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Perspective
May 2016

Shame and Blame in the Therapeutic Relationship

Author Affiliations
  • 1Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel
  • 2Ethox Centre, University of Oxford, Oxford, England
JAMA Intern Med. 2016;176(5):588-589. doi:10.1001/jamainternmed.2016.0610

When my dear secretary of many years did not show up at her desk in the hospital at 7 am sharp as usual, I was ill at ease at once. It was distinctly unusual. When time passed and she did not call and could not be reached over her cell phone, I knew that something was very wrong.

Then the rumors started; it was something to do with her son. The emergency department was mentioned, an accident, and later, very ominously, there were whispers about neurosurgery. And still she could not be reached.

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