Spoken language is the most important diagnostic and therapeutic
tool in medicine, and, according to Dr. Cassell, "we must be as
precise with it as a surgeon with a scalpel." In these two volumes,
he analyzes doctor-patient communication and shows how doctors can
use language for the maximum benefit of their patients. Throughout,
Dr. Cassell stresses that patients are complex, changing,
psychological, social and physical beings whose illnesses are well
represented by their own communication. He proposes that both
listening and speaking are arts that can be learned best when they
are based on the way that spoken language functions in
medicine.Accordingly, Volume I focuses on the workings of spoken
language in the clinical setting. It analyzes such important
aspects of speech as paralanguage (non-word phenomenon like pause,
pitch, and speech rate), how patients describe themselves and their
illnesses, the logic of conversation, and the levels of meanings of
words.Volume II is a practical, detailed, how to guide that
demonstrates the process of history taking and how the doctor can
learn the most from the information that the patient has to offer.
His arguments are amply illustrated in both volumes by transcripts
of real interactions between patients and their doctors.Eric J.
Cassell, M.D., an internist and clinical director of the Program
for the Study of Ethics and Values in Medicine at Cornell Medical
School, is widely recognized in the medical field for his
contributions to communications in medicine and for his writings on
ethics. Talking With Patients is the result of more than ten years
of research. His first book, The Healer's Art, has achieved the
status of an underground classic.
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