“…Regardless of linguistic characteristics, appreciation of a patient's intersectional identities-including religious or spiritual convictions-is important even when conducting manualized forms of treatment such as Acceptance and Commitment Therapy (ACT). While ACT is not an uncommon treatment for mental health challenges associated with chronic, potentially life-threatening diseases such as breast cancer (Meltzer et al, 2022), not incorporating religious beliefs may diminish treatment efficacy. What the authors describe as the "plague" of positivity may be ameliorated by addressing religious conceptions surrounding end-of-life issues.…”