Between what is said and what is silenced: visiting the concept of empathy in comprehensive health care for older adults
Abstract
Comprehensive health care for older adults is considered one of the most dynamic and complex tasks for public health and social care systems. This narrative review constitutes a critical-analytical essay of gerontological reflection on the empathic practice in the production of health acts aimed at solving the socio-health problems of the aging population segment. With such view, a conceptual and practical understanding of empathy is proposed, through the identification of its potentialities and limitations in the context of the geriatric-gerontological clinic.
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Pham TN, Vo DH. Aging population and economic growth in developing countries: a quantile regression approach. Emerging Markets, Finance and Trade. 2019;(1):1-15. DOI: https://doi.org/10.1080/1540496X.2019.1698418.
World Health Organization. Global status report on noncommunicable diseases 2014: attaining the nine global noncommunicable diseases target; a shared responsibility. Recuperado de: https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf;jsessionid=75C70ECC5348AF8848118BBCB9C7DCAB?sequence=1.
Oliveira MR, Veras Peixoto R, Cordeiro Albuquerque H. A importância da porta de entrada no sistema: o modelo integral de cuidado para o idoso. Physis: Revista de Saúde Coletiva. 2018;28(4):1-24. DOI: https://doi.org/10.1590/s0103-73312018280411.
Freitas MPD, Moraes EN. Estrutura da rede de atenção à saúde da pessoa idosa. In: Borges APA; Coimbra AMC (Org.). Envelhecimento e saúde da pessoa idosa. Rio de Janeiro, RJ: EAD, ENSP, 2008. 340p. Recuperado de: http://www5.ensp.fiocruz.br/biblioteca/dados/txt_594481029.pdf.
Merhy EE. O ato de cuidar: a alma dos serviços de saúde. São Paulo: Departamento de Medicina Preventiva e Social. UNICAMP, 1994. Recuperado de: https://www.nescon.medicina.ufmg.br/biblioteca/imagem/2103.pdf.
Mattos CW, Derech RD. Palliative care provided by family and community doctors in primary health care in Brazil: a national survey. Revista Brasileira de Medicina de Família e Comunidade. 2020;15(42):1-10. DOI: https://doi.org/10.5712/rbmfc15(42)2094.
Azevedo CR. Instrumentos de avaliação da empatia: uma revisão sistemática da literatura (Monografia de Especialização em Psicologia – ênfase em avaliação psicológica). Universidade Federal do Rio Grande do Sul. 2014; 1-30. Recuperado de: https://www.lume.ufrgs.br/handle/10183/102339.
Pérez AC, Nayely K, León Q, Coronado EAG. Empatía, comunicación asertiva y seguimiento de normas: un programa para desarrollar habilidades para la vida. Enseñanza e Investigación en Psicología. 2017;22(1):58-65. Recuperado de: http://www.redalyc.org/articulo.oa?id=29251161005.
Universidad de Salamanca. Dicciomed: Diccionario médico-biológico, histórico y etimológico. ‘empatía’. https://dicciomed.usal.es/palabra/empatia
Wispé L. The distinction between sympathy and empathy: to call forth a concept a word is needed. Journal of Personality and Social Psychology. 1896;50(2):314-321. DOI: https://doi.org/10.1037/0022-3514.50.2.314.
Pires MFDN, Roazzi A. Empatia e sua avaliação: considerações teóricas e metodológicas. Revista Amazônica. 2016;17(1):158-172.
San Martín ASM, Ortega-Sánchez D. Empatía, empatía histórica y empatía prehistórica: una aproximación conceptual desde la enseñanza de las ciencias sociales. Didáctica de las Ciencias Experimentales y Sociales. 2020;38(1):3-16. DOI: https://doi.org/10.7203/DCES.38.15648.
Markovsky B, Berger SM. Crowd sound and mimicry. Personality and Social Psychology Bulletin. 1893;9(1):90-6. DOI: https://doi.org/10.1177/0146167283091012.
Kariaginaand TD, Ivanova AV. Empathy as an ability: structure and development during training in psychological counselling. Journal of Russian and East Psychology. 2017;54(6):470-97. DOI: https://doi.org/10.1080/10610405.2017.1448180.
Davis MH. A multidimensional approach to individual difference in empathy. JSAS Catalog of Selected Documents in Psychology. 1980, 10, p.85.
