End of life and palliative care are viewed in chaplaincy as an important time when spiritual support is considered highly beneficial. Dignity therapy is an important care strategy in this field. This article lends support to the Chochinov protocol using Schwartz's matrix of values. Five dignity therapy Bgenerativity documents^prepared for terminally ill patients using interpretative phenomenological analysis were analyzed using qualitative thematic analysis. The results showed the role of values in the construction of wisdom and confirmed the importance of family relationships. The value of sacrifice, which is supported by various religious traditions, emerged as a perceived factor, indicating personal wisdom. The most significant result is the discovery of sacrifice as a positive value. Since hedonism, another of the values of Schwartz's matrix, is quite common in contemporary culture, it is important that those applying dignity therapy pay sufficient attention to the value of sacrifice, understanding that it could be recognized as a characteristic component of wisdom by those who are terminally ill. The implications, not only for end of life counseling but also for other fields and disciplines focusing on spiritual care, in particular for pastoral psychology, are significant.
In Italy, the problem of asbestos pollution is increasing in severity. In fact, in recent years, the number of people affected by asbestos-related illnesses has been growing because of the fibre's slowly evolving effects and its progressive pollution in the environment adjacent to the places where it is processed. Even though the physical consequences of asbestos are now quite clear, few studies have examined the psychological consequences of this kind of disaster. Since it is difficult to perceive its pathogenicity in daily life, this study was conducted in the affected areas of northeastern Italy, using the qualitative research in psychology with 51 persons who experienced asbestos-related illnesses (19 sick persons and 37 relatives of sick persons). Their narratives described being rooted in a space contaminated by an invisible enemy. In particular, attention was paid to the consequent solastalgia, a kind of mourning arising from loss of place attachment. Results of the qualitative analysis revealed how the different phases of the Elisabeth Kubler-Ross DABDA (Denial Anger Bargaining Depression Acceptance) model of coping with death constitute such feelings, whereas the dual-process model of Stroebe and Schut emphasised how these people seem to be loss oriented because of their perceived lack of community restoration. A discussion of the relationships between attribution of responsibility, entirely external and mostly inscribed in the DABDA categories of ‛anger' and ‛acceptance', is presented, with further considerations about mourning and the need to improve specific psychological support in this field of environmental disaster.
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