AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

AMA Journal of Ethics. April 2017, Volume 19, Number 4: 317-409.

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Moral Psychology and “Difficult” Clinician-Patient Relationships

Ethics Poll

Poll Question

A colleague asks a primary care physician to order a medically unwarranted MRI for her son. How should the physician respond?

Find a discussion of responses to this question in the April 2017 issue of the AMA Journal of Ethics.

Content Question

What can clinicians do to repair a relationship with a “difficult” patient?

Find the answer to this question in the April 2017 issue of the AMA Journal of Ethics.

From the Editor

Interrogating Assumptions about “Difficult” Patients and Situations
James Aluri
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Ethics Cases

Do Physicians Have an Ethical Duty to Repair Relationships with So-Called “Difficult” Patients?
Commentary by Micah Johnson
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How Should Physicians Respond When Patients Distrust Them Because of Their Gender?
Commentary by Monica Peek, Bernard Lo, and Alicia Fernandez
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How Should Clinicians Respond to Medical Requests from Clinician Family Members of Patients?
Commentary by Andrew Thurston
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Podcast

Rethinking So-Called “Difficult” Patients: An Interview with Dr. Autumn Fiester Listen

The Code Says

AMA Code of Medical Ethics’ Opinions Related to Moral Psychology and “Difficult” Clinician-Patient Relationships
Danielle Hahn Chaet
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Medical Education

Reflection-Based Learning for Professional Ethical Formation
William T. Branch, Jr., and Maura George
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Courage and Compassion: Virtues in Caring for So-Called “Difficult” Patients
Michael Hawking, Farr A. Curlin, and John D. Yoon
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Repairing “Difficult” Patient-Clinician Relationships
Denise M. Dudzinski and Carrol Alvarez
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In the Literature

Forty Years since “Taking Care of the Hateful Patient”
Richard B. Gunderman and Peter R. Gunderman
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State of the Art and Science

Lessons about So-Called “Difficult” Patients from the UK Controversy over Patient Access to Electronic Health Records
Federica Lucivero
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Policy Forum

Roles of Physicians and Health Care Systems in “Difficult” Clinical Encounters
Elizabeth S. Goldsmith and Erin E. Krebs
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History of Medicine

How Navigating Uncertainty Motivates Trust in Medicine
Jonathan B. Imber
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Images of Healing and Learning

Nested Tensions in Care
Artwork and captions by Merel Visse
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About the Contributors
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