Empirical research on empathy in medicine—A critical review

Patient Education and Counseling - Tập 76 - Trang 307-322 - 2009
Reidar Pedersen1
1Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway

Tài liệu tham khảo

Pedersen, 2008, Empathy: A wolf in sheep's clothing?, Med Health Care Philos, 11, 325, 10.1007/s11019-007-9104-0 Duan, 1996, The current state of empathy research, J Couns Psychol, 43, 261, 10.1037/0022-0167.43.3.261 Hemmerdinger, 2007, A systematic review of tests of empathy in medicine, BMC Med Educ, 7, 24, 10.1186/1472-6920-7-24 Stepien, 2006, Educating for empathy. A review, J Gen Intern Med, 21, 524, 10.1111/j.1525-1497.2006.00443.x Satterfield, 2007, Emotion skills training for medical students: a systematic review, Med Educ, 41, 935, 10.1111/j.1365-2923.2007.02835.x Rappaport, 1972, Accurate empathy: confusion of a construct, Psychol Bull, 77, 400, 10.1037/h0032716 Bachrach, 1976, Empathy, We know what we mean, but what do we measure?, Arch Gen Psychiatry, 33, 35, 10.1001/archpsyc.1976.01770010021003 Reynolds, 1999, Empathy has not been measured in clients’ terms or effectively taught: a review of the literature, J Adv Nurs, 30, 1177, 10.1046/j.1365-2648.1999.01191.x Gladstein, 1983, Understanding empathy: integrating counseling, developmental, and social psychology perspectives, J Couns Psychol, 30, 467, 10.1037/0022-0167.30.4.467 Chlopan, 1985, Empathy: review of available measures, J Pers Soc Psychol, 48, 635, 10.1037/0022-3514.48.3.635 Lambert, 1977, Outcome research in Carkhuffs Human Resource Development Training-Programs—Where is donut, Couns Psychol, 6, 79, 10.1177/001100007700600428 Morse, 1992, Exploring empathy: a conceptual fit for nursing practice?, Image J Nurs Sch, 24, 273, 10.1111/j.1547-5069.1992.tb00733.x Gallop, 1990, The empathic process and its mediators. A heuristic model, J Nerv Ment Dis, 178, 649, 10.1097/00005053-199010000-00006 Buddeberg-Fischer, 2003, The influence of gender and personality traits on the career planning of Swiss medical students, Swiss Med Wkly, 133, 535 Falkum, 2000, What is burnout? Norwegian, Tidsskr Nor Laegeforen, 120, 1122 Ro, 2007, Does a self-referral counselling program reach doctors in need of help? A comparison with the general Norwegian doctor workforce, BMC Public Health, 7, 36, 10.1186/1471-2458-7-36 Maguire, 1996, Helping health professionals involved in cancer care acquire key interviewing skills—the impact of workshops, Eur J Cancer, 32A, 1486, 10.1016/0959-8049(96)00059-7 Verby, 1979, Peer review of consultations in primary care: the use of audiovisual recordings, Br Med J, 1, 1686, 10.1136/bmj.1.6179.1686 White, 2007, Teaching students behavior change skills: description and assessment of a new motivational interviewing curriculum, Med Teach, 29, e67, 10.1080/01421590601032443 Epstein, 2007, “Could this be something serious?” Reassurance, uncertainty, and empathy in response to patients’ expressions of worry, J Gen Intern Med, 22, 1731, 10.1007/s11606-007-0416-9 Shapiro, 2006, Point-of-view writing: a method for increasing medical students’ empathy, identification and expression of emotion, and insight, Educ Health, 19, 96, 10.1080/13576280500534776 Ofri, 1995, Attitudes of therapists toward Holocaust survivors, J Trauma Stress, 8, 229, 10.1002/jts.2490080204 De Valck, 2001, Cure-oriented versus care-oriented attitudes in medicine, Patient Educ Couns, 45, 119, 10.1016/S0738-3991(00)00201-9 Henry-Tillman, 2002, The medical student as patient navigator as an approach to teaching empathy, Am J Surg, 183, 659, 10.1016/S0002-9610(02)00867-X Scott, 1976, Longitudinal investigation of changes in interviewing performance of medical students, J Clin Psychol, 32, 424, 10.1002/1097-4679(197604)32:2<424::AID-JCLP2270320247>3.0.CO;2-C DiBartola, 1997, Perceptions of physicians’ interpersonal skills, Acad Med, 72, 566, 10.1097/00001888-199707000-00005 Cormack, 1992, Factors linked to the prescribing of benzodiazepines by general practice principals and trainees, Fam Pract, 9, 466, 10.1093/fampra/9.4.466 Silber, 2004, Do global rating forms enable program directors to assess the ACGME competencies?, Acad Med, 79, 549, 10.1097/00001888-200406000-00010 Vernooij-Dassen, 2000, Quality assessment in general practice trainers, Med Educ, 34, 1001, 10.1046/j.1365-2923.2000.00662.x Jenkins, 2002, Can communication skills training alter physicians’ beliefs and behavior in clinics?, J Clin Oncol, 20, 765, 10.1200/JCO.20.3.765 Fallowfield, 2002, Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomised controlled trial, Lancet, 359, 650, 10.1016/S0140-6736(02)07810-8 van Zanten, 2005, Using a standardised patient assessment to measure professional attributes, Med Educ, 39, 20, 10.1111/j.1365-2929.2004.02029.x Charlton, 2000, Perceived skills in palliative medicine of newly qualified doctors in the U.K., J Palliat Care, 16, 27, 10.1177/082585970001600405 Zachariae, 2003, Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease, Br J Cancer, 88, 658, 10.1038/sj.bjc.6600798 Pawelczyk, 2007, Medical students’ empathy and their career preference, Psychiatr Psychol Klin, 7, 138 Niemi-Murola, 2007, Medical undergraduate students’ beliefs and attitudes toward pain: how do they mature?, Eur J Pain, 11, 700, 10.1016/j.ejpain.2006.12.001 Rahman, 2000, Initial assessment of communication skills of intern doctors in history-taking, Med Teach, 22, 184, 10.1080/01421590078634 Nightingale, 1991, Sympathy, empathy, and physician resource utilization, J Gen Intern Med, 6, 420, 10.1007/BF02598163 Yarnold, 1991, Comparing the resource use of sympathetic and empathetic physicians, Acad Med, 66, 709, 10.1097/00001888-199111000-00020 Yarnold, 1993, Androgyny predicts empathy for trainees in medicine, Percept Mot Skills, 77, 576, 10.2466/pms.1993.77.2.576 Carmel, 1996, Compassionate-empathic physicians: personality traits and social-organizational factors that enhance or inhibit this behavior pattern, Soc Sci Med, 43, 1253, 10.1016/0277-9536(95)00445-9 Delvaux, 2005, Physicians’ communication with a cancer patient and a relative: a randomized study assessing the efficacy of consolidation workshops, Cancer, 103, 2397, 10.1002/cncr.21093 Burket, 1995, Therapists’ attitudes about treating patients with eating disorders, South Med J, 88, 813, 10.1097/00007611-199508000-00004 Hull, 2001, Student attitudes toward wellness, empathy, and spirituality in the curriculum, Acad Med, 76, 520, 10.1097/00001888-200105000-00053 DiLalla, 2004, Effect of gender, age, and relevant course work on attitudes toward empathy, patient spirituality, and physician wellness, Teach Learn Med, 16, 165, 10.1207/s15328015tlm1602_8 Seaberg, 2000, Teaching patient empathy: the ED visit program, Acad Emerg Med, 7, 1433, 10.1111/j.1553-2712.2000.tb00504.x Easter, 2004, Competent patient care is dependent upon attending to empathic opportunities presented during interview sessions, Curr Surg, 61, 313, 10.1016/j.cursur.2003.12.006 Colliver, 1998, Assessment of empathy in a standardized-patient examination, Teach Learn Med, 10, 8, 10.1207/S15328015TLM1001_2 Wolf, 1989, A retrospective study of attitude change during medical education, Med Educ, 23, 19, 10.1111/j.1365-2923.1989.tb00807.x Shapiro, 2003, All the world's a stage: the use of theatrical performance in medical education, Med Educ, 37, 922, 10.1046/j.1365-2923.2003.01634.x Smith, 1995, A strategy for improving patient satisfaction by the intensive training of residents in psychosocial medicine: a controlled, randomized study, Acad Med, 70, 729, 10.1097/00001888-199508000-00019 McCluskey, 2004, Breaking the news: a survey of ALS patients and their caregivers, Amyotroph Lateral Scler Other Motor Neuron Disord, 5, 131, 10.1080/14660820410020772 Le May, 2001, Patients’ perceptions of cardiac anesthesia services: a pilot study, Can J Anaesth, 48, 1127, 10.1007/BF03020381 Evans, 1992, Measuring medical students’ communication skills: development and evaluation of an interview rating scale, Psychol Health, 6, 213, 10.1080/08870449208403185 Bensing, 1996, The role of the general practitioner's affective behaviour in medical encounters, Psychol Health, 11, 825, 10.1080/08870449608400278 Kramer, 1989, Increasing empathy among medical students, Med Educ, 23, 168, 10.1111/j.1365-2923.1989.tb00881.x Tamburrino, 1993, Evaluating empathy in interviewing: comparing self-report with actual behavior, Teach Learn Med, 5, 217, 10.1080/10401339309539626 Linn, 1987, Measuring physicians’ humanistic attitudes, values, and behaviors, Med Care, 25, 504, 10.1097/00005650-198706000-00005 van Dulmen, 2004, Patients’ preferences and experiences in handling emotions: a study on communication sequences in primary care medical visits, Patient Educ Couns, 55, 149 Evans, 1993, Measuring