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A model of empathic understanding and adherence to treatment regimens in practitioner-patient relationships
Abstract
Empathic understanding in practitioner relationships is postulated as necessary for adherence to therapeutic regimens. It is considered to be one of the most important practitioner relationship skills leading ultimately to patient health benefit. Research literature from a wide-range of health disciplines including personality theory, social psychology, psychotherapy, psycho-analysis, and practitioner-patient communication highlights the key role of empathic processes in personal health care. A model of empathic understanding is described which attempts to integrate the substantive findings in the research literature and seeks to generate new ideas for further investigation. The model addresses theoretical relationships between practitioners' empathic understanding, patients' knowledge of their illness and motivation to get better, adherence to treatment advice, and outcome. Recent work on the selection and training of medical and nursing staff in empathic skills is reviewed. A number of areas for future research are outlined including the effect of individual practitioner differences in the components of empathy, empathic compatibility in practitioner-patient dyads, fluctuations in levels of practitioner empathy during long-term care, specific practitioner behaviours which communicate empathy, and the relationship between factors of patient satisfaction and the perception of empathic understanding.
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“The important determinants for compliance are mainly more information giving, more positive talk and empathy and an increased participatory style.(13,17,18,20)”
From Socio-economic status of the patient and doctor–patient communication: does it make a difference? (2005) · cites this paper as [17]
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Metadata
- Authors
- Squier, R. W.
- Corresponding author
- Squier, Roger W.
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1990-01
- Volume
- 30
- Issue
- 3
- Pages
- 325-339
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2087743410
- Cited by
- 305
- References
- 96
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 12 · 2020: 15 · 2019: 14 · 2018: 8 · 2017: 9 · 2016: 14 · 2015: 9 · 2014: 9 · 2013: 12 · 2012: 21
- FWCI
- 0.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- empathic understanding, medication adherence, practitioner-patient relationship, empathy, disease knowledge, empathy training, patient satisfaction, therapeutic relationship, health care outcomes
- MeSH terms
- Communication, Education, Medical, Education, Nursing, Empathy, Helping Behavior, Humans, Patient Compliance, Physician-Patient Relations, Psychoanalytic Theory
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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