Conversational avoidance during existential interviews with patients with progressive illness

Martin, Vanessa, Sarker, Tasmie, Slusarek, Emily, McCarthy, Mary A., Granton, John, Tan, Adrienne, and Lo, Christopher (2020) Conversational avoidance during existential interviews with patients with progressive illness. Psychology, Health & Medicine, 25 (9). pp. 1073-1082.

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Abstract

We examined patterns of avoidance when existential emotional topics were raised during conversations with patients with pulmonary arterial hypertension (PAH), an incurable life-limiting disease. 30 adult outpatients with PAH were recruited for a 20 to 60-minute interview about their illness experience. Qualitative content analysis was used to identify avoidance strategies that patients employed. Participants averaged 58 years in age (SD = 18), 77% were female, and mean length of illness was 6.3 years (SD = 5.3). We found four avoidance strategies: (1) Reversal, when individuals would begin discussing a negative concern and then backtrack to more positive sentiments; (2) Diversion for when patients would sidetrack the conversation to a different and less uncomfortable topic; (3) Diminishment for when a concern is raised and then made to seem unimportant; and (4) Obstruction, when patients refuse to discuss a concern further. Exploration of existential concerns can elicit distress but may be necessary to promote adaptation to progressive illness and to the foreseeable challenges that may affect the sense of life meaning and value. By recognizing when existential concerns may be present but not adequately discussed, clinicians may be better able to assist patients to cope and prepare for the future.

Item ID: 69134
Item Type: Article (Research - C1)
ISSN: 1465-3966
Copyright Information: © 2020 Informa UK Limited, trading as Taylor & Francis Group
Funders: University of Guelph-Humber Research Fund (UG-HRF)
Date Deposited: 31 Aug 2021 23:59
FoR Codes: 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes: 20 HEALTH > 2001 Clinical health > 200105 Treatment of human diseases and conditions @ 100%
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