Treating people with chronic disease: A psychological guide.

Goodheart, Carol D.; Lansing, Martha H.

doi:10.1037/10221-000

Cited by 37 publications

(39 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A family's capacity for adaptation changes across the family life cycle (Goodheart and Lansing, 1997). The family's style of adaptation to a chronic illness is often shaped by the transgenerational history of responding to crisis, illness, loss and death (Rolland, 1987).…”

Section: Alcohol Problems In the United Statesmentioning

confidence: 99%

Alcoholism/Addiction as a Chronic Disease

White¹,

Boyle²,

Loveland

2002

Alcoholism Treatment Quarterly

View full text Add to dashboard Cite

Section: Alcohol Problems In the United Statesmentioning

confidence: 99%

Alcoholism/Addiction as a Chronic Disease

White¹,

Boyle²,

Loveland

2002

Alcoholism Treatment Quarterly

View full text Add to dashboard Cite

“…Therapists need to validate and empathize with a client's experience-to offer support in facing this existential crisis, and to help the client develop a sense of purpose. While individual therapy can help a client to stabilize his sense of self in the face of overwhelming instability and uncertainty, group therapy is particularly useful in helping alleviate the emotional distress underlying apathy by helping a client see that he is not alone in his suffering (Alfonso & Cohen, 1997;Goodheart, & Lansing, 1996;Kelly, 1998;Tunnell, 1994). In the support groups that I run, clients report finding strength in knowing that their problems are not unique, learning from others different ways to cope, as well as being inspired by the struggles and achievements that they observe.…”

Section: Apathymentioning

confidence: 97%

The Multidimensional Challenge of Psychotherapy with HIV Positive Gay Men

Frederick

2004

Journal of Gay & Lesbian Social Services

View full text Add to dashboard Cite

“…Goodheart and Lansing 14 have described several stages in a continuum as one adjusts to chronic illness. First, there is the acknowledgment that something is indeed wrong and that it will continue.…”

Section: Carol a Wool MDmentioning

confidence: 99%

A Psychotherapy Dominated by Separation, Termination, and Death

Tepper

Dodes

Wool

et al. 2006

Harvard Review of Psychiatry

View full text Add to dashboard Cite

Mr. B is a 69-year-old gay white man with a history of unsatisfying interpersonal relationships, alcohol abuse, and a slowly progressive lung cancer, who was seen for psychotherapy in a resident clinic for seven years. His pattern of ambivalent attachments to others was evident in therapy by his repeatedly planning to terminate treatment and then subsequently readily agreeing to return. This pattern changed at his most recent, final termination-after a 1 1 / 2 -year period of weekly treatment with me (MCT). This termination has greater resonance when viewed in the context of Mr. B's untreated cancer and the likelihood that his death is nearing.Mr. B saw three residents (the first female, the second male, and the third female) for psychotherapy over seven years, and was followed concurrently by a separate psychopharmacologist and, during our treatment, a substance abuse counselor. His initial therapy centered largely around exploration of interpersonal relationships and isolation, and the end of his relationship with his longtime partner. Early in that treatment, he wrote his therapist of his intent to terminate: "I have decided that there is no point in continuing Herr Dr. Freud's talking cure . . . Analysis and religion require faith which is not one of my strong points." When asked, he returned to therapy and continued with this therapist for nearly three years. Mr. B had no appointments during the last month of the therapist's residency, and he was not reachable by phone when the residency ended.Mr. B was then transferred to a PGY-2 resident. Shortly thereafter, he was diagnosed with lung cancer. In session Mr. B explored his thoughts about dying and spoke of missed opportunities in his life. His alcohol use escalated, and he observed a tendency to binge drink when feeling sad. He described the cancer as a guillotine hanging over his head. A particularly intense period in the therapy ensued-one in which the patient revealed aspects of his sexual history for the first time. Coincidentally, due to changes in the therapist's own schedule, individual sessions were spaced out to every two weeks. The therapist also notified Mr. B of anticipated upcoming schedule changes, and explained that the details of their appointment time would be worked out closer to the transition. Mr. B subsequently wrote a letter stating that he did not want to continue in therapy. At his therapist's request, he came in for another appointment and explained that he was leaving town to care for his ill sister. He said he would call to resume treatment when he returned to town. The therapist has not heard from Mr. B since that time.Mr. B and I began working together several months later, after he was referred by his psychopharmacologist for a new therapist. Mr. B explained that his previous therapist had told him that because of schedule changes, he would not be seeing patients any more-an explanation that differed dramatically from the one provided by the therapist. Months later Mr. B described himself as feeling hurt to see his previous the...

show abstract

Treating people with chronic disease: A psychological guide.

Cited by 37 publications

References 0 publications

Alcoholism/Addiction as a Chronic Disease

Alcoholism/Addiction as a Chronic Disease

The Multidimensional Challenge of Psychotherapy with HIV Positive Gay Men

A Psychotherapy Dominated by Separation, Termination, and Death

Contact Info

Product

Resources

About