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Grasping the Existential Anatomy: The Role of Bodily Empathy in Clinical Communication

  • Carl Edvard Rudebeck
Part of the Philosophy and Medicine book series (PHME, volume 68)

Abstract

The aim of this contribution is to give some clarity to “body experience”: the ways it unfolds in the experiences, presentations, and reception of presentations of symptoms in the clinic. The idea behind this venture is that the apparently self-evident notion that symptoms are about body experiences results in “body experience” attracting less attention than called for by its actual importance. Since symptom presentations are usually thought to be the unequivocal expressions of the situation in the body, the possible pathology lying behind a certain symptom tends to become more intriguing to medicine than the experience itself. In the consultation the doctor tends to observe the symptom presentation and judge whether it falls within preconceived disease categories, rather than share it. This attitude incurs two immediate risks. First, the doctor’s apprehension of what the patient presents may be shallow, leading to misunderstandings of various extent and importance even from a diagnostic point of view. Second, the patient may feel the doctor lacks interest in her particular situation, causing her to withdraw, which, in turn, may threaten the outcome of the consultation. On a broader scale, the scant attention paid to body experience limits the competence of doctors. If we establish a way of “thinking” body experience that is in consonance with its real character in the life of the individual, doctors may have a frame of reference that will make it easier for them to become attuned to, and learn from, symptom presentations. They will also have a more explicit reference for the experience of their own bodies, thus increasing their self-awareness and enabling them more fully to grasp the experiences of their patients. At the level of the medical profession, the “cases” of clinical discourse may be transformed from the anonymity of diseases to the particular experience of the individual, but still with the focus on the body. Lastly, the gap between practice and the reflection on practice may be narrowed. It is especially important for a practice-based discipline like family medicine/general practice to make practice itself the core of professional reflection.

Keywords

Symptom Presentation Lateral Geniculate Nucleus Body Language Body Awareness Body Experience 
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.

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Bibliography

  1. Balint, E. and Norell, J. (eds.): 1973, Six Minutes for the Patient: Interactions in General Practice Consultation, Tavistock Publications, London.Google Scholar
  2. Basch, M.F.: 1983, ‘Empathic understanding: A review of the concept and some theoretical considerations’, The Journal of the American Psychoanalytic Association 31,101–126.CrossRefGoogle Scholar
  3. Bullington, J.: 1999. The Mysterious Life of the Body: A New Look at Psychosomatics, Tema, University of Linköping, Linköping, Sweden.Google Scholar
  4. Cassell, E.J.: 1985, Clinical Technique, Vol. 2, Talking With Patients, The MIT Press, Cambridge, Massachusetts.Google Scholar
  5. Courtenay, M.: 1996, ‘A new look at the nature of the doctor/patient relationship’, The Journal of the Balint Society 24, 19–20.Google Scholar
  6. Engel, G.: 1985, ‘Commentary on Schwarz and Wiggins: Science, humanism, and the nature of medical practice’, Perspectives in Biology and Medicine 28, 362–365.Google Scholar
  7. Heidegger, M.: 1962, Being and Time, Basil Blackwell, Oxford.Google Scholar
  8. Husserl, E.: 1970, The Crisis of European Sciences and Transcendental Phenomenology, Northwestern University Press, Evanston, Illinois.Google Scholar
  9. Johansson, E.E., Hamberg, K., Lindgren, G. and Westman, G.: 1996, ‘‘I’ve been crying my way’ — Qualitative analysis of a group of female patients’ consultation experiences’, Family Practice 13, 498–503.CrossRefGoogle Scholar
  10. Johnson, M.: 1988, The Mind in the Body — The Bodily Basis of Meaning, Imagination, and Reason, The University of Chicago Press, London.Google Scholar
  11. Karlsson, G.: 1995, Psychological Qualitative Research from a Phenomenological Perspective, Almqvist & Wiksell International, Stockholm, Sweden.Google Scholar
  12. Leder, D.: 1990, The Absent Body, Chicago University Press, Chicago.Google Scholar
  13. Malterud, K.: 1995, ‘The legitimacy of clinical knowledge: Towards a medical epistemology embracing the art of medicine’, Theoretical Medicine 16,183–198.CrossRefGoogle Scholar
  14. Malterud, K.: 1987, ‘Illness and disease in female patients. I. Pitfalls and inadequacies of primary health care classification systems — A theoretical review’, Scandinavian Journal of Primary Health care 5, 205–209.CrossRefGoogle Scholar
  15. Merleau-Ponty, M.: 1962, Phenomenology of Perception, Routledge & Kegan Paul, London.Google Scholar
  16. Morell, D.: 1978, ‘The epidemiological imperative for primary care’, Annals of the New York Academy of Science 310, 2–10.CrossRefGoogle Scholar
  17. Piaget, J.: 1976, The Child and Reality — Problems of Genetic Psychology, Penguin Books, Harmondsworth.Google Scholar
  18. Perls F., Hefferline R.F. and Goodman P.: 1973 (1951), Gestalt Therapy. Excitement and Growth in the Human Personality, Penguin Books, Harmondsworth.Google Scholar
  19. Rudebeck, C.E.: 2000, ‘The doctor, the patient, and the body’, Scandinavian Journal of Primary Health Care 18, 4–8.CrossRefGoogle Scholar
  20. Rudebeck, C.E.: 1992, ‘General practice and the dialogue of clinical practice — On symptoms, symptom presentations, and bodily empathy’, Scandinavian Journal of Primary Health Care, Supplement 1, 3–87Google Scholar
  21. Sartre, J.P.: 1956, Being and Nothingness: An Essay on Phenomenological Ontology, Routledge, London.Google Scholar
  22. Svenaeus, F.: 2001, ‘The phenomenology of health and illness’ in this volume.Google Scholar
  23. Svenaeus, F.: 1999, The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Health Practice, Linköping Studies in Art and Sciences, Department of Health and Society, Linköping, Sweden.Google Scholar
  24. Tomkins, S.S.: 1992, Exploring Affect: The Selected Writings of Silvan S.Tomkins, Cambridge University Press, Cambridge.Google Scholar
  25. Toombs, S.K.: 1992, The Meaning of Illness: A Phenomenological Account of the Different Perspectives of Physician and Patient, Kluwer Academic Publishers, Dordrecht, The Netherlands.Google Scholar
  26. Toombs, S.K.: 1987, ‘The meaning of illness: A phenomenological approach to the patientphysician relationship’, The Journal of Medicine and Philosophy 12, 219–240.CrossRefGoogle Scholar
  27. Uexkull, Th. and Wesiack, W.: 1988, Theorie der Humanmedizin: Grundlagen Ärztlichen Denkens und Handels. Urban & Schwarzenberg, München.Google Scholar
  28. Varela, F.J., Thompson, E. and Rosch, E.: 1993, The Embodied Mind: Cognitive Science and Human Experience, MIT Press, London.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2001

Authors and Affiliations

  • Carl Edvard Rudebeck
    • 1
  1. 1.VästervikSweden

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