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Family Practice Vol. 12, No. 2, 176-183
© Oxford University Press 1995

research-article

Surviving the ‘heartsink’ experience

NJ Mathers and L Gask*

Department of General Practice, Medical School, University of Sheffield Beech Hill Road, Sheffield S10 2RX, UK
*Dep of Psychiatry, University of Manchester Manchester, UK

The authors describe a pilot workshop designed to help doctors achieve a greater understanding of and ability to cope with their ‘heartsink’ patients. Participants were asked to list their personal objectives in attending and a number of cases were discussed in the group. A ‘heartsink survival kit’ was provided which consisted of skills and strategies which are useful in difficult consultations and an approach to reassessing the goals of the relationship which might promote a more realistic understanding. The workshop was videotaped and two scenarios are presented. The implications for further training are discussed.


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