OBJECTIVE: To describe events where doctors have experienced that their own sense of vulnerability might have been beneficial for the patient. DESIGN: Qualitative focus group study with data drawn from two group sessions. Analysis was conducted with systematic text condensation. SUBJECTS: A total of 12 GPs (five men and seven women) aged 30-68 participated. Their clinical experience ranged from one to 39 years. MAIN OUTCOME MEASURES: Analysis presented different aspects of participants' experiences of vulnerability experienced as beneficial. RESULTS: The participants generously shared stories about personal and professional vulnerability which they had perceived and sometimes disclosed to the patient. One cluster of stories dealt with situations where the doctors in some way or other had identified with the patient and his or her problem. They felt that their awareness and capacity for interpretation, creative solutions, and compassion had been enhanced through recognition. Another cluster of stories covered events where uncomfortable feelings due to uncertainty or inconsiderate behaviour sharpened the doctors' reflexivity towards their own roles in the interaction. Presenting an excuse or sharing the doubt could break the ice and make a difference. IMPLICATIONS: Vulnerability may bring strength, but must be used with caution. Our study opens towards further awareness of the vulnerability of the doctor and how it can benefit the patient in some situations.
OBJECTIVE: To describe events where doctors have experienced that their own sense of vulnerability might have been beneficial for the patient. DESIGN: Qualitative focus group study with data drawn from two group sessions. Analysis was conducted with systematic text condensation. SUBJECTS: A total of 12 GPs (five men and seven women) aged 30-68 participated. Their clinical experience ranged from one to 39 years. MAIN OUTCOME MEASURES: Analysis presented different aspects of participants' experiences of vulnerability experienced as beneficial. RESULTS: The participants generously shared stories about personal and professional vulnerability which they had perceived and sometimes disclosed to the patient. One cluster of stories dealt with situations where the doctors in some way or other had identified with the patient and his or her problem. They felt that their awareness and capacity for interpretation, creative solutions, and compassion had been enhanced through recognition. Another cluster of stories covered events where uncomfortable feelings due to uncertainty or inconsiderate behaviour sharpened the doctors' reflexivity towards their own roles in the interaction. Presenting an excuse or sharing the doubt could break the ice and make a difference. IMPLICATIONS: Vulnerability may bring strength, but must be used with caution. Our study opens towards further awareness of the vulnerability of the doctor and how it can benefit the patient in some situations.
Authors: Thomas H Gallagher; Jane M Garbutt; Amy D Waterman; David R Flum; Eric B Larson; Brian M Waterman; W Claiborne Dunagan; Victoria J Fraser; Wendy Levinson Journal: Arch Intern Med Date: 2006 Aug 14-28
Authors: Mary Catherine Beach; Debra Roter; Susan Larson; Wendy Levinson; Daniel E Ford; Richard Frankel Journal: J Gen Intern Med Date: 2004-09 Impact factor: 5.128
Authors: Mary Catherine Beach; Debra Roter; Haya Rubin; Richard Frankel; Wendy Levinson; Daniel E Ford Journal: J Gen Intern Med Date: 2004-09 Impact factor: 5.128