Format

Send to

Choose Destination
See comment in PubMed Commons below
Chest. 2011 Apr;139(4):746-751. doi: 10.1378/chest.10-3334.

Apologizing for humiliations in medical practice.

Author information

1
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA. Electronic address: aaron.lazare@umassmed.edu.
2
Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA.

Abstract

Apologizing to patients and their families for medical mistakes is an increasingly accepted practice. Overlooked is the need to apologize to other members of the treatment team or patients for humiliations inflicted in medical practice, independent of medical mistakes. A humiliated treatment team member or patient is apt to undermine optimal care, particularly when teamwork or patient adherence to treatment is required. This article describes the psychology of humiliation and the history of humiliation in medical practice, including why doctors and patients are vulnerable to being humiliated. Several humiliation narratives are presented. This article presents empirical data based on a sample of 355 subjects that analyze what the offended party seeks in an apology and the magnitude of the importance of each of these desires. The restoration of dignity in response to humiliation emerges as one of the most important functions of apologies. Finally, this article identifies 15 healing forces of apology, a combination of which is necessary for healing any given offense. The final challenge is educating individuals as to how to apply these findings to healing after a humiliating offense.

PMID:
21467056
DOI:
10.1378/chest.10-3334
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center