I deal with the small things
The doctor-patient relationship and professional identity in GPs' stories of cancer care
Bibliographic Data
| ID | 4887666 |
|---|---|
| Authors | May-Lill Johansen (0000-0003-3623-0089, UiT The Arctic University of Norway), Knut Arne Holtedahl (University of Tromsø, Norway), Knut Holtedahl (UiT The Arctic University of Norway), Annette Sofie Davidsen (0000-0002-5434-0997, University of Copenhagen), Carl Edvard Rudebeck (University of Tromsø, Norway) |
| Year | 2012 |
| Volume | 16 |
| Issue | 6 |
| Pages | 569-584 |
| Publication date | 2012-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459312438565 |
| PMID | 22397893 |
| OpenAlex | W2139853335 |
| Language | EN |
| Citations received | 2 |
| References cited | 54 |
An important part of GPs' work consists of attending to the everyday and existential conditions of human being. In these life world aspects, biomedicine is often not the relevant theory to guide the GP; nevertheless they are a part of GPs' professional domain. In cancer care, previous studies have shown that GPs with a biomedical perspective on medicine could feel subordinate to specialists, and that doctors with a curative focus could see disease progression as a personal failure. The aim of this study was to explore in depth the experiences of being a GP for people with advanced cancer. Fourteen Norwegian GPs were interviewed about accompanying patients through a cancer illness. Their stories were analysed using a narrative approach. The GPs expressed a strong commitment to these patients, a loyalty which in some cases could be weakened due to judgements of distant specialists. In view of the GPs' close knowledge of their patients' background and history this subordination was a paradox, mirroring a hierarchy of medical knowledge. The GPs had an ideal of honesty and openness about death, which they sometimes failed. To reach the ideal of honesty, clinicians would have to abandon the biomedical ideal of mastering human nature through interventions and acknowledge the fundamental uncertainty and finiteness of human life. GPs may learn from being with their patients that bodily and existential suffering are connected, and thus learn implicitly to overlook the body-mind dualism. This practical wisdom lacks a theoretical anchoring, which is a problem not only for general practice
Aesthetics · Art · Cancer · Global Positioning System · Psychoanalysis · Sociology · Telecommunications · Computer Science · Empathy and Medical Education · Medicine · Mental Health and Psychiatry · Nursing · Patient-Provider Communication in Healthcare · Psychology · Internal Medicine
The Virtues In Medical Practice
Doctors' Stories
The Doctor, His Patient, and the Illness
The Values and Value of Patient-Centered Care
The Need for a New Medical Model
The necessary and sufficient conditions of therapeutic personality change.
The emancipation of biographical medicine
The emancipation of biographical medicine
Narrative Methods for the Human Sciences
Narrative Analysis
Patient-centredness
Illness and the role of the physician
Biomedicine, holism and general medical practice
Interacting with cancer patients
In this scenario, I do this, for these reasons
What cancer tells us about general practice. Birth of an hypothesis
On reflection
Role ambiguity in general practice
Special not different
Dilemmas in general practice
It takes some time to get into the rhythm - and to slow the flow of thought
Cancer narratives and methodological uncertainties
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,25 |
| Citation span | 2018 - 2026 (9) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 2 |