In the face of serious illness, patients and their families often experience intense emotional suffering, which can be made worse or eased by the words doctors choose.
Research led by Dr. Leonard Berry, a Texas A&M University professor, highlights the importance of “compassionate communication” in medical care.
His team, which includes researchers from Henry Ford Health, identified specific phrases, known as “never words,” that can have a negative impact on patients.
Published in Mayo Clinic Proceedings, the study emphasizes that words can profoundly affect the experience of seriously ill patients, no matter the advancements in medical treatments.
Dr. Berry and his team explain that many doctors, often without realizing it, use language that unintentionally intensifies patients’ fears or feelings of hopelessness. Words can easily be misinterpreted, and patients tend to focus closely on everything their doctors say.
For instance, phrases like “there is nothing else we can do” or “withdrawing care” can make patients and families feel abandoned and powerless.
These “never words” might close down communication and make patients less likely to voice their own thoughts or fears, which can be essential for making the best care decisions.
Some words used in medical settings can also imply blame or discourage hope. For example, saying “you failed chemo” suggests that the patient was at fault, while the reality is that the treatment was not effective.
Similarly, phrases like “fight” and “battle” can imply that a patient’s willpower alone can influence the illness, possibly leading patients to feel guilty if their health declines. Instead of these terms,
Berry and his team recommend language that offers support, such as “we will face this difficult disease together.” This wording reassures patients that they are not alone and that they have a team behind them.
To prevent unintentional harm, the researchers suggest that doctors use more open-ended questions to encourage patients to speak openly.
A simple phrase like “What questions do you have for me?” instead of “Do you have any questions?” can make patients feel more comfortable asking about their concerns.
When delivering difficult news, replacing certain “never words” with expressions of care, such as saying “I’m worried she won’t get better” rather than “She will not get better,” softens the message while still being honest.
Beyond individual conversations, Berry’s team advocates for greater emphasis on communication skills in medical training. They suggest that medical schools should incorporate lessons on compassionate communication alongside scientific knowledge.
In addition, having experienced doctors mentor students on effective communication practices can make a difference. Mentors can share alternative phrases they use and model how to “walk back” any language that might have unintentionally caused distress.
By spreading awareness of compassionate language, medical professionals can help ease the emotional suffering of patients and their families.
The study highlights that words, when chosen thoughtfully, can not only provide clarity but also foster a sense of safety and empowerment for those going through some of life’s hardest moments.
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The research findings can be found in Mayo Clinic Proceedings.
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