Harvey Chochinov
Harvey Max Chochinov OC OM FRSC is a Canadian academic and psychiatrist from Winnipeg, Canada. He is a leading authority on the emotional dimensions of end-of-life, and on supportive and palliative care.[1] He is a Distinguished Professor of Psychiatry at the University of Manitoba and a Senior Scientist at CancerCare Manitoba Research Institute.[2]

Chochinov's research focuses on best practices in cancer control and enhancing the psychological well-being and quality of life of patients with advanced disease. He is credited with meticulously examining the experiential landscape of advanced illness and enriching the case of individuals with advanced illness worldwide.[3]
Chochinov was offered an appointment to the Senate of Canada in October 2016 by Prime Minister Justin Trudeau, but ultimately declined to take his seat for "personal, family, and professional reasons" in February 2017.[4]
Career
Chochinov is a leading expert in palliative care, with a focus on the dignity of patients, proper communication, and existential suffering. He developed dignity therapy, which is currently used by doctors worldwide as its benefits for patients at the end of life, relatives and health professionals have been proved.[5][6][7] Dignity therapy involves creating a narrative document with the dying patient that gives them the chance to reflect on their life experiences.[8]
He was a co-founder of the Canadian Virtual Hospice, which serves as a resource centre for anyone involved with palliative care.[9]
In 2015, Chochinov chaired the External Panel on Options for a Legislative Response to Carter v. Canada which informed eventual legislation on medically-assisted death. Chochinov is himself an opponent of medically-assisted death.[10][11]
Chochinov has received many prestigious recognitions for his work in psycho-oncology and palliative care, including being appointed an Officer in the Order of Canada,[9][12] an inductee in the Canadian Medical Hall of Fame, Canadian Medical Association's Frederic Newton Gisborne Starr Award, for his contributions to palliative care, and Fellowships in the Royal Society of Canada and the Canadian Academy of Health Sciences.[13]
He received a Lifetime Achievement Award from the Canadian Association of Psychosocial Oncology and the Bernard Fox Award from the International Psycho-Oncology Society.[14][15]
He is the only psychiatrist to be awarded the FNG Starr Award, described as the Victoria Cross of Canadian medicine and the only psychiatrist to receive the O. Harold Warwick Prize, given for significant advances in cancer control.[16]
In April 2016, Chochinov was named the University of Manitoba's first research chair in palliative care medicine.[17]
Publications
Chochinov's research has specifically focused on palliative care and experiences associated with life-limiting cancer, including depression, hopelessness, prognostic awareness, suicidality, desire for death, will-to-live, sense of burden to others, quality of life, dependencey, spirituality and existential distress. He has also researched the patient-healthcare professional relationship, including elements of effective communication, issues related to equity, diversity and inclusiveness, and core efficiencies of dignity conserving care.[18][19][20]
His research on dignity has provided tangible and practical ways to operationalize considerations of dignity in patient care, including a means of measuring dignity related distress (The Patient Dignity Inventory, translated widely), effective ways of eliciting personhood in clinical practice and a novel narrative-based psychotherapy, coined 'Dignity Therapy.'[21] Dignity Therapy has been implemented in various cancer centres, hospices and palliative care programs around the world. There are also many publications and clinical trials on Dignity Therapy, which explore the merits of such an approach in mitigating distress and enhancing quality of life for patients with life-limiting illness.[22][23]
His book publications include: Dignity Therapy: Final Words for Final Days (Oxford University Press, 2012) [24] and Dignity in Care: The Human Side of Medicine (Oxford University Press, 2022).[25]
Senate appointment
On October 27, 2016, Chochinov was announced one of the successful applicants to fill three Manitoba vacancies in the Senate of Canada.[26] A statement from the Office of Prime Minister Justin Trudeau noted Trudeau intended to recommend the appointment of Chochinov and other selectees to Governor General David Johnston and that they would sit as independents. As of December 6, 2016, all new senators from that intake round other than Chochinov had been formally summoned to the Senate. On February 2, 2017, the Privy Council Office made public that Dr. Chochinov had advised the Prime Minister that he would not accept the appointment to the Senate, citing "personal, family and professional reasons."[4]
References
- "Dr. Harvey Max Chochinov, end-of-life care champion, named to Canadian Medical Hall of Fame" (Press release). The Royal College of Physicians and Surgeons of Canada. 15 January 2020.
