Abstract
Communication between medical professionals and patients is an important aspect of therapy and patient satisfaction. Common barriers that get in the way of effective communication in this sphere include: (1) gender, age, and cultural differences; (2) physical or psychological discomfort or pain; (3) medical literacy; and (4) distraction due to technological factors or simply being overworked. The author examines these communicative barriers from a philosophical lens and then utilizes Martin Heidegger’s phenomenology and hermeneutics to provide guidance for medical professional–patient interactions. The phenomenological approach espoused emphasizes the particular, contextual nature of such interactions, and thus is opposed to abstract, theoretical principles. Heidegger’s hermeneutics provides a philosophical approach to communication that may guide the back-and-forth interpretation that should happen between medical professionals and patients to achieve effective communication.
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Notes
For an excellent commentary on Plato’s thoughts on medical practice, see Stempsey (2001).
Those who are quick to accuse Heidegger of racism due to his connection with National Socialism (Faye 2009) or of sexism due to his treatment of women (Maier-Katkin 2010) should keep in mind that failures in a philosopher’s personal life do not take away from the legitimacy of his or her philosophy.
References
Ackerman, T.F. 1982. Why doctors should intervene. The Hastings Center Report 12 (4): 14–17.
Agosta, L. 2014. A rumor of empathy: Reconstructing Heidegger’s contribution to empathy and empathic clinical practice. Medicine, Health Care, and Philosophy 17 (2): 281–292.
Aho, K. 2008. Medicalizing mental health: A phenomenological alternative. Journal of Medical Humanities 29 (4): 243–259.
Aho, K. 2013. Depression and embodiment: Phenomenological reflections on motility, affectivity, and transcendence. Medicine, Health Care, and Philosophy 16 (4): 751–759.
Aho, J., and K. Aho. 2008. Body matters: A phenomenology of sickness, disease, and illness. Lanham: Lexington Books.
Beauvoir, S. 1996. The coming of age. New York: W. W. Norton & Company (original work published in 1970).
Benner, P. 1984. From novice to expert. Menlo Park: Addison-Wesley.
Benner, P. 1994. Interpretive phenomenology: Embodiment, caring, and ethics in health and illness. Thousand Oaks: Sage.
Bentham, J. 2005. The collected works of Jeremy Bentham: An introduction to the principles of morals and legislation. Eds. Burns, J.H., and H.L.A. Hart. Oxford: Oxford University Press (original work published in 1780).
Bittner, A., A. Jonietz, J. Bittner, L. Beickert, and S. Harendza. 2015. Translating medical documents into plain language enhances communication skills in medical students—A pilot study. Patient Education and Counseling 98 (9): 1137–1141.
Blattner, W. 2006. Heidegger’s being and time. London: Continuum.
Butler, J. 1990/1999. Gender trouble: Feminism and the subversion of identity. New York: Routledge.
Chan, G., K. Brykczynski, R. Malone, and P. Benner. 2010. Interpretive phenomenology in health care research. Indianapolis: Sigma Theta Tau International.
Crotty, M. 1996. Phenomenology and nursing research. Melbourne: Churchill Livingstone.
Dahlstrom, D.O. 2010. Hermeneutic ontology. In Theory and applications of ontology: Philosophical perspectives. Eds. Poli, R., and J. Seibt, Dordrecht: Springer.
Descartes, R. 1988. The philosophical writings of Descartes. Eds. Cottingham, J., Stoothoff, R., and D. Murdoch. Cambridge: Cambridge University Press (original work published in 1637).
Dreyfus, H.L. 1991. Being-in-the-world: A commentary on Heidegger’s being and time, division 1. Cambridge: MIT Press.
Emmanuel, E.J., and L.L. Emmanuel. 1992. Four models of the physician-patient relationship. Journal of American Medicine 267 (16): 1–13.
Faye, E. 2009. Heidegger: The introduction of Nazism into philosophy in light of the unpublished seminars of 1933–1935 (trans: Smith, M.B.). New Haven: Yale University Press.
Fernandez-Ballesteros, R., R. Olmos, M. Santacreu, A. Bustillos, and M.A. Molina. 2017. The role of perceived discrimination on active aging. Archives of Gerontology and Geriatrics 71: 14–20.
Gadamer, H. 1976. Philosophical hermeneutics (Linge, D.E., Ed. & Trans.). Berkeley: University of California Press.
Gadamer, H.G. 1996. The enigma of health (trans: Gaiger, J., and N. Walker). Stanford: Stanford University Press. (original work published in 1993).
Gadamer, H.G. 2006. Truth and method (trans: Weinsheimer, J., and D.G. Marshall). New York: Continuum (original work published in 1960).
Goldman, A.H. 1980. The moral foundations of professional ethics. New York: Rowman & Littlefield.
Guignon, C.B. 1983. Heidegger and the problem of knowledge. Indianapolis: Hackett.
Gupta, A. 2015. The importance of good communication in treating patients’ pain. AMA Journal of Ethics 17 (3): 265–267.
Haraldsdottir, E. 2011. The constraints of the ordinary: ‘Being-with’ in the context of end-of-life nursing care. International Journal of Palliative Nursing 17 (5): 245–250.
Heidegger, M. 1962. Being and time (trans: Macquarrie, J., and E. Robinson). San Francisco: Harper & Row (original work published in 1927).
Heidegger, M. 1977. The question concerning technology and other essays (trans: Lovitt, W.). New York: Harper & Row (original work published in 1954).