Davis MH. Measuring individual differences in empathy: evidence for a multidimensional approach. Journal of Personality and Social Psychology. 1983;44(1):113.26. DOI: https://doi.org/10.1037/0022-3514.44.1.113.
Svenaeus F. Edith Stein’s phenomenology of sensual and emotional empathy. Phenomenology Cognition Science. 2018;17(1):741-60. DOI: https://doi.org/10.1007/s11097-017-9544-9.
Toro-López JR, Castro MG, Molini JAT, et al. Importancia de la empatía en el estado de salud. HYGIA. 2020;103(1):10-7. Recuperado de: https://www.researchgate.net/publication/338558937.
Rueckert L, Naybar N. Gender differences in empathy: the role of the right hemisphere. Brain and Cognition. 2008;67(1):162-7. DOI: https://doi.org/10.1016/j.bandc.2008.01.002.
Vemuni K, Surampudi BR. Evidence of stimulus correlated empathy modes – Groups ICA of fMRI data. Brain and Cognition. 2015;15(1):32-43. DOI: https://doi.org/10.1016/j.bandc.2014.12.006.
Chismar D. Empathy and sympathy: the important difference. The Journal of Value Inquiry. 1988;22(4):257-66. DOI: https://doi.org/10.1007/bf00136928.
Svenaeus F. The relationship between empathy and sympathy in good health care. Medicine, Health Care and Philosophy. 2015;18(1):267-77. DOI: https://doi.org/10.1007/s11019-014-9801-x.
Tobón DJ. Empathy and sympathy: two contemporary models of character engagement. In: The Palgrave Handbook of the Philosophy of Film and Motion Pictures. Carroll N, Di Summa LT, Loht S (Ends). 2019. 1047 pp.
Mosquera M. Comunicación en salud: conceptos, teorías y experiencias. Comminit. La iniciativa de la comunicación, 2003.
Hernández IR. Comunicación en salud: conceptos y modelos teóricos. Perspectivas de la comunicación. 2011;4(1):127-40. Recuperado de: https://www.researchgate.net/publication/277273859_Comunicacion_en_salud_Conceptos_y_modelos_teoricos.
Muñiz MJI. Relaciones interpersonales y calidad de vida: programa de competencia social y comunicación en personas mayores de 60 años. Trabajo de Fin de Máster en Psicopedagogía. Universidad de Valladolid. 2018. 98p. Recuperado de: http://uvadoc.uva.es/handle/10324/32802.
Bermejo JC. Empatía terapéutica. La compasión del sanador herido. Bilbao: Desclée de Brouwer. 2012. Recuperado de: https://ache-counselling.org/wp-content/uploads/2014/03/Empatia_terapeutica_y_su_aplicacion_en_salud.pdf.
Guedes MBOG, Lima KC, Caldas CP, et al. Apoio social e o cuidado integral à saúde do idoso. Physis Revista de Saúde Coletiva. 2017;27(4):1185-1204. DOI: http://dx.doi.org/10.1590/S0103-73312017000400017.
Medeiros KKSI, Júnior EPP, Bousquat A, et al. The challenge of integrality in elderly care in the scope of primary health care. Saúde e Debate. 2017;41(3):288-94. DOI: https://doi.org/10.1590/0103-11042017S322.
Seixas CT, Baduy RS, Cruz KT, et al. The power of the bond for healthcare production: what guiding users teach us. Interface (Botucatu). 23:e170627. DOI: https://doi.org/10.1590/Interface.170627.
Yuguero O, Esquerda M, Viñas J, et al. Ética y empatía: relación entre razonamiento moral, sensibilidad ética y empatía en estudiantes de medicina. Revista Clínica Española. 2019(2):73-8. DOI: https://doi.org/10.1016/j.rce.2018.09.002.
García MCH. Fatiga por compasión entre profesionales sanitarios de oncología y cuidados paliativos. Psicooncología. 2017;14(1):53-70. DOI: http://dx.doi.org/10.5209/PSIC.55811.
Albaladejo IM. Fatiga por compasión en profesional sanitario especializado en cuidados paliativos. Trabajo Final de Máster en Prevención de Riesgos Laborales. Universidad Miguel Hernández. 2019. 54p. Recuperado de: http://193.147.134.18/bitstream/11000/5694/1/MARTINEZ%20ALBALADEJO%2C%20INMACULADA%20TFM.pdf.