medical students’ empathy skills, Br J Med Psychol, 66, 121, 10.1111/j.2044-8341.1993.tb01735.x Dereboy, 2005, Teaching empathy in medical education, Turk Psikiyatri Derg, 16, 83 Gillotti, 2002, Communicative competence in the delivery of bad news, Soc Sci Med, 54, 1011, 10.1016/S0277-9536(01)00073-9 Feletti, 1985, Evaluating a new approach to selecting medical students, Med Educ, 19, 276, 10.1111/j.1365-2923.1985.tb01321.x Hojat, 2005, Empathy scores in medical school and ratings of empathic behavior in residency training 3 years later, J Soc Psychol, 145, 663, 10.3200/SOCP.145.6.663-672 Raz, 2006, “We came to talk with the people behind the disease:” communication and control in medical education, Cult Med Psychiatry, 30, 55, 10.1007/s11013-006-9008-0 Battegay, 1991, Exploring the doctor–patient relationship reduces staff stress and enhances empathy when caring for AIDS patients, Psychother Psychosom, 56, 167, 10.1159/000288551 Zenni, 2006, A walk in the patients’ shoes: a step toward competency development in systems-based practice, Ambul Pediatr, 6, 54, 10.1016/j.ambp.2005.08.003 Allen, 2008, The wounding path to becoming healers: medical students’ apprenticeship experiences, Med Teach, 30, 260, 10.1080/01421590701758665 Hatem, 2001, Becoming a doctor: fostering humane caregivers through creative writing, Patient Educ Couns, 45, 13, 10.1016/S0738-3991(01)00135-5 Nogueira-Martins, 2006, Medical students’ perceptions of their learning about the doctor–patient relationship: a qualitative study, Med Educ, 40, 322, 10.1111/j.1365-2929.2006.02411.x Tentler, 2008, Factors affecting physicians’ responses to patients’ requests for antidepressants: Focus group study, J Gen Intern Med, 23, 51, 10.1007/s11606-007-0441-8 Walters, 2007, Teaching undergraduate psychiatry in primary care: the impact on student learning and attitudes, Med Educ, 41, 100, 10.1111/j.1365-2929.2006.02653.x Fagerli, 2005, Role dilemmas among health-workers in cross-cultural patient encounters around dietary advice, Scand J Public Health, 33, 360, 10.1080/14034940510005888 Swenson, 2006, ‘She gave it her best shot right away’: patient experiences of biomedical and patient-centered communication, Patient Educ Couns, 61, 200, 10.1016/j.pec.2005.02.019 Henderson, 2002, Assisting medical students to conduct empathic conversations with patients from a sexual medicine clinic, Sex Transm Infect, 78, 246, 10.1136/sti.78.4.246 Lancaster, 2002, Literature and medicine: evaluating a special study module using the nominal group technique, Med Educ, 36, 1071, 10.1046/j.1365-2923.2002.01325.x Suchman, 1997, A model of empathic communication in the medical interview, J Am Med Assoc, 277, 678, 10.1001/jama.277.8.678 Rucker, 2003, Becoming a physician: students’ creative projects in a third-year IM clerkship, Acad Med, 78, 391, 10.1097/00001888-200304000-00015 Branch, 1993, Becoming a doctor, critical-incident reports from third-year medical students, N Engl J Med, 329, 1130, 10.1056/NEJM199310073291518 Mercer, 2007, Quality in general practice consultations; a qualitative study of the views of patients living in an area of high socio-economic deprivation in Scotland, BMC Fam Pract, 8, 22, 10.1186/1471-2296-8-22 Epstein, 1998, Awkward moments in patient–physician communication about HIV risk, Ann Intern Med, 128, 435, 10.7326/0003-4819-128-6-199803150-00003 Anthierens, 2007, The lesser evil? Initiating a benzodiazepine prescription in general practice: a qualitative study on GPs’ perspectives, Scand J Prim Health Care, 25, 214, 10.1080/02813430701726335 Wong, 2008, Talking matters: abused women's views on disclosure of partner abuse to the family doctor and its role in handling the abuse situation, Patient Educ Couns, 70, 386, 10.1016/j.pec.2007.11.013 Wilkes, 2002, Towards more empathic medical students: a medical student hospitalization experience, Med Educ, 36, 528, 10.1046/j.1365-2923.2002.01230.x Bergman, 2000, Professional skills and frame of work organization in managing borderline personality disorder. Shared philosophy or ambivalence—a qualitative study from the view of caregivers, Scand J Caring Sci, 14, 245, 10.1080/028393100300006843 MacLeod, 2001, On reflection: doctors learning to care for people who are dying, Soc Sci Med, 52, 1719, 10.1016/S0277-9536(00)00289-6 Woolf, 2007, ‘It gives you an understanding you can’t get from any book.’ The relationship between medical students’ and doctors’ personal illness experiences and their performance: a qualitative and quantitative study, BMC Med Educ, 7, 50, 10.1186/1472-6920-7-50 DasGupta, 2004, Personal illness narratives: using reflective writing to teach empathy, Acad Med, 79, 351, 10.1097/00001888-200404000-00013 Kempainen, 2007, Life on the receiving end: a qualitative analysis of health providers’ illness narratives, Acad Med, 82, 207, 10.1097/ACM.0b013e31802d9513 Bendapudi, 2006, Patients’ perspectives on ideal physician behaviors, Mayo Clin Proc, 81, 338, 10.4065/81.3.338 Klitzman, 2006, Improving education on doctor–patient relationships and communication: lessons from doctors who become patients, Acad Med, 81, 447, 10.1097/01.ACM.0000222271.52588.01 Shapiro, 2002, How do physicians teach empathy in the primary care setting?, Acad Med, 77, 323, 10.1097/00001888-200204000-00012 Bruchfeld, 2000, Medical education—developing or blunting? Students don’t receive support from teachers according to a questionnaire study, Lakartidningen, 97, 3744 Branch, 1998, Medical students’ empathic understanding of their patients, Acad Med, 73, 360, 10.1097/00001888-199804000-00007 Talseth, 2007, Unburdening suffering: responses of psychiatrists to patients’ suicide deaths, Nurs Ethics, 14, 620, 10.1177/0969733007080207 May, 2004, Framing the doctor–patient relationship in chronic illness: a comparative study of general practitioners’ accounts, Sociol Health Illn, 26, 135, 10.1111/j.1467-9566.2004.00384.x Mercer, 2004, A qualitative study of patient's views on the consultation at the Glasgow Homoeopathic Hospital, an NHS integrative complementary and orthodox medical care unit, Patient Educ Couns, 53, 13, 10.1016/S0738-3991(03)00242-8 Shapiro, 2004, Teaching empathy to first year medical students: evaluation of an elective literature and medicine course, Educ Health, 17, 73, 10.1080/13576280310001656196 Laidlaw, 2007, What makes a physician an exemplary communicator with patients?, Patient Educ Couns, 68, 153, 10.1016/j.pec.2007.05.017 Levinson, 2000, A study of patient clues and physician responses in primary care and surgical settings, J Am Med Assoc, 284, 1021, 10.1001/jama.284.8.1021 Marci, 2007, Physiologic correlates of perceived therapist empathy and social-emotional process during psychotherapy, J Nerv Ment Dis, 195, 103, 10.1097/01.nmd.0000253731.71025.fc Marci, 2006, The effect of emotional distance on psychophysiologic concordance and perceived empathy between patient and interviewer, Appl Psychophysiol Biofeedback, 31, 115, 10.1007/s10484-006-9008-4 Silvester, 2007, “Trust me..”: psychological and behavioral predictors of perceived physician empathy, J. Appl Psychol, 92, 519, 10.1037/0021-9010.92.2.519 Jarski, 1985, A comparison of four empathy instruments in simulated patient–medical student interactions, J Med Educ, 60, 545 Jefferies, 2007, Using an objective structured clinical examination (OSCE) to assess multiple physician competencies in postgraduate training, Med Teach, 29, 183, 10.1080/01421590701302290 Hodges, 2003, Analytic global OSCE ratings are sensitive to level of training, Med Educ, 37, 1012, 10.1046/j.1365-2923.2003.01674.x Jarski, 1988, An investigation of physician assistant and medical student empathic skills, J Allied Health, 17, 211 Lochman, 1982, Behavioral context of perceived physician empathy, Fam Pract Res J, 2, 28 Kane, 2007, Jefferson Scale of Patient's Perceptions of Physician Empathy: preliminary psychometric data, Croat Med J, 48, 81 Glaser, 2007, Relationships between scores on the Jefferson Scale of physician empathy, patient perceptions of physician empathy, and humanistic approaches to patient care: a validity study, Med Sci Monit, 13, CR291 Hornblow, 1977, Measuring medical students’ empathy: a validation study, Med Educ, 11, 7, 10.1111/j.1365-2923.1977.tb00553.x Mintz, 1971, Segments versus whole sessions: which is the better unit for psychotherapy process research?, J Abnorm Psychol, 78, 180, 10.1037/h0031969 Hojat, 2001, The Jefferson Scale of Physician Empathy: development and preliminary psychometric data, Educ Psychol Meas, 61, 349, 10.1177/00131640121971158 Kliszcz, 2006, Empathy in health care providers—validation study of the Polish version of the Jefferson Scale of Empathy, Adv Med Sci, 51, 219 Mercer, 2006, CQI-2—a new measure of holistic interpersonal care in primary