BMJ  2005;330 (19 March), doi:10.1136/bmj.330.7492.0-f

Improving the doctor-patient relationship in chronic illness

Collaborative management of chronic illness is undermined by neglect of emotional and psychological factors in both the patient and the doctor, argue Campbell and McGauley (p 667). They highlight the gap between the importance of the rising number of chronic diseases and the relatively inadequate attention to the effect of managing chronic illness on the doctor and how this manifests in the therapeutic relationship. Drawing on their work in a high secure psychiatric hospital, they suggest how the gap can be addressed in medical education.

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