
- Vol 43, Issue 5
Listening
Key Takeaways
- Deliberate silence and embodied attention function as clinical tools to elicit fuller histories and meaning from patients’ accounts.
- The therapeutic relationship is framed as mutual evaluation, with patients actively judging competence, power, and compassion.
"Because I’m a quiet man I listen before I speak, tune into my patient’s voice..."
Because I’m a quiet man
I listen before I speak,
tune into my patient’s voice,
nod my head “Yes!”
our breathing synchronized
as I puzzle out their story,
curiosity displayed by circling
my hand as if to draw
their breath toward me,
an invitation to say more
and more.
And while I listen,
patients examine me
with equal intensity—
assessing my knowledge,
measuring my authority,
grading my compassion,
weighing their chances
of being hurt or healed,
our unspoken bond sealed
only after I’ve listened
well enough for them
to believe in the chance
to listen to me.
Dr Berlin has been writing a poem about his experience of being a doctor every month for the past 28 years in Psychiatric Times in a column called “Poetry of the Times.” He is an instructor in psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts. His latest book is Tender Fences.







