Hope Modules: Brief Psychotherapeutic Interventions to Counter Demoralization from Daily Stressors of Chronic Illness

Griffith, James L.

doi:10.1007/s40596-017-0748-7

Cited by 34 publications

(33 citation statements)

References 27 publications

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“…Families need reasonable hope, a hope that is a practice that relies on individuals’ skill sets and their ability to turn to others (Weingarten, ). Griffith () has documented how reasonable hope can be encouraged and fostered by healthcare professionals. A crucial aspect of reasonable hope is that it is able to accommodate the reality—true at all times but especially so during times of life‐threatening illness—that the future is uncertain.…”

Section: Resultsmentioning

confidence: 99%

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The Solace of an Uncertain Future: Acute Illness, the Self, and Self‐Care

Weingarten

Worthen

2018

Family Process

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"Take care of yourself" may be one of the most ubiquitous phrases spoken to people who are ill or to their caretakers. Yet few people who offer it as a balm consider what the self experience is of the person to whom the injunction is offered. We unravel some of the paradoxes inherent in the phrase, illustrating complexities that arise in the context of a life-threatening diagnosis. To illustrate the relational nature of the self, we analyze a partial transcript of an interview conducted in 1988 with the authors-a family therapist mother who had recently undergone surgery for breast cancer and her then 9-year-old daughter. We also examine the role of time in the interview. We propose that unlike PTSD when the past invades the present, in life-threatening illness the future is foreclosed, leading to distortions in current perception and behavior. The second author presents a follow-up to the interview and relates it to her current experience as a mother with chronic health issues. We close with suggestions for clinicians.

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Section: Resultsmentioning

confidence: 99%

“…Families need reasonable hope, a hope that is a practice that relies on individuals' skill sets and their ability to turn to others (Weingarten, 2010). Griffith (2018) has documented how reasonable hope can be Fam. Proc., Vol.…”

Section: Kaethementioning

confidence: 99%

The Solace of an Uncertain Future: Acute Illness, the Self, and Self‐Care

Weingarten

Worthen

2018

Family Process

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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%

“…Work in palliative care would suggest that people do develop different pathways through demoralization, for example, hope for a good death and hope for their families rather than hope for a cure (McClement & Chochinov, 2008). Griffith (2018) suggested that brief psychotherapy is a useful method of intervention to engender hope and to counter demoralization in people with chronic illness. He documented discreet scenariobased training modules for psychiatry residency training.…”

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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“…In the paper introducing "Hope modules," Griffith [20] identifies that "demoralized" patients may place a particular strain on treatment providers. Griffith proposes a treatment approach which aims to activate hope by mobilizing successful coping resources from past experiences and to directly enhance realistic optimism and resilience.…”

Section: Individual Treatmentmentioning

confidence: 99%