The Idea of "Archaeology of Perception" in the Process of Trust Creation between Patient and Physician

Yuliya S. Filippovich; Maria S. Filippovich

doi:10.23925/2764-0892.2022.v2.n1.e65722

Authors

Yuliya S. Filippovich Universidade Estadual de Kursk
Maria S. Filippovich Kursk State University

DOI:

https://doi.org/10.23925/2764-0892.2022.v2.n1.e65722

Keywords:

Michel Foucault, Trust, Archeology of Perception, Physician, Social Interaction, Fragility, Medicalization, Self-care

Abstract

The interaction between the patient and the doctor is refracted through the phenomenon of trust. In antiquity, an individual's self-care took place through metaphorical objects: dreams and their retelling, revision, mirror, etc. In the age of Enlightenment, trust becomes in some way an economic characteristic that measures the attitude towards a person and forms an idea about him. In the moral context, the phenomenon of trust manifests itself through sympathy, which is meant as a «social lubricant» (A. Smith), which ensures the development of a sense of brotherhood and at the same time makes semantic adjustments to the definition of personal space. In the philosophy of the XX century. in the works of P. Shtompka, E. Giddens, M. Foucault, A. Seligman, trust appears in a different explanation: philosophers form this concept through ethical behavior, seek to find a difference through correlation with its synonyms (confidence, faith). The social function of trust is interwoven into the medical field in the aspect of the relationship between the patient and the doctor. The interaction between the patient and the doctor is accompanied by verbal and non-verbal communication (the article attempts to clarify trust through the latter type of communication), which allows the former to expect a definite statement and/or build behavior: treat the doctor with suspicion or trust him. The pattern of the doctor's behavior determines the conclusion about himself on the part of the patient. The patient monitors how he is being examined and gives an internal assessment. In the process of communication, their relationship moves from a paternalistic model of relations to a collegial one (according to the concept of R. Veatch). The doctor, through an examination (professional or superficial), forms an idea of the disease at the same time about (not) meeting the patient's expectations. In comparing the external through the internal, the patient shows components of care: social practices (observation and/or detection of symptoms by a doctor, for example) in an individual human being (E.N. Bolotnikova).

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