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Physicians' brain scans indicate doctors can feel their patients' pain -- and their relief
Date:1/29/2013

ibited a painful facial expression while the physicians watched. When the physicians were instructed to treat the patients' pain, they could see that the subjects' faces were neutral and relaxed, the result of pain relief. During these doctor-patient interactions, fMRI scans measured the doctors' brain activations.

Following the scanning session, the physicians were removed from the scanner and told exactly how the experiment had been performed, says Jensen. "If the physician did not agree with the deceptive component of the study, they were given the opportunity to withdraw their data. No one did this."

As predicted, the authors found that while treating patients, the physicians activated the right VLPFC region of the brain, a region previously implicated in the placebo response. Furthermore, Jensen adds, the physicians' ability to take the patients' viewpoints correlated to brain activations and subjective ratings; physicians who reported high perspective-taking skills were more likely to show activation in the rACC brain region, which is associated with reward.

"We already know that the physician-patient relationship provides solace and can even relieve many symptoms," adds Kaptchuk. "Now, for the first time, we've shown that caring for patients encompasses a unique neurobiology in physicians. Our ultimate goal is to transform the 'art of medicine' into the 'science of care,' and this research is an important first step in this process as we continue investigations to find out how patient-clinician interactions can lead to measurable clinical outcomes in patients."


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Contact: Bonnie Prescott
bprescot@bidmc.harvard.edu
617-667-7306
Beth Israel Deaconess Medical Center
Source:Eurekalert

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