The meaning of together : Exploring transference and countertransference in palliative care settings
(2021) In Journal of Palliative Medicine 24(11). p.1598-1602- Abstract
Establishing an empathic clinical relationship is a cornerstone of high-quality palliative care. More than simply approaching patients with a pleasant affect or "being nice,"we propose that skilled clinicians routinely employ distinct psychological elements when creating effective bonds with seriously ill patients and their families. Palliative care involvement has been shown to improve a variety of outcomes for patients with serious cancer, and yet the components of this salutary effect are still becoming known in the literature. Many believe that a successful interpersonal relationship is the essential factor. In this article, we will apply the psychological constructs of transference and countertransference to the unique arena of... (More)
Establishing an empathic clinical relationship is a cornerstone of high-quality palliative care. More than simply approaching patients with a pleasant affect or "being nice,"we propose that skilled clinicians routinely employ distinct psychological elements when creating effective bonds with seriously ill patients and their families. Palliative care involvement has been shown to improve a variety of outcomes for patients with serious cancer, and yet the components of this salutary effect are still becoming known in the literature. Many believe that a successful interpersonal relationship is the essential factor. In this article, we will apply the psychological constructs of transference and countertransference to the unique arena of palliative care communication. Although most palliative care clinicians are not mental health clinicians and have not received training or certification in psychotherapeutic techniques, there are elements from these frameworks that may be advantageously applied. We will draw on sources from psychology and psychiatry to explore the in-between spaces of clinical encounter. Using the case of Gloria, a patient living with cancer drawn from our clinical experience, we will offer adapted definitions and novel applications of these psychological concepts. Branching from the theory to everyday practice, we will then offer practical suggestions to guide the palliative care clinician in recognizing and managing strong countertransference reactions. This article is the third installment of a series on the psychological elements of palliative care.
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- author
- Rosenberg, Leah B. ; Brenner, Keri O. ; Jackson, Vicki A. ; Jacobsen, Juliet C. LU ; Shalev, Daniel ; Byrne-Martelli, Sarah and Cramer, Margaret A.
- publishing date
- 2021-10-27
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- coping, physician-patient relationship, psychosocial issues, therapeutic alliance
- in
- Journal of Palliative Medicine
- volume
- 24
- issue
- 11
- pages
- 5 pages
- publisher
- Mary Ann Liebert, Inc.
- external identifiers
-
- pmid:34491110
- scopus:85118881234
- ISSN
- 1096-6218
- DOI
- 10.1089/jpm.2021.0240
- language
- English
- LU publication?
- no
- id
- 6e722cc0-4af1-4a64-aae3-c39b665be9d5
- date added to LUP
- 2023-04-18 11:22:33
- date last changed
- 2024-06-15 01:59:18
@article{6e722cc0-4af1-4a64-aae3-c39b665be9d5,
abstract = {{<p>Establishing an empathic clinical relationship is a cornerstone of high-quality palliative care. More than simply approaching patients with a pleasant affect or "being nice,"we propose that skilled clinicians routinely employ distinct psychological elements when creating effective bonds with seriously ill patients and their families. Palliative care involvement has been shown to improve a variety of outcomes for patients with serious cancer, and yet the components of this salutary effect are still becoming known in the literature. Many believe that a successful interpersonal relationship is the essential factor. In this article, we will apply the psychological constructs of transference and countertransference to the unique arena of palliative care communication. Although most palliative care clinicians are not mental health clinicians and have not received training or certification in psychotherapeutic techniques, there are elements from these frameworks that may be advantageously applied. We will draw on sources from psychology and psychiatry to explore the in-between spaces of clinical encounter. Using the case of Gloria, a patient living with cancer drawn from our clinical experience, we will offer adapted definitions and novel applications of these psychological concepts. Branching from the theory to everyday practice, we will then offer practical suggestions to guide the palliative care clinician in recognizing and managing strong countertransference reactions. This article is the third installment of a series on the psychological elements of palliative care.</p>}},
author = {{Rosenberg, Leah B. and Brenner, Keri O. and Jackson, Vicki A. and Jacobsen, Juliet C. and Shalev, Daniel and Byrne-Martelli, Sarah and Cramer, Margaret A.}},
issn = {{1096-6218}},
keywords = {{coping; physician-patient relationship; psychosocial issues; therapeutic alliance}},
language = {{eng}},
month = {{10}},
number = {{11}},
pages = {{1598--1602}},
publisher = {{Mary Ann Liebert, Inc.}},
series = {{Journal of Palliative Medicine}},
title = {{The meaning of together : Exploring transference and countertransference in palliative care settings}},
url = {{http://dx.doi.org/10.1089/jpm.2021.0240}},
doi = {{10.1089/jpm.2021.0240}},
volume = {{24}},
year = {{2021}},
}