Using Sociodrama and Psychodrama To Teach Communication in End-of-Life Care
Using Sociodrama and Psychodrama To Teach Communication in End-of-Life Care
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DOI：
10.1089/jpm.2012.0030
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发表时间：
2012-09-01
影响因子：
2.8
通讯作者：
Biasco, Guido
中科院分区：
文献类型：
--
作者：
Baile, Walter F.;De Panfilis, Ludovica;Biasco, Guido
临终讨论可能会带来压力，并可能引起提供者以及患者和家人的强烈情绪。在姑息治疗中，理解和有效解决情绪是一项关键技能，可以提高专业能力和患者/家属对护理的满意度。我们说明了在姑息医学硕士学位课程中，我们如何使用源自社会剧和心理剧的戏剧性“行动方法”来描绘两个具有挑战性的案例，以培训提供者在护理晚期癌症患者的情感方面。我们描述了使用热身、角色创建、双重和角色反转来构建和制定案例场景的具体技术。我们特别说明了如何使用这些技术和其他技术来揭示和解决作为沟通困境核心的“隐藏”情绪、态度和价值观。最后，我们将呈现由参加该课程的 26 名参与者完成的评估。
End-of-life discussions can be stressful and can elicit strong emotions in the provider as well as the patient and family. In palliative care, understanding and effectively addressing emotions is a key skill that can enhance professional competency and patient/family satisfaction with care. We illustrate how in coursework for a Master's degree in palliative medicine we used dramatic "action methods" derived from sociodrama and psychodrama in the portrayal of two challenging cases to train providers in the emotional aspects of caring for patients with advanced cancer. We describe the specific techniques of constructing and enacting case scenarios using warm-ups, role-creation, doubling and role-reversal. In particular, we illustrate how these techniques and others were used to reveal and address the "hidden" emotions, attitudes, and values that were central to the communication dilemma. Finally, we present an evaluation completed by the 26 participants who attended the course.