In the Hands of Doctors: Touch and Trust in Medical Care: Touch and Trust in Medical Care

Why is it that, despite the curative wonders of modern medicine, we still feel frustrated by doctors who lack the time and inclination really to care for us, much less care about us? In this book, Paul Stepansky explores this paradox through a historical examination of medical care that stretches back to the 19th century but focuses on the decades since the end of World War II. The reasons contemporary doctors find it difficult to care for their patients in the manner of the postwar generation are varied and range beyond the press of 15-minute office visits. They begin with medical education and its -hidden curriculum- and include the questionable manner in which medical educators approach the teaching of empathy. In the realm of practice, they include the disinclination of many primary care doctors to perform office procedures that put them in touch, literally, with their patients' bodies. And finally, there is social media, especially Facebook and patient satisfaction surveys, which have altered doctor-patient relationships in fundamental ways. Stepansky's comparative historical approach traverses a number of interrelated topics: the role of procedural medicine in caring; the nature and goals of medical education; 19th-century approaches to cultivating caring doctors; and the changing meanings of friendship between doctor and patient. He explains the human dimension of medical technologies, old and new, and the different kinds of -touch- that enter into medical and nursing care. And then he brings his analysis to bear on the serious shortage of primary care physicians in the United States, considering along the way the rise and fall of the -family practice- specialty in America and the expanded role of nurse practitioners and physician assistants in primary care. Weaving into his discussion an astute appreciation of the Patient Protection and Affordable Care Act of 2010 and the new health care delivery systems it promotes, Stepansky concludes by offering innovative proposals for revitalizing primary care medicine and strengthening the trust between doctors and the patients who rely on them.

About the Author :
A Yale-trained historian of ideas, Paul E. Stepansky, PhD, served as managing director of The Analytic Press for 23 years. He is a faculty member of the DeWitt Wallace Institute for the History of Psychiatry, Weill Medical College of Cornell University.

Review :
"This book takes many conversations occurring in the world of medicine and reframes them in historical perspective. The result is a body of work with pearls of wisdoms strung between the pages. . . . In the Hands of Doctors is an engaging and relevant read for anyone interested in the nuances of the doctor-patient relationship; a historical framework for understanding today's questions in the medical humanities; or thoughtful narrative on cultivating humanity in the modern practice of medicine." - The Arnold P. Gold Foundation