MANTRA FOR SCORPION STING? 5
MANTRA FOR SCORPION STING? 5
DR R.D. LELE
Trusting Relationship
The care of a patient begins with the development of
personal relationship between the patient and the doctor. The trust in the
patient's mind about the doctor's competence and the expectation that the
treatment is going to be beneficial, are crucial determinants of the outcome of
treatment. In the absence of this trust and confidence on part of the patient,
the effectiveness of most therapeutic measures is diminished.
A placebo is any treatment or aspect of treatment that does
not have a specific pharmacological or physiological action on the patient.
Studies on placebo effect show that the human mind is highly suggestible.
Explicit suggestions of possible beneficial (or adverse) effects cause the
subjects to experience those effects.
It is worth remembering that the majority of illnesses (80
per cent) are self-limiting. 5 per cent are invariably fatal, no matter what is
done, and 15 per cent are amenable to timely intervention (whereon the skills
of the doctor are maximally required). Hence, in the majority of health
problems, reassurance is the best treatment. Reassurance works best when the
physician has established a bond with the patient by his caring attitude and
gained his confidence. The lack of a trusting relationship is a major cause of
today's dissatisfaction, and restoration of this relationship must be the top
priority