Chapitre 10. How nonverbal communication shapes doctor-patient relationship: From paternalism to the ethics of care in oncology (notice n° 692809)
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| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bommier, C. |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Chapitre 10. How nonverbal communication shapes doctor-patient relationship: From paternalism to the ethics of care in oncology |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2013.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 73 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Chapter 10. Apport de la communication non verbale dans la relation médecin-patient : du paternalisme à l’éthique du care en oncologieLe but de cette étude est de rechercher, après la dénonciation du paternalisme menée jusqu’aujourd’hui, si une utilisation maîtrisée de la communication non orale par les praticiens risque de le laisser subsister dans la consultation en oncologie (choisie comme exemple de relation médecin-patient). Ainsi, l’étude a consisté en une recherche qualitative basée sur des observations et des questionnaires, et s’est fondée sur des références de sociologie et d’anthropologie reconnues. Nous avons pu constater que l’encadrement législatif contraignant de la relation médecin-patient n’a fait que déplacer le problème du paternalisme du langage parlé vers un nouvel outil que les médecins ne savent pas encore totalement maîtriser et dont les patients négligent encore trop l’existence : la communication non orale. Cette étude montre que toutes les lois encadrant la relation médecin-patient peuvent être contournées et qu’une maîtrise de la communication non orale peut aboutir à un retour au paternalisme. Alors, le rejet du paternalisme doit se traduire par une lecture appropriée de l’histoire du patient: cette lecture, en terme éthique, n’est valable que si on veille au conditionnement non paternaliste du patient par la structure hospitalière, à la compréhension de sa temporalité par le médecin, et à l’engagement complet de ce dernier dans le serment d’Hippocrate, codifié par l’éthique du care. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The purpose of this research, led in the wake of years of pressure to reject paternalism, was to study whether controlled practice of nonverbal communication by doctors inheres a continued risk of paternalistic attitudes in oncology clinic interviews (chosen to illustrate the doctor-patient relationship). This study involved qualitative descriptive research based on interview observations and questionnaires and mobilized recognized theory borrowed from sociology and anthropology. We found that the legislative framework governing the doctor-patient relationship has simply shifted the paternalism issue from verbal communication over to a new area that doctors have not yet mastered and patients have not yet understood, i.e. nonverbal communication. This study shows that all the laws framing the doctor-patient relationship can be circumvented, and that by controlling nonverbal communication, the doctor can fall back into paternalism. The rejection of paternalism therefore needs to lead to an appropriate reading of the patient’s story, which in ethical terms can only happen if hospital structures are made non-paternalizing by design, if doctors learn to understand the patient’s different chronemic timeframe, and if doctors committedly engage in the Hippocratic Oath codified through the ethics of care. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | paternalisme |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cancer |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pratique médicale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | éthique clinique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | relation médecin patient |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | information du patient |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | communication |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | medical practices |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | paternalism |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | clinical ethics |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | physician patient relationship |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cancer |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | patient information |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | communication |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mamzer-Bruneel, |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Desmarchelier, D. |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hervé, C. |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Journal International de Bioéthique | 24 | 4 | 2013-10-17 | p. 137-158 | 1287-7352 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-journal-international-de-bioethique-2013-4-page-137?lang=en&redirect-ssocas=7080">https://shs.cairn.info/revue-journal-international-de-bioethique-2013-4-page-137?lang=en&redirect-ssocas=7080</a> |
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