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"apellidos" => "Martínez-Morán" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256519302000" "doi" => "10.1016/j.rce.2019.03.014" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256519302000?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488741930181X?idApp=WRCEE" "url" => "/22548874/0000022000000009/v1_202012131457/S225488741930181X/v1_202012131457/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Book review</span>" "titulo" => "Reflecting with the white coat on. Do you know how your doctor thinks?" "tieneTextoCompleto" => true "referencia" => array:1 [ 0 => "Manuel Álvarez Romero y José Ignacio del Pino Montesinos. Edita: Sociedad Andaluza de Medicina Psicosomática. Sevilla, 2019. ISBN: 978-84-09-12345-2" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "608" "paginaFinal" => "609" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "Á. Álvarez Fernández" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Á." "apellidos" => "Álvarez Fernández" "email" => array:1 [ 0 => "angel.alvarezfbf@gmail.com" ] ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Medicina Interna, Centro Médico de Asturias, Oviedo, Asturias, Spain" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Reflexiones con la bata puesta. ¿Sabes cómo piensa tu médico?" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Books like this are necessary: <span class="elsevierStyleItalic">Reflexiones con la bata puesta. ¿Sabes</span><span class="elsevierStyleItalic">cómo piensa tu médico?</span> (Reflecting with the white coat on. Do you know how your doctor thinks? in English), which was recently published by internist Manuel Álvarez Romero and psychiatrist José Ignacio del Pino Montesinos. The work is the result of a collaboration maintained from 2015 to 2018 between the Andalusian Society of Pyschosomatic Medicine (SAMP, for its initials in Spanish) and the Royal Illustrious College of Physicians of Seville (RICOMS, for its initials in Spanish), which we would humbly like to summarize. This work advocates for a reconstruction of “humanistic awareness”—which is called so much into question nowadays—in a physician's day-to-day work with his or her patients. As the authors state in the dedication of the book: “reflecting with patients on happiness and transcendence...” and inviting them “not to ever give up on the art of healing or easing ailments and, if this is not possible, consoling those who are suffering.”</p><p id="par0010" class="elsevierStylePara elsevierViewall">In 11 chapters, each containing seven articles, they speak of the art of healing, of the doctor–patient relationship, of the family, of psychosomatics, of the things that are part of life... This refined harmony between internal medicine and psychiatry is a testament to the fact that an integration of the two principles, the psyche and the soma, in the consideration of an illness and the patient's therapy is possible. In this scope, psychosomatic medicine continues to be a beacon of light in the darkness of the crisis the field of medicine is currently immersed in.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Crisis in internal medicine, in medicine in general, in the figure of the physician, in the impression that patients and people have about the reality of medicine as a whole? “Crisis”<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>decisive moment (from the Greek <span class="elsevierStyleItalic">Krisis</span>, or decision), or as Luis de Rivera<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> states, from the Chinese “Crisis<span class="elsevierStyleHsp" style=""></span>=<span class="elsevierStyleHsp" style=""></span>danger<span class="elsevierStyleHsp" style=""></span>+<span class="elsevierStyleHsp" style=""></span>opportunity.”</p><p id="par0020" class="elsevierStylePara elsevierViewall">What can we do? Scream? Fight? Until we’re hoarse? Until we’re exhausted?</p><p id="par0025" class="elsevierStylePara elsevierViewall">Or let it go, let ourselves go wherever the road of the way things are takes us? That's it, let them lead us! Towards wherever they want to go, until the place loses “the aura and the splendor... in the hell where everything's the same,” as Byung-Chul Han writes.<a class="elsevierStyleCrossRefs" href="#bib0050"><span class="elsevierStyleSup">2,3</span></a> Will there be any light there, any possibility of existing? The future...! the optimists tell us—whether they’re politicians or not—...everything, everything all the time and instantly! At the click of a key or the push of a button, without yearning, without thresholds, all crystal clear.</p><p id="par0030" class="elsevierStylePara elsevierViewall">Or maybe, day to day, making a home out of each meeting, without any further pretensions, without supremacisms, without wanting to encompass everything or condemn everything? Take “only what's necessary” when faced with the grueling and deadly “accentuation of the desire for immediacy.”