Heidegger, M. 1996. Being and time (trans: Stambaugh, J.). New York: State University of New York Press (original work published in 1927).
Heidegger, M. 2000. Towards the definition of philosophy (trans: Sadler, T.). London: Continuum (original work written in 1919).
Heidegger, M. 2001. Zollikon seminars: Protocols-conversations-letters (trans: Mayr, F., and R. Askay). Evanston: Northwestern University Press (original work published in 1987).
Husserl, E. 2001. Logical investigations, Vol. 1 (trans: Moran, D.). London: Routledge (original work published in 1900).
Jaspers, K. 1989. The physician in the technological age. Theoretical Medicine 10: 251–267 (original work published in 1959).
Kant, I. 2002. Groundwork for the metaphysics of morals (trans: Wood, A.W.). New Haven: Yale University Press (original work published in 1785).
Landes, D.A. 2015. Phronesis and the art of healing: Gadamer, Merleau-Ponty, and the phenomenology of equilibrium in health. Human Studies 38: 261–279.
Levinas, E. 1979. Totality and infinity: An essay on exteriority (trans: Lingis, A.). The Hague: Martinus Nijhoff Publishers (original work published in 1961).
Liddell, H.G., and R. Scott. 2003. An intermediate Greek-English lexicon. Oxford: Oxford University Press.
Mackey, S. 2005. Phenomenological nursing research: Methodological insights derived from Heidegger’s interpretive phenomenology. International Journal of Nursing Studies 42: 179–186.
Maier-Katkin, D. 2010. Stranger from abroad: Hannah Arendt, Martin Heidegger, friendship and forgiveness. New York: W. W. Norton & Company.
Marder, M. 2011. Phenomenology of distraction, or attention in the fissuring of time and space. Research in Phenomenology 41 (3): 396–419.
Merleau-Ponty, M. 2002. Phenomenology of perception (trans: Smith, C.). London: Routledge (original work published in 1945).
Miles, M., Y. Chapman, K. Francis, and B. Taylor. 2013. Exploring Heideggerian hermeneutic phenomenology: A perfect fit for midwifery research. Woman and Birth 26 (4): 273–276.
Newman, C., A. Cashin, and C.D. Waters. 2010. A modified hermeneutic phenomenological approach toward individuals who have autism. Research in Nursing & Health 33 (3): 265–271.
Nietzsche, F. 1974. The gay science: With a prelude in rhymes and an appendix of songs (trans: Kaufmann, W.). New York: Random House (original work published in 1887).
Plato. 1961. Laws (trans: Bury, R.G.). Cambridge: Harvard University Press.
Porter, E. 1998. On ‘being inspired’ by Husserl’s phenomenology: Reflections on Omery’s exposition of phenomenology as a method of nursing research. Advances in Nursing Science 21: 16–28.
Shanafelt, T.D., and J.H. Noseworthy. 2017. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout. Mayo Clinic Proceedings 92 (1): 129–146.
Shirom, A., N. Nirel, and A.D. Vinokur. 2006. Overload, autonomy, and burnout as predictors of physicians’ quality of care. Journal of Occupational Health Psychology 11 (4): 328–342.
Stempsey, W.E. 2001. Plato and holistic medicine. Medicine, Health Care and Philosophy 4: 201–209.
Street, R.L. 2002. Gender differences in health care provider-patient communication: Are they due to style, stereotypes, or accommodation? Patient Education and Counseling 48 (3): 201–206.
Svenaeus, F. 2000a. Das unheimliche—Towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (1): 3–16.
Svenaeus, F. 2000b. Hermeneutics of clinical practice: The question of textuality. Theoretical Medicine and Bioethics 21: 171–189.
Svenaeus, F. 2000c. The body uncanny—Further steps towards a phenomenology of illness. Medicine, Health Care, and Philosophy 3 (2): 125–137.
Svenaeus, F. 2000d. The hermeneutics of medicine and the phenomenology of health. Dordrecht: Kluwer.
Svenaeus, F. 2003. Hermenutics of medicine in the wake of Gadamer: The issue of phronesis. Theoretical Medicine 24: 407–431.
Svenaeus, F. 2010a. The body as gift, resource or commodity? Heidegger and the ethics of organ transplantation. Journal of Bioethical Inquiry 7 (2): 163–172.
Svenaeus, F. 2010b. The hermeneutics of medicine and the phenomenology of health: Steps towards a philosophy of medical practice. Dordrecht: Kluwer.
Svenaeus, F. 2010c. What is an organ?: Heidegger and the phenomenology of organ transplantation. Theoretical Medicine and Bioethics 31 (3): 179–196.
Svenaeus, F. 2018. Phenomenological bioethics: Medical technologies, human suffering, and the meaning of being alive. New York: Routledge.
Thompson, J. 1990. Hermeneutic inquiry. In Advancing nursing science through research, ed. L. Moody, 223–286. Newbury Park: Sage.
Toombs, S.K., ed. 2001. Handbook of phenomenology and medicine. Dordrecht: Kluwer.
Van Hooft, S. 2003. Pain and communication. Medicine, Health Care and Philosophy 6: 255–262.
Veatch, R.M. 1991. The patient-physician relation: The patient as partner, part 2. Indianapolis: Indiana University Press.
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Rentmeester, C. Heidegger, communication, and healthcare. Med Health Care and Philos 21, 431–437 (2018). https://doi.org/10.1007/s11019-018-9823-4
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DOI: https://doi.org/10.1007/s11019-018-9823-4