RT Journal Article
SR Electronic
T1 ABCDE in Clinical Encounters: Presentations of Self in Doctor-Patient Communication
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 276
OP 278
DO 10.1370/afm.1755
VO 13
IS 3
A1 Ventres, William
YR 2015
UL http://www.annfammed.org/content/13/3/276.abstract
AB Professional discussions about communication in medical settings often ignore the various personal identities that doctors and patients bring to their clinical encounters. From my 26 years as a family physician, and informed by literature from other professional disciplines, I propose an alternate understanding: to think of doctors and patients as a collection of individual identities, each formed by a discrete presentation of self. I describe how at least 5 important presentations of self arise in clinical encounters, including those relating to meaning, community, agency, anxiety, and organism. I frame these presentations of self with the mnemonic ABCDE, briefly review key dimensions of each, and suggest how physicians can reflect on these dimensions in order to find equilibrium in their interactions with patients. Lastly, I submit that finding this balance can reduce relational challenges with patients and enhance the therapeutic effectiveness of doctor-patient communication.