Empathizing with patients: the role of interaction and narratives in providing better patient care

Med Health Care Philos. 2017 Jun;20(2):237-248. doi: 10.1007/s11019-016-9746-x.

Abstract

Recent studies have revealed a drop in the ability of physicians to empathize with their patients. It is argued that empathy training needs to be provided to both medical students and physicians in order to improve patient care. While it may be true that empathy would lead to better patient care, it is important that the right theory of empathy is being encouraged. This paper examines and critiques the prominent explanation of empathy being used in medicine. Focusing on the component of empathy that allows us to understand others, it is argued that this understanding is accomplished through a simulation. However, simulation theory is not the best explanation of empathy for medicine, since it involves a limited perspective in which to understand the patient. In response to the limitations and objections to simulation theory, interaction theory is presented as a promising alternative. This theory explains the physicians understanding of patients from diverse backgrounds as an ability to learn and apply narratives. By explaining how we understand others, without limiting our ability to understand various others, interaction theory is more likely than simulation theory to provide better patient care, and therefore is a better theory of empathy for the medical field.

Keywords: Diversity problem; Education; Empathy; Interaction theory; Narratives; Simulation theory.

Publication types

  • Editorial

MeSH terms

  • Empathy*
  • Humans
  • Narration
  • Patient Care / standards*
  • Physicians / psychology*
  • Students, Medical / psychology*