Lethborg, C and Aranda, S and Kissane, D, Meaning in adjustment to cancer: a model of care, Palliative & Supportive Care, 6, (1) pp. 61-70. ISSN 1478-9515 (2008) [Refereed Article]
© 2008 Cambridge University Press
Objectives: In the clinical setting of cancer, meaning may well have a central role in the life changes the illness experience brings about. As health care professionals working with people with life-threatening illness, we are exposed to one of the major turning points in life and the ways people confront this transition. Meaning can assist coping by offering a framework, perspective, and counterbalance to the challenge of illness. However, the absence of meaning can be a precursor to profound despair.
Methods: This article brings together the clinical implications of two studies conducted by the authors that explored the role of meaning in adjustment to cancer, presenting a theoretical understanding of the experience of meaning in cancer and identifying some potential approaches to intervention.
Results: Our findings point to some specific goals of care as well as a number of therapeutic modalities aimed to meet these goals. We examine four goals of care--acknowledging suffering, encouraging a search for meaning, strengthening connection with others, and ensuring optimal physical care--as foundational in any clinical approach and then examine the key models of therapy that assist the clinician in pursuing these goals.
Significance of results: Our aim is to create an integrated approach to care provision that locates meaning centrally in any patient's adaptation.
|Item Type:||Refereed Article|
|Keywords:||meaning based coping, adjustment to cancer, suffering, psychosocial intervention, strengthening connection with others|
|Research Division:||Health Sciences|
|Research Group:||Health services and systems|
|Research Field:||Health counselling|
|Objective Group:||Provision of health and support services|
|Objective Field:||Mental health services|
|UTAS Author:||Lethborg, C (Dr Carolyn Lethborg)|
|Deposited By:||UTAS Centre for Rural Health|
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