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      Cuando los médicos nos volvemos pacientes. A propósito del filme El Doctor (1991) Translated title: When doctors become patients. About the film, The Doctor (1991)

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          Abstract

          Resumen El filme retrata la vida de un cardiocirujano seco y egocéntrico abocado a más enfermedades que enfermos, quien un buen día deberá experimentar en persona lo nefasto de tal actitud. Una hemoptisis intempestiva llevará al diagnóstico de un tumor maligno de laringe y la ulterior indicación de radioterapia. Esa negación tan frecuente en los pacientes aquí raya en lo inaudito, puesto que como maestro de la medicina no puede ser blanco de intervención. En medio de las largas esperas, marañas burocráticas y la frialdad de la relación médico-paciente, conoce a June, bajo tratamiento por un tumor cerebral con quien establecerá una suerte de coalición ante tan amenazante travesía. A partir de la experiencia como enfermo, el trato para con sus pacientes irá incorporando una auspiciosa cuota de empatía hacia quienes se hallan circunstancialmente abatidos por alguna dolencia. June no sobrevive al tumor, pero él consigue superarlo gracias a la extirpación quirúrgica, mostrándose ahora muy decidido a reorientar su vida profesional y familiar, tras tan doloroso aprendizaje. La historia no ha perdido vigencia. Quien más quien menos, todos sabemos de las desventuras atravesadas por muchos pacientes en su derrotero hacia la recuperación de una salud perdida.

          Translated abstract

          Summary The film portrays the life of a gloomy and egocentric heart surgeon concerned more about illnesses than to the ill ones, who one day must experience the dreadful effects of such attitude in person. An untimely hemoptysis will lead to the diagnosis of a malignant tumor of the larynx to be treated by radiotherapy. That denial quite common among patients here borders on the unbelievable since a medical teacher cannot constitute a target for intervention. Amid long waits, administrative masses, and the unkindness of the doctor-patient relationship, he meets June, undergoing treatment for a brain tumor with whom he will establish a kind of coalition in the face of such a threatening journey. From his experience as a patient, his behavior with patients will gradually incorporate a timely amount of empathy towards those who are incidentally discouraged by some ailment. June does not survive the tumor, but he manages to overcome it after surgical removal, now appearing quite committed to redirecting his professional and family life, upon such painful learning. The story continues to be worth telling. We all know about the troubles experienced by many patients on their way to recovering from their lost health.

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          In a very different voice: unmasking moral hypocrisy.

          Across 3 small studies, 80 female undergraduates were confronted with the dilemma of deciding whom-themselves or another research participant-to assign to a positive consequences task, leaving the other to do a dull, boring task. In Study 1, where morality was not mentioned, 16 of 20 assigned themselves to the positive consequences task, even though in retrospect only 1 said this was moral. In Studies 2 and 3, a moral strategy was suggested: either flipping a coin or accepting task assignment by the experimenter. In Study 2, 10 of 20 participants flipped a coin, but of these, 9 assigned themselves the positive consequences task. In Study 3, participants were significantly more likely to accept the experimenter's assignment when it gave them the positive consequences task. Overall, results suggested motivation to appear moral yet still benefit oneself. Such motivation is called moral hypocrisy.
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            Moral hypocrisy: addressing some alternatives.

            Two studies addressed alternative explanations for 3 pieces of evidence supporting the existence of moral hypocrisy. In Study 1, no support was found for the idea that low salience of social standards accounts for falsifying the result of a coin flip to assign oneself a more desirable task. In Study 2, no support was found for the idea that responses of those who honestly win the flip account for the higher ratings of morality of their action by participants who assign themselves the more desirable task after flipping the coin. Also, no support was found for the idea that responses of those who honestly win the flip account for the inability of personal moral responsibility measures to predict moral action. Instead, results of both studies provided additional evidence of moral hypocrisy.
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              The role of emotions in clinical reasoning and decision making.

              What role, if any, should emotions play in clinical reasoning and decision making? Traditionally, emotions have been excluded from clinical reasoning and decision making, but with recent advances in cognitive neuropsychology they are now considered an important component of them. Today, cognition is thought to be a set of complex processes relying on multiple types of intelligences. The role of mathematical logic (hypothetico-deductive thinking) or verbal linguistic intelligence in cognition, for example, is well documented and accepted; however, the role of emotional intelligence has received less attention-especially because its nature and function are not well understood. In this paper, I argue for the inclusion of emotions in clinical reasoning and decision making. To that end, developments in contemporary cognitive neuropsychology are initially examined and analyzed, followed by a review of the medical literature discussing the role of emotions in clinical practice. Next, a published clinical case is reconstructed and used to illustrate the recognition and regulation of emotions played during a series of clinical consultations, which resulted in a positive medical outcome. The paper's main thesis is that emotions, particularly in terms of emotional intelligence as a practical form of intelligence, afford clinical practitioners a robust cognitive resource for providing quality medical care.
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                Author and article information

                Journal
                rmc
                Revista de Medicina y Cine
                Rev Med Cine
                Universidad de Salamanca (Salamanca, Salamanca, Spain )
                1885-5210
                September 2022
                : 18
                : 3
                : 259-269
                Affiliations
                [1] Rosario Santa Fé orgnameUniversidad Nacional de Rosario orgdiv1Consejo Nacional de Investigaciones Científicas y Técnicas orgdiv2Instituto de Inmunología Clínica y Experimental de Rosario Argentina
                Article
                S1885-52102022000300007 S1885-5210(22)01800300007
                10.14201/rmc.29543
                61360d83-a102-432b-beb0-e1a6af3498d7

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 13, Pages: 11
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                SciELO Spain

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                autopercepción,relación médico-paciente,bioethics,self-perception,doctor-patient relationship,bioética

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