Shared Decision Making for Cancer Screening and Reflective Listing

Early Detection of Prostate Cancer: AUA/SUO Guideline Part I: Prostate Cancer Screening. Letter.

“…It has 4 steps: (1) trigger, indicating that all options are acceptable; (2) administer the information using common-sense pictographs that use absolute numbers (with a consistent denominator, such as /1,000 screened), time frames, and visuals employing the same scale for information on gains and losses of the option; (3) promote active participation of the patient by the expression of his or her values; (4) analyze if the patient is comfortable with the decision by rephrasing. 4 The latter step, “reflective listening,” is the cornerstone of Carl Rogers’ “client-centered therapy”: summarize what the person said by using his/her own words rather than paraphrasing and without digressing to other subjects. This reinforces the person’s own expressions of problems, recognition of concerns, complaints, and values.…”

“…(3) promote active participation of the patient by the expression of his or her values; (4) analyze if the patient is comfortable with the decision by rephrasing. 4 The latter step, "reflective listening," is the cornerstone of Carl Rogers' "client-centered therapy": summarize what the person said by using his/her own words rather than paraphrasing and without digressing to other subjects. This reinforces the person's own expressions of problems, recognition of concerns, complaints, and values.…”