When Professionals Weep: Emotional and Countertransference Responses in End-of-Life Care
Diverse leaders in the field of death, dying, and bereavement, address the issues surrounding the intersection of the personal and the professional in the unique context of end-of-life care.\ End-of-life care (EOL) is a specialized area of work that crosses a number of academic and professional disciplines, including social work, counseling, hospice, physical medicine, geriatrics, nursing, counseling, psychology, and clerical work. Professionals who work in EOL have often had deeply moving...
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End-of-life care (EOL) is a specialized area encompassing such disciplines as social work, counseling, hospice, physical medicine, geriatrics, nursing and psychology. This important volume reveals the secret struggles afflicting most EOL professionals:* Do we bring our ghosts to work?* Do we empathize or do we rescue?* Do we deny or manage the politics that influence our decision-making at the end of life?* Whose needs are we really meeting?* Can we admit to our own needs to be loved and well thought of?* Can we be both objective and human at the same time?The authors disclose their personal successes and failures with these issues. They also provide a framework for identifying, confronting, and managing the impact of personal histories, biases, and assumptions on work with the dying, bereaved and those living with life-limiting illness.
Ch. 1When our personal selves influence our professional work : an introduction to emotions and countertransference in end-of-life care3Ch. 2Suffering and the caring professional13Ch. 3Caregiving of the soul : spirituality at the end of life27Ch. 4The seduction of autonomy : countertransference and assisted suicide39Ch. 5Futility and beneficence : where ethics and countertransference intersect in end-of-life care55Ch. 6Client, clinician, and supervisor : the dance of parallel process at the end of life75Ch. 7The influence of culture and ethnicity on end-of-life care91Ch. 8Torture, execution, and abandonment : the hospitalized terminally ill and countertransference105Ch. 9Surviving the Holocaust only to face death again : working with survivors at the end of life121Ch. 10The horror and helplessness of violent death139Ch. 11Professionalism and our humanity : working with children at the end of life157Ch. 12When the face across the room reflects my own : on being a psychotherapist and a bereaved parent171Ch. 13Before and after my fiancee's death : beliefs about rational suicide and other end-of-life decisions189Ch. 14Complex bonds : a personal-professional narrative203Ch. 15The respectful death model : difficult conversations at the end of life221Ch. 16Emotional barriers to discussing advance directives : practical training solutions237Ch. 17A group intervention to process and examine countertransference near the end of life255Ch. 18The journey inside : examining countertransference and its implications for practice in end-of-life care269
