Danielle Chammas
speaker
635 appearances
2 recordings
1 series
first heard Dec 2016
last heard Nov 2024
Danielle Chammas’s voice in public audio — every appearance, attributed to the second.
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Appearances
There's not one thing you do for a stuck family meeting.
my psychological formulation is, oh my gosh, this family is so overwhelmed by the responsibility of this choice, they are petrified of doing the wrong thing, that they're going to have to live with that burden forever.
then my communication tool is going to be something that takes away that responsibility from them.
I might give them my strong recommendation.
I might stop presenting it as a choice and just say this is what we should do.
But if my formulation is that their psyche is really stuck on
a feeling like they think that their loved one is just you know another person to the doctors that the doctors are pushing their agenda and that they don't see them as an individual and that they're trying to like force me one way or the other things are going to go south if i start giving them strong recommendations right so based on my formulation that the real core issue is am i seeing their father as a person
the place where i might start saying tell me about your dad
tell me what he would want if he was here right i'm going to pick different tools from my toolkit
like you'd pick a different nausea med for a different if you had a different cause of nausea or a different chest pain med if you had a different cause for chest pain right
Exactly.
And what we find in the therapy world is that actually you can see a huge array of symptoms, but most people have a few core underlying beliefs that are guiding most of the things that come up in their life, right?
Is it that I'm unlovable?
Is it that I'm, you know...
to blame for anything that goes wrong is that the world's to blame who knows what it is but most people have some organizing compass that might be leading them astray and you pick your therapeutic communication intervention to address that otherwise you're just shooting at the dark throwing different tools and communication styles at people
So what I would hope for the field of palliative medicine, I think that people come into palliative medicine because they're inherently good communicators, right?
And I think there's a good amount of intuition already in this field.
And you see it happening, right?
You see someone become naturally more paternalistic.
Something's going wrong and they just do it.
Showing 441–460 of 635 · page 23 of 32
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