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. 2016 Feb 26;24:3111–3118. doi: 10.1007/s00520-016-3115-4

Table 2.

quotes

Quote 1—resp. 1 “What I find difficult is to be in a straitjacket of a model when it suddenly appears to be very constraining (…) but that is just my creative urge for freedom because I think there is more than this model, the patient is always more and I force her into a framework.” (resp.1)
Quote 2—resp. 4 “It is valuable not to linger with the very first topic (…) but to carry on and really use the method, because eventually you will reach something good.(…) But I need to repress my first feelings, uh … I have a tendency to explore that what lies on top, things someone starts talking about.” (resp.4)
Quote 3—resp. 8 “Well, if I am honest, I have not once really liked it, because there was always a kind of tension in me whether the technique would work.” (resp.8)
Quote 4—resp. 6 “I first thought we are going to do interviews using such a nasty digital thing, that does not belong to my profession, and now I see that it is a very nice tool and also very helpful because you are sitting next to each other, bending over it together.” (resp.6)
Quote 5—resp. 4 “Then it doesn’t all play in my head, but it is, it kind of becomes externalized. Yes, and also it keeps my head together, because otherwise I swerve off topic. (…) I was also afraid that the fact that the device is out there would work alienating, but I manage to continue a dialogue with the patient and to use the device just as a tool.” (resp.4)
Quote 6—resp. 6 “It has to do with my education, that we really learned not to be directive (…) but instead connect with the story of the other who sets the agenda and I do not have a clear agenda. So I need to make a switch I am not sitting here as spiritual counselor giving support, but I am doing this in the context of a research project.” (resp.6)
Quote 7—resp. 2 “The patient should be leading and determining what we are talking about. And occasionally I ask a question, but, well, the patient decides whether or not to talk about it and where we are going.(…) When I have a conversation with a patient and, at one point, the conversation falls silent, because the patient is just sitting there, having internal conversations, (…) I am perfectly satisfied! (…) I've done my job. But now I have to do everything. I have to pull out everything, everything must be explicitly stated.” (resp.2)
Quote 8—resp. 3 “The ‘researcher hat’ is actually needed to facilitate the discussion, to adhere to the model.” (resp.3)
Quote 9—resp. 5 “I think the difficulty for me is, but that is very personal, that I need to get the right mindset, that I have to prepare well, and know, ok now I am working with this, that is your tool and these are the rules, these are the frames and within this you can move. But that is a matter of practice.(…) I should be aware that the patient does not run off with a story and takes control.” (resp.5)
Quote 10–resp. 2 “The core of my profession is (…) to help people to enter into dialogue with themselves or listen to themselves, (…) around the themes that are important, when they are falling ill, that you help them to get close to what is important to them, what has meaning, what carries them and gives strength.”(resp.2)
Quote 11—resp. 5 “You do see that a shift occurs (…) out there they transferred the spiritual care into the department of occupational therapy. (…) a very odd move that you entitle spiritual care as an activity that anyone could perform.” (resp.5)
Quote 12—resp. 9 “You can highlight the sanctuary position as something that is unique to you or your profession (…). We must indeed continue to do so, but that does not mean that you should not do other things. (…) Not clinging (…) Then you take on a defensive mode of ‘you take everything from us, but we are very unique in it!’ (…) I do think this is changing. (…) Many young spiritual counselors (…) are very open-minded to this. (…) They also combine the other parts. The science part is not dirty or anything. It is no blaspheme to make things evidence-based. There is nothing wrong with that.” (resp.9)
Quote 13—resp. 3 “The added value [of the RCT] is that you show to the oncologists (…) here is an example, this is what it looks like and this is what it contributes, making it visible.” (resp.3)
Quote 14—resp. 7 “Chaplains are not trained for that. They come from very strong internally oriented worlds.” (resp.7)