title: Recognition can leave room for disagreement in the doctor-patient consultation.
abstract: OBJECTIVE
  We wanted to explore how recognising interaction, as described by psychologist Schibbye, is played out in a patient doctor encounter including the behaviour of both parties and their simultaneous communication.
  
  
  METHODS
  We selected videotapes from five doctor-patient encounters where a recognising attitude was identified. The episodes were analysed using a qualitative method for studying interaction and relationship at the micro-level. We describe an episode which is suitable for demonstrating how a recognizing attitude can leave room for disagreement.
  
  
  RESULTS
  The doctor's recognising attitude with a basic respect for the other person's experience perspective has a crucial effect on the doctor-patient relationship. In this consultation, the doctor succeeds in taking the patient's experience perspective by listening, wondering and exploring to check that he has interpreted the patient correctly. A potential conflict situation arises, but there is no conflict. When the relationship is characterised by recognition, disagreement is allowed, without doing any damage.
  
  
  CONCLUSIONS
  Schibbye's ideas and terms can provide new perspectives on the doctor-patient interaction.
  
  
  CONCLUSIONS
  For the doctor, a fundamental respect for the patient's perspective may make it easier to tolerate when patients have values and preferences that conflict with the doctor or with sound medical practice.
authors.affiliation: HØKH Research Centre, Akershus University Hospital, Norway. sissel@steihaug.net
authors.forename: Sissel
authors.initials: S
authors.lastname: Steihaug
authors.forename: Pål
authors.initials: P
authors.lastname: Gulbrandsen
authors.forename: Anne
authors.initials: A
authors.lastname: Werner
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003142:Communication; D034462:Dissent and Disputes; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009819:Office Visits; D010817:Physician-Patient Relations; D036301:Qualitative Research; D021641:Recognition, Psychology; D012017:Referral and Consultation; D014743:Videotape Recording