8. The Role of the “Third Person”

PCDM often includes individuals other than just the person and provider. Family members, friends, surrogates, religious/cultural leaders, or health advocates can also be involved in the decision making process. The effects of the role of a “third person” on clinical encounters have been studied and well documented (12, 13). They can:

  • Facilitate or inhibit the development and maintenance of a trusting professional relationship
  • Play multiple roles
  • Affect the duration of the encounter and/or impact the content of the interaction
  • Significantly change the basic clinical relationship, no matter how minor the involvement