Counseling Individuals With Life-Threatening Illness

Doka, Kenneth J.

doi:10.1891/9780826195821

Cited by 39 publications

(51 citation statements)

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“…Living with advanced cancer constitutes hard work because it presents the person with a series of physical, psychological, social and spiritual tasks (Corr, 1992; see also Doka, 1993, andPattison, 1977) which demand their attention. McSherry (2011) notes that whilst research has generated a good understanding of the social and psychological requirements of the dying process, there is a lack of research into the ways in which the dying person engages with the challenges posed by the living-dying interval.…”

Section: Introductionmentioning

confidence: 99%

“My bus is here”: A phenomenological exploration of “living-with-dying”.

Willig

2015

Health Psychology

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ObjectivesThis paper has two aims. The first is to demonstrate how the application of an innovative qualitative methodology generated novel insights into the experience of living with advanced cancer. The paper's second aim is to challenge the idea that the identification of shared themes provides the researcher with access to the meaning and significance of the experience of 'living with dying'. MethodsThe research presented in this paper employed object elicitation together with existentiallyinformed hermeneutic phenomenological analysis. The analysis is based on ten semi-structured interviews with people who are living with advanced cancer. FindingsThe paper presents three brief case studies demonstrating the variability in accounts that characterizes the data set as a whole. This is followed by reflections on the way in which despite striking individual differences all participants seemed to experience 'living with dying' as an existential challenge which demands that the individual concerned finds a way of coming to terms with the very parameters of human existence. ConclusionThe paper advocates a thoroughly idiographic approach which stays with the diversity that characterizes the experience of living with advanced cancer. The paper argues that in order to make sense of the remarkable differences between the research participants' accounts of their experiences of living with a diagnosis of advanced cancer, a focus on process (ie. what happens when people encounter their mortality ?) and meaning (ie. what does it mean to them ?) helps us to understand these as different responses to the challenge of death awareness.3

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Section: Introductionmentioning

confidence: 99%

“My bus is here”: A phenomenological exploration of “living-with-dying”.

Willig

2015

Health Psychology

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“…These principles are a) symptom control for the patient, b) patient care provided by multiprofessional team, c) the patient and family are the unit of care, d) spiritual needs may be paramount, and e) bereavement services are provided for survivors, including children (Saunders, 2000). The recognition that a dying patient's quality of life requires care for physical, psychosocial, and spiritual needs has infiltrated much of today's medicine (Doka, 2009). …”

Section: History Of Modern Hospice Movementmentioning

confidence: 99%

“…In their qualitative research, Goldsmith et al (2010) found family members and caregivers are frequently the focus of work for a team because they make decisions for the dying patient. Families are constantly trying to maintain balance as they adjust to the extensive changes from life-threatening illness (Doka, 2009). …”

Section: Core Discipline: the Patient And Familymentioning

confidence: 99%

Interdisciplinary palliative care teams : insights and experiences of chaplain interns and social work interns.

Ronald

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“…Middle knowledge is the experience that many patients have, whereby they drift in and out of denial, sometimes affirming, other times denying the closeness of death (Weisman, 1972). In his discussion about Weisman and the complexity of denial, Doka suggests that denial is a "constant companion" for patients dealing with the reality of life-threatening illness (Doka, 2009). One cannot constantly hold one's own death in the foreground of one's consciousness.…”

Section: Spirituality and Religionmentioning

confidence: 99%

Spiritual Assessment: A Patient-Centered Approach to Oncology Social Work Practice

Stewart

2014

Social Work in Health Care

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Spirituality is central to many people's lives, yet social workers often defer discussing the topic with patients. Their avoidance can be linked to the lack of training on how to speak with patients about spiritual matters (Lemmer, 2010) With further education, clinical social workers are empowered to assess this significant aspect of the patient's cancer experience as they progress along the illness continuum. The social worker's comfort and familiarity with spiritual assessment, spiritual language, and various forms of religious and/or spiritual practices will improve their clinical work with patients who have chronic cancer by providing insight to guide appropriate social work interventions designed to enhance spiritual well-being.

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Counseling Individuals With Life-Threatening Illness

Cited by 39 publications

References 0 publications

“My bus is here”: A phenomenological exploration of “living-with-dying”.

“My bus is here”: A phenomenological exploration of “living-with-dying”.

Interdisciplinary palliative care teams : insights and experiences of chaplain interns and social work interns.

Spiritual Assessment: A Patient-Centered Approach to Oncology Social Work Practice

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