Stigmatization of Patients with Chronic Pain: The Extinction of Empathy

被引：97

作者：

Cohen, Milton

Quintner, John ^{[1
]}

Buchanan, David ^{[2
]}

Nielsen, Mandy ^{[3
]}

Guy, Lynette ^{[4
]}

机构：

[1] Fremantle Hosp, Fremantle, WA, Australia

[2] Univ Tasmania, Sch Nursing & Midwifery, Launceston, Tas 7250, Australia

[3] Univ Queensland, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia

[4] Univ Newcastle, Sch Hlth Sci, Callaghan, NSW 2308, Australia

来源：

PAIN MEDICINE | 2011年 / 12卷 / 11期

关键词：

Chronic Pain; Stereotyping; Stigma; Empathy; STIGMA; MEDICINE; MANAGEMENT; FRAMEWORK; RESPONSES;

D O I：

10.1111/j.1526-4637.2011.01264.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objective. To address how health professionals may inadvertently contribute to the stigmatization of patients with chronic pain. Setting. Formulation and implementation of the Australian National Pain Strategy. Design. Review of current concepts of stereotyping and stigma, consideration of their relationship to empathy, and how they might impinge upon the clinical encounter. Findings. The extinction of empathy, which we refer to as "negative empathy," can overwhelm health professionals, allowing the entry of negative community stereotypes of chronic pain sufferers and add to their stigmatization. Prevailing dualistic frames of reference encourage this process. Conclusion. Greater awareness by health professionals of their own potential, often inadvertent, contribution to the stigmatization of their patients with chronic pain may serve as a basis for an expanded model of clinical engagement.

引用

页码：1637 / 1643

页数：7

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