Clinical Communication: The Ideal of Patient Empowerment and the Reality of Patient Vulnerability and...

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Peter Salmon (University of Liverpool)

Clinical Communication

The Ideal of Patient Empowerment and the Reality of Patient Vulnerability and Dependence

Peter Salmon (University of Liverpool)

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English

Cambridge University Press
13 February 2025

Communication studies; Doctor patient relationship; Epidemiology & medical statistics

Series: Elements in Health Communication

Good communication is necessary for good clinical care, but defining good communication has been surprisingly difficult and controversial. Many current ideas that identify good communication with certain communication behaviours, or 'skills', were ethically inspired to help doctors see beyond disease to the whole patient. However, promoting specific behaviours is problematic because communication is contextually dependent. In recent decades, observational research into practitioner-patient relationships has begun to provide a scientific basis for the field, identifying patients' vulnerability and practitioners' authority as defining features of fundamentally asymmetric clinical relationships. Future educators can learn from research that explores the judgments that experienced practitioners make when they manage communication dilemmas arising from this asymmetry. In future, instead of the current emphasis on teaching communication behaviours, educators could provide practitioners with knowledge about relationships to inform those judgments, while addressing the attitudes and values that motivate and guide their communication.

By: Peter Salmon (University of Liverpool)
Imprint: Cambridge University Press
Country of Publication: United Kingdom
Dimensions: Height: 229mm, Width: 152mm, Spine: 8mm
Weight: 303g
ISBN: 9781009619554
ISBN 10: 1009619551
Series: Elements in Health Communication
Pages: 112
Publication Date: 13 February 2025
Audience: Professional and scholarly , College/higher education , Undergraduate , Further / Higher Education
Format: Hardback
Publisher's Status: Active

1. Introduction; 2. Ethical Context: What Should Clinical Communication be Like?; 3. Psychological Theory: What is Clinical Communication Like?; 4. Technologies of Patient Empowerment and Patient-Centredness; 5. The Technology of Communication Skills; 6. Communication in cancer care; 7. Towards the Next Generation of Communication Teaching; 8. Epilogue.