Terminal cardiomyopathy, splitting, and borderline personality organization

McDaniel, J. Stephen; Stoudemire, Alan; Riether, Anne Marie; Firestone, Scott; Cohen-Cole, Steven A.; Cobbs, B.Woodfin

doi:10.1016/0163-8343(92)90099-v

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Few articles address end-of-life care for people with PTSD, personality disorders, or anxiety disorders. 48,[56][57][58][59][60] Within these particular populations, neither capacity nor initial access to care was an issue. Rather, the focus was on how to provide care in the face of needs and behaviours that seem overwhelming.…”

Section: Vulnerabilitymentioning

confidence: 99%

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Woods

Willison²,

Kington³

et al. 2008

Can J Psychiatry

136

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A systematic overview of the literature on palliative care for people with severe persistent mental illness (SPMI) was conducted to inform clinical practice, research, and education. Empirical studies and nonempirical papers were included. Few empirical studies exist. There is even less information about the palliative care needs of, or the nature of palliative care provided to, people with SPMI. Mental health, primary care, and palliative care providers need to partner with people who have SPMI in developing and providing palliative care. The field of palliative care for people with SPMI is wide open and in need of methodologically sound studies that will help define the issues that exist for this vulnerable population. Recognizing the similarities between mental health and palliative care should lead to collaborative ventures and discussions in an attempt to address common and parallel issues.

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Section: Vulnerabilitymentioning

confidence: 99%

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Woods

Willison²,

Kington³

et al. 2008

Can J Psychiatry

136

View full text Add to dashboard Cite

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“…On occasion, the team of carers become ‘split’ with some staff members seen by the angry patient as incompetent, with others considered adequate 27,28 . Care may then become further fragmented 29 .…”

Section: Persistent Angermentioning

confidence: 99%

“…On occasion, the team of carers become 'split' with some staff members seen by the angry patient as incompetent, with others considered adequate. 27,28 Care may then become further fragmented. 29 As adversarial positions become set between the patient or family and staff, the opportunities for discourse and negotiation become more restricted.…”

Section: Persistent Angermentioning

confidence: 99%

Anger in palliative care: a clinical approach

Philip

Gold

Schwarz

et al. 2006

Internal Medicine Journal

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Anger in patients and families is a common problem in the care of persons with advanced disease. Whereas it is widely accepted that anger may be a justifiable reaction to significant illness and loss, it frequently creates difficulties for the doctors involved in care. In particular, there is often a personal impact on the doctor at whom anger is directed. This paper examines results of qualitative research with palliative care workers in the context of the broader published literature and the authors' clinical experiences. The ability to interact effectively with angry patients is a skill that is often learned with experience and is extremely useful in both transforming the patients' reaction into a more creative emotion and in developing a therapeutic relationship. Despite conscientious efforts, however, a few patients continue to be angry. A practical approach to anger, useful for the clinician directly involved in care, is outlined along with some strategies to adopt in the face of persistent anger.

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The cancer patient with borderline personality disorder: suggestions for symptom-focused management in the medical setting

Hay

Passik²

2000

Psycho-Oncology

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Terminal cardiomyopathy, splitting, and borderline personality organization

Cited by 5 publications

References 6 publications

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Palliative Care for People with Severe Persistent Mental Illness: A Review of the Literature

Anger in palliative care: a clinical approach

The cancer patient with borderline personality disorder: suggestions for symptom-focused management in the medical setting

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