J. Bergsma – författare

Patients have personal strategies in solving the problems concerning their illness. Doctors have personal and professional strategies in solving the problems with their patients. This book explores the problematic triangle between doctors, patients and the illness, using illustrations from internal medicine, nephrology, cardiology, oncology and neurology. Enhancement of the doctor-patient interaction is an important contribution to the mutual reduction of stress and therefore the improvement of the course of (long-term) illness. The first part of the book describes reasons why the partnership between doctor and patient should be improved. The second part offers concrete and practical options to achieve that improvement.

This work is the result of a long-standing clinical and educational cooperation between a medical psychologist (Bergsma) and a medical ethicist/philosopher (Thomasma). It is thoroughly interdisciplinary in its examination of the difficulties of honouring the patient's and the physician's autonomy, especially in light of the changes in health care worldwide at the beginning of the 21st century. Although autonomy has become the primary standard of bioethics, little has been done to link it to the ways people actually behave, nor to its roots in the healing relationship. Combining as it does the disciplines of psychology and philosophy, this book is a step in that direction.