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Area of Science:

  • Palliative Care Medicine
  • Psychiatry
  • Clinical Psychology

Background:

  • Collusion, an unconscious bond between patients, clinicians, or family members, is prevalent in palliative care.
  • It often leads to intense emotions, unreflective behavior, and negatively impacts patient care.
  • Limited research exists due to a lack of conceptual clarity and robust assessment tools.

Purpose of the Study:

  • To develop and evaluate the Collusion Classification Grid (CCG) for analyzing collusion.
  • To assess the CCG's utility in clinical supervision and research settings.

Main Methods:

  • Retrospective analysis of 10 difficult patient-clinician interactions presented in supervision.
  • Application of the developed Collusion Classification Grid (CCG) to these cases.

Main Results:

  • All items of the CCG were utilized at least once.
  • One new item was added to the grid during the analysis.
  • The CCG successfully identified various types of collusion.

Conclusions:

  • The Collusion Classification Grid (CCG) demonstrates utility for analyzing collusion in clinical practice.
  • This case series is a preliminary step towards larger studies to identify collusion patterns.
  • Further research with the CCG can enhance understanding of collusion's impact on patient encounters and clinical decisions.