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cover of episode 同理心對話,陪伴求助者長出生命力量 ft.郭于誠醫師|哇賽心觀點ep134

同理心對話,陪伴求助者長出生命力量 ft.郭于誠醫師|哇賽心觀點ep134

2025/1/2
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哇賽心理學

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郭于诚医师
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郭于诚医师: 在放射肿瘤科的工作中,我逐渐意识到,作为医生,不仅要治疗病人的疾病,更要全程陪伴病人,从确诊到生命终点,甚至包括开具死亡诊断书。这并非一开始就有的想法,而是通过一次次的安宁居家照顾经历,逐渐转变观念的过程。在安宁居家照顾中,我亲眼目睹了病患及其家属的困境,例如病人需要家人背着上下楼就医,这让我深感惭愧,也让我意识到自己应该做更多。 在与病人的沟通中,我常常会遇到病人因为各种原因拒绝治疗,例如迷信、恐惧疫情等。这时,我会尝试站在病人的角度,了解他们的想法和顾虑,并运用同理心和巧妙的沟通技巧,化解他们的疑虑,引导他们做出正确的决定。例如,我会用幽默的方式回应病人的迷信说法,或者引导他们思考妈祖是否派我来帮助他们。 我还发现,很多病人拒绝治疗是因为他们没有定期进行健康检查的习惯,导致疾病发现时已经很严重。因此,我会引导他们认识到定期体检的重要性,并用类比的方式(保养汽车和保养身体)来帮助他们理解。 在与病人家属的沟通中,我也会运用同理心,关注他们的身心健康。因为病人家属的配合对病人的治疗至关重要。我会花时间去建设与家属的关系,让他们了解病情,并参与到治疗过程中。 在与病人家属沟通的过程中,我也会遇到家属隐瞒病情或采用偏方的情况。我会尝试与家属建立信任关系,并引导他们做出正确的决定。我会帮助家属如何告知病人病情,并强调家属在告知过程中的重要作用。 我和王心佑老师共同出版的《对话对画》这本书,旨在帮助人们通过绘画来表达情绪,从而进行自我疗愈。这本书的创作过程也是我们自我成长的过程。我们把版税捐出去,继续帮助更多需要帮助的人。 我的朋友陈毅林的播客节目《隔壁的桌子》,也致力于帮助那些正在经历人生困境的人。 蔡宇哲博士: 本期节目探讨了同理心在医病关系中的重要性,特别是面对癌症病人及其家属时。郭医师分享的案例生动地展现了同理心在化解病人和家属的抗拒、恐惧和迷茫方面的作用。 郭医师的经历和方法值得我们学习和借鉴。他不仅关注病人的身体健康,更关注病人的心理健康和家属的情绪。他能够设身处地地理解病人和家属的感受,并运用巧妙的沟通技巧,引导他们做出正确的决定。 郭医师的两个案例,一个关于病人因为迷信而拒绝治疗,一个关于病人因为恐惧而拒绝治疗,都展现了他高超的沟通技巧和同理心。他能够在尊重病人自主权的同时,引导他们做出对自己有利的选择。 郭医师出版的《对话对画》一书,以及他朋友的播客节目《隔壁的桌子》,都体现了他对生命教育和心理健康的关注。这些努力不仅帮助了病人和家属,也为我们提供了宝贵的经验和启示。

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Key Insights

Why did Dr. Guo Yu-Cheng choose to specialize in radiation oncology despite the emotional challenges?

Dr. Guo initially chose radiation oncology because of his interest in physics, as radiation involves physical principles. Over time, his perspective shifted when his mentor emphasized the importance of being a doctor who accompanies patients from diagnosis to the end of life, not just treating the disease. This holistic approach transformed his view of the role.

How did Dr. Guo's experience with home hospice care change his perspective on patient care?

Dr. Guo initially resisted home hospice care but was deeply moved when he saw the struggles of a patient's family. A patient's daughter-in-law had to carry the patient downstairs to catch a taxi for hospital visits. Witnessing this hardship made him realize the profound impact of small changes, and he began to embrace home hospice care as a meaningful part of his practice.