Carrió FB. Simpatía-empatía-compasión: parecen lo mismo pero no lo son. Folia Humanística - Revista de Salud, Ciencias Sociales y Humanidades. 2018;10(1):1-17. DOI: http://dox.doi.org/10.30860/0042.
Vendrell I. Simpatía, empatía y otros actos sociales: las raízes olvidadas de la sociología fenomenológica. Espacio Abierto Cuaderno Venezolano de Sociología. 2008;17(2):303-15. Recuperado de: https://www.redalyc.org/pdf/122/12217206.pdf.
Pintado S. Programas basados en mindfulness para el tratamiento de la fatiga por compasión en personal sanitario: una revisión. Terapia Psicológica. 2018;36(2):71-80. DOI: http://dx.doi.org/10.4067/S0718-48082018000200071.
Teresa R, Reis-Queiroz J, Hoga LAK. A importância da empatia no cuidado em saúde e enfermagem. Revista Brasileira de Enfermagem REBEn. 2017;70(3):697-8. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0032.
Monteiro B, Queirós C, Marques A. Empatia e engagement como preditores do burnout em cuidadores formais de idosos. Psicologia, Saúde & Doenças. 2014;15(1):1-12. DOI: http://dx.doi.org/10.15309/14psd150102.
Araújo JP, Costa YMN. Escala Analógica de Empatia Emocional para avaliação da percepção da depressão em idosos. Trabalho de Conclusão de Curso (Graduação em Medicina) – Universidade Federal de Campina Grande, Cajazeiras – 2016. Recuperado de: http://dspace.sti.ufcg.edu.br:8080/jspui/handle/riufcg/7747.
Gholamzadeh S, Khastavaneh M, Khademian Z, et al. The effects of empathy skills on nursing students’ empathy and attitudes toward elderly people. BMC Medical Education. 2018;198(18):1-7. DOI: https://doi.org/10.1186/s12909-018-1297-9.
Hannan J, Sanchez G, Musser, et al. Role of empathy in the perception of medical errors in patient encounters: a preliminary study. BMC Res Notes. 2019;327(12):1-5. DOI: https://doi.org/10.1186/s13104-019-4365-2.
Longhi A. L’abuso nell’assistenza agli anziani in rapporto con i livelli di empatia del personale di assistenza: studo osservazionale. Tesi di Laurea (Corso di Laurea in Infermieristica). Università delig Studi di Padova. Recuperado de: http://tesi.cab.unipd.it/51026/.
Fuentes CLC. La influencia del apoyo social en el estado emocional y las actitudes hacia la vejez y el envejecimiento en una nuestra de ancianos. International Journal of Psychology and Psychological Therapy. 2014;14(3):365-377. Recuperado de: http://www.redalyc.org/articulo.oa?id=56032544004.
García-Vera EM, Robles-Rodríguez A, Villegas-Bernabé ML, et al. La comunicación médico-paciente: ¿reto para el paciente geriátrico o para el médico familiar? Atención Familiar. 23(2):63-66. DOI: https://doi.org/10.1016/j.af.2016.03.007.
Pison MR, Yáñez NV, Fritis LM, et al. Empatía y estudiantes de kinesiología. Revista de Ciencias Médicas de Pilar del Río. 2019;23(2):295-301. Recuperado de: http://revcmpinar.sld.cu/index.php/publicaciones/article/view/3863.
Morales-Concha L, Ccarita-Yucra K, Marroquin-Santa Cruz JA, et al. Evaluación de la empatía en estudiantes de medicina humana en una universidad pública de la sierra sur del Perú. Educación Médica. 2017;19(6):327-32. DOI: https://doi.org/10.1016/j.edumed.2017.04.006.
San-Martín M, Roig-Carrera H, Villalonga-Vadell RM, et al. Empatía, habilidades de colaboración interprofesional y aprendizaje médico permanente en residentes españoles y latinoamericanos que inician los programas de formación médica especializada en España: resultados preliminares. Atención Primaria. 2017;49(1):6-12. DOI: http://dx.doi.org/10.1016/j.aprim.2016.02.007.
