Giving bad news is an unpleasant task, and the medical literature provides numerous guidelines for giving bad news well. However, what people mean by “giving bad news well” is less clear. What should be the goal when communicating bad news? The authors suggest that the goal of news-givers should be to guide recipients toward a desired response and the authors propose a theoretical framework, the Bad News Response Model, for delivering bad news that draws from research in health and social psychology. The model is applicable to all forms of bad news and specifies that three characteristics of the news (controllability, likelihood, and severity) influence which response (Watchful Waiting, Active Change, or Acceptance) will most often lead to the best quality of life for the recipient.
