Supportive Care in Cancer

, Volume 15, Issue 3, pp 333–337 | Cite as

Psychodynamic aspects of communication skills training: a pilot study

  • Nathalie Favre
  • Jean-Nicolas Despland
  • Yves de Roten
  • Martin Drapeau
  • Mathieu Bernard
  • Friedrich Stiefel
Original Article

Abstract

Goals of work:

Communication between patients and oncology clinicians is a key element of cancer care. Emotionally charged consultations may trigger clinicians’ defense mechanisms, protecting them from painful emotions. Defense mechanisms, however, may also hamper the recognition of patients’ suffering. This pilot study aims to explore clinicians’ defense mechanisms observed in communication skills training (CST).

Patients and methods:

A verbatim transcription of videotaped interviews with simulated patients were evaluated before (N = 10) and after CST (N = 10) with the defense mechanism rating scales (DMRS).

Main results:

A wide variety of defense mechanisms were observed such as obsessional (e.g. intellectualisation) or disavowal (e.g. denial or projection). Immature defense mechanisms decreased after CST.

Conclusions:

A wide variety of defense mechanisms are operant in oncology clinicians facing challenging interviews with simulated patients. Defense mechanisms may be modified by CST.

Keywords

Communication skills training Defense mechanisms Cancer DMRS Simulated patients 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Nathalie Favre
    • 1
  • Jean-Nicolas Despland
    • 2
  • Yves de Roten
    • 2
  • Martin Drapeau
    • 3
  • Mathieu Bernard
    • 2
  • Friedrich Stiefel
    • 1
  1. 1.Psychiatry ServiceUniversity Hospital (CHUV)LausanneSwitzerland
  2. 2.Division of Psychotherapy ResearchDepartment of PsychiatryLausanneSwitzerland
  3. 3.The Institute of Community and Family PsychiatrySir Mortimer B. Davis Jewish General Hospital and McGill UniversityMontrealCanada

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