Behind the diagnosis is another human being: Dialogic communication in dietary counseling

Cancer patients are at risk of malnutrition and weight loss, associated with reduced food intake and metabolic derangements. Pain, fatigue, nausea, and appetite loss make eating difficult. This can result in limited effect of treatment and decreased quality of life.
The number of malnourished cancer patients is high, and therefore it seems relevant to consult a dietitian in order to get dietary counseling. Yet little is known about the significance of communication in helping cancer patients with their eating difficulties.

Through a dialogic approach this action research project puts emphasis on participant involvement, learning and action in practice.
The project is carried out in collaboration with two dietitians and is inspired by Carl Rogers’ client-centred therapy, William Miller and Stephen Rollnick’s motivational interviewing, and Helle Alrø’s approach to dialogue in helping relationships.