care consultations, Br J Gen Pract, 56, 262 Hojat, 2005, Relationships between scores of the Jefferson Scale of Physician Empathy (JSPE) and the Interpersonal Reactivity Index (IRI), Med Teach, 27, 625, 10.1080/01421590500069744 Free, 1985, Empathy and outcome in brief focal dynamic therapy, Am J Psychiatry, 142, 917, 10.1176/ajp.142.8.917 Elizur, 1982, Empathy, attitudes among medical students: the effects of group experience, J Med Educ, 57, 675 Kauss, 1980, The long-term effectiveness of interpersonal skills training in medical-schools, J Med Educ, 55, 595 Mercer, 2004, The Consultation And Relational Empathy (CARE) Measure: development and preliminary validation and reliability of an empathy-based consultation process measure, Fam Pract, 21, 699, 10.1093/fampra/cmh621 Nicolai, 2007, The impact of gender stereotypes on the evaluation of general practitioners’ communication skills: an experimental study using transcripts of physician–patient encounters, Patient Educ Couns, 69, 200, 10.1016/j.pec.2007.08.013 Davis, 1983, Measuring individual-differences in empathy—evidence for a multidimensional approach, J Pers Soc Psychol, 44, 113, 10.1037/0022-3514.44.1.113 Yarnold, 1996, Assessing physician empathy using the Interpersonal Reactivity Index: a measurement model and cross-sectional analysis, Psychol Health Med, 1, 207, 10.1080/13548509608400019 Mercer, 2002, Empathy and quality of care, Br J Gen Pract, 52, S9 West, 2006, Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study, J Am Med Assoc, 296, 1071, 10.1001/jama.296.9.1071 Thomas, 2007, How do distress and well-being relate to medical student empathy? A multicenter study, J Gen Intern Med, 22, 177, 10.1007/s11606-006-0039-6 Shanafelt, 2005, Relationship between increased personal well-being and enhanced empathy among internal medicine residents, J Gen Intern Med, 20, 559, 10.1007/s11606-005-0102-8 West, 2007, A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents, Acad Med, 82, 587, 10.1097/ACM.0b013e3180555fc5 Morton, 2000, Integration of cognition and emotion: a postformal operations model of physician–patient interaction, J Adult Dev, 7, 151, 10.1023/A:1009542229631 Self, 1995, The relationship of empathy to moral reasoning in first-year medical students, Camb Q Health Ethics, 4, 448, 10.1017/S0963180100006265 Stratton, 2005, Emotional intelligence and clinical skills: preliminary results from a comprehensive clinical performance examination, Acad Med, 80, S34, 10.1097/00001888-200510001-00012 Stratton, 2008, Changes in medical students’ emotional intelligence: an exploratory study, Teach Learn Med, 20, 279, 10.1080/10401330802199625 Mangione, 2002, Assessment of empathy in different years of internal medicine training, Med Teach, 24, 370, 10.1080/01421590220145725 Lachter, 1995, Similarities and differences between social work and medical students in empathy, conflict resolution and professional image, Soc Sci Health: Int J Res Pract, 1, 107 Rosen, 2006, Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns, Acad Med, 81, 82, 10.1097/00001888-200601000-00020 Bellini, 2005, Mood change and empathy decline persist during three years of internal medicine training, Acad Med, 80, 164, 10.1097/00001888-200502000-00013 Bellini, 2002, Variation of mood and empathy during internship, J Am Med Assoc, 287, 3143, 10.1001/jama.287.23.3143 Newton, 2000, Differences in medical students’ empathy, Acad Med, 75, 1215, 10.1097/00001888-200012000-00020 Newton, 2008, Is there hardening of the heart during medical school?, Acad Med, 83, 244, 10.1097/ACM.0b013e3181637837 Craig, 1992, Retention of interviewing skills learned by first-year medical students: a longitudinal study, Med Educ, 26, 276, 10.1111/j.1365-2923.1992.tb00169.x Khajavi, 1971, A comparative study of empathy. The effects of psychiatric training, Arch Gen Psychiatry, 25, 490, 10.1001/archpsyc.1971.01750180010002 Diseker, 1981, An analysis of empathy in medical students before and following clinical experience, J Med Educ, 56, 1004 Chen, 2007, A cross-sectional measurement of medical student empathy, J Gen Intern Med, 22, 1434, 10.1007/s11606-007-0298-x Hojat, 2002, Physician empathy: definition, components, measurement, and relationship to gender and specialty, Am J Psychiatry, 159, 1563, 10.1176/appi.ajp.159.9.1563 Hojat, 2003, Empathy: an NP/MD comparison, Nurse Pract, 28, 45, 10.1097/00006205-200304000-00010 