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The Patient's Wish to DieResearch, Ethics, and Palliative Care$
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Christoph Rehmann-Sutter, Heike Gudat, and Kathrin Ohnsorge

Print publication date: 2015

Print ISBN-13: 9780198713982

Published to Oxford Scholarship Online: August 2015

DOI: 10.1093/acprof:oso/9780198713982.001.0001

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Communication of wishes to die

Communication of wishes to die

(p.203) Chapter 19 Communication of wishes to die
The Patient's Wish to Die

Heike Gudat

Christoph Rehmann-Sutter

Kathrin Ohnsorge

Oxford University Press

The chapter outlines the conditions under which communication takes place when end-of-life issues and especially wishes to die are negotiated. More than mere information transfer, communication is an intersubjective interaction with important relationship work going on between unequal dialogue partners. The chapter discusses the importance of a narrative approach to understanding patients’ wishes and motivations, the roles of dialogue partners, the difficult balance between professional distance and empathy, the degree to which the dialogue has to address difficult realities, and the important limitations to communication in everyday practice. Educational approaches are outlined.

Keywords:   communication, wishes to die, end-of-life, dialogue, educational approach

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