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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Institutional Transference in Serious Illness Care.

Roxanne Sholevar1,2,3, Angela Landerholm1,2,3, Hema Kher4

  • 1Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, Massachusetts, USA.

Journal of Palliative Medicine
|September 20, 2023
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Summary
This summary is machine-generated.

This study introduces institutional transference in serious illness, exploring patient attitudes toward specialized care institutions. It highlights clinical implications and clinician countertransference, offering intervention strategies.

Keywords:
countertransferencepsychodynamicrelationshipsserious illness caretransference

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Area of Science:

  • Psychiatry
  • Palliative Care
  • Health Psychology

Background:

  • Transference toward individual clinicians is known in palliative care.
  • Patient attitudes toward institutions in serious illness remain undescribed.
  • Institutional transference involves patient perceptions of healthcare facilities.

Purpose of the Study:

  • To describe institutional transference in patients with serious illness.
  • To explore clinical implications, including clinician countertransference.
  • To identify factors complicating transference and potential interventions.

Main Methods:

  • Case series presentation.
  • Analysis of three distinct patient cases.
  • Exploration of clinical interactions and patient-institution dynamics.

Main Results:

  • Institutional transference identified in patients with serious illness.
  • Clinical implications include countertransferential responses from clinicians.
  • Factors like idealized institutional reputation and care transitions complicate transference.

Conclusions:

  • Institutional transference is a significant phenomenon in serious illness care.
  • Understanding transference and countertransference is crucial for effective patient care.
  • Interventions can mitigate challenges associated with institutional transference.