Psychotherapeutic Interventions Near the End of Life: Theory, Evidence, and Future Directions

Abstract

This special issue of the Australian Psychologist on psychology at the end of life is most timely in view of the rising prevalence and mortality rates from cancer and other non‐communicable diseases, largely due to the ageing of the world's population. An important focus in the papers in this edition is the subjective experience of patients and families and interventions that involve empathy, meaning‐making, and narrative construction. This focus is a departure, in some respects, from the recent emphasis in psychology and psychiatry on interventions more specifically directed to cognitions and behaviour. It may also reflect a renewed interest in subjectivity and/or an awareness of the importance of such approaches in the treatment of patients and families living with advanced and terminal disease. I will discuss each of these papers in this edition and summarise briefly the work of our group on a psychotherapeutic intervention for patients with metastatic and advanced cancer.

Nueva ley de eutanasia en España. Actualidad y contribuciones desde la psicología de la salud.

“…El DAM suele aflorar en personas en situación terminal inmersas en contextos protagonizados por el dolor, el sufrimiento (Ricou y Wainwright, 2019), una disminución importante de la calidad de vida (Barroso-Fernández y Ábalo, 2012; Güell et al, 2015) y la pérdida de la dignidad y autonomía (Monforte-Royo et al, 2018;Rodin, 2017). Estos contextos desembocan en un escenario de crisis o momento decisivo, que antecede a la determinación del deseo de pronta muerte, entendiéndose esta alternativa como menos aversiva que el escenario de continuar sufriendo una situación dolorosa y complicada.…”

Acceptance Process Model of Patients’ Life with Terminally Ill in Home Hospice and Development of a Narrative Approach for Nurses

“…In these days psychotherapeutic intervention is important in the view of the rising prevalence and mortality rates from cancer and other non-communicable diseases, largely due to the ageing of the world' population [1]. These people feel various kind of suffering like anxiety or depression, and one of the most serious is psycho-existential suffering, which is also called spiritual pain.…”