ANTHONY L. SUCHMAN, M.D.; DALE A. MATTHEWS, M.D.
Physicians do not receive from the medical model the same explicit guidance in relating to their patients as in making diagnoses and prescribing pharmacologic and other treatments. To meet this need, we offer a framework for expanding the model. Therapeutic contact takes place within a connexional, or transpersonal, dimension of human experience, within which basic human needs for connection and meaning are met. Although seldom explicitly recognized, connexional experience is basic to medical care. Awareness of this dimension of experience leads clinicians to appreciate that establishing a therapeutic relationship is one of the principal goals of medical practice. It also reframes the doctor's task to make clinical uncertainty more tolerable and situations in which there is no appropriate biomedical response (such as care of the terminally ill) less frustrating and more fulfilling.
Learn more about subscription options.
Register Now for a free account.
SUCHMAN AL, MATTHEWS DA. What Makes the Patient-Doctor Relationship Therapeutic? Exploring the Connexional Dimension of Medical Care. Ann Intern Med. 1988;108:125-130. doi: 10.7326/0003-4819-108-1-125
Download citation file:
Published: Ann Intern Med. 1988;108(1):125-130.
End-of-Life Care, Hospital Medicine.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only