Responding to difficult emotions

Jennifer Philip, David W. Kissane

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review

Abstract

Clinicians must be prepared to allow the expression of a variety of emotions in cancer care. There are times during the illness when emotional responses may be anticipated, such as when a patient is first diagnosed with cancer, when a recurrence occurs, or when the disease is progressing despite anti-cancer treatments. There will be other times when the physician is unaware of the particular stimulus for distress. A seemingly benign discussion can result in an unexpected response due to vulnerabilities in the lives of patients, not directly related to the cancer care. To be supportive, physicians must be skilled in the delivery of empathic responses. There is a substantial body of evidence demonstrating that these are teachable skills (Moore et al. 2004; Lienard et al. 2010; Heyn et al. 2013).

The assessments of physicians and their responses will vary according to the acuity or chronicity of the emotions expressed. We will divide this chapter accordingly. We take the angry patient as one example of an emotionally difficult encounter and offer a model of how the clinician can respond. This approach can be applied to a range of other challenging interactions.
Original languageEnglish
Title of host publicationOxford Textbok of Communication in Oncology and Palliative Care
EditorsDavid W. Kissane, Barry D. Bultz, Phyllis N. Butow, Carma L. Bylund, Simon Noble, Susie Wilkinson
Place of PublicationOxford UK
PublisherOxford University Press
Pages91-96
Number of pages6
Edition2nd
ISBN (Print)978-0-19-873613-4
Publication statusPublished - 2017

Keywords

  • communication skills training; cancer; palliative car;

Cite this

Philip, J., & Kissane, D. W. (2017). Responding to difficult emotions. In D. W. Kissane, B. D. Bultz, P. N. Butow, C. L. Bylund, S. Noble, & S. Wilkinson (Eds.), Oxford Textbok of Communication in Oncology and Palliative Care (2nd ed., pp. 91-96). Oxford UK: Oxford University Press.
Philip, Jennifer ; Kissane, David W. / Responding to difficult emotions. Oxford Textbok of Communication in Oncology and Palliative Care. editor / David W. Kissane ; Barry D. Bultz ; Phyllis N. Butow ; Carma L. Bylund ; Simon Noble ; Susie Wilkinson. 2nd . ed. Oxford UK : Oxford University Press, 2017. pp. 91-96
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Philip, J & Kissane, DW 2017, Responding to difficult emotions. in DW Kissane, BD Bultz, PN Butow, CL Bylund, S Noble & S Wilkinson (eds), Oxford Textbok of Communication in Oncology and Palliative Care. 2nd edn, Oxford University Press, Oxford UK, pp. 91-96.

Responding to difficult emotions. / Philip, Jennifer; Kissane, David W.

Oxford Textbok of Communication in Oncology and Palliative Care. ed. / David W. Kissane; Barry D. Bultz; Phyllis N. Butow; Carma L. Bylund; Simon Noble; Susie Wilkinson. 2nd . ed. Oxford UK : Oxford University Press, 2017. p. 91-96.

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review

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AB - Clinicians must be prepared to allow the expression of a variety of emotions in cancer care. There are times during the illness when emotional responses may be anticipated, such as when a patient is first diagnosed with cancer, when a recurrence occurs, or when the disease is progressing despite anti-cancer treatments. There will be other times when the physician is unaware of the particular stimulus for distress. A seemingly benign discussion can result in an unexpected response due to vulnerabilities in the lives of patients, not directly related to the cancer care. To be supportive, physicians must be skilled in the delivery of empathic responses. There is a substantial body of evidence demonstrating that these are teachable skills (Moore et al. 2004; Lienard et al. 2010; Heyn et al. 2013).The assessments of physicians and their responses will vary according to the acuity or chronicity of the emotions expressed. We will divide this chapter accordingly. We take the angry patient as one example of an emotionally difficult encounter and offer a model of how the clinician can respond. This approach can be applied to a range of other challenging interactions.

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Philip J, Kissane DW. Responding to difficult emotions. In Kissane DW, Bultz BD, Butow PN, Bylund CL, Noble S, Wilkinson S, editors, Oxford Textbok of Communication in Oncology and Palliative Care. 2nd ed. Oxford UK: Oxford University Press. 2017. p. 91-96