Is our incapacity for conversation a serious barrier to person centred medicine?

Main Article Content

Richard B Hovey
Nareg Apelian

Abstract

In 2007, Vessey and Blauwkamp readdressed Gadamer’s 1972 essay ‘‘The Incapacity for Conversation’’ where the question of how changes in present society communicates is creating an incapacity for conversation. This manuscript further explores this idea about whether we are becoming influenced and charmed by the brevity of #communication i.e., text messaging, tweets, emoticons, speed-dating, and sound-bites. These popular cultural phenomena can become even more pronounced in medicine, where communication as conversation is reduced to checklists, interdisciplinary and patient debriefings, numeric technologic test results and perhaps a from of speed-patient(ing). Consequently, we may be eroding our already undervalued capacity to participate in person centred conversations due to the demands of modern medical practice.

Article Details

Section
Regular Articles
Author Biographies

Richard B Hovey, Division of Oral Health and Society, Faculty of Dentistry, McGill University

Associate ProfessorDirector of Faculty DevelopmentDivision of Oral Health and Society, Faculty of Dentistry, McGill University

Nareg Apelian, Division of Oral Health and Society, Faculty of Dentistry, McGill University

Assistant Professordirector of Continuing Dental Professional Education Division of Oral Health and Society

References

. Vessey D, Blauwkamp C. Hans-Georg Gadamer “The Incapacity for Conversation” (1972). Cont Philos Rev. 2006; 39:351–9.

. Gadamer H-G. The Enigma of Health. Standford University Press; 1996.

. Paley J, Eva G. Narrative vigilance: the analysis of stories in health care. Nurs Philos. 2005 ;6: 83–97.

. Essential Elements of Communication in Medical Encounters: T... : Academic Medicine [Internet]. [cited 2014 Aug 25]. Available from: http://journals.lww.com/academicmedicine/Fulltext/2001/04000/Essential_Elements_of_Communication_in_Medical.21.aspx

. Kurtz SM, Silverman JD. The Calgary—Cambridge Referenced Observation Guides: an aid to defining the curriculum and organizing the teaching in communication training programmes. Med Educ. 1996 Mar 1;30(2):83–9.

. Stewart M. Patient-centered Medicine: Transforming the Clinical Method. Radcliffe Publishing, Oxford, 2003.

. Gorden RL. Basic Interviewing Skills. Waveland Press, Long Grove, Illinois, 1998.

. Groden G. A guide for conducting a comprehensive behavioral analysis of a target behavior. J Behav Ther Exp Psychiatry. 1989 ;20:163–70.

. Hovey R, Paul J. Healing, the Patient Narrative-Story and the Medical Practitioner: A Relationship to Enhance Care for the Chronically Ill Patient. Int J Qual Methods. 2007 ;6: 53–66.

. Hovey R, Massfeller H. Exploring the relational aspects of patient and doctor communication. J Med Pers. 2012 ;10:81–6.

. Hoad TF. The concise Oxford dictionary of English etymology. Oxford University Press, Oxford, 1993.

. Moules NJ. Hermeneutic Inquiry: Paying Heed to History and Hermes An Ancestral, Substantive, and Methodological Tale. Int J Qual Methods. 2008 ;1:1–21.

. Levin DM. The Listening Self: Personal Growth, Social Change and the Closure of Metaphysics. Routledge, London, 1989.

. Gilmore GD. Needs and Capacity. Assessment Strategies for Health Education and Health Promotion. Jones & Bartlett Publishers, Burlington, Massachusetts, 2011.

. Davey N. Unquiet Understanding: Gadamer’s Philosophical Hermeneutics. SUNY Press, New York, 2012.

. Balint E. The possibilities of patient-centered medicine. J R Coll Gen Pract. 1969;17: 269–276.

. Pellegrino ED. Being ill and being healed: some reflections on the grounding of medical morality. Bull N Y Acad Med. 1981;57:70–9.

. Lévesque M, Hovey R, Bedos C. Advancing patient-centered care through transformative educational leadership: a critical review of health care professional preparation for patient-centered care. J Healthcare Leadership. 2013 ; 5:35-46..

. Gadamer HG. Truth and method. Crossroad, New York, 1989.

. Martin DJ, Garske JP, Katherine M. Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. J Consult Clin Psychol. 2000; 68:438–50.

. Warnke G. Gadamer: Hermeneutics, Tradition, and Reason. Stanford University Press, Stanford, California, 1987.

. Rees CE, Knight LV, Wilkinson CE. Doctors being up there and we being down here: A metaphorical analysis of talk about student/doctor–patient relationships. Soc Sci Med. 2007; 65:725–37.

. Orange D. The Suffering Stranger: Hermeneutics for Everyday Clinical Practice. New York, NY and Hove, East Sussex, UK. 2011.

. Gunderman R. For the Young Doctor About to Burn Out [Internet]. The Atlantic. 2014 [cited 2014 Aug 11]. Available from: http://www.theatlantic.com/health/archive/2014/02/for-the-young-doctor-about-to-burn-out/284005/

. Palmer RE. Gadamer in Conversation: Reflections and Commentary. Yale University Press, New Haven, Connecticut, 2001.

. Miles A, Mezzich JE: Advancing the global communication of scholarship and research for personalized healthcare: The International Journal of Person Centered Medicine. Medicine 2011; 1: 1-5.

. Miles A. Person-centered medicine - at the intersection of science, ethics and humanism. Int J Pers Centered Med. 2012; 2:329–33.