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Тема боли в дискурсе о врачебном профессионализме на примере травматологического отделения
The main subject of this paper is to examine the attitudes of doctors towards pain suffered by patients. This examination largely employs the perspective of professional identity and medical professionalism. Day-to-day contacts with people suffering from pain is an inevitable part of professional activity in medicine. The perception of others’ pain is mediated by human values of compassion and mercy as well as by professional knowledge and experience. This research is comprised of data taken from interviews with traumatologists and patients from a trauma ward in a large public hospital in Moscow. The way doctors perceive the pain their patients suffer is formed as part of their professional identity, and the key values of the medical profession (humanistic ones as well as values of service) are reflected in that. The perception of pain is viewed as a combination of three aspects: cognitive, emotional and behavioural. Relations between these aspects can vary, with the emotional one considered to be the more flexible since it is not controlled by any official requirements and is hard to measure. In order to describe the peculiarities of the emotional aspect, that is specific to the medical profession, the model of ‘minimal attention’ is utilized.