Emotional inteligence
320/661was irrelevant at that moment. In the land of the sick,emotions reign supreme; fear is a thought away. We canbe so emotionally fragile while we are ailing because ourmental well-being is based in part on the illusion of invulnerability.Sickness—especially a severe illness—burststhat illusion, attacking the premise that ourprivate world is safe and secure. Suddenly we feel weak,helpless, and vulnerable.The problem is when medical personnel ignore howpatients are reacting emotionally, even while attendingto their physical condition. This inattention to the emotionalreality of illness neglects a growing body of evidenceshowing that people's emotional states can play asometimes significant role in their vulnerability to diseaseand in the course of their recovery. Modern medicalcare too often lacks emotional intelligence.For the patient, any encounter with a nurse or physiciancan be a chance for reassuring information, comfort,and solace—or, if handled unfortunately, an invitationto despair. But too often medical caregivers arerushed or indifferent to patients' distress. To be sure,there are compassionate nurses and physicians who takethe time to reassure and inform as well as administermedically. But the trend is toward a professional universein which institutional imperatives can leave medicalstaff oblivious to the vulnerabilities of patients, or
321/661feeling too pressed to do anything about them. With thehard realities of a medical system increasingly timed byaccountants, things seem to be getting worse.Beyond the humanitarian argument for physicians tooffer care along with cure, there are other compellingreasons to consider the psychological and social realityof patients as being within the medical realm ratherthan separate from it. By now a scientific case can bemade that there is a margin of medical effectiveness,both in prevention and treatment, that can be gained bytreating people's emotional state along with their medicalcondition. Not in every case or every condition, ofcourse. But looking at data from hundreds and hundredsof cases, there is on average enough increment ofmedical benefit to suggest that an emotional interventionshould be a standard part of medical care for therange of serious disease.Historically, medicine in modern society has definedits mission in terms of curing disease —the medical disorder—whileoverlooking illness —the patient's experienceof disease. Patients, by going along with this viewof their problem, join a quiet conspiracy to ignore howthey are reacting emotionally to their medical problems—orto dismiss those reactions as irrelevant to thecourse of the problem itself. That attitude is reinforced
- Page 270 and 271: laughing with the same attractive m
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- Page 280 and 281: though we may have sworn that we wo
- Page 282 and 283: Because flooding is triggered by ne
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- Page 288 and 289: 10Managing with HeartMelburn McBroo
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- Page 294 and 295: in terms of what is expected of the
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- Page 298 and 299: 298/661Consider the alternative.An
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- Page 304 and 305: budge the biases of those employees
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- Page 310 and 311: Still, since prejudices are a varie
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- Page 324 and 325: 324/661travel in the bloodstream th
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- Page 328 and 329: 328/661bleeding is one of the most
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- Page 334 and 335: 334/661help them soften the attitud
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- Page 340 and 341: stress, their ATP levels rose sharp
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- Page 346 and 347: 346/661Like its near cousin optimis
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- Page 350 and 351: relationships take their own toll.
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- Page 360 and 361: patients to go elsewhere for care,
- Page 362 and 363: 12The Family CrucibleIt's a low-key
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320/661
was irrelevant at that moment. In the land of the sick,
emotions reign supreme; fear is a thought away. We can
be so emotionally fragile while we are ailing because our
mental well-being is based in part on the illusion of invulnerability.
Sickness—especially a severe illness—bursts
that illusion, attacking the premise that our
private world is safe and secure. Suddenly we feel weak,
helpless, and vulnerable.
The problem is when medical personnel ignore how
patients are reacting emotionally, even while attending
to their physical condition. This inattention to the emotional
reality of illness neglects a growing body of evidence
showing that people's emotional states can play a
sometimes significant role in their vulnerability to disease
and in the course of their recovery. Modern medical
care too often lacks emotional intelligence.
For the patient, any encounter with a nurse or physician
can be a chance for reassuring information, comfort,
and solace—or, if handled unfortunately, an invitation
to despair. But too often medical caregivers are
rushed or indifferent to patients' distress. To be sure,
there are compassionate nurses and physicians who take
the time to reassure and inform as well as administer
medically. But the trend is toward a professional universe
in which institutional imperatives can leave medical
staff oblivious to the vulnerabilities of patients, or