How did Dr. Guo handle a patient who refused treatment due to religious beliefs?

Dr. Guo engaged the patient by aligning with their belief system. When a patient claimed that 'Mazu' (a deity) told them not to treat their cancer, Dr. Guo humorously suggested he might be sent by Mazu to help. This approach built trust, and the patient eventually agreed to treatment, leading to the discovery and successful management of multiple cancers.

What approach did Dr. Guo take when a patient questioned why they were the ones suffering from cancer?

Dr. Guo addressed the patient's emotional struggle by directly asking if they felt it was unfair. This acknowledgment of the patient's feelings helped them open up and process their emotions. By validating their experience, Dr. Guo was able to build trust and guide them toward accepting treatment.

Why did Dr. Guo write a book that combines humor and art for cancer patients?

Dr. Guo was inspired by a patient who asked for a book that could make them laugh, challenging the notion that cancer patients can only cry. He collaborated with an art therapist to create a book that uses humor and illustrations to help patients and others navigate life's challenges, fostering emotional healing and self-expression.

How does Dr. Guo handle situations where families want to hide a cancer diagnosis from the patient?

Dr. Guo encourages families to be honest by asking if they would want their own diagnosis hidden. He offers to deliver the news himself, ensuring the patient has family support during the conversation. This approach helps families understand the importance of transparency and empowers patients to make informed decisions.

What is the purpose of Dr. Guo's podcast 'The Table Next Door'?

The podcast aims to provide support and guidance to those navigating cancer and caregiving. It features informal conversations with doctors, patients, and others who share their experiences, creating a relatable and accessible resource for listeners.

Why does Dr. Guo emphasize the importance of regular health check-ups?

Dr. Guo highlights that many cancers, especially in early stages, are asymptomatic and can only be detected through health check-ups. Early detection significantly increases the chances of successful treatment, making regular check-ups a critical preventive measure.

Chapters
探讨医生如何与那些因个人原因(例如宗教信仰或对COVID-19的恐惧)而延误癌症治疗的患者沟通。医生会尝试了解患者的顾虑,并通过同理心和巧妙的沟通技巧,帮助患者做出正确的治疗决定。
  • 医生通过了解患者的顾虑,而非直接反驳,来化解患者的抗拒情绪。
  • 一个成功的案例:医生巧妙地将自己比作‘妈祖派来帮助患者的人’,成功说服患者接受治疗。
  • 并非所有案例都能成功,医生需要尊重患者的选择。

Shownotes Transcript

本集金句 「治療的開始,來自於被看見與被理解」 「有時候不是藥治好了病,而是信任帶來了力量」 「誰說生病的人只能哭,生病的人也有能笑的權利」 本集重點 。醫療總是冷冰冰?醫生也可以很暖! 。從"只想醫病"到"有始有終陪伴"的轉捩點 。當病人說「是媽祖叫我不要治療!」 。當病人說「為什麼是我!為什麼不是他!」 。當家屬說「醫生你不要告訴他他得了癌症」 。寫一本能讓病人笑著看的書 。Podcast推薦《隔壁的桌子:本日休診》 推薦閱讀: 對話──大郭醫師的癌症診間微光故事 https://bit.ly/4ai8viV 對話對畫:陪伴生命長出力量 https://bit.ly/3W1APQu 隔壁的桌子podcast https://apple.co/41Q4u2O) 點亮心燈,贊助支持哇賽心理學:https://portaly.cc/onyourpsy/support) 留言告訴我你對這一集的想法: https://open.firstory.me/user/ck7t2fz77qu7g0873ln5hz5cl/comments) 若你覺得我們節目不錯,請記得要訂閱哦。也歡迎來跟我們聊聊 https://portaly.cc/onyourpsy) - 主談人:蔡宇哲博士、.郭于誠醫師 Powered by Firstory Hosting)