PubMed · 6902168
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M Ross. 1980. Learning to observe.. https://pubmed.ncbi.nlm.nih.gov/6902168/
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Physicians often use their relationships with patients to promote specific therapeutic goals. Because of their personal histories, values, and biases, patients may react to physicians in ways that inhibit or enhance the relationship. The feelings that are aroused may induce physicians to become overly distant, engendering patient and physician dissatisfaction, or to become overly involved emotionally, which can have serious psychological and clinical consequences. We explore how a balance between clinical objectivity and bonding with the patient is optimal and achievable. The nature and origin of personal boundaries are described. Boundary transgressions on the part of the patient are discussed, and the means of preventing transgressions by both patients and physicians through medical education, the process of self-awareness, and an exploration of family-of-origin issues are proposed. Through attention to communication with patients, the physician can maintain an empathetic yet objective relationship with the patient.
CDC and the World Health Organization have declared violence prevention a public health priority. One particular form of violent victimization, child sexual abuse, is a risk factor for suicide attempts, depression, sexually transmitted diseases, and subsequent sexual assault. The public health approaches to child sexual abuse are intervention (e.g., treatment) and prevention. To assist in developing public health measures for preventing child sexual abuse in Vermont, in September 1995, STOP IT NOW! and Market Street Research, Inc., surveyed a representative sample of households in Vermont to assess knowledge and attitudes about child sexual abuse as a public health problem. This report summarizes the survey findings, which indicate that levels of awareness of child sexual abuse are high among Vermont residents.
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