The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology

<b>Background/Objectives:</b> Pathology is often perceived as a technical medical specialty that lacks direct contact with the patient. However, oncological histopathological diagnosis requires a high degree of moral and emotional responsibility. The objective of this study was to invest...

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Main Authors: Iuliu Gabriel Cocuz, Raluca Niculescu, Maria Cătălina Popelea, Adrian-Horațiu Sabău, Maria-Elena Cocuz, Martin Manole, Alexandru-Constantin Ioniță, Giordano Altarozzi, Maria Tătar-Dan, Ovidiu Simion Cotoi, Dorina Maria Pașca
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/15/1842
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author Iuliu Gabriel Cocuz
Raluca Niculescu
Maria Cătălina Popelea
Adrian-Horațiu Sabău
Maria-Elena Cocuz
Martin Manole
Alexandru-Constantin Ioniță
Giordano Altarozzi
Maria Tătar-Dan
Ovidiu Simion Cotoi
Dorina Maria Pașca
author_facet Iuliu Gabriel Cocuz
Raluca Niculescu
Maria Cătălina Popelea
Adrian-Horațiu Sabău
Maria-Elena Cocuz
Martin Manole
Alexandru-Constantin Ioniță
Giordano Altarozzi
Maria Tătar-Dan
Ovidiu Simion Cotoi
Dorina Maria Pașca
author_sort Iuliu Gabriel Cocuz
collection DOAJ
description <b>Background/Objectives:</b> Pathology is often perceived as a technical medical specialty that lacks direct contact with the patient. However, oncological histopathological diagnosis requires a high degree of moral and emotional responsibility. The objective of this study was to investigate how empathy is manifested toward the “invisible” patient, the emotional impact on pathology staff, and potential repercussions in their personal lives. <b>Method:</b> We conducted a descriptive, cross-sectional study with a quantitative component, using an anonymous 22-item questionnaire among Romanian pathologists and medical personnel working in pathology services. The questionnaire was focused on three research directions: professional empathy in the absence of direct patient contact, the emotional impact of oncologic diagnosis on medical personnel in pathology departments, and the carryover of emotions from professional to personal life. A total of 165 respondents were included in the study (physicians, technicians, registrars). <b>Results:</b> Most of the respondents consider that the absence of the patient’s direct contact does not cancel the empathy, this being felt in a cognitive and more natural way. Over 60% of the respondents see oncologic histopathological diagnosis as an emphatic medical act. Over 80% of the respondents experience a sense of emotional responsibility and 70% consider that professional training does not include adequate emotional support. There is a high interest in empathy and psychological support. The professional activity of a pathologist may influence sleep, dreams, and the perception on their own health status. Diagnosing pediatric or young patients is perceived as particularly emotionally challenging. Collegial support is moderate and discussion about professional stress is rare. <b>Conclusions:</b> Empathy is present and relevant in pathology, despite the absence of direct patient interaction. Oncological diagnostics has a significant emotional impact on pathology department personnel, with the need to acknowledge the emotional dimension of the profession and to integrate psychological support mechanisms into pathology practice.
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spelling doaj-art-2f9a9806bd054e318f0024ce5df1bb702025-08-20T03:35:58ZengMDPI AGDiagnostics2075-44182025-07-011515184210.3390/diagnostics15151842The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in PathologyIuliu Gabriel Cocuz0Raluca Niculescu1Maria Cătălina Popelea2Adrian-Horațiu Sabău3Maria-Elena Cocuz4Martin Manole5Alexandru-Constantin Ioniță6Giordano Altarozzi7Maria Tătar-Dan8Ovidiu Simion Cotoi9Dorina Maria Pașca10Pathophysiology Department, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaPathophysiology Department, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaPathology Department, Mures Clinical County Hospital, 540011 Targu Mures, RomaniaPathophysiology Department, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaFundamental Prophylactic and Clinical Disciplines Department, Faculty of Medicine, Transilvania University of Brasov, 500003 Brașov, RomaniaFaculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaFaculty of Medicine, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaScience and Letters 1 Department, Petru Maior Faculty of Sciences and Letters, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaScience and Letters 1 Department, Petru Maior Faculty of Sciences and Letters, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaPathophysiology Department, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, RomaniaEthics Department, “George Emil Palade” University of Medicine, Pharmacy, Sciences and Technology of Targu Mures, 540142 Targu Mures, Romania<b>Background/Objectives:</b> Pathology is often perceived as a technical medical specialty that lacks direct contact with the patient. However, oncological histopathological diagnosis requires a high degree of moral and emotional responsibility. The objective of this study was to investigate how empathy is manifested toward the “invisible” patient, the emotional impact on pathology staff, and potential repercussions in their personal lives. <b>Method:</b> We conducted a descriptive, cross-sectional study with a quantitative component, using an anonymous 22-item questionnaire among Romanian pathologists and medical personnel working in pathology services. The questionnaire was focused on three research directions: professional empathy in the absence of direct patient contact, the emotional impact of oncologic diagnosis on medical personnel in pathology departments, and the carryover of emotions from professional to personal life. A total of 165 respondents were included in the study (physicians, technicians, registrars). <b>Results:</b> Most of the respondents consider that the absence of the patient’s direct contact does not cancel the empathy, this being felt in a cognitive and more natural way. Over 60% of the respondents see oncologic histopathological diagnosis as an emphatic medical act. Over 80% of the respondents experience a sense of emotional responsibility and 70% consider that professional training does not include adequate emotional support. There is a high interest in empathy and psychological support. The professional activity of a pathologist may influence sleep, dreams, and the perception on their own health status. Diagnosing pediatric or young patients is perceived as particularly emotionally challenging. Collegial support is moderate and discussion about professional stress is rare. <b>Conclusions:</b> Empathy is present and relevant in pathology, despite the absence of direct patient interaction. Oncological diagnostics has a significant emotional impact on pathology department personnel, with the need to acknowledge the emotional dimension of the profession and to integrate psychological support mechanisms into pathology practice.https://www.mdpi.com/2075-4418/15/15/1842pathologyempathymedical personnelemotional well-beingmedical humanities
spellingShingle Iuliu Gabriel Cocuz
Raluca Niculescu
Maria Cătălina Popelea
Adrian-Horațiu Sabău
Maria-Elena Cocuz
Martin Manole
Alexandru-Constantin Ioniță
Giordano Altarozzi
Maria Tătar-Dan
Ovidiu Simion Cotoi
Dorina Maria Pașca
The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
Diagnostics
pathology
empathy
medical personnel
emotional well-being
medical humanities
title The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
title_full The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
title_fullStr The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
title_full_unstemmed The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
title_short The Emotional Anatomy of Diagnosis: A Medical Humanities Approach to Empathy in Pathology
title_sort emotional anatomy of diagnosis a medical humanities approach to empathy in pathology
topic pathology
empathy
medical personnel
emotional well-being
medical humanities
url https://www.mdpi.com/2075-4418/15/15/1842
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