La complessità della relazione medico-paziente in nefrologia: perché è ancora più importante occuparsene oggi?


  • Marilena Cara Medico Nefrologo Psicologa Analista Junghiana, Socio analista IAAP e CIPA Istituto di Milano, Libera professionista presso Padova e Camposampiero - Italy


Parole chiave:

Communication, Empathy, Quality of life, Relationships in medicine


Medicine is more than just a science: it is a human contact between men. We must not forget that “Psyche depends on the body and the body depends on the psyche”. The 21st Century man’s Psyche is more stressed than in the past, as we live in a complexity increasingly understood with the passage of time. The only way to take care of the sick person in the body, and therefore suffering in the psyche, can only be that which rests on the relationship, since the relationship, in my opinion, can be considered the bridge between the psyche and the soma. If the medical technique today does not pass through the relationship could it be effective in the cure? Trust in the doctor today is no longer a certainty, as medicine has lost its character of sacredness, but must be acquired and conquered through a dedicated and continuous relationship. Unlike other pathologies, nephrology does not end in a diagnosis or in a therapy that is provided at home, but the patient’s only point of reference is the nephrology nursing staff. Effective communication will lead to a reduction in the time taken for communication, improving the patient’s ability to understand and trust, reducing the operator’s effort and improving the therapeutic result. Today’s medicine, and today’s “healers” can no longer fail to deal with the management of the operator-patient relationship in order to meet the demands that today’s society and healthcare organization make in the medical field.


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Riferimenti bibliografici

Jung CG. Opere volume 8, La dinamica dell’incontro, La struttura della psiche. Bollati Boringhieri. 2004;157-176.

Jung CG. Opere volume 16, Medicina e psicoterapia. Bollati Boringhieri. 2004;95-103.

Jung CG. Opere volume 7, La struttura dell’inconscio. Bollati Boringhieri. 2006;263-302.

Van Der Kolk B. Il corpo accusa il colpo, “Perdere il corpo, perdere se stessi”. Raffaello Cortina Editore. 101-119.



Come citare

Cara M. La complessità della relazione medico-paziente in nefrologia: perché è ancora più importante occuparsene oggi?. G Clin Nefrol Dial [Internet]. 16 marzo 2022 [citato 5 dicembre 2023];34(1):22-5. Available at:
Received 2022-02-07
Accepted 2022-03-08
Published 2022-03-16

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