Communications difficulties during medical interview

The aims of medical interview are to obtain diagnostic information, to obta in an empathetic communication with the patient, to educate him about his d isease and to establish a personal link allowing a lasting relationship. We analyze some features of communication with patients. Individualized commu nication, recognizing his identity and personal aspects "looking from the p atient". Context a shared but not mentioned value part of the world of emot ions and ideas. An analog an digital language the Sol mer precise in words and the latter more diffuse, with gestures, not verbal. Coherence, as the s imilitude between what toe think feel and say. IS there is no coherence, co mmunication is impaired. Emotions, always present, rending communication mo re valid and real. We need to recognize, express and respond to emotions. A n emotionless patient becomes a distant and impersonal object, an "it" When emotions are incorporated the patient Is a "him" with whom I share and dia log. Empathy is all emotional comprehension, a personal bond. II improves r elationships and creates links. Compassion is a variation of empathy that i ncludes spiritual aspects aid values. Negative emotions as rage, frustratio n and aggression creates communicational difficulties. We must recognize, e xpress and clarify them to improve the situation. Difficult patients with w hom communication is difficult such as confuse, agitated, terminal, elder, manipulating or hypochondriac subjects. The idea of transference and counte r tin these in these complicated situations is analyzed.