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Patient–Clinician Eye Contact: Social Neuroscience and Art of Clinical Engagement
Postgraduate Medicine, 07/30/09
MacDonald K – Findings reviewed in this article include aspects of the neurobiology of social attention, the role of certain neurochemicals (eg, serotonin, oxytocin) in eye contact, and the diagnostic importance of eye contact and gaze in various diagnostic entities. Clinically, these findings underscore the important role of eye contact in 1) establishing meaningful rapport; 2) supplying implicit information about a patient’s emotional state; 3) providing diagnostic clues to common psychiatric disorders; 4) delivering impactful clinical messages; and 5) provisioning hope and embodied empathy. Current neuroscience research in this area highlights why mindful attention to this facet of social engagement is part of the repertoire of an effective, empathic clinician.
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