Aim of the study: This study aims to provide contingency and epistemological elements to locate and discuss the question of responsibility in clinical medicine. The clinical importance of listening in medical practice as a major benchmark for considerations of medical liability and the care dimension from a perspective that is not restricted to diagnostic practice. The explanations for the blurry boundaries between science and politics are multifaceted and some centuries old. In other words, the production of reliable knowledge about the natural world has always been a social and political endeavor. There are at least three explanations, however, that are particularly relevant when examining the challenges that science faces in modern democracies.

Methods: the contingent and epistemological processes of medical responsibility under the view of the contemporary literature we may point the problem presented in medical clinic when its fundament is forgotten: the listening. Forensic medicine is often used in civil cases. The cause of death or injury is considered in settling insurance claims or Medical Malpractice suits, and several cases have been analysed to find common bases among them

Results: The review explicits that without the ability to listen effectively, messages are easily misunderstood. As a result, communication breaks down and the sender of the message can easily become frustrated or irritated. Therefore, we should not think that, in our society, the person is passively dragged into a condition of mere scientific object. Listening is essential to build a strong relation with the patient and this is usually the secret to reduce legal complaints by the patients.

Discussion: Understanding how a good comunication may affect health risk is predicated on articulating its core physiological, psychological and social features. The American Psychological Association emphasized the importance of cognitive, affective and behavioural components. The present study examined whether people receiving attention and a good communication differ from those who do not receive time and attention on measures of emotional hostility, cynicism, hostile attributions, aggressive responding and hostile affect. The findings suggest that further study of emotional behaviour associated with hostility components would be fruitful.

Conclusion: If medicine moves away from its clinical place, it then gives in to the scientific demands and loses its moral and ethical value. It marginalizes itself in what it has of essential: its work with each individual, the clinic of each case. It is fact that the scientific advances have provided undeniable contributions to the treatment of patients.It’s essential that the importance of clinic listening is kept in mind to prevent medicine from losing the fundamental of his specificity.