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1999) where patients with breast cancer said they wanted the diagnosis and prognosis to be given in simple language; honestly, but not too bluntly. In a study by Friedrichsen et al. (2002) in Sweden, patients interpreted information conveyed to them about ending active tumour treatment as either emotionally trying or as fortifying and strengthening. This appeared to relate to the way that words used had focused the patients’ attention on either treatment, quality of life issues, or towards threat and death.

And Fallowfield, L. (2003) Lay understanding of terms used in cancer consultations, Psycho-oncology, 12: 557–66. Cohen, D. and Leo, J. (2004) An update on ADHD neuroimaging research, Journal of Mind and Behavior, 25(2): 161–6. , Campbell, P. , Stevenson, M. and Bond, S. (2002) Patient-held records in cancer and palliative care: a randomized, prospective trial, Palliative Medicine, 16: 205–12. , Anthony, P. and Hicks, C. (2002) Reluctant empiricists: community mental health nurses and the art of evidence-based praxis, Health and Social Care in the Community, 10(4): 287–98.

J. and Jenkins, V. (2004) Communicating sad, bad, and difficult news in medicine, Lancet, 363: 312–19. , Duffy, A. and Eves, R. (2002) Efficacy of a Cancer Research UK communication skills training model for oncologists: a randomized controlled trial, Lancet, 359: 650–6. Feinmann, J. (2002) Brushing up on doctors’ communication skills, Lancet, 360: 1572. , Saunders, C. and Houghton, J. (2001) Tolerability of hormone therapies for breast cancer: how informative are documented symptom profiles in medical notes for ‘well tolerated’ treatments?

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