{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T15:30:51Z","timestamp":1793806251294,"version":"4.6.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,12,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Expressions of self-blame are common in serious illness care, and determining how best to respond can be challenging, even for clinicians familiar with navigating strong emotion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description:<\/jats:title>\n                    <jats:p>A 61-year-old woman with metastatic rectal cancer presented to the palliative care clinic to review surveillance imaging results, which demonstrated cancer progression. After processing this news, she expressed how her illness was adversely impacting her family, stating, \u201cThis is all my fault.\u201d The clinical team considered how to respond.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This case illustrates a common pitfall in responding to self-blame: the attempt to dismiss the patient\u2019s distress by quickly reassuring them that they did nothing wrong. Resisting the temptation to \u201cfix\u201d self-blame is challenging, yet essential, as empathically acknowledging this emotion and exploring its origins can aid in understanding the patient\u2019s concerns and priorities. We offer five strategies to support palliative care clinicians in responding effectively when patients and families invoke self-blame.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251395429","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T14:45:56Z","timestamp":1763736356000},"page":"1790-1793","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cIt\u2019s All My Fault\u201d: Responding to Patient Self-Blame in Serious Illness Care"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0038-8511","authenticated-orcid":false,"given":"John","family":"Wagner","sequence":"first","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7730-9716","authenticated-orcid":false,"given":"Terra","family":"Solove","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1674-0738","authenticated-orcid":false,"given":"Julia H.","family":"Vermylen","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1277-8541","authenticated-orcid":false,"given":"Gordon J.","family":"Wood","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5915-4771","authenticated-orcid":false,"given":"Andrew J.","family":"Lawton","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Section of Palliative Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.37.10.1798"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110284"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00803-5"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.10.004"},{"key":"e_1_3_3_6_2","volume-title":"405 p","author":"Beck AT","year":"2009","unstructured":"Beck AT, , Alford BA. 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