List of Contributors | p. xi |
Foreword | p. xv |
Preface | p. xvii |
Individual Models of Therapy | p. 1 |
Supportive Psychotherapy in Cancer Care: an Essential Ingredient of All Therapy | p. 3 |
Introduction | p. 3 |
Definition | p. 3 |
History and Evidence Base | p. 4 |
Qualifications for Clinical Privileges to Provide Supportive Psychotherapy as a Psycho-Oncologist | p. 4 |
Application of Supportive Therapy in Cancer Care | p. 4 |
Boundaries in the Therapy Relationship: Therapeutic Activism | p. 7 |
Themes Met in Advanced Cancer | p. 8 |
Families as Part of Patients' Supportive Psychotherapy | p. 10 |
Therapist Issues | p. 12 |
Service Development Issues | p. 13 |
Recommended Reading & Resources | p. 13 |
References | p. 14 |
Cognitive-Behavioural Therapies in Cancer Care | p. 15 |
Background | p. 15 |
Processes and Techniques | p. 18 |
Case Examples | p. 21 |
Evidence on Efficacy | p. 23 |
Service Development | p. 23 |
Summary | p. 24 |
Supporting Materials | p. 24 |
References | p. 24 |
Cognitive Analytic Therapy in Psycho-Oncology | p. 27 |
Introduction | p. 27 |
Theoretical Background of CAT | p. 27 |
CAT Concepts and Cancer | p. 28 |
Process of Application of CAT in Cancer Care | p. 29 |
Supporting Materials | p. 32 |
A Brief Overview of Evidence on Efficacy | p. 33 |
Target Groups of Patients for Whom CAT Is Appropriate | p. 33 |
Case Example | p. 33 |
What Can CAT Offer in a Cancer Setting? | p. 36 |
Service Development: Integrating CAT into Psycho-Oncology Services | p. 36 |
Conclusion | p. 36 |
Acknowledgements | p. 36 |
References | p. 36 |
Mindfulness Interventions for Cancer Patients | p. 39 |
Introduction | p. 39 |
Mindfulness-Based Stress Reduction | p. 39 |
Content and Processes of Mindfulness-Based Interventions | p. 40 |
Case Example | p. 44 |
Efficacy of MBSR and Mindfulness Interventions | p. 45 |
Service Development | p. 46 |
Summary | p. 46 |
Recommended Reading | p. 46 |
References | p. 47 |
Relaxation and Image Based Therapy | p. 49 |
Background | p. 49 |
Evidence on Efficacy | p. 52 |
Processes and Techniques | p. 53 |
Case Example | p. 54 |
Service Development | p. 56 |
Summary | p. 57 |
References | p. 57 |
Motivational Counselling in Substance Dependence | p. 59 |
Background | p. 59 |
Processes and Techniques | p. 61 |
Case Example | p. 64 |
Evidence on Efficacy | p. 66 |
Service Development | p. 67 |
Summary | p. 67 |
Acknowledgements | p. 67 |
References | p. 67 |
Narrative Therapy | p. 69 |
Background | p. 69 |
Processes and Techniques | p. 70 |
Case Example | p. 75 |
Evidence on Efficacy | p. 77 |
Service Development | p. 77 |
Summary | p. 77 |
References | p. 77 |
Dignity Therapy | p. 79 |
Introduction | p. 79 |
Background of Dignity Research | p. 79 |
The Conduct of Dignity Therapy: Processes and Techniques | p. 82 |
The Therapist's Role | p. 85 |
Evidence of the Efficacy of Dignity Therapy | p. 86 |
Service Development | p. 87 |
Conclusion and Future Directions | p. 87 |
Acknowledgements | p. 88 |
References | p. 88 |
Written Emotional Disclosure | p. 89 |
Background | p. 89 |
Evidence on Efficacy | p. 91 |
Target Patients | p. 95 |
Processes and Techniques | p. 97 |
Appendix: Sample Instructions for Expressive Writing for Cancer Patients and Survivors | p. 99 |
References | p. 100 |
Group Models of Therapy | p. 105 |
Supportive-Expressive Group Psychotherapy | p. 107 |
Introduction | p. 107 |
Theoretical Background and Themes | p. 107 |
Goals of Supportive-Expressive Groups | p. 108 |
Target Groups of Patients for Whom It Is Appropriate | p. 110 |
Processes and Techniques | p. 110 |
Case Example | p. 112 |
Evidence for Efficacy of SEGT | p. 114 |
Service Development | p. 114 |
Recommended Reading | p. 115 |
References | p. 115 |
A Short Term, Structured, Psychoeducational Intervention for Newly Diagnosed Cancer Patients | p. 119 |
Introduction | p. 119 |
Theoretical Background and Themes of Our Psychoeducational Model | p. 119 |
Target Groups of Patients and Evidence of Efficacy of the Structured Psychoeducational Group Intervention | p. 122 |
Process, Techniques and Case Example | p. 125 |
Service Development | p. 132 |
Summary | p. 132 |
References | p. 133 |
Meaning-Centered Group Psychotherapy | p. 137 |
Introduction | p. 137 |
Background | p. 137 |
Theoretical Conceptual Framework Underlying Meaning-Centred Psychotherapy | p. 138 |
