge and are dealt with in first diagnostic consultations in psychiatry. Patient Education and Counseling. doi: 10.1016/j.pec. 2012.01.010, 88, 29–35.Google Scholar
  16. 16.
    Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271–299.CrossRefGoogle Scholar
  17. 17.
    Sifneos, P. E., Apfel-Savitz, R., & Frankel, F. H. (1977). The phenomenon of ‘alexithymia’: Observations in neurotic psychosomatic patients. Psychotherapy and Psychosomatics, 28, 47–57.PubMedCrossRefGoogle Scholar
  18. 18.
    Bagby, R. M., Parker, J. D. A., & Taylor, G. T. (1994). The twenty-item Toronto Alexithymia Scale – I: Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research, 38, 23–32.PubMedCrossRefGoogle Scholar
  19. 19.
    Mayer, J. D., DiPaolo, M., & Salovey, P. (1990). Perceiving affective content in ambiguous visual stimuli: A component of emotional intelligence. Journal of Personality Assessment, 54, 772–781.PubMedGoogle Scholar
  20. 20.
    Mayer, J. D., & Salovey, P. (1997). What is emotional intelligence? In P. Salovey & D. J. Suyter (Eds.), Emotional development and emotional intelligence: Educational implications. New York: Basic Books.Google Scholar
  21. 21.
    Goleman, D. (1995). Emotional intelligence: Why it matters more than IQ. London: Bloomsbury.Google Scholar
  22. 22.
    Arora, S., Ashrafian, H., Davis, R., et al. (2010). Emotional intelligence in medicine: A systematic review through the context of the ACGME competencies. Medical Education, 44, 749–764.PubMedCrossRefGoogle Scholar
  23. 23.
    Weng, H.-C. (2008). Does the physician’s emotional intelligence matter?: Impacts of the physician’s emotional intelligence on the trust, patient-physician relationship, and satisfaction. Health Care Management Review, 33, 280–288.PubMedCrossRefGoogle Scholar
  24. 24.
    Weng, H.-C., Steed, J. F., Yu, S.-W., et al. (2011). The effect of surgeon empathy and emotional intelligence on patient satisfaction. Advances in Health Sciences Education, 16, 591–600.PubMedCrossRefGoogle Scholar
  25. 25.
    Kaplowitz, M. J., Safran, J. D., & Muran, C. J. (2011). Impact of therapist emotional intelligence on psychotherapy. The Journal of Nervous and Mental Disease, 199, 74–84.PubMedCrossRefGoogle Scholar
  26. 26.
    Krystal, H. (1982–83). Alexithymia and the effectiveness of psychoanalytic treatment. International Journal of Psychoanalytic Psychotherapy, 13, 76–85.Google Scholar
  27. 27.
    Ogrodniczuk, J. S., Piper, W. E., & Joyce, A. S. (2011). Effect of alexithymia on the process and outcome of psychotherapy: A programmatic review. Psychiatry Research, 190, 43–48.PubMedCrossRefGoogle Scholar
  28. 28.
    Graugaard, P. K., & Finset, A. (2000). Trait anxiety and reactions to patient-centered and doctor- centered styles of communication: An experimental study. Psychosomatic Medicine, 62, 33–39.PubMedGoogle Scholar
  29. 29.
    Finset, A., Graugaard, P., & Holt, E. (2006). Communication induced stress responses in medical interviews with fibromyalgia patients: The role of alexithymia. Presented at European Research Conference on Psychosomatic Medicine, Dubrovnik.Google Scholar
  30. 30.
    Graugaard, P. K., Holgersen, K., & Finset, A. (2004). Communicating with alexithymic and non-alexithymic patients: An experimental study of the effect of psychosocial communication and empathy on patient satisfaction. Psychotherapy and Psychosomatics, 73, 92–100.PubMedCrossRefGoogle Scholar
  31. 31.
    Finset, A., Graugaard, P., & Holt, E. (2006). Electrodermal responses to viewing a medical interview: The effect of affect regulation. Presented at European Association of Communication in Health Care Conference, Basel.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Behavioural Sciences in Medicine, Institute of Basic Medical Sciences, Faculty of MedicineUniversity of OsloOsloNorway

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