During the past decade in North America, the number of selfhelp groups for cancer patients has grown dramatically. This is particularly the case for women with breast cancer and men with prostate cancer (Gray, Fitch, Davis, & Phillips, 1997a, 1997b. In Ontario alone, there are more than 60 self-help groups for women with breast cancer (Gray et al., 1997a). Many of these groups have grown as grassroots efforts in response to perceived inadequacies in the cancer care system, especially around issues of access to information and support. In many locations across Canada, the availability of self-help support groups provides an additional opportunity for cancer survivors to meet with peers on a regular basis. Self-help groups have been defined as "member-governed voluntary associations of persons who share a common problem, and who rely on experiential knowledge at least partly to mutually solve or cope with their common concerns" (Borkman, 1990, p.322). This definition specifically excludes groups run in any way by professionals, whether for support or psychoeducational purposes. From the self-help perspective, professionally-led or co-led groups, although operated with the same intention of providing support for cancer patients, are run using different models with different philosophies and practices (Wilson, 1993). These distinctions are often blurred within the
ABRÉGÉ: GROUPES D'ENTRAIDE: PERSPECTIVES DES INFIRMIÈRES EN ONCOLOGIE