Barnsley, 1999, Physician characteristics and the physician–patient relationship. Impact of sex, year of graduation, and specialty, Can Fam Physician, 45, 935 Paasche-Orlow, 2003, The communication patterns of internal medicine and family practice physicians, J Am Board Fam Pract, 16, 485, 10.3122/jabfm.16.6.485 Hojat, 2002, Empathy in medical students as related to academic performance, clinical competence and gender, Med Educ, 36, 522, 10.1046/j.1365-2923.2002.01234.x Austin, 2007, A preliminary study of empathy, emotional intelligence and examination performance in MBChB students, Med Educ, 41, 684, 10.1111/j.1365-2923.2007.02795.x Tutton, 1996, Psychometric test results associated with high achievement in basic science components of a medical curriculum, Acad Med, 71, 181, 10.1097/00001888-199602000-00027 Kupfer, 1978, Personality style and empathy in medical students, J Med Educ, 53, 507 Fields, 2004, Comparisons of nurses and physicians on an operational measure of empathy, Eval Health Prof, 27, 80, 10.1177/0163278703261206 Tait, 2005, Effect of treatment success and empathy on surgeon attributions for back surgery outcomes, J Behav Med, 28, 301, 10.1007/s10865-005-9007-6 Garcia-Morillo, 2007, Influence of biopsychosocial assessment on degree of doctor–patient empathy in a cohort of patients with multiple diseases, Rev Clin Esp, 207, 379 Streit-Forest, 1982, Differences in empathy: a preliminary analysis, J Med Educ, 57, 65 Holm, 1999, Pedagogical methods and affect tolerance in medical students, Med Educ, 33, 14, 10.1046/j.1365-2923.1999.00332.x Krupat, 2006, The Four Habits Coding Scheme: validation of an instrument to assess clinicians’ communication behavior, Patient Educ Couns, 62, 38, 10.1016/j.pec.2005.04.015 Bikker, 2005, A pilot prospective study on the Consultation And Relational Empathy, patient enablement, and health changes over 12 months in patients going to the Glasgow Homoeopathic Hospital, J Altern Complement Med, 11, 591, 10.1089/acm.2005.11.591 Bylund, 2002, Empathic communication and gender in the physician–patient encounter, Patient Educ Couns, 48, 207, 10.1016/S0738-3991(02)00173-8 Neumann, 2007, Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach, Patient Educ Couns, 69, 63, 10.1016/j.pec.2007.07.003 Youssef, 1996, Health care quality in NHS hospitals, Int J Health Care Qual Assur, 9, 15, 10.1108/09526869610109125 Austin, 2007, Evaluating the accuracy of pharmacy students’ self-assessment skills, Am J Pharm Educ, 71 Zeldow, 1987, The stability and attitudinal correlates of warmth and caring in medical students, Med Educ, 21, 353, 10.1111/j.1365-2923.1987.tb00375.x Coman, 1988, Scores on the Interpersonal Reactivity Index: a sample of Australian medical students, Psychol Rep, 62, 943, 10.2466/pr0.1988.62.3.943 Evans, 1987, Comparison of skills related to effectiveness of consultations: an Australian sample of medical students, Psychol Rep, 61, 419, 10.2466/pr0.1987.61.2.419 Kliszcz, 1998, Emotional and cognitive empathy in medical schools, Acad Med, 73, 541, 10.1097/00001888-199805000-00025 McManus, 2006, The attractions of medicine: the generic motivations of medical school applicants in relation to demography, personality and achievement, BMC Med Educ, 6, 11, 10.1186/1472-6920-6-11 Truax, 1967 Poole, 1979, Understanding the patient: a neglected aspect of medical education, Soc Sci Med Med Psychol Med Sociol, 13, 37, 10.1016/0271-7123(79)90006-3 Pope, 1974, The experienced professional interviewer versus the complete novice, J Consult Clin Psychol, 42, 680, 10.1037/h0037090 Beutler, 1973, Some sources of variance in “accurate empathy” ratings, J Consult Clin Psychol, 40, 167, 10.1037/h0034540 Poole, 1980, Long-term effects of empathy training on the interview skills of medical students, Patient Couns Health Educ, 2, 125, 10.1016/S0738-3991(80)80053-X Fine, 1977, Empathy in the doctor–patient relationship: skill training for medical students, J Med Educ, 52, 752 Carkhuff, 1969 Winefield, 1982, Subjective and objective outcomes of communication skills training in the first year, Med Educ, 16, 192, 10.1111/j.1365-2923.1982.tb01247.x Moorhead, 1991, Teaching counselling skills to fourth-year medical students: a dilemma concerning goals, Fam Pract, 8, 343, 10.1093/fampra/8.4.343 Winefield, 2000, Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increase?, Med Educ, 