Evidence-Based Patient-Centered Interviewing

Patient-Centered INTERVIEW28 JCOMJuly 2001 Vol. 8, No. Patient-Centered InterviewingJudith Swiss Lyles, PhD, Francesca C. Dwamena, MD, Catherine Lein, MS, FNP, and Robert C. Smith, MD, ScMInterest in the medical interview has increased dramati-cally over the past 2 decades as researchers have come tobetter understand the relationship between communica-tion and health. Until the early 1970s, the clinical perspectiveof illness was almost entirely biomedical, and disease wasdefined as deviations from the norm of measurable biolog-ical (somatic) variables [1]. Data gathered for diagnosis andtreatment almost exclusively consisted of information con-cerning possible disease symptoms, biomedical history, anddiagnostic tests. In 1977, George Engel advocated expandingthe medical paradigm [1]. He argued that to fully account forhealth or disease, the social and psychological dimensions ofhuman existence had to be considered along with biomed-ical data.

PATIENT-CENTERED INTERVIEW 28 JCOM July 2001 Vol. 8, No. 7 www.turner-white.com Evidence-Based Patient-Centered Interviewing Judith Swiss Lyles, PhD, Francesca C. Dwamena, MD, Catherine Lein, MS, FNP, and Robert C. Smith, MD, ScM

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