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Meaning-Centered-Psychotherapy in the Cancer Setting provides a
theoretical context for Meaning-Centered Psychotherapy (MCP), a
non-pharmalogic intervention which has been shown to enhance
meaning and spiritual well-being, increase hope, improve quality of
life, and significantly decrease depression, anxiety, desire for
hastened death, and symptom burden distress in the cancer setting.
Based on the work of Viktor Frankl and his concept of logotherapy,
MCP is an innovative intervention for clinicians practicing in
fields of Psycho-oncology, Palliative Care, bereavement, and cancer
survivorship. This volume supplements two treatment manuals,
Meaning-Centered Group Psychotherapy (MCGP) for Patients with
Advanced Cancer and Individual Meaning -Centered Psychotherapy
(IMCP) for Patients with Advanced Cancer by Dr. Breitbart, which
offer a step-wise outline to conducting a specific set of therapy
sessions. In addition to providing a theoretical background on the
MCP techniques provided in the treatment manuals, this volume
contains chapters on adapting MCP for different cancer-related
populations and for different purposes and clinical problems
including: interventions for cancer survivors, caregivers of cancer
patients, adolescents and young adults with cancer, as a
bereavement intervention, and cultural and linguistic applications
in languages such as Mandarin, Spanish, and Hebrew.
One of the most challenging roles of the psycho-oncologist is to
help guide terminally-ill patients through the physical,
psychological, and spiritual aspects of the dying process. Patients
with cancer, AIDS, and other life-threatening illnesses are at
increased risk for the development of major psychiatric
complications, and have an enormous burden of both physical and
psychological symptoms. Concepts of adequate palliative care must
be expanded beyond the current focus on pain and physical symptom
control to include the psychiatric, psychosocial, existential, and
spiritual aspects of care. The psycho-oncologist, as a consultant
to or member of a palliative care team, has a unique role and
opportunity to fulfill this promise of competent and compassionate
palliative care for those with life-threatening illnesses.
Psychosocial Palliative Care guides the psycho-oncologist through
the most salient aspects of effective psychiatric care of patients
with advanced illnesses. This handbook reviews basic concepts and
definitions of palliative care and the experience of dying, the
assessment and management of major psychiatric complications of
life-threatening illness, including psychopharmacologic and
psychotherapeutic approaches, and covers issues such as
bereavement, spirituality, cultural sensitivity, communication and
psychiatric contributions to common physical symptom control. A
global perspective on death and palliative care is taken throughout
the text, and an Appendix provides a comprehensive list of
international palliative care resources and training programs.
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