Group support for patients with metastatic cancer. A randomized outcome study.
01 May 1981-Archives of General Psychiatry (American Medical Association)-Vol. 38, Iss: 5, pp 527-533
TL;DR: Objective evidence is provided that a supportive group intervention for patients with metastatic cancer results in psychological benefit and mechanisms underlying the effectiveness of this group intervention are explored.
Abstract: • The effects of weekly supportive group meetings for women with metastatic carcinoma of the breast were systematically evaluated in a one-year, randomized, prospective outcome study. The groups focused on the problems of terminal illness, including improving relationships with family, friends, and physicians and living as fully as possible in the face of death. We hypothesized that this intervention would lead to improved mood, coping strategies, and self-esteem among those in the treatment group. Eighty-six patients were tested at four-month intervals. The treatment group had significantly lower mooddisturbance scores on the Profile of Mood States scale, had fewer maladaptive coping responses, and were less phobic than the control group. This study provides objective evidence that a supportive group intervention for patients with metastatic cancer results in psychological benefit. Mechanisms underlying the effectiveness of this group intervention are explored.
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01 Jan 1994
TL;DR: Goodares nachdenkliche Zusammenfassung der sich aus der Be treuung im Umfeld der Onkologie ergebenden Themen, schliest an eine wachsende Zahl von Artikeln aus Grosbritannien, Europa und den USA an, die versuchen, the Rolle psychosozialer Intervention bei Krebs herauszuarbeiten (Watson 1983, Cunningham 1988, Massieetal. 1989,Trijs-burg 1992
Abstract: Heather Goodares nachdenkliche Zusammenfassung der sich aus der Be treuung im Umfeld der Onkologie ergebenden Themen, schliest an eine wachsende Zahl von Artikeln aus Grosbritannien, Europa und den USA an, die versuchen, die Rolle psychosozialer Intervention bei Krebs herauszuarbeiten (Watson 1983, Cunningham 1988, Massieetal. 1989,Trijs-burg 1992, Anderson 1992). Die von ihr aufgeworfenen Fragen sind nicht neu. Jahrelang war es das ubliche Ziel der Erfolgsforschung bei Psychotherapie (wie dies bezeichnet wird), zu bestimmen: „Welche spezifische Behandlung durch wen ist am wirksamsten fur den Einzelfall mit diesem spezifischen Problem und unter welchen Begleitumstanden?“ (Paul 1969). Diese Fragen wurden bisher im Hinblick auf die Betreuung von Krebspatienten weder systematisch gestellt noch beantwortet.
1 citations
01 Jan 2002
TL;DR: Osler’s wise advice to his fellow physicians, offered at the dawn of the last century, only recently has begun to be appreciated.
Abstract: Osler’s wise advice to his fellow physicians, offered at the dawn of the last century, only recently has begun to be appreciated. It was not until the late 1970s that the traditional biomedical approach to diagnosing and treating illness was even questioned and the importance of the patient’s perspective on health and disease considered [1]. Since then, much effort has been given to studying and advancing patient-centered models of care. To be patient-centered means that physicians allow patients to express their needs, desires, ideas, emotions, and concerns and then use this information to help guide care decisions [2]. When communicating using a patient-centered approach, the patient initiates all new information in the conversation [2]. By contrast, when communicating using a traditional, physician-centered (disease-oriented) approach, the physician steers the conversation to elicit clinical details from the patient
1 citations
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TL;DR: A support group is composed of 6 to 10 people who share a similar life stressor, transition, affliction, or noxious habit; receive expert information and training; and exchange mutual aid for a predetermined period of time in order to foster improved coping and adjustment.
Abstract: Publisher Summary
A support group is composed of 6 to 10 people who share a similar life stressor, transition, affliction, or noxious habit; receive expert information and training; and exchange mutual aid for a predetermined period of time in order to foster improved coping and adjustment. This chapter presents the rationales for and core characteristics of support groups, reviews the evidence concerning their impacts on participants, and discusses the various ways in which the groups' structures and formats affect the support process. It sets out the distinguishing characteristics of support groups, including their basic structural properties and formats; explains the theoretical justification for this type of psychosocial intervention; and delves into the social influence processes that arise during the course of the intervention. By drawing on recent reviews of support groups for cancer patients and family caregivers of elderly persons, the empirical evidence concerning the mental health impact of such groups, spotlighting aspects of their design, composition, and process that deserve greater attention in the future, are presented.
1 citations
TL;DR: In this paper, the authors describe their journey from love and inspiration to development, implementation and completion of a doctoral dissertation and a video about the use of Authentic Movement for women with breast cancer.
Abstract: In this personal narrative, the author describes her journey from love and inspiration to development, implementation and completion of a doctoral dissertation and a video about the use of Authentic Movement for women with breast cancer. It is intended as a guide for dance/movement therapists interested in doing scholary research while keeping focus, creativity and interest alive and flowing.
1 citations
TL;DR: The authors point out the importance of multidisciplinary treatment, emphasizing the psychological and social support which must be given to the mastectomized patient in order to rehabilitate her both at home and at work.
Abstract: The authors studied some psychosocial aspects in 34 breast cancer patients, submitted to mastectomy, through a questionnaire with nine items. They point out the importance of multidisciplinary treatment, emphasizing the psychological and social support which must be given to the mastectomized patient in order to rehabilitate her both at home and at work.
1 citations
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TL;DR: In this paper, the effects of reward or reinforcement on preceding behavior depend in part on whether the person perceives the reward as contingent on his own behavior or independent of it, and individuals may also differ in generalized expectancies for internal versus external control of reinforcement.
Abstract: The effects of reward or reinforcement on preceding behavior depend in part on whether the person perceives the reward as contingent on his own behavior or independent of it. Acquisition and performance differ in situations perceived as determined by skill versus chance. Persons may also differ in generalized expectancies for internal versus external control of reinforcement. This report summarizes several experiments which define group differences in behavior when Ss perceive reinforcement as contingent on their behavior versus chance or experimenter control. The report also describes the development of tests of individual differences in a generalized belief in internal-external control and provides reliability, discriminant validity and normative data for 1 test, along with a description of the results of several studies of construct validity.
21,451 citations
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01 Jan 1969
TL;DR: In this article, the implications of terminal illness for patients and for those involved in their care were discussed, and patients invited to talk about their experience found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace.
Abstract: Although most areas of human experience are nowadays discussed freely and openly, the subject of death is still surrounded by conventional attitudes and reticence that offer only fragile comfort because they evade the real issues. The dying may thus be denied the opportunity of sharing their feelings and discussing their needs with family, friends, or hospital staff. Although receiving devoted medical care, a dying patient is often socially isolated and avoided, since professional staff and students can find contact painful and embarrasing.
Aware of the strains imposed on all sides by this situation, Dr Kubler-Ross established a seminar at the University of Chicago to consider the implications of terminal illness for patients and for those involved in their care. Patients invited to talk about their experience often found great relief in expressing their fear and anger and were able to move towards a state of acceptance and peace. The seminar, initially composed of students of medicine, sociology, psychology, and theology, but later joined by hospital staff and relatives of patients, enabled many members to come to terms with their own feelings and to respond constructi to what the patients had to teach them.
5,220 citations
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1,254 citations
TL;DR: A study of 800 outpatient visits to Children's Hospital of Los Angeles as discussed by the authors explored the effect of verbal interaction between doctor and patient on patient satisfaction and follow-through on follow-up.
Abstract: Study of 800 outpatient visits to Childrens Hospital of Los Angeles to explore the effect of the verbal interaction between doctor and patient on patient satisfaction and follow-through on...
947 citations