Books > Medicine > Clinical & internal medicine > Diseases & disorders > Oncology
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Meaning-Centered Group Psychotherapy for Patients with Advanced Cancer - A Treatment Manual (Paperback)
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Meaning-Centered Group Psychotherapy for Patients with Advanced Cancer - A Treatment Manual (Paperback)
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The importance of spiritual well-being and the role of "meaning" in
moderating depression, hopelessness and desire for death in
terminally-ill cancer and AIDS patients has been well-supported by
research, and has led many palliative clinicians to look beyond the
role of antidepressant treatment in this population. Clinicians are
focusing on the development of non-pharmacologic interventions that
can address issues such as hopelessness, loss of meaning, and
spiritual well-being in patients with advanced cancer at the end of
life. This effort led to an exploration and analysis of the work of
Viktor Frankl and his concepts of logotherapy, or meaning-based
psychotherapy. While Frankl's logotherapy was not designed for the
treatment of patients with life-threatening illnesses, his concepts
of meaning and spirituality have inspired applications in
psychotherapeutic work with advanced cancer patients, many of whom
seek guidance and help in dealing with issues of sustaining
meaning, hope, and understanding cancer and impending death in the
context of their lives. Individual Meaning-Centered Group
Psychotherapy (IMCP), an intervention developed and rigorously
tested by the Department of Psychiatry & Behavioral Sciences at
Memorial Sloan-Kettering Cancer Center, is a seven-week program
that utilizes a mixture of didactics, discussion and experiential
exercises that focus around particular themes related to meaning
and advanced cancer. Patients are assigned readings and homework
that are specific to each session's theme and which are utilized in
each session. While the focus of each session is on issues of
meaning and purpose in life in the face of advanced cancer and a
limited prognosis, elements of support and expression of emotion
are inevitable in the context of each group session. The structured
intervention presented in this manual can be provided by a wide
array of clinical disciplines, ranging from chaplains, nurses,
palliative care physicians, to counselors, psychotherapists, social
workers, graduate psychology students, psychologists and
psychiatrists.
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