Understanding the "Difficult" Patient

Narrative Inquiry in Bioethics 13 (1):45-49 (2023)
  Copy   BIBTEX

Abstract

Abstract:James Groves opens his 1978 foundational article, "Taking Care of the Hateful Patient," thusly, "Admitted or not, the fact remains that a few patients kindle aversion, fear, despair, or even downright malice in their doctors." Groves understood his article as pulling back the curtain on an experience that physicians had but that few dared discuss without shame. His taxonomy of four types of "hateful" patients: clingers, entitled demanders, manipulative help rejectors, and self-destructive deniers may still be instructive. However, the intervening years have revealed that this taxonomy does not adequately capture the nuances present when patients are described as "difficult." This issue of Narrative Inquiry in Bioethics situates this complexity. Different kinds of providers in a variety of healthcare delivering institutions have offered accounts of their own interactions with so-called difficult patients. In each of these stories, the providers tell the reader how the providers were transformed through these interactions: what they learned about their patients, what they learned about patient care, what they could have done differently or better, and what lessons they have taken with them into subsequent encounters.

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 92,075

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

“What Is PER?” Patient Engagement in Research as a Hit.Jean-Christophe Bélisle-Pipon, Claudio Del Grande & Geneviève Rouleau - 2018 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 1 (2):59-62.
Listen Carefully.Josephine Ensign - 2015 - Perspectives in Biology and Medicine 58 (1):32-32.
Paternalism modernised.G. B. Weiss - 1985 - Journal of Medical Ethics 11 (4):184-187.
“What Is PER?” Patient Engagement in Research as a Hit.Jean-Christophe Bélisle-Pipon, Claudio Del Grande & Geneviève Rouleau - 2018 - Canadian Journal of Bioethics/Revue canadienne de bioéthique 1 (2):59-62.
Seek first to understand.Robert M. Centor - 2007 - Philosophy, Ethics, and Humanities in Medicine 2:29.
Commentary.Joel Frader - 1999 - Cambridge Quarterly of Healthcare Ethics 8 (3):376-377.
Sabr_ and _Shukr: doing justice to medical futility.Sara Riaz - forthcoming - Journal of Medical Ethics.
Vulnerability as a key concept in relational patient- centered professionalism.Janet Delgado - 2021 - Medicine, Health Care and Philosophy 24 (2):155-172.
Truth be told: not all nudging is bullshit.Jennifer Blumenthal-Barby & Peter A. Ubel - 2018 - Journal of Medical Ethics 44 (8):547-547.
Autonomy and identity.J. Calinas Correia - 2000 - Journal of Medical Ethics 26 (2):141-141.

Analytics

Added to PP
2023-07-30

Downloads
8 (#1,319,469)

6 months
6 (#522,810)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Yolonda Wilson
Howard University

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references