Collusions Between Patients and Clinicians in End-of-Life Care: Why Clarity Matters.

Détails

Ressource 1Télécharger: 5_28062352_Postprint.pdf (421.40 [Ko])
Etat: Public
Version: Author's accepted manuscript
ID Serval
serval:BIB_8A5FBF6C1224
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Collusions Between Patients and Clinicians in End-of-Life Care: Why Clarity Matters.
Périodique
Journal of pain and symptom management
Auteur(s)
Stiefel F., Nakamura K., Terui T., Ishitani K.
ISSN
1873-6513 (Electronic)
ISSN-L
0885-3924
Statut éditorial
Publié
Date de publication
04/2017
Peer-reviewed
Oui
Volume
53
Numéro
4
Pages
776-782
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
Collusion, an unconscious dynamic between patients and clinicians, may provoke strong emotions, unreflected behaviors, and a negative impact on care. Collusions, prevalent in the health care setting, are triggered by situations which signify an unresolved psychological issue relevant for both, patient and clinician. After an introductory definition of collusion, two archetypal situations of collusion-based on material from a regular supervision of a palliative care specialist by a liaison psychiatrist-and means of working through collusion are presented. The theoretical framework of collusion is then described and the conceptual shortcomings of the palliative care literature in this respect discussed, justifying the call for more clarity. Finally, cultural aspects and societal injunctions on the dying, contributing to the development of collusion in end-of-life care, are discussed.

Mots-clé
Aged, Attitude to Death, Communication, Culture, Humans, Male, Middle Aged, Physician-Patient Relations, Specialization, Terminal Care, Transference (Psychology), Unconscious (Psychology), Collusion, communication, counter transference, palliative care, transference
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/01/2017 19:03
Dernière modification de la notice
20/08/2019 14:49
Données d'usage