Díaz-Martínez LA, Armest MHC, Rojas MJD. La formación médica en comunicación de malas noticias: una revisión narrativa. Rev Esp Edu Med. 2020;1(2):32-42. DOI: https://doi.org/10.6018/edumed.439731.
Martínez-Gonzáles A, Sánchez-Mendiola M, Olivares-Olivares SL, et al. Colaboración de tres escuelas de medicina de México en un examen clínico objetivo estructurado (ECOE). Investigación en Educación Médica. 2020;9(36):58-69. DOI: https://doi.org/10.22201/fm.20075057e.2020.36.20258.
Breithaupt F. The bad things we do because of empathy. Interdisciplinary Science Review. 2018;43(2):166-74. DOI: https://doi.org/10.1080/03080188.2018.1450928.
Loftus E. The good, the bad and the necessity of empathy in ethics. Scripps Senior Thesis. 2019;1350, 50p. Recuperado de: https://scholarship.claremont.edu/scripps_theses/1399.
Songhorian S. The contribution of empathy to ethics. International Journal of Philosophical Studies. 2019;27(2):244-64. DOI: https://doi.org/10.1080/09672559.2019.1619266.
Morse JM, Anderson G, Bottorf JL, et al. Exploring empathy: a conceptual fit for nursing practice? Image: The Journal of Nursing Scholarship. 1992;24(4):273-80. DOI: https://doi.org/10.1111/j.1547-5069.1992.tb00733.x.
Hong H & Han A. A systematic review on empathy measurement tools for care professionals. Educational Gerontology. 2020;46(2):72-83. DOI: https://doi.org/10.1080/03601277.2020.1712058.
Varkey P, Chutka DS, Lesnick TG. The aging game: improving medical students’ attitudes toward caring for the elderly. Journal of the American Medical Directors Association. 2006;7(4):224-29. DOI: https://doi.org/10.1016/j.jamda.2005.07.009.
Altay D. Developing empathy towards older adults in design. Educational Gerontology. 2017;43(4):198-208. DOI: http://dx.doi.org/10.1080/03601277.2016.1273733.
Costa MFBN, Ciosak SI, Bartolomé AG, et al. La integralidad en la atención primaria de salud en los sistemas de salud brasileño y español. Aten Primaria. 2009;41(7):402-404. DOI: https://doi.org/10.1016/j.aprim.2009.02.010.
Nightingale S, Spiby H, Sheen K, et al. The impact of emotional intelligence in health care professionals on caring behavior towards patients in clinical and long-term care settings: findings from an integrative review. International Journal of Nursing Studies. 2018;80(1):106-117. DOI: https://doi.org/10.1016/j.ijnurstu.2018.01.006.
Fernandez CSP. Emotional Intelligence in the workplace. J Public Health Management Practice. 2007;13(1):80-2. DOI: https://doi.org/10.1097/00124784-200701000-00013.
Henry BW, Ozier AD. Empathetic responses and attitudes about older adults: how experience with aging game measures up. Educational Gerontology. 2011;37(1):924-41. DOI: https://doi.org/10.1080/03601277.2010.495540.
Hubbard RW & Santos JF. Empathy training as an instructional tool for geriatric health professionals. Educational Gerontology. 1981;6(3):191-4. DOI: http://dx.doi.org/10.1080/0380127810060209.
Langer N. Integrating compliance, communication and culture: delivering health care to an aging population. Educational Gerontology. 2008;34(5):385-396. DOI: http://dx.doi.org/10.1080/03601270701838381.
Galanos AN, Cohen HJ & Jackson TW. Medical education in geriatrics: the lasting impact of the aging game. Educational Gerontology. 1993;19(7):675-82. DOI: http://dx.doi.org/10.1080/0360127930190708.
Gholamzadeh S, Khastavaneh M, Khademian Z, et al. The effects of empathy skills training on nursing students’ empathy and attitudes toward elderly people. BCM Medical Education. 2018;18(198):1-7. DOI: https://doi.org/10.1186/s12909-018-1297-9.
Langer N & Ribarich M. Using narratives in healthcare communication. Educational Gerontology. 2008;35(1):55-62. DOI: http://dx.doi.org/10.1080/03601270802388930.
Cherix K & Coelho JNE. The care of elderly as a field of inter-subjective relations: ethic reflections. Interface (Botucatu). 2017; 21(62):579-88. DOI: https://doi.org/10.1590/1807-57622015.0492.
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