The Collusion Classification Grid: A Supervision and Research Tool

Stiefel, Friedrich; Nakamura, Kenji; Terui, Takeshi; Ishitani, Kunihiko

doi:10.1016/j.jpainsymman.2017.10.020

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…The summary of the supervised situations and the related CCG is detailed in Table 3. The description of the 10 situations of collusion with the CCG showed that 1) all items listed in the grid were mobilized at least once; 2) variation existed between collusions on an item level (e.g., type of associated emotions, means of expression, triggers); 3) there seems to be no need to add new items to the original CCG (Stiefel et al, 2018), except for the reported personal life events; and 4) some specific items, for example, "anxiety" among the emotions and "loss" among the triggers, were more frequent than others (Table 4). The results illustrate that the CCG identifies different facets and types of collusions, and that it might differentiate subtypes that follow distinct patterns on an item level.…”

Section: Resultsmentioning

confidence: 99%

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Collusion in palliative care: an exploratory study with the Collusion Classification Grid

Stiefel

Nakamura²,

Ishitani³

et al. 2019

Pall Supp Care

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ObjectiveCollusion is a largely unconscious, dynamic bond, which may occur between patients and clinicians, between patients and family members, or between different health professionals. It is widely prevalent in the palliative care setting and provokes intense emotions, unreflective behavior, and negative impact on care. However, research on collusion is limited due to a lack of conceptual clarity and robust instruments to investigate this complex phenomenon. We have therefore developed the Collusion Classification Grid (CCG), which we aimed to evaluate with regard to its potential utility to analyze instances of collusion, be it for the purpose of supervision in the clinical setting or research.MethodSituations of difficult interactions with patients with advanced disease (N = 10), presented by clinicians in supervision with a liaison psychiatrist were retrospectively analyzed by means of the CCG.Result1) All items constituting the grid were mobilized at least once; 2) one new item had to be added; and 3) the CCG identified different types of collusion.Significance of resultsThis case series of collusions assessed with the CCG is a first step before the investigation of larger samples with the CCG. Such studies could search and identify setting-dependent and recurrent types of collusions, and patterns emerging between the items of the CCG. A better grasp of collusion could ultimately lead to a better understanding of the impact of collusion on the patient encounter and clinical decision-making.

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Section: Resultsmentioning

confidence: 99%

“…To obtain conceptual clarity and to initiate empirical research, we have developed the Collusion Classification Grid (CCG), based on a sound theoretical framework and our experience from clinical supervision (Stiefel et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Collusion in palliative care: an exploratory study with the Collusion Classification Grid

Stiefel

Nakamura²,

Ishitani³

et al. 2019

Pall Supp Care

Self Cite

View full text Add to dashboard Cite

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Collusion Revisited: A Narrative Review of Dyadic Collusions

Stiefel

Bourquin

Saraga

2023

J Contemp Psychother

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Collusion is a specific and potentially harmful transference-countertransference interaction. At its core is an unconscious, unresolved issue shared by two or more participants, who are interlocked in a defensive maneuver. The issue at stake, which is avoided at the intrapsychic level, externalized, and circulating in the interpersonal space, may pertain to control, intimacy, loss, or domination, among other possibilities. Collusion occurs not only in psychoanalysis, psychotherapy, psychiatry, and medicine but also in couples and both within and between groups. This critical narrative review is based on a comprehensive consultation of the literature and our experiences as psychotherapists, supervisors, and researchers. We situate and delineate collusion, engage in a critical dialog with the literature and question some conceptual aspects of collusion. The aim of this review is to stimulate the interest of clinicians, supervisors, and researchers in this somewhat neglected phenomenon and to demonstrate and illustrate the challenges and pitfalls that clinicians face in collusive encounters. Finally, we provide clues to identify and ways of working through collusion in the context of psychotherapy and supervision.

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Sabotage, Collusion, and Being a Feeder: Towards a New Model of Negative Social Support and Its Impact on Weight Management

Ogden

Quirke-McFarlane

2023

Curr Obes Rep

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Purpose of Review Whilst research indicates the positive impact of social support across a number of health domains, including weight management, not all social support is beneficial. Recent Findings This paper reviews the evidence for both positive and negative social support in the context of behavioural interventions and surgery for obesity. It then presents a new model of negative social support focusing on sabotage (‘active and intentional undermining of another person’s weight goals’), feeding behaviour (‘explicit over feeding of someone when they are not hungry or wishing not to eat’), and collusion (‘passive and benign negative social support to avoid conflict’) which can be conceptualised within the context of relationships as systems and the mechanisms of homeostasis. Summary There is increasing evidence for the negative impact of social support. This new model could form the basis of further research and the development of interventions for family, friends, and partners to maximise weight loss outcomes.

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The Collusion Classification Grid: A Supervision and Research Tool

Cited by 5 publications

References 9 publications

Collusion in palliative care: an exploratory study with the Collusion Classification Grid

Collusion in palliative care: an exploratory study with the Collusion Classification Grid

Collusion Revisited: A Narrative Review of Dyadic Collusions

Sabotage, Collusion, and Being a Feeder: Towards a New Model of Negative Social Support and Its Impact on Weight Management

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