Assessment of Denial in Cancer Patients

Msw, Margaret S. Wool; Goldberg, Richard J.

doi:10.1300/j077v04n03_01

Cited by 20 publications

(13 citation statements)

References 16 publications

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“…Clinical evidence of denial was based on responses to the semistructured interview which re vealed denial of ( 1 ) physical manifestations of illness; (2) diagnosis; (3) implications of illness, and/or (4) af fect associated with the illness [35],…”

Section: Instrumentsmentioning

confidence: 99%

Extreme Denial in Breast Cancer Patients and Capacity for Object Relations

Wool¹

1986

Psychother Psychosom

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This study tested an assumption of the theoretical hierarchy of defenses: denial reflects primitive ego development. The study hypothesized a positive relationship between extreme denial and immature object relationship functioning. Twenty breast cancer patients who demonstrated extreme denial and delayed help-seeking were compared on a measure of object relations with a group of 30 similar patients who did not manifest denial or delay. The central hypothesis was not supported, although trends suggested possible validity. Further study may improve our understanding of the mechanisms which influence symptom recognition, help-seeking, and emotional adjustment to cancer.

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Section: Instrumentsmentioning

confidence: 99%

Extreme Denial in Breast Cancer Patients and Capacity for Object Relations

Wool¹

1986

Psychother Psychosom

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“…49 Rather than trying to confront what appear at first glance to be maladaptive defensive patterns, the clinician can attempt to expand the range of coping mechanisms open to the patient. 50 He or she can encourage patients to seek information, to take direct action in gaining control of their situation, and to activate their support networks, among other coping strategies. 51…”

Section: How Does Defensiveness Affect a Patient's Adaptation To A Brmentioning

confidence: 99%

Needs of Breast Cancer Patients and Their Families: Psychosocial Adaptation

Weihs¹,

Menehan

Politi

et al. 2005

Breast Cancer

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“…As Margaret Laurence so poignantly captured in her characterization ofHagar-an elderly woman nearing the end ofher life-the challenges facing those who are approaching death are considerable and freely cross boundaries between physical, psychological, and spiritual discomfort. Perhaps more than other psychiatric encounters, respect for each individual's defensive style must guide this work, bearing in mind that dying patients frequently manifest varying levels of denial as part oftheir adaptation process (8)(9)(10)(11). However, various concerns that are frequently encountered by patients nearing death should be borne in mind.…”

Section: -Margaret Laurence the Stone Angelmentioning

confidence: 99%

“…Optimal management often requires aggressive supportive measures such as one-on-one nursing care and pharmacotherapy. Neuroleptics are the primary treatment for delirium and include drugs such as haloperidol, chlorpromazine, thioridazine, and methotrimiprazine (4,8). The role ofthe newer antipsychotics is yet to be clarified, but may provide a future therapeutic option for the treatment of delirious patients with advanced illness.…”

Section: Limitationsmentioning

confidence: 99%