Beyond Empathy: Teaching Alterity

Clinical empathy has been increasingly recognized as an important component of both professionalism and good patient care. It is generally understood as identifying commonality between patient and provider and responding to this shared experience with appropriate care and concern. However, many cli...

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Main Author: Paul Burcher
Format: Article
Language:English
Published: Programmes de bioéthique, École de santé publique de l'Université de Montréal 2018-02-01
Series:Canadian Journal of Bioethics
Subjects:
Online Access:https://cjb-rcb.ca/index.php/cjb-rcb/article/view/26
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author Paul Burcher
author_facet Paul Burcher
author_sort Paul Burcher
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description Clinical empathy has been increasingly recognized as an important component of both professionalism and good patient care. It is generally understood as identifying commonality between patient and provider and responding to this shared experience with appropriate care and concern. However, many clinical encounters are between strangers with little shared experience, which seems to present a challenge for both empathy and a sense of responsibility toward the patient. Physicians can also develop a deep sense of caring and responsibility by learning to appreciate the alterity, the otherness, of the patient, and this skill, like clinical empathy can be modeled and taught. Philosopher Emmanuel Levinas described respect for alterity as foundational to human relationships. That is, my primary experience in meeting other people is one of difference, not an immediate sense of similarity. This sense of difference is both superficial and profound, although in most cases we will recognize only the superficial. Recognizing the profundity of difference opens one up to a radical sense of alterity that is the source of ethics, including our responsibility to the other. By exploring Levinas’ descriptions of human responsibility, humans as infinite and unique, and the consequences of this philosophy for the clinical encounter, it is evident that respect for alterity represents an underappreciated source of human caring, accessible in clinical relationships, even between a patient and physician with radically different life experiences. The implications of this for medical education are that we must help students appreciate and respect both the commonality we share with our patients, and the differences that makes them special and worthy of our care and attention.
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spelling doaj.art-60d5a72a87d54ef18c845c7929f174992024-03-14T17:27:32ZengProgrammes de bioéthique, École de santé publique de l'Université de MontréalCanadian Journal of Bioethics2561-46652018-02-011210.7202/1058265arBeyond Empathy: Teaching AlterityPaul Burcher0Program Director, Wellspan York Hospital Obstetrics and Gynecology Residency, York, Pennsylvania; Associate Professor of Bioethics, Alden March Bioethics Institute, Albany Medical College, Albany, New York, USA Clinical empathy has been increasingly recognized as an important component of both professionalism and good patient care. It is generally understood as identifying commonality between patient and provider and responding to this shared experience with appropriate care and concern. However, many clinical encounters are between strangers with little shared experience, which seems to present a challenge for both empathy and a sense of responsibility toward the patient. Physicians can also develop a deep sense of caring and responsibility by learning to appreciate the alterity, the otherness, of the patient, and this skill, like clinical empathy can be modeled and taught. Philosopher Emmanuel Levinas described respect for alterity as foundational to human relationships. That is, my primary experience in meeting other people is one of difference, not an immediate sense of similarity. This sense of difference is both superficial and profound, although in most cases we will recognize only the superficial. Recognizing the profundity of difference opens one up to a radical sense of alterity that is the source of ethics, including our responsibility to the other. By exploring Levinas’ descriptions of human responsibility, humans as infinite and unique, and the consequences of this philosophy for the clinical encounter, it is evident that respect for alterity represents an underappreciated source of human caring, accessible in clinical relationships, even between a patient and physician with radically different life experiences. The implications of this for medical education are that we must help students appreciate and respect both the commonality we share with our patients, and the differences that makes them special and worthy of our care and attention. https://cjb-rcb.ca/index.php/cjb-rcb/article/view/26alterityempathyEmmanuel Levinasclinical relationshipsmedical education
spellingShingle Paul Burcher
Beyond Empathy: Teaching Alterity
Canadian Journal of Bioethics
alterity
empathy
Emmanuel Levinas
clinical relationships
medical education
title Beyond Empathy: Teaching Alterity
title_full Beyond Empathy: Teaching Alterity
title_fullStr Beyond Empathy: Teaching Alterity
title_full_unstemmed Beyond Empathy: Teaching Alterity
title_short Beyond Empathy: Teaching Alterity
title_sort beyond empathy teaching alterity
topic alterity
empathy
Emmanuel Levinas
clinical relationships
medical education
url https://cjb-rcb.ca/index.php/cjb-rcb/article/view/26
work_keys_str_mv AT paulburcher beyondempathyteachingalterity