34, 90, 10.1046/j.1365-2923.2000.00463.x Mehrabian, 1972, A measure of emotional empathy, J Pers, 40, 525, 10.1111/j.1467-6494.1972.tb00078.x Servaty, 1996, Relationships among death anxiety, communication apprehension with the dying, and empathy in those seeking occupations as nurses and physicians, Death Stud, 20, 149, 10.1080/07481189608252747 Torrubia, 1984, A scale for the assessment of “susceptibility to punishment” as a measure of anxiety: preliminary results, Pers Individ Dif, 5, 371, 10.1016/0191-8869(84)90078-3 http://www.kaaj.com/psych/scales/emp.html [accessed 30.11.08]. Hojat, 2002, The Jefferson Scale of Physician Empathy: further psychometric data and differences by gender and specialty at item level, Acad Med, 77, 58, 10.1097/00001888-200210001-00019 Fernández-Olano, 2008, Impact of clinical interview training on the empathy level of medical students and medical residents, Med Teach, 30, 322, 10.1080/01421590701802299 Richards, 2004, Detection of psychological distress in patients with psoriasis: low consensus between dermatologist and patient, Br J Dermatol, 151, 1227, 10.1111/j.1365-2133.2004.06221.x Hojat, 2004, An empirical study of decline in empathy in medical school, Med Educ, 38, 934, 10.1111/j.1365-2929.2004.01911.x Cataldo, 2005, Association between Balint training and physician empathy and work satisfaction, Fam Med, 37, 328 Alcorta-Garza, 2005, Validity and reliability of the Jefferson Scale of Physician Empathy in Mexican medical students, Salud Mental, 28, 57 Mercer, 2008, Capturing patients’ views on communication with anaesthetists: the CARE measure, Clin Govern, 13, 128, 10.1108/14777270810867320 Price, 2008, Does the presence of medical students affect quality in general practice consultations?, Med Educ, 42, 374, 10.1111/j.1365-2923.2008.03016.x Mercer, 2005, Relevance and practical use of the Consultation and Relational Empathy (CARE) Measure in general practice, Fam Pract, 22, 328, 10.1093/fampra/cmh730 Cohen, 1996, Interest in different types of patients. What factors influence new-to-practice family physicians?, Can Fam Physician, 42, 2170 Dornbush, 1985, Empathy and psychosocial attitudes in medical school faculty and students, Res Med Educ, 24, 245 Streit, 1980, Attitudes towards psycho-social factors in medicine: an appraisal of the ATSIM scale, Med Educ, 14, 259, 10.1111/j.1365-2923.1980.tb02271.x Hogan, 1969, Development of an empathy scale, J Consult Clin Psychol, 33, 307, 10.1037/h0027580 Greif, 1973, The theory and measurement of empathy, J Couns Psychol, 20, 280, 10.1037/h0034488 Brown, 1987, Empathy scores of nurses, psychiatrists and hospital administrators on the California Psychological Inventory, Psychol Rep, 60, 295, 10.2466/pr0.1987.60.1.295 Cartwright, 1995, What leads to good health in midlife women physicians? Some clues from a longitudinal study, Psychosom Med, 57, 284, 10.1097/00006842-199505000-00010 McDonald, 1994, Psychologic testing as an aid to selection of residents in anesthesiology, Anesth Analg, 78, 542, 10.1213/00000539-199403000-00022 Barrett-Lennard, 1976, Empathy in human relationships—significance, nature and measurement, Aust Psychol, 11, 173, 10.1080/00050067608255678 Barrett-Lennard, 1962, Dimensions of therapist response as causal factors in therapeutic change, Psychol Monogr, 76, 1, 10.1037/h0093918 Simmons, 2001, Psychological influences on acceptance of postsurgical treatment in cancer patients, J Psychosom Res, 51, 355, 10.1016/S0022-3999(01)00218-5 Malpiede, 1982, Assessing interaction between medical trainees and parents of pediatric patients, J Med Educ, 57, 696 Cape, 2000, Patient-rated therapeutic relationship and outcome in general practitioner treatment of psychological problems, Br J Clin Psychol, 39, 383, 10.1348/014466500163383 Goodman, 1972 http://www.rias.org/manual [accessed 26.11.08]. Hart, 2006, Enhancing parent–provider communication in ambulatory pediatric practice, Patient Educ Couns, 63, 38, 10.1016/j.pec.2005.08.007 Graugaard, 2004, Communicating with alexithymic and non-alexithymic patients: an experimental study of the effect of psychosocial communication and empathy on patient satisfaction, Psychother Psychosom, 73, 92, 10.1159/000075540 Roter, 2004, Use of an innovative video feedback technique to enhance communication skills training, Med Educ, 38, 145, 10.1111/j.1365-2923.2004.01754.x Cox, 2008, Assessment