title: Transformations.
abstract: A patient with a serious illness continually refuses, postpones or avoids treatment until a conversation reveals essential contextual factors which change the physician's point of view. Once attended to, the patient also changes her attitude.
authors.affiliation: The Faculty of Medicine, Hebrew University and Hadassah Medical School, Ein Kerem 91120, Jerusalem, Israel. Electronic address: amischatt@gmail.com.
authors.forename: Ami
authors.initials: A
authors.lastname: Schattner
mesh_terms: D001290:Attitude; D003142:Communication; D003657:Decision Making; D005260:Female; D006801:Humans; D010166:Palliative Care; D010358:Patient Participation; D010819:Physician's Role; D010817:Physician-Patient Relations; D010820:Physicians; D016312:Treatment Refusal
keywords: Contextual factors; Palliative care; Patient-physician relationship; Shared decision-making