- "University of Manitoba - Faculty of Medicine - Psychiatry - Harvey Max Chochinov, MD, PhD, FRCPC". umanitoba.ca. University of Manitoba. Retrieved October 27, 2016.
- "CAPO - Dr. Harvey Max Chochinov: Nominated for induction into the Canadian Medical Hall of Fame".
- "Trudeau appointee for Manitoba Senate seat turns down the job". CBC News, February 2, 2017.
- Martínez, Marina; Arantzamendi, María; Belar, Alazne; Carrasco, José Miguel; Carvajal, Ana; Rullán, María; Centeno, Carlos (2017). "'Dignity therapy', a promising intervention in palliative care: A comprehensive systematic literature review". Palliative Medicine. 31 (6): 492–509. doi:10.1177/0269216316665562. PMC 5405836. PMID 27566756.
- Donato, Suzana Cristina Teixeira; Matuoka, Jéssica Yumi; Yamashita, Camila Cristófero; Salvetti, Marina de Goés (2016). "Effects of dignity therapy on terminally ill patients: A systematic review". Revista da Escola de Enfermagem da USP. 50 (6): 1014–1024. doi:10.1590/S0080-623420160000700019. PMID 28198968.
- Chochinov, Harvey Max; Kristjanson, Linda J.; Breitbart, William; McClement, Susan; Hack, Thomas F.; Hassard, Tom; Harlos, Mike (2011). "Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: A randomised controlled trial". The Lancet Oncology. 12 (8): 753–762. doi:10.1016/S1470-2045(11)70153-X. PMC 3185066. PMID 21741309.
- "For The Dying, A Chance To Rewrite Life". NPR.org. Retrieved 2018-12-17.
- "Winnipeg's Harvey Chochinov gets Order of Canada for palliative care work". CBC News. November 18, 2015. Retrieved March 11, 2017.
- "Dr. Harvey Max Chochinov: Assisted suicide for those with mental illness is risky".
- "Opinion | the Saturday Debate: Is Canada trying to make medically assisted dying too easy?". Toronto Star. 5 December 2020.
- "Canada Research Chairs awarded Order of Canada". www.chairs-chaires.gc.ca. 2012-11-29. Retrieved March 11, 2017.
- "Professor devotes his life to helping those close to death". 21 August 2012.
- "Dr. Harvey Chochinov honoured by peers". Winnipeg Free Press. August 1, 2012. Retrieved March 14, 2017.
- "International Psycho-Oncology Society - Award Winners".
- "F.N.G. Starr Award".
- "University of Manitoba invests $2.5M to create palliative research chair". CBC News. April 6, 2016. Retrieved March 11, 2017.
- "Opinion | Why is being a patient such a difficult pill to swallow?". Toronto Star. 27 January 2023.
- Chochinov, H. M. (2007). "Dignity and the essence of medicine: The A, B, C, and D of dignity conserving care". BMJ (Clinical Research Ed.). 335 (7612): 184–187. doi:10.1136/bmj.39244.650926.47. PMC 1934489. PMID 17656543.
- "Scientific American: Better patient care calls for a 'Platinum Rule' to replace the golden one".
- Butcher, Lola (4 December 2021). "End-of-life conversations may be helpful to patients and families". Washington Post.
- Barnosky, Andrew R. (20 June 2012). "Dignity Therapy: Final Words for Final Days". JAMA. 307 (23). doi:10.1001/jama.307.23.2550.
- Vedder, Rachel (March 2013). "'Dignity Therapy: Final Words for Final Days', by Harvey Max Chochinov". BMJ Supportive & Palliative Care. 3 (1): 122. doi:10.1136/bmjspcare-2012-000418. S2CID 76465758.
- https://academic.oup.com/book/1792
- https://academic.oup.com/book/44814
- Bryden, Joan (October 27, 2016). "Justin Trudeau set to name nine new senate appointments". Global News. The Canadian Press. Retrieved October 27, 2016.