Communication and awareness about dying in the 1990s

Field, David and Copp, Gina (1999) Communication and awareness about dying in the 1990s. Palliative Medicine, 13 (6). pp. 459-468. ISSN 0269-2163

Full text is not in this repository.

Official URL:

This item is available in the Library Catalogue


Since the 1960s communication and awareness about dying in modern western societies have been topics for debate, with a considerable amount of literature on the need for open communication and the strategies which can be used by health professionals to improve their communication with patients facing a terminal prognosis. Despite the difficulties of comparing studies using different methodologies and the additional problems of ascertaining patients' knowledge and awareness about their impending deaths, the trend is clear. In advanced industrial societies there is increasing evidence that doctors have shifted from a policy of ‘withholding’ to a policy of ‘revealing’ to the patient his or her terminal prognosis. This change in medical practice is further supported by other data which show an increase in the percentage of those patients who were aware they were dying from chronic diseases, especially cancer. However, despite the perceived trend towards open disclosure of the patient's terminal illness, recent studies have suggested that in their daily encounters with dying patients health workers employ ‘conditional’ rather than ‘full open disclosure’. Such moderating strategies in discussing the patient's prognosis may be employed despite open awareness of a patient's prognosis. This paper examines this apparent paradox by analysing the complex tensions and conflicts of such communication through a discussion of existing literature on modes of communication and patient awareness.

Item Type:Article
Research Areas:A. Middlesex University Schools and Centres > School of Health and Education
Citations on ISI Web of Science:40
ID Code:3465
Useful Links:
Deposited On:18 Dec 2009 07:03
Last Modified:27 Feb 2015 15:44

Repository staff only: item control page

Full text downloads (NB count will be zero if no full text documents are attached to the record)

Downloads per month over the past year