of the physician–caregiver relationship scales (PCRS), Patient Educ Couns, 70, 69, 10.1016/j.pec.2007.08.004 Eide, 2004, Listening for feelings: identifying and coding empathic and potential empathic opportunities in medical dialogues, Patient Educ Couns, 54, 291, 10.1016/j.pec.2003.09.006 van Dulmen, 2002, Different perspectives of doctor and patient in communication, Int Congr Ser, 1241, 243, 10.1016/S0531-5131(02)00691-X van den Brink-Muinen, 2003, Doctors’ responses to patients’ concerns: testing the use of sequential analysis, Epidemiol Psychiatr Soc, 12, 92, 10.1017/S1121189X0000614X Roter, 2002, The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions, Patient Educ Couns, 46, 243, 10.1016/S0738-3991(02)00012-5 Liu, 2007, Doctor–patient communication: a comparison between telemedicine consultation and face-to-face consultation, Intern Med, 46, 227, 10.2169/internalmedicine.46.1813 Nicolai, 2007, Rating Scales for the Assessment of Empathic Communication in Medical Interviews (REM): scale development, reliability, and validity, J Clin Psychol Med Set, 14, 367, 10.1007/s10880-007-9081-8 Aukes, 2007, The development of a scale to measure personal reflection in medical practice and education, Med Teach, 29, 177, 10.1080/01421590701299272 Holm, 1996, The Affect Reading Scale: a method of measuring prerequisites for empathy, Scand J Educ Res, 40, 239, 10.1080/0031383960400304 Holm, 1997, Instructions in empathy should be introduced early in the training especially for male medical students, Lakartidningen, 94, 1393 Loblaw, 1999, Development and testing of a visit-specific patient satisfaction questionnaire: the Princess Margaret Hospital Satisfaction With Doctor Questionnaire, J Clin Oncol, 17, 1931, 10.1200/JCO.1999.17.6.1931 Tang, 2005, Patient satisfaction with doctor–patient interaction in a radiotherapy centre during the severe acute respiratory syndrome outbreak, Australas Radiol, 49, 304, 10.1111/j.1440-1673.2005.01467.x Walters, 2007, Teaching junior doctors to manage patients who somatise: is it possible in an afternoon?, Med Educ, 41, 995, 10.1111/j.1365-2923.2007.02833.x La Monica, 1981, Construct validity of an empathy instrument, Res Nurs Health, 4, 389, 10.1002/nur.4770040406 Shapiro, 1998, Effects of mindfulness-based stress reduction on medical and premedical students, J Behav Med, 21, 581, 10.1023/A:1018700829825 Mercer, 2002, The importance of empathy in the enablement of patients attending the Glasgow Homoeopathic Hospital, Br J Gen Pract, 52, 901 Mercer, 2005, Practitioner empathy, patient enablement and health outcomes of patients attending the Glasgow Homoeopathic Hospital: a retrospective and prospective comparison, Wien Med Wochenschr, 155, 498, 10.1007/s10354-005-0229-6 Dow, 2007, Using theater to teach clinical empathy: a pilot study, J Gen Intern Med, 22, 1114, 10.1007/s11606-007-0224-2 Saunders, 2000, Examining the relationship between the therapeutic bond and the phases of treatment outcome, Psychotherapy, 37, 206, 10.1037/h0087827 Bylund, 2005, Examining empathy in medical encounters: an observational study using the empathic communication coding system, Health Commun, 18, 123, 10.1207/s15327027hc1802_2 Kim, 2004, The effects of physician empathy on patient satisfaction and compliance, Eval Health Prof, 27, 237, 10.1177/0163278704267037 Pollak, 2007, Oncologist communication about emotion during visits with patients with advanced cancer, J Clin Oncol, 25, 5748, 10.1200/JCO.2007.12.4180 Campbell, 1971, Development and validation of a scale to measure affective sensitivity (Empathy), J Couns Psychol, 18, 407, 10.1037/h0031492 Varkey, 2006, The Aging Game: improving medical students’ attitudes toward caring for the elderly, J Am Med Dir Assoc, 7, 224, 10.1016/j.jamda.2005.07.009 Ring, 2005, The somatising effect of clinical consultation: what patients and doctors say and do not say when patients present medically unexplained physical symptoms, Soc Sci Med, 61, 1505, 10.1016/j.socscimed.2005.03.014 Reynolds, 2000 Reynolds, 1999, Empathy: a crucial component of the helping relationship, J Psychiatr Ment Health Nurs, 6, 363, 10.1046/j.1365-2850.1999.00228.x Murphy, 2009, The reliability of workplace-based assessment in postgraduate medical education and training: a national evaluation in general practice in the United Kingdom, Adv Health Sci Educ, 14, 219, 10.1007/s10459-008-9104-8