Quality and Frequency of Human Fellow Voice used in Doctor-)Patient Interaction (One Qualitative Study in Clinical Counseling

Doctor- patient interaction in clinical counseling includes different voices that all of it isn’t in related to diagnostic and therapeutic problems, necessarily. This voices that are unrelated to diagnosis and treatment, leastwise have twoimportantfunctions that are:contributing to thecontinuingconversation betweenphsician and patient,andindirectimpactonthediagnosisand treatment. On of the voice that is unrelated to treatment and used with physician is Human Fellow Voice which refers to empathy's dimension of doctor to the patient. This research explored the concepts and propositions of Human Fellow Voice were used with physicians in 33 clinical counseling at Shahid Faghihi Hospital, Shiraz, with descriptive- analytical approach based on conversation analysis. Results of study shows that range usingofwords and propositions in related to Human Fellow Voice with physicians are 610 items which 3/30% of total conversations (physicians and patients) and 5/50% of the words and propositions that used with physicians. Range of words and propositions used are: using of facilitating the telling of patients’ stories 298 items; assisting the telling of patients’ stories 104 items; creating empathy with the patient 20 items; showing special attentiveness to patients’ stories 121 items; and asking questions unrelated to the patient’s health 6 items. Also, about the particular context of research (Iranian society) using of specific concepts was 40 items, and using of valuable concepts was 21 items. Although using of Human Fellow Voice by physicians is appropriate, but the overall shape of conversations is based on asymmetrical relation between physicians and patients. Because this asymmetrical relationship is a major obstacle in clinical counseling, the medical education system in Iran is necessary should focus more on semmetric interaction and communication.