Treatment of existential distress in life threatening illness: A review of manualized interventions☆

LeMay, Katerine; Wilson, Keith G.

doi:10.1016/j.cpr.2007.07.013

Cited by 240 publications

(205 citation statements)

References 89 publications

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“…LeMay i Wilson [16] dokonali krytycznej analizy interwencji nakierowanych na egzystencjalne problemy pacjentów leczonych z powodu chorób zagrażających życiu. W przypadku działań ułatwiających tworzenie znaczeń choroby autorzy poddali analizie procedurę nazwaną: interwencjami tworzącymi znaczenie (MMI, meaning-making intervention), opracowaną przez Lee [13].…”

Section: Stymulowanie Strategii Tworzenia Znaczeń Chorobyunclassified

“…"Pielęgniarka lub inny przeszkolony pracownik medyczny działa jako facylitator, pobudzając reakcje pacjenta (…). Poprzez opowiadanie historii oraz odpowiadanie na pytania pacjent przygląda się swoim przeszłym i obecnym doświadczeniom" [16]. Rolą pielęgniarki jest podtrzymywanie i ukierunkowywanie wypowiedzi pacjenta za pomocą technik aktywnego słuchania.…”

Section: Stymulowanie Strategii Tworzenia Znaczeń Chorobyunclassified

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Radzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część II — strategie adaptacji przekonań i celów życiowych

Załuski¹

2015

Problemy Pielęgniarstwa

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Zakład Psychologii Zdrowia, Instytut Pielęgniarstwa i Położnictwa, Wydział Nauk o Zdrowiu, Uniwersytet Jagielloński, Collegium Medicum, Kraków adzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część II -strategie adaptacji przekonań i celów życiowych Meaning-making focused coping with illness. Part II -adaptation of assumptions and lives goals STRESZCZENIE Źródła stresu pacjenta wywołanego poważnym zachorowaniem mogą płynąć z rozbieżności pomiędzy aktualną oceną sytuacji a wiedzą o życiu i sobie samym. Usunięciu rozbieżności służą zmiany w obszarze uogólnionego rozumienia życia. Jest to cel radzenia sobie skoncentrowanego na tworzeniu znaczeń. Artykuł kontynuuje treści rozpoczęte w pracy pt. "Radzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część I -strategie ponownej oceny choroby". Celem artykułu było przybliżenie czytelnikowi funkcji tworzenia znaczeń choroby pod postacią procesu adaptacji celów życiowych, rewizji priorytetów oraz zasadniczych przekonań o sobie i życiu. W pracy wskazano na źródła trudności w dokonywaniu zmian oraz przykłady pozytywnych i negatywnych rozwiązań procesu tworzenia znaczeń. W artykule znalazły się również informacje na temat możliwości stymulowania pacjenta do zmian w obszarze rozumienia choroby drogą interwencji werbalnych.Problemy Pielęgniarstwa 2015; 23 (1): 134-138 Słowa kluczowe: choroba; stres; psychologia egzystencjalna; interwencja kryzysowa ABSTRACTThe sources of stress caused by a serious patient's illness may flow from discrepancy between appraised meaning of illness and preexisting global meaning of life and oneself. To reduce the incongruence between appraised meaning and global meaning use the changes in area of global meaning. It is an aim of meaning-making focused coping. The article is continuing content begun at work: "Meaning-making focused coping with illness. Part I -reappraisal of illness strategies". The aim of article is introducing the Reader to meaning-making of illness functions under the figure of goals in lives adaptation process, revising priority and fundamental assumptions about life and oneself. In article the source of problems in changes and examples of positive and negative outcomes meaning-making process were pointed out. In the article information's about the possibility of the patient stimulating to change in area of global meaning during verbal interventions were concluded too.Nursing Topics 2015; 23 (1): 134-138

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Section: Stymulowanie Strategii Tworzenia Znaczeń Chorobyunclassified

Radzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część II — strategie adaptacji przekonań i celów życiowych

Załuski¹

2015

Problemy Pielęgniarstwa

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“…10 These studies have lead to the postulation that ''Dignity Therapy is a feasible and effective new approach to address suffering and distress in patients near the end of life,'' 6 a belief corroborated by a separate literature review of all current manualized interventions for the treatment of existential distress among those with life-threatening illnesses. 11 In light of the mounting theoretical and empirical base, many hospice and palliative care clinicians have expressed interest in the use of this novel psychotherapy within their 1 own community sites (H.M. Chochinov, personal communication, 2010). However the practicality of bringing this psychotherapy into clinical settings is unclear.…”

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confidence: 99%

Dignity Therapy Implementation in a Community-Based Hospice Setting

Montross

Winters²,

Irwin³

2011

Journal of Palliative Medicine

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Background: Dignity Therapy is a brief, empirically supported, individualized psychotherapy designed to address legacy needs among patients at the end of life. To date, this psychotherapy has not been implemented in a ''real-world'' community-based hospice setting. This study was designed to offer information about the pragmatic aspects of implementing Dignity Therapy for patients receiving hospice care. Method: Twenty-seven patients completed Dignity Therapy as part of a clinical service newly offered at a community-based hospice. Referral and enrollment procedures, as well as the logistics of therapy implementation were monitored. Patients' legacy transcripts were also qualitatively analyzed to measure emergent themes. Results: Patients were most commonly referred by social workers, and on average produced Dignity Therapy legacy transcripts approximately 3000 words/8 pages in length. The mean number of sessions spent with patients was 4, equating to an average of 380 minutes of clinician time per patient. Qualitative analyses revealed the most commonly discussed topics among patients were (in rank order): autobiographical information, love, lessons learned in life, defining roles in vocations or hobbies, accomplishments, character traits, unfinished business, hopes and dreams, catalysts, overcoming challenges, and guidance for others. Discussion: This was the first study to implement Dignity Therapy in a community sample, with results highlighting the practical aspects of treatment as well as the most common themes discussed by clinical patients in a hospice setting. These findings provide useful data for clinicians or organizational leaders who may consider offering Dignity Therapy in their setting, and offer general insight regarding the legacy topics most frequently discussed by patients near the end of life.

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“…11,35,36 Existential quest is without any doubt an intrinsic, introspective process, and as noted, tends to intensify related lifethreatening situations. The individual's perception of prognosis is in a way a measurable estimate of that subjective sense of threat.…”

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confidence: 95%

“…Moreover, several studies found that only one-third of the patients with advanced cancer recognized that their cancer is not curable even with treatment, whereas one third of patients perceived their cancer to be curable. [4][5][6][7]11 Since disclosure of terminal prognosis of cancer is a common norm in western countries, it can be assumed that it is not a matter of understanding the facts, but a matter of perception. Still, there are quite enough reports of significant numbers of cancer patients in western countries, who are unaware of their prognosis.…”

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confidence: 99%

Effects of Perception of Prognosis on Existential Well-Being and Ego-Integrity Among Advanced Cancer Patients

Alon¹,

Sela²,

Carmel³

2017

Palliat Med Hosp Care Open J

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Treatment of existential distress in life threatening illness: A review of manualized interventions☆

Cited by 240 publications

References 89 publications

Radzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część II — strategie adaptacji przekonań i celów życiowych

Radzenie sobie z chorobą skoncentrowane na tworzeniu znaczeń. Część II — strategie adaptacji przekonań i celów życiowych

Dignity Therapy Implementation in a Community-Based Hospice Setting

Effects of Perception of Prognosis on Existential Well-Being and Ego-Integrity Among Advanced Cancer Patients

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