Winds of change are blowing...
An interesting article about medical decision making from the New Yorker.
Hmm... interesting. Clark Bertram posted about something similar recently.
Affective error. Now I know what to call it. As my wife was pushing out our first, attended by our friend, we monitored deep decels, down to 80 or so. I must have been SO deeply wishing it not to be so, that I claimed the doptone must be picking up my wife's pulse. I heard myself say this over and over. Until our friend looked me in the eye and said: "no. NO. that's your baby. and we have to get him out now".I use the story as an example of the power of denial. But affective error sounds right. (I must admit I wish theorists like Croskerry would avoid making a very human reaction sound like a software malfunction. Why not call it "the curse of caring" or the "love lapse" instead of affective error?By the way, our eldest made it into this world after all, and played a fine soccer match tonight with his 8 year old buddies.
I thought the concept of affective error was very interesting too, but maybe the curse of caring is more appropriate because it comes out of wanting the best for patients/family members/etc. I guess, however, it could work the other way and we could associate other negative emotions (anger, fear, frustration) with a patient and that could influence care.
Point taken.But I'm not giving up.How about "emoti-con" or "feelings trap" or "primal denial"?
emoti-con is a bit to cyber smile for me... primal denial is good though...
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