{
  "abstract": "A cancer diagnosis can impose a significant psychological burden on patients and their families. While many are able to cope, some resort to various primitive psychological defenses such as denial or displacement of anger onto others. Under such circumstances, healthcare professionals involved in their care may likewise experience intense countertransference reactions, and it is not uncommon for clinicians to continue their duties while struggling with feelings of helplessness or guilt.The speaker is a psychiatrist specializing in psycho-oncology who has provided clinical care at a cancer hospital for more than 20 years. Early in their career, the speaker often felt unprepared for the wide range of emotional responses from patients, families, and medical staff, and was uncertain about appropriate management. Through extensive trial and error, the speaker undertook structured training in psychoanalytic theory and received supervision from a psychoanalyst. The adoption of a psychoanalytic perspective allowed for a clearer understanding of why patients, families, and healthcare providers reacted in certain ways, and also made it possible to think and act more proactively about how best to intervene.Currently, opportunities for Japanese psychiatrists to receive systematic training in psychoanalytic approaches are limited; however, the speaker has come to regard such perspectives as essential for effective practice in palliative care (and likely beyond). This lecture will draw on the speaker’s clinical experience to examine the value of integrating psychoanalytic perspectives into palliative care settings.",
  "authors": [
    {
      "affiliations": [
        "Cancer Institute Hospital of JFCR, Japan"
      ],
      "name": "Ken Shimizu"
    }
  ],
  "title": "S3-5 Psychoanalytic perspectives are essential in palliative care clinical practice",
  "uid": "5836ed59-786e-5e9d-9079-2b1a6c113c81"
}