A Researchment On The Doctor-patient Game And The Harmonization Of Their Communication

In the course of human development, disease and death thread the people all along. Some of the members began to specialize out from the general social production stream and to make use of their skills and means for specialized medical practice. Hence, there formed the medical profession and gradually developed the relations between the doctors and patients. Ever since then people never terminate the consideration of this relation and priority it as one of the core topics in their research field of life ethics. From the initial explanation, the relation means the human relations with social ethics. As the development of society and its economy, the relations between the doctors and patients have also developed and changed from the one liner dimensional toward the comprehensive, from single factor to multi diathesis, from elementary to advance levels. As the advancements of modern sciences and technologies as well as these in medicine field, the present relations between the doctor and patient exhibit the trends of materialization, multiplicity, complication and sense of game. These change away from the traditional liner ethic and moral relations on the obligation of the relations and no longer appear as the legal relations based on the utilitarianism in the later and modern period; the present relations between the doctors and patients are trusts and credits ones that established on the basis of morality, law and economy with the feature of game.The game eventually is the conflict and equilibrium of the relations. Since the 70^th of the 20^th century, the conflicts between the doctors and patients arose ceaselessly in the areas of the globe, the tension of the doctors and patients and the conflicts have become the major social trouble of the countries. Nowadays, the conflicts between doctors and patients in China actually represent the contradictions and conflicts of social groups in economic status, cultural values, the states of mind, levels of ethics and among the laws and regulations. They are the reflection of social problems in the field of medicine, and cannot be covered by merely one body or the factors of one side. They can be the defects of the government policies and laws, can be traced toward the disqualification of the hardware and software in the moral or cultural construction of the society, and can be the results of the ill-administration of the hospitals and the causes of both the doctors and patients. While the most direct and widespread cause for these is the lack or ill communications between the doctors and patients.The present study tries its best to integrate the theoretical and practical studies; it discusses and confronts the hot issue of the relations between the doctors and patients. Because the issue of relations is the core content and topic in the study of life ethics, it covers a wide field in discipline of researching. The present dissertation will start from studying the micro angle of communications between doctors and patients, a particular view of the aporia of the relations. The communication of both sides is regard as the breakthrough for the harmonization of the conflicts. By means of case analysis and argumentation, the obstacles of communication are dissected from varies disciplines and angles of view. The respective tactics and countermeasures are provided for the three causes of the obstacle (noise) in communications: As for the different understanding of "disease" from both sides, dialogue, annotation of context can be the way of appreciation. With the dialogue, the both can reach the "integration of field of vision" and "effect in history". As for the inequality in information and thus the credit and trust crisis between patients and doctors in interests, the cooperation is proposed so as to rebuild the trust and credit relations between the both sides, to fulfill the "inner value of trust" by means of entrusting the privileges and rights of the patients on doctors. As for the "Lose" of medical humanity in the sense of technology be at top position, the study insists that the education should be emphasized. The reconstruction of medical humanity should be carried in the medical education. The medical students should be trained with medical humanity in the class and clinic practice process.