Impact of communication skills trainings (CST) on clinician's defense mechanisms

Détails

ID Serval
serval:BIB_80D8CC4957AB
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Abstract (résumé de présentation): article court qui reprend les éléments essentiels présentés à l'occasion d'une conférence scientifique dans un poster ou lors d'une intervention orale.
Collection
Publications
Titre
Impact of communication skills trainings (CST) on clinician's defense mechanisms
Titre de la conférence
-
Auteur(s)
Bernard M., Favre N., Despland J.N., de Roten Y., Stefel F.
Adresse
-
ISBN
1057-9249
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
15
Série
Psycho-Oncology
Pages
173-174
Langue
anglais
Notes
SAPHIRID:61399
Résumé
BACKGROUND AND AIMS: Based on our experience of CST for oncology clinicians, we hypothesized that improvement in communication may be mediated by a modification of clinician's defence mechanisms. In order to test this hypothesis, 120 oncology clinicians' interviews with simulated patients (60 interviews pre- and 60 interviews post-CST with a 6 months interval) are analyzed and compared to 120 interviews with simulated patients of a control group of 60 oncology clinicians who did not undergo CST (interval of 6 months).
METHODS: Up to now 20 oncology clinicians of the CST group and 10 of a control group were included. Verbatim transcription of video-taped interviews were evaluated with the Defence Mechanism Rating Scales for therapists (DMRS-T), an adapted version of the DMRS.
RESULTS: The number of specific defence mechanisms in the 60 interviews ranged from 10 to 35 (M ¼ 20:93; SD ¼ 5:7). The three most frequent mechanisms were displacement (20.3%), intellectualisation (19.6%) and rationalization (16.1%). RESULTS indicated: A significant increase of the Overall Defence Functioning (ODF) score (ODF 4.29 ðSD ¼ 0:51Þ vs ODF 4.67 ðSD ¼ 0:36Þ; z ¼ 2:95; p ¼ 0:003) in the CST group. But no significant increase of the ODF score in the control group (ODF 4.02 ðSD ¼ 0:32Þ vs ODF 4.29 ðSD ¼ 0:53Þ; z ¼ 1:24; p ¼ 0:210). A significant increase of neurotic defence mechanisms (50.15% ðSD ¼ 1:41Þ vs 56.99% ðSD ¼ 0:98Þ; ¼ 2:27; p ¼ 0:023) and a decrease of immature defines mechanisms (45.21% ðSD ¼ 1:28Þ vs 36.46% ðSD ¼ 1:12Þ; z ¼ 2:84; p ¼ 0:005) in the CST group. A significant increase of the mature defences in the control group (1.86% ðSD ¼ 0:43Þ vs 8.75% ðSD ¼ 0:91Þ; z ¼ 2:37; p ¼ 0:018). No differences between the CST and the control group according delta (interview-post-interview-pre) for ODF score and delta for defences categories.
CONCLUSIONS: Preliminary results foster the hypothesis that CST may have an impact on the level of defence mechanisms.
Création de la notice
10/03/2008 10:03
Dernière modification de la notice
20/08/2019 14:41
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