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Focus on the blind spots of clinician-patient interactions

A critical narrative review of collusion in medical setting

Datos Bibliográficos

ID15084844
AutoresSophia Deliyanidis (Lausanne University Hospital and University of Lausanne, Switzerland), Friedrich Stiefel (0000-0003-0326-7918, Lausanne University Hospital and University of Lausanne, Switzerland), Céline Bourquin (0000-0001-9584-2929, Lausanne University Hospital and University of Lausanne, Switzerland), Laurent Michaud (0000-0002-2954-3848, Lausanne University Hospital and University of Lausanne, Switzerland)
Año2025
Volumen30
Número8
Páginas1751-1767
Fecha de publicación2025-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Health Psychology (JOURNAL)
Identificadores de la revistaISSN: 1359-1053 • E-ISSN: 1461-7277
EditorialSAGE Publications (PUBLISHER • US)
DOI10.1177/13591053241284197
IdiomaEN
Citas recibidas1
Referencias citadas79

Collusions, interpersonal phenomena with an impact on patients, significant others, clinicians, and care, are mainly described in the psychotherapeutic literature but also occur in the medical setting. Comprehended as an unconscious bond between two or more persons from a psychotherapeutic perspective, definitions and collusive situations described in the medical setting vary. The question arises whether medical collusions, compared to collusions occurring in the psychiatric setting emerge in different clinical situations or are not identified as transference-countertransference experiences, since there is less sensitivity for the unconscious dimensions of care. We systematically reviewed the medical literature on collusions. Even though a read threat, avoidance of unpleasant feelings (mainly anxiety), runs through the described collusions, the unconscious dimensions and associated defensive maneuvers are rarely evoked. Given the expressed desire to act on collusions in medicine, involving third-party psychiatric liaison clinicians, who supervise clinicians, and hereby help to disentangle collusions, could be beneficial

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Obras citantes distintas1
Citas por año1
Intervalo de citas2026 - 2026 (1)
Velocidad de citacióncurrent
Altamente citadoNo
Tipos de citaNeutras: 1
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