Target Groups of Patients | p. 139 |
Main Themes and Format of the Therapy | p. 140 |
Key Therapist Techniques in the Application of MCGP | p. 144 |
Case Example | p. 145 |
Key Challenges in Application of MCGP | p. 146 |
Overview of Evidence on Efficacy | p. 146 |
Service Development and Future Directions | p. 146 |
Summary | p. 146 |
Acknowledgement | p. 147 |
Recommended Reading | p. 147 |
References | p. 147 |
Couple-Focused Group Intervention for Women with Early Breast Cancer and Their Partners | p. 149 |
Background | p. 149 |
Intervention Strategies and Main Themes of the Couple-Focused Group (CFG) | p. 151 |
Evidence on Efficacy | p. 152 |
Processes and Techniques | p. 153 |
Case Example | p. 155 |
Service Development | p. 155 |
Summary | p. 156 |
Supporting Materials | p. 157 |
Acknowledgements | p. 157 |
References | p. 157 |
Couple and Family Therapies | p. 159 |
Couples Therapy in Advanced Cancer: Using Intimacy and Meaning to Reduce Existential Distress | p. 161 |
Introduction | p. 161 |
Integrating Meaning-Making and Intimacy: Working Models | p. 162 |
Processes: Structure and Overview of Therapy | p. 164 |
Couple Exercises and Case Examples | p. 169 |
Evidence on Efficacy | p. 171 |
Service Development | p. 171 |
Summary | p. 172 |
Recommended Reading | p. 172 |
References | p. 172 |
Therapies for Sexual Dysfunction | p. 175 |
Background | p. 175 |
Processes and Techniques | p. 178 |
Case Examples | p. 178 |
Evidence on Efficacy | p. 180 |
Service Development | p. 180 |
Summary | p. 180 |
Supporting Materials | p. 180 |
Acknowledgements | p. 182 |
References | p. 182 |
Focused Family Therapy in Palliative Care and Bereavement | p. 185 |
Theoretical Background | p. 185 |
Target Groups of Patients | p. 186 |
Main Themes and Format of the Therapy | p. 186 |
Therapy Processes and Techniques | p. 188 |
Supporting Materials | p. 194 |
Overview of Evidence on Efficacy | p. 194 |
Case Examples | p. 194 |
Service Development | p. 196 |
Summary | p. 196 |
Acknowledgement | p. 196 |
Recommended Reading | p. 196 |
References | p. 196 |
Therapies Across the Life Cycle | p. 199 |
Therapy in the Setting of Genetic Predisposition to Cancer | p. 201 |
Background | p. 201 |
Counselling and Psychotherapeutic Interventions | p. 204 |
Case Example | p. 207 |
Evidence on Efficacy | p. 209 |
Service Development | p. 209 |
Summary | p. 209 |
Supporting Materials | p. 209 |
References | p. 210 |
Psychotherapy with Paediatric and Adolescent Cancer Patients | p. 213 |
Introduction | p. 213 |
Assessment | p. 213 |
Service Development | p. 215 |
Treatment Selection: Methods, Techniques and Efficacy | p. 216 |
Issues in Treatment | p. 217 |
Case Discussion: a Multidisciplinary Team Approach | p. 220 |
Summary | p. 222 |
References | p. 222 |
Therapy for Parental Cancer and Dependent Children | p. 225 |
Background | p. 225 |
Theoretical and Evidence-Based Rationale | p. 225 |
Components of the Programme | p. 229 |
Evidence for Efficacy | p. 231 |
Summary of the Training Programme | p. 232 |
Current and Future Directions | p. 232 |
References | p. 233 |
Psychosocial Interventions for Elderly Cancer Patients | p. 235 |
Introduction | p. 235 |
Cancer in the Elderly: Clinical Evaluation | p. 235 |
Quandaries and Reliability of Interventions | p. 236 |
Psychosocial Theories on Ageing: Basis for Interventions | p. 236 |
Elderly Cancer Patient Interventions | p. 238 |
Forgiveness: Life - Illness - Death | p. 240 |
Cognitive-Behavioural Therapy | p. 241 |
Life and Hope: Transforming Fear into Hope | p. 242 |
Selected Therapies: Intervention Techniques with Groups of Elderly Cancer Patients | p. 243 |
Case Examples | p. 243 |
Overview of Evidence for Therapeutic Benefit | p. 244 |
Conclusion | p. 244 |
References | p. 244 |
Reconstructing Meaning in Bereavement | p. 247 |
The Clinical Context | p. 247 |
Theoretical Perspectives: the Changing Landscape of Loss | p. 247 |
Grief and the Quest for Meaning | p. 249 |
Techniques for Reconstructing Meaning in Loss | p. 251 |
Clinical Illustration of Therapy as Meaning Reconstruction | p. 254 |
Overview of Efficacy of Meaning-Making Interventions | p. 255 |
Service Development to Build a Programme | p. 255 |
Conclusion | p. 255 |
References | p. 256 |
Index | p. 259 |
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