Table 1

Presentations of Self in Clinical Encounters

SelfThemePrototypical Patient IssuesPrototypical Physician Concerns
A. I am.MeaningWhat is most important in my life?How do I find meaning in my work with this patient?
B. I belong.CommunityWith whom can I bear my problems?What resources do I have at my disposal?
C. I can.AgencyDo I have the capacity to get better?How can I positively influence this patient’s health?
D. I dread.AnxietyI am worried–What about?Will this patient improve or decline?
E. I exist.OrganismWhat is wrong with my body?What is the pathophysiology and treatment?