</p><p id="par0035" class="elsevierStylePara elsevierViewall">Manuel Álvarez and José Ignacio del Pino have given us the gift of this book/home, this “handbook” compendium of an ever-living medical duty, sustained over time, the testimony of “people who care for people.” At no point do they falter and—in this zealous work over days and more days, for more than three years—the salve of comfort and respect of the “personal undercurrent” ran out; a word of encouragement when faced with the possibility of error, in the face of uncertainty, and psychological-emotional and professional exhaustion; not a generator of hope. As Laín Entralgo wrote: “Is a patient a man whose body prevents him from hoping with normality, is the physician not, in consequence, a font of hope?”<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">4</span></a> And so, chapter to chapter, they illuminate the balance between “past (learning) – future (deciding) – and present (acting),” against the fated triad of “depression (anchored in the past) – anxiety (misgivings about the future) – and disorganization (the reality of the present)” and in favor of the lifesaving triad of “affection – culture – and work.”</p><p id="par0040" class="elsevierStylePara elsevierViewall">You can hear a sound, a murmur, throughout the book, which is born of this fruitful orientation which, in the words of Rof Carballo,<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> psychosomatic medicine provides, that which is “born of a lack of rush in a physician,” of his or her warm gaze, frank smile, and capacity for listening, which constitute “the cheapest and most effective medicine.” As Luis Chiozza taught us: “All diseases are, like mankind itself, psychosomatic... I cannot find a clearer way [of expressing it] than repeating the example of what happens when two people kiss. We don’t have one mouth for the body and another for the soul, and when we kiss, we do it simultaneously with the body and with the soul... When one gets sick, the body and soul get sick, although you don’t always see the two parts clearly.”<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">6</span></a> Psychosomatic, in its deepest “bio-psycho-social-eco-spiritual paradigm,” as the Andalusian School of Psychosomatic Medicine extols, whose Society the authors currently direct.</p><p id="par0045" class="elsevierStylePara elsevierViewall">For patients and physicians, and, in the words of José Manuel Rodríguez Infante's prologue, “for so many people who have experienced how uphill the road of life is,” the rest, the oasis of this book, in which the beautiful words of Sir William Osler (1849–1919) shine, now that we’re remembering the centennial of his death, “We are here not to get all we can out of life for ourselves, but to try to make the lives of others happier... The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head.”<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">7</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">Crisis? Ludwig Binswanger wrote, “Always coming new into the world and into existence from oppression is what the spirit is,”<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a> this yearning for love that opens new horizons.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "⋆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Álvarez Fernández Á. Reflexiones con la bata puesta. ¿Sabes cómo piensa tu médico? Rev Clin Esp. 2020;220:608–609.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Crisis emocionales" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. De Rivera" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "2012" "paginaInicial" => "33" "editorial" => "Instituto de Psicoterapia de Madrid" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hiperculturalidad" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "B.C. 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Abad" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "fecha" => "2013" "paginaInicial" => "163" "paginaFinal" => "164" "editorial" => "Libros del Zorzal" "editorialLocalizacion" => "Buenos Aires" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0075" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aequanimitas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "W. Osler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "fecha" => "2004" "paginaInicial" => "267" "editorial" => "Fundación Uriach" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0080" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sobre la frase de Hofmannsthal: “Lo que es el espíritu sólo lo capta el oprimido”" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "L. Binswanger" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:5 [ "titulo" => "Obras escogidas" "fecha" => "2006" "paginaInicial" => "563 y ss" "editorial" => "RBA" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000009/v1_202012131457/S225488742030120X/v1_202012131457/en/main.assets" "Apartado" => array:4 [ "identificador" => "87874" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Book review" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000009/v1_202012131457/S225488742030120X/v1_202012131457/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488742030120X?idApp=WRCEE" ]
