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The level of psychological distress and the ability to adjust to a diagnosis of cancer are highly variable. Medical factors, psychological factors prior to diagnosis and social factors account for this variability. By understanding these variables, the clinician can better assess and manage the distress caused by the diagnosis and provide the most appropriate medical treatment or psychological intervention. This practical handbook will address the principal behavioural and psychological problems associated with cancer. Where appropriate, it adopts a broader, multicultural perspective, in line with the aim of the World Psychiatric Association and the Federation of Psycho-Oncology societies. T...
In recent decades a growing number of studies have described cancer as a “we-disease”. Patients with cancer as well as intimate partners experienced psychological distress. Studies displayed that various relational factors (e.g., attachment style, mutuality, etc.) such as diverse close relationship processes (e.g., dyadic coping, communication, shared-decision making, etc.) have an impact on individual (e.g., physical and psychological health, quality of life) and dyadic (e.g., marital quality and satisfaction, sexual and reproductive health, etc.) outcomes. Thus, programs reducing psychological distress and enhancing dyadic processes were developed.
Palliative care provides comprehensive support for severely affected patients with any life-limiting or life-threatening diagnosis. To do this effectively, it requires a disease-specific approach as the patients’ needs and clinical context will vary depending on the underlying diagnosis. Experts in the field of palliative care and oncology describe in detail the needs of patients with advanced cancer in comparison to those with non-cancer disease and also identify the requirements of patients with different cancer entities. Basic principles of symptom control are explained, with careful attention to therapy for pain associated with either the cancer or its treatment and to symptom-guided a...
Embitterment is a distinct state of mood known to everyone. It can be seen in the context of exceptional though “normal” negative life events. It is an emotional reaction e.g. to humiliation, to being severely disappointed by others, or to violations of basic values. Embitterment is accompanied by other emotions like feelings of hopelessness and helplessness, poor moods and a lack of drive, and aggression towards oneself and others. It can end in suicide or even murder-suicide and in a distinct pathological state known as “Posttraumatic Embitterment Disorder (PTED)”. But despite the high prevalence rates, the detrimental effects on individuals and its forensic and societal importance, embitterment has yet to receive due scientific attention. In this book pioneers in embitterment research summarize the current knowledge on embitterment, its triggers, phenomenology and consequences. The work is intended to stimulate international debate and to contribute to a better understanding of embitterment and a deeper appreciation of the impact of exceptional but normal negative life events on psychological well-being.
Managing Cancer and Living Meaningfully provides valuable insight into the experience of patients and families living with advanced cancer and describes a novel psychotherapeutic approach to help them live meaningfully, while also facing the threat of mortality. Situated in the context of early palliative care, this text is destined to be become essential reading for healthcare professionals engaged in providing psychological support to patients and their families who face the practical and profound problems of advanced disease.