A 43-Year-Old Woman Coping With Cancer

Spiegel, David

doi:10.1001/jama.282.4.371

Cited by 36 publications

(19 citation statements)

References 58 publications

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“…First, the cognitive and emotional process of rebuilding the self after primary-stage SCCHN remains a challenge as experiences of SCCHN cancer and the related suffering continuously destroy and threaten the intactness of the SCCHN patient's self and world [30,31,32,33,34,35,36,37,40,41,42,43,44,45,46,47]. Second, there is a strong need to create a safe clinical and non-judgmental space, one that includes adequate social support and counseling so that early-stage SCCHN patients can share their concerns with the clinician and other members from the biomedical team.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, social and biomedical factors, including cultural beliefs about bearing pain, fears of addiction by patients and care-givers alike, all mediate the SCCHN patients' experience of pain, suffering, and their possibilities for relief [40,41,42,43,44,45,46,47]. As highlighted in these interviews, these unfortunate situations are an additional source of needless suffering [37,39,48].…”

Section: Fears Of Cancer Fears Of Addictionmentioning

confidence: 99%

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A qualitative study of head and neck cancer

Moore

Chamberlain

Khuri

2004

Supportive Care in Cancer

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The findings presented contribute to quality of life (QOL) research by highlighting the significance of factors affecting the communication by patients with primary-stage squamous cell carcinoma of the head and neck cancer (SCCHN) of their experiences of suffering after treatment to their clinicians. Qualitative research methodology based on open-ended interviews with 18 survivors of American Joint Committee on Cancer primary stage I and II SCCHN were used. The interviews were transcribed verbatim and thematically analyzed. Three important themes emerged: (1). a diminished self (2). fears of addiction, and (3). hopelessness and the loss of meaning in life after SCCHN. The findings indicate that SCCHN patients under-report their experiences mainly due to fear. As a consequence, and perhaps due to a failure on the part of clinicians and patients to adequately address such fears, SCCHN patients may experience greater psychological morbidity, becoming increasingly fatalistic about biomedicine's ability to restore them to health after cancer despite being "cured", or to relieve related symptoms. This qualitative study provides a perspective as to why such under-reporting occurs, thereby potentially enhancing clinician-patient communication and the QOL of SCCHN patients who present with curable disease.

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Section: Resultsmentioning

confidence: 99%

Section: Fears Of Cancer Fears Of Addictionmentioning

confidence: 99%

A qualitative study of head and neck cancer

Moore

Chamberlain

Khuri

2004

Supportive Care in Cancer

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“…Uzark found that when family members can openly express feelings and concerns and can support one another, the heart transplant recipient is better able to cope with stresses and to adapt to the situation. There is other research support for the benefits of the expression rather than suppression of emotions related to chronic disease (Spiegel, 1999).…”

Section: Problems Of Transplanted Adolescentsmentioning

confidence: 99%

Psychosocial aspects of the organ transplant experience: What has been established and what we need for the future

Engle¹

2001

J Clin Psychol

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This article briefly describes the current status and limitations of the organ transplant process that has now become a routine medical procedure. The article discusses how transplantation is not a cure for end-stage organ disease but an alternative form of treatment with both potential medical and psychosocial problems. Both transplant candidates and recipients encounter psychosocial problems. The article examines how these psychosocial problems affect transplant patients prior to transplant, immediately following surgery, and posttransplant. The psychosocial problems include psychiatric diagnoses, individual and family adjustment and relationship problems, sexual dysfunction, return-to-work (RTW) difficulties, and compliance problems and variables related to noncompliance. The article also reviews the special problems of pediatric and adolescent transplant recipients. The need for empirically supported interventions is noted in each of the problem areas. The author outlines problems with previous research studies that hamper solid interpretations of the data, and discusses literature suggesting that the psychosocial problems of transplant candidates and recipients are likely to be underreported. The article concludes with recommendations about the need to switch research efforts toward intervention studies in the problem areas already solidly identified by the literature.

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“…These studies have not been replicated, but suggest that therapeutic interventions that have psychodynamic elements may confer a survival benefit. Spiegel, in 1999, in the context of a case conference discussion about supportive expressive therapy for cancer patients, cites three articles suggesting evidence that those able to "ventilate strong feelings directly" are better able to cope with cancer (Spiegel, 1993;Spiegel, 1999;Spiegel et al, 1999;Temoshok, 1985). Psychodynamic techniques may be helpful in this setting.…”

Section: Cancermentioning

confidence: 99%

Psychodynamic Psychiatry in the General Medical Setting

Kent

Blumenfield²

2011

The Journal of the American Academy of Psychoanalysis and Dynam

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For more than half a century analytically trained psychiatrists have been making observations about psychodynamic factors impacting on medical illness and treatment. Some of these reports have been subsequently supported by evidence-based research while others have been found to be clinically useful to varying degrees even if not substantiated by research. In this article we have presented some of the highlights of the application of psychodynamics to the treatment of physical illness in the general medical setting. It is not meant to be a comprehensive review but we hope it will demonstrate how psychodynamic thinking has permeated many aspects of care in the general medical setting. Topics considered include onset of disease (giving up complex, specificity, role of stress, anniversary reactions), reactions to illness (psychological defenses, fantasies, role of psychotherapy), specific conditions (pregnancy, cancer, human immunodeficiency virus, conversion and alexithymia, heart disease, death and dying), and the doctor-patient relationship.

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A 43-Year-Old Woman Coping With Cancer

Cited by 36 publications

References 58 publications

A qualitative study of head and neck cancer

A qualitative study of head and neck cancer

Psychosocial aspects of the organ transplant experience: What has been established and what we need for the future

Psychodynamic Psychiatry in the General Medical Setting

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