It is a widely-known fact that numerous cancer patients suffer emotional problems. This superlative source offers those working in cancer treatment units comprehensive information about the nature and management of the psychological problems found in reaction to this disease.

Preface: The Scope of Psycho-oncology

vii

(6)

Acknowledgements

xiii

1. Cancer diagnosis

1

(12)

1.1 Emotions around diagnosis

1

(4)

1.2 Diagnosis by screening

5

(3)

1.3 Diagnostic delay

8

(5)

2. Anticancer treatment

13

(22)

2.1 General issues regarding treatment

13

(9)

2.2 Surgery

22

(3)

2.3 Chemotherapy

25

(5)

2.4 Radiotherapy

30

(5)

3. Models of psychological response

35

(16)

3.1 Cancer: threat, loss, opportunity

35

(4)

3.2 Factors which influence response

39

(6)

3.3 Coping styles and mental attitudes

45

(3)

3.4 Psychodynamic models: mental defence mechanisms

48

(3)

4. Emotional problems in reaction to cancer

51

(28)

4.1 General principles regarding emotional problems

52

(4)

4.2 Depression

56

(4)

4.3 Anxiety

60

(4)

4.4 Denial

64

(5)

4.5 Anger

69

(3)

4.6 Suicide and deliberate self-harm

72

(3)

4.7 Voluntary euthanasia

75

(4)

5. Psychological aspects of medical syndromes

79

(22)

5.1 Organic mental disorders; confusion and acute disturbance

79

(10)

5.2 Pain: and other somatic symptoms

89

(7)

5.3 Cancers of specific primary sites

96

(5)

6. The outcome of cancer

101

(24)

6.1 Long-term survival

102

(3)

6.2 Advanced cancer: palliative care

105

(10)

6.3 Do psychological factors affect cancer growth?

115

(10)

7. Families and carers

125

(24)

7.1 Partners

126

(7)

7.2 Children

133

(2)

7.3 Genetic aspects

135

(2)

7.4 Bereavement

137

(12)

8. Issues for oncology staff

149

(18)

8.1 Communication with patients

149

(8)

8.2 `Special' patients

157

(5)

8.3 Personal support

162

(5)

9. Treatments in psycho-oncology

167

(29)

9.1 Counselling

168

(4)

9.2 Psychodynamic therapy

172

(2)

9.3 Behaviour therapy

174

(2)

9.4 Cognitive therapy

176

(2)

9.5 Group interventions

178

(5)

9.6 Psychotropic drugs

183

(8)

9.7 Organising services

191

(5)

10. Holistic and complementary approaches

196

(17)

10.1 Principles of the holistic approach

198

(2)

10.2 Holistic and complementary therapies

200

(6)

10.3 Attractions and drawbacks of the approach

206

(2)

10.4 Holistic groups

208

(5)

Index

213

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