< i > Pay Attention to Two "Voices"

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• Physicians have a "voice," the voice of medicine. This voice...
  • Wants to obtain a history.
  • Asks close-ended questions to get "facts."
  • Constructs a differential diagnosis.
• Patients have a voice, the voice of experience. This voice...
  • Wants to tell the "story" of the illness.
  • Is concerned with the personal meaning of the illness.
  • Speaks in response to open­ended questions.