Improving the physician-patient relationship utilizing psychodynamic psychology: a primer for health professionals

• Published in: Health psychology & behavioral medicine Vol. 9; no. 1; pp. 338 - 349
• Main Author: Centeno-Gándara, Luis A.
• Format: Journal Article
• Language: English
• Published: England Routledge 01-01-2021; Taylor & Francis Ltd; Taylor & Francis Group
• Subjects: Clinical medicine; Countertransference; empathy; medical psychology; Physician patient relationships; physician-patient relations; transference; Transference (Psychology); Countertransference; empathy; transference; medical psychology; physician-patient relations
• ISSN: 2164-2850; 2164-2850
• DOI: 10.1080/21642850.2021.1914052

The quality of the physician-patient relationship is associated with improved healthcare outcomes and patients' complaints due to dissatisfaction. Factors that influence the quality of the physician-patient relationship include verbal communication, nonverbal communication, and clinical empathy. These factors have been studied from diverse theoretical approaches hindering their integration into a theoretical framework applicable in clinical practice and accessible for lay clinicians.
The aim of this paper is to put forward a psychodynamic framework that includes the factors associated with a better quality of the physician-patient relationship and is applicable in clinical practice and accessible for lay clinicians.
Basic concepts necessary to comprehend transference and countertransference phenomena were outlined. Then, based on the concepts of transference and countertransference, a psychodynamic framework to understand and manage the physician-patient relationship was put forward.
This is the first paper that presents a psychodynamic framework applicable in clinical practice and accessible to lay clinicians for understanding and managing the physician-patient relationship. Additionally, this work could serve as introductory material to Balint groups.