The Key to a Good Doctor-Patient-Cooperation is a Shared Intentionality

DOI: 10.3238/zfa.2015.0400-0404

german translation / full article

Theodor Dierk Petzold

Keywords: Doctor-Patient-Communication Cooperation Intentionality Salutogenetic Orientation Self-Regulation

Summary: The doctor-patient-relationship becomes more and more the focus as so called soft factor for the therapeutic work in family medicine. As many authors already emphasized, this relationship should be cooperative. The new research from Michael Tomasello turns the shared intentionality and so the motivation into focus as the basis for a successful cooperation. Because of the former knowledge of the neuropsychological interaction of approach and avoidance motivation we can better understand how and why the doctor-patient-cooperation does or does not work well. If a doctor or a patient is mainly motivated by avoidance or if they have very divergent approach goals it will probably lead to a dysfunctional cooperation. For a successful und sustainable cooperation a joint approach intentionality to health is crucial. The intention also operates the implicit behavior and many vegetative functions. A joint intentionality is the origin of creative cooperation. If this is happening, coherent cooperation can run as a self-regulated process. So it seems to be meaningful for a salutogenic doctor-patient-communication to cultivate sensibility and mindfulness for the own intention as well as the patients and the joint intentionality.

(State: 18.11.2015)

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