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Few studies have focused on interdisciplinary palliative care providers\u2019 experiences in addressing patients\u2019 nonphysical suffering\u2014suffering that is emotional, psychological, social, spiritual, and\/or existential in nature. This study contributes to and expands the empirical knowledge base in this area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To identify existing discourses within how palliative care providers talk about their experiences working with patients\u2019 nonphysical suffering, and how these discourses may affect palliative care providers and impact clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>\n                      This study\u2019s methodological approach was informed by discourse analysis, grounded in a poststructural theoretical framework. Discourse analysis guided by poststructural theory highlights that: discourses are constructed; discourses are imbued with tensions and\/or contradictions; and discourses\n                      <jats:italic>do<\/jats:italic>\n                      things\u2014they have\n                      <jats:italic>effects<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-four interdisciplinary palliative care providers across Canada participated in semi-structured phone interviews in 2020. Eligible participants had a minimum of 2\u2009years\u2019 experience providing palliative care to adult patients in diverse settings, and self-identified as having experience working with patients\u2019 nonphysical suffering.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two competing discourses shape providers\u2019 work with patients\u2019 nonphysical suffering: (1) \u2018Expectations of palliative care to relieve nonphysical suffering\u2019 and (2) \u2018Barriers to nonphysical suffering\u2019s relief\u2019. The expectation that palliative care will relieve patients\u2019 nonphysical suffering emanates from patients and families, from medical teams outside of palliative care, and from providers themselves. Multiple barriers to nonphysical suffering\u2019s relief exist at the patient, provider, and systems levels. Providers may experience helplessness, and inadequacy, and can avoid patients\u2019 nonphysical suffering when they feel unable to relieve it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Palliative care has long ascribed nonphysical suffering\u2019s relief to the ability of a patient to transcend their own suffering, or a palliative care provider to facilitate\/support that transcendence. Findings call into question and expand this long-standing discourse by pushing the field to consider how multiple intersecting barriers at patient, provider, and systems levels shape\u2014and limit\u2014palliative care\u2019s call for the relief of nonphysical suffering. Findings have implications for patient care, and interdisciplinary palliative care training, education, and research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251379910","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T05:48:32Z","timestamp":1759297712000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u2018It\u2019s hard not to feel like somehow I fell short\u2019: A discourse analysis of palliative care providers\u2019 experiences with patients\u2019 nonphysical suffering"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6656-3488","authenticated-orcid":false,"given":"Maxxine","family":"Rattner","sequence":"first","affiliation":[{"name":"School of Social Work, York University, Toronto, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6320-7488","authenticated-orcid":false,"given":"Cheryl-Anne","family":"Cait","sequence":"additional","affiliation":[{"name":"Faculty of Social Work, Wilfrid Laurier University, Kitchener, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"e_1_3_3_3_2","unstructured":"World Health Organization. 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