Contradictions and dialectics in the palliative dialogue: Enhancing the palliative dialogue by dialectical principles

Tali Samson, Pesach Shvartzman

Research output: Contribution to journalArticlepeer-review

Abstract

The application of required communication skills in the palliative dialogue necessitates a significant transition from the paternalistic medical approach to the holistic psychosocial approach that focuses on the patient and views the individual as a whole entity. Understanding the evolution of a therapeutic relationship in terms of entrance into the relationship, development, maintenance, and leave taking as well as the adoption of dialectical ideas gives palliative caregivers flexibility in the dialogue with patients and families. Accepting the principles of dialectics, in which the existence of contradictions is seen as an inherent part of a reality that is undergoing constant change, gives the caregiver the flexibility to interpret dichotomic thoughts and emotions as a dialectic failure and, in accordance, to move toward a synthesis of the ideas of living and dying. This approach provides caregivers the means to promote the palliative dialogue, implement varied communication skills to clarify the patient's goals, and implement a therapeutic plan to realize them.

Original languageEnglish
Pages (from-to)992-997
Number of pages6
JournalJournal of Pain and Symptom Management
Volume48
Issue number5
DOIs
StatePublished - 1 Nov 2014

Keywords

  • Professional quality of life
  • coping strategies
  • dialectical approaches
  • palliative dialogue
  • therapeutic relationship evolution

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