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Handbook of Communication in Oncology and Palliative
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David Kissane, Barry Bultz, Phyllis Butow, and Ilora Finlay

Print publication date: 2010

Print ISBN-13: 9780199238361

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199238361.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 24 October 2021

Responding to difficult emotions

Responding to difficult emotions

(p.135) Chapter 12 Responding to difficult emotions
Handbook of Communication in Oncology and Palliative Care

Jennifer Philip

David W Kissane

Oxford University Press

Clinicians must be prepared to allow the expression of a variety of emotions, including anger, 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 emotional distress. A seemingly benign discussion can result in an unexpected response. Additional sources of vulnerability do occur in the lives of cancer patients, not directly related to the cancer care. To be supportive, physicians must be skilled in the delivery of empathic responses when dealing with a difficult patient. These are teachable skills. The assessments of physicians and their responses will vary according to the acuity or chronicity of the emotions expressed. This chapter takes the angry patient as one example of an emotionally difficult encounter and offers a model as to how the clinician can respond. This approach can be applied to a range of other challenging interactions.

Keywords:   physicians, cancer care, cancer patients, emotions, emotional distress, difficult patient, anger

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