Abstract

CALSAVARA, Vanessa Jaqueline; SCORSOLINI-COMIN, Fabio  and  CORSI, Carlos Alexandre Curylofo. The communication of bad news in health: approximations with the person-centered approach. Rev. abordagem gestalt. [online]. 2019, vol.25, n.1, pp. 92-102. ISSN 1809-6867.  http://dx.doi.org/10.18065/RAG.2019v25.9.

The way of communicating bad news directly impacts in the treatment adherence of the patient. In light of the difficulties of communicating bad news, protocols were developed to assist the health care professionals in these moments of major vulnerability. This theoretical study aimed to approach the core conditions/attitudes described originally by Carl Rogers in the psychotherapic context to three bad news communication protocols reported from the field specific literature: SPIKES, CLASS and P-A-C-I-E-N-T-E. Diverse steps of these protocols emerge as actions that approximate one moment to congruency/authenticity and another moment to unconditional positive consideration or empathy. It makes licit to affirm that the communication of bad news also approaches to the establishment of a help relation. It can be concluded that this approach between the protocols and the three attitudes developed by Rogers can contribute to the academic training of the health care professionals and also to the better connection between doctor, patient and family.

Keywords : Health communication; Physician-patient relations; Person-centered therapy.

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