Research Article

5 Clinical Dances: The Doctor-Patient Relationship in Different Infectious Diseases. Chapter 5. Sexually Transmitted Infections (Ravel's Bolero / Crescendo Dance)

Department of Medicine and Surgery, Spain

Article Information

Article Type: Research Article
Submitted: September 15, 2026
Accepted: September 23, 2026
Published: September 30, 2026
Pages: 1-3
DOI: Pending
Language: English
License: CC BY 4.0

Abstract

The importance of the doctor-patient relationship is evident in its proven influence on healthcare outcomes. A good doctor-patient relationship is a process of alliance building: a process in which the doctor adapts to the patient's pace and can gradually help them achieve better results; that is, detecting 'what style of care the patient is following.' But there is no single 'good' or 'appropriate' type of doctor-patient relationship; there is no single style of care for all patients. Using this metaphor, the main concepts of 'clinical care' are explained with patients presenting with infectious diseases: 1. HIV/AIDS (Contact/Improvisation), 2. Urinary Tract Infection (Fast Rock & Roll), 3. Respiratory Infections (Twist), 4. Gastrointestinal Infections (The Charleston), and 5. Sexually Transmitted Infections - STIs (Ravel's Bolero/Crescendo Dance). Assigning a style of care to the doctor-patient relationship in different clinical scenarios illustrates the flexibility, pace, and attitude that the practitioner must adopt. To apply patient-centered communication techniques to each of the five clinical "dances," the physician must adapt their verbal and nonverbal skills to the rhythm of each infectious disease. To put this metaphor into practice or use it in teaching, a specific dialogue script or role-playing exercise is presented for each of the five dances, illustrating the critical moment in the consultation when the physician applies the patient-centered communication technique to adapt to the patient's pace. Here, a case study of a doctor-patient interview with Sexually Transmitted Infections is presented using the "Ravel's Bolero / Crescendo Dance" metaphor: The technique is Absolute Normalization and Confidentiality Framing.

Keywords

Doctor-Patient Communication and Relationship Patient-Centred Infectious Diseases Sexually Transmitted Infections Metaphor Medical Education General Practice Ravel's Bolero Crescendo Dance Patient Confidentiality

Cite

Citation: Jose Luis Turabian (2026). 5 Clinical Dances: The Doctor-Patient Relationship in Different Infectious Diseases. Chapter 5. Sexually Transmitted Infections (Ravel's Bolero / Crescendo Dance). Epistora J. Infect. Dis. Public Health. 1(1), 1-3. Article EJIDPH-2026-105