Brief Psychotherapy for Demoralization in Terminal Cancer: A Case Report

Kimmel, Ryan J.; Levy, Mitchell

doi:10.1016/j.psym.2012.05.004

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…To date there is little empirical evidence for the effectiveness of specific interventions in working with demoralized people. There is support for psychotherapy, empathic dialogue, logotherapy, narrative therapy, and interpersonal therapy to normalize any sense of unfairness, to foster resilience and hope, and to adjust cognitive distortions, and social connections (de Figueiredo & Griffith, 2016;Frank, 1974;Griffith, 2018;Kimmel & Levy, 2013;Strada, 2009;Wein, Sulkes, & Stemmer, 2010). The best approaches to demoralization are talking therapies and other psychosocial interventions rather than pharmacological prescriptions, except in cases of concomitant mental illness that might require a combination of biomedical intervention and therapy in multidisciplinary practice (O'Keefe & Ranjith, 2007;Strada, 2009;Wein et al, 2010).…”

Section: Interventionsmentioning

confidence: 99%

Incorporating Demoralization into Social Work Practice

Briggs

Fronek

2019

Social Work

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This article explores the relevance of demoralization to social work research and practice. Demoralization connects to the very core of being human. It is present in social work client groups and is an important but neglected concept in social work. Demoralization occurs when life becomes so overwhelming that daily functioning is affected and people lose all hope, agency, and the capacity to overcome their circumstances. Although a demoralized state is not recognized as a mental illness in the Diagnostic and Statistical Manual of Mental Disorders, it is often confused with psychiatric disorders and its presence can lead to clinical conditions and suicide. This article discusses demoralization and its place in social work practice, identification, and measurement, and appropriate psychosocial interventions are also explored. The article concludes that demoralization has particular relevance to contemporary social work and should be considered in social work practice and research.

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Section: Interventionsmentioning

confidence: 99%

Incorporating Demoralization into Social Work Practice

Briggs

Fronek

2019

Social Work

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“…Most notably, antidepressant medications do not lead to improved outcomes in demoralization (Griffith & Gaby, 2005). Because responsivity of mood is maintained in demoralization, brief psychotherapy interventions that restore mood and allow the patient to access their previously developed coping techniques may be strikingly effective (Griffith & Gaby, 2005; Kimmel & Levy, 2012). Current treatment approaches include meaning-centered individual and group interventions, brief psychotherapy focusing on symptom relief, cognitive restructuring, setting behavioral goals, and providing empathic understanding (Breitbart, 2002; Clarke & Kissane, 2002; Breitbart & Poppito, 2014).…”

Section: Introductionmentioning

confidence: 99%

Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses

et al. 2017

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“…Permite, a su vez, atender el síndrome de desmoralización (Robinson, Kissane, Brooker & Burney, 2015;Kissane, Clarke & Street, 2001;Kimmel & Levy, 2013;Griffith & Gaby, 2005), transformar la experiencia de sufrimiento en gratitud, aprendizaje, tranquilidad… y prevenir el duelo patológico.…”

Section: El Papel De La Dimensión Existencial En La Padunclassified

Más allá de la comunicación: procesos de Advance Care Planning (Toma de decisiones y Planificación Adelantada) en cuidados al final de la vida

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La Planificación Adelantada de Decisiones ha evolucionado hacia una vertiente procesual, destacando el proceso comunicativo entre paciente (P), familia (F) y equipo interdisciplinar de salud (EIS). El objetivo principal de este estudio es analizar y comprender la toma de decisiones (TD) compartida entre P/F/EIS, durante la enfermedad avanzada (EA) y final de vida (FV), desde una perspectiva centrada en la persona. Consta de 4 fases (exploratoria, estudio piloto, intervención y transferencia) y se ha desarrollado en el Área Médica Integral del Hospital de Atención a Crónicos y Larga Estancia Pare Jofré (Valencia), desde septiembre 2011 hasta julio 2016. Se eligió un diseño cualitativo usando la metodología Grounded Theory para la obtención y análisis de datos. Se aplicaron los criterios de muestreo teórico, método comparativo constante y saturación teórica. Los resultados muestran la emergencia de la categoría central planificar desde el encuentro: generar una visión compartida en la TD sobre los cuidados durante la EA y FV. La conexión significativa entre los agentes clave en el proceso (P/F/EIS) compartiendo la misma experiencia desde un horizonte común permite dar sentido a la EFV. La PAD se convierte en un proceso de darse cuenta, de preparación para la TD, cuyas dimensiones relevantes son: personas transitando por la enfermedad, sentido vital en la EA y FV y gestión de cuidados durante la EA y FV. El proceso social básico emergente (dar sentido a la experiencia de final de vida) comprende la toma de conciencia e integración de la experiencia, que permite a P/F/EIS transformar la vivencia de sufrimiento en redención, tranquilidad, gratitud y/o plenitud. Se generan nuevos parámetros en los procesos de PAD, nuevas herramientas para la intervención y formación y un nuevo enfoque en la gestión, que aporta un valor añadido a la atención sanitaria.

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Brief Psychotherapy for Demoralization in Terminal Cancer: A Case Report

Cited by 5 publications

References 6 publications

Incorporating Demoralization into Social Work Practice

Incorporating Demoralization into Social Work Practice

Demoralization in medical illness: Feasibility and acceptability of a pilot educational intervention for inpatient oncology nurses

Más allá de la comunicación: procesos de Advance Care Planning (Toma de decisiones y Planificación Adelantada) en cuidados al final de la vida

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