Handbook of Psychotherapy in Cancer Care

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  • Format: Paperback
  • Copyright: 2011-06-20
  • Publisher: Wiley

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This new book by international experts in psycho-oncology has arisen from the teaching academies offered by the International Psycho-oncology Society. It distills the wisdom and experience from the training manuals dedicated to individual psychological therapies and combines them into an accessible handbook for clinicians in cancer care today. The editors have brought together leading researchers and therapists, who provide accounts of the prominent models of psychotherapy currently being used in cancer care, the key themes they address and the essential techniques needed to apply each approach successfully. Helpful clinical illustrations are woven throughout the book to make overt the strategies found in each model. Provides practical guidance about how to deliver a range of individual, group, couple and family interventions that have proven utility in cancer care. Describes comprehensively each model of psychotherapy as taught by experts delivering the International Psycho-Oncology Society's Educational Academy on cancer care for patients and their families. Features practical suggestions on therapy delivery from the world's leading proponents of each therapy. Serves as a valuable tool to assist teaching and to facilitate research into psychological interventions in oncology, palliative care and bereavement. Functions as a readily accessible resource for clinicians struggling to support someone effectively, through its provision of insight into the common challenges and traps that arise when providing patients with emotional support. This practical handbook will help not only psychiatrists, psychologists and social workers but also physicians, surgeons, general practitioners and nurses interested in better understanding and supporting the patients and families they care for.

Author Biography

Maggie Watson PhD. Dip. Clin. Psychol, AFBPS Head of Service, Psychological Medicine Royal Marsden Hospital; Team Leader and Honorary Senior Lecturer, Institute of Cancer Research; Honorary Professor of Psychology, University College London, London, UK David W. Kissane, MB BS, MPM, MD, FRANZCP, FAChPM Jimmie C. Holland Chair in Psycho-Oncology, Attending Psychiatrist and Chairman, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center; Professor of Psychiatry, Weill Medical College of Cornell University, New York, USA.

Table of Contents

List of Contributorsp. xi
Forewordp. xv
Prefacep. xvii
Individual Models of Therapyp. 1
Supportive Psychotherapy in Cancer Care: an Essential Ingredient of All Therapyp. 3
Introductionp. 3
Definitionp. 3
History and Evidence Basep. 4
Qualifications for Clinical Privileges to Provide Supportive Psychotherapy as a Psycho-Oncologistp. 4
Application of Supportive Therapy in Cancer Carep. 4
Boundaries in the Therapy Relationship: Therapeutic Activismp. 7
Themes Met in Advanced Cancerp. 8
Families as Part of Patients' Supportive Psychotherapyp. 10
Therapist Issuesp. 12
Service Development Issuesp. 13
Recommended Reading & Resourcesp. 13
Referencesp. 14
Cognitive-Behavioural Therapies in Cancer Carep. 15
Backgroundp. 15
Processes and Techniquesp. 18
Case Examplesp. 21
Evidence on Efficacyp. 23
Service Developmentp. 23
Summaryp. 24
Supporting Materialsp. 24
Referencesp. 24
Cognitive Analytic Therapy in Psycho-Oncologyp. 27
Introductionp. 27
Theoretical Background of CATp. 27
CAT Concepts and Cancerp. 28
Process of Application of CAT in Cancer Carep. 29
Supporting Materialsp. 32
A Brief Overview of Evidence on Efficacyp. 33
Target Groups of Patients for Whom CAT Is Appropriatep. 33
Case Examplep. 33
What Can CAT Offer in a Cancer Setting?p. 36
Service Development: Integrating CAT into Psycho-Oncology Servicesp. 36
Conclusionp. 36
Acknowledgementsp. 36
Referencesp. 36
Mindfulness Interventions for Cancer Patientsp. 39
Introductionp. 39
Mindfulness-Based Stress Reductionp. 39
Content and Processes of Mindfulness-Based Interventionsp. 40
Case Examplep. 44
Efficacy of MBSR and Mindfulness Interventionsp. 45
Service Developmentp. 46
Summaryp. 46
Recommended Readingp. 46
Referencesp. 47
Relaxation and Image Based Therapyp. 49
Backgroundp. 49
Evidence on Efficacyp. 52
Processes and Techniquesp. 53
Case Examplep. 54
Service Developmentp. 56
Summaryp. 57
Referencesp. 57
Motivational Counselling in Substance Dependencep. 59
Backgroundp. 59
Processes and Techniquesp. 61
Case Examplep. 64
Evidence on Efficacyp. 66
Service Developmentp. 67
Summaryp. 67
Acknowledgementsp. 67
Referencesp. 67
Narrative Therapyp. 69
Backgroundp. 69
Processes and Techniquesp. 70
Case Examplep. 75
Evidence on Efficacyp. 77
Service Developmentp. 77
Summaryp. 77
Referencesp. 77
Dignity Therapyp. 79
Introductionp. 79
Background of Dignity Researchp. 79
The Conduct of Dignity Therapy: Processes and Techniquesp. 82
The Therapist's Rolep. 85
Evidence of the Efficacy of Dignity Therapyp. 86
Service Developmentp. 87
Conclusion and Future Directionsp. 87
Acknowledgementsp. 88
Referencesp. 88
Written Emotional Disclosurep. 89
Backgroundp. 89
Evidence on Efficacyp. 91
Target Patientsp. 95
Processes and Techniquesp. 97
Appendix: Sample Instructions for Expressive Writing for Cancer Patients and Survivorsp. 99
Referencesp. 100
Group Models of Therapyp. 105
Supportive-Expressive Group Psychotherapyp. 107
Introductionp. 107
Theoretical Background and Themesp. 107
Goals of Supportive-Expressive Groupsp. 108
Target Groups of Patients for Whom It Is Appropriatep. 110
Processes and Techniquesp. 110
Case Examplep. 112
Evidence for Efficacy of SEGTp. 114
Service Developmentp. 114
Recommended Readingp. 115
Referencesp. 115
A Short Term, Structured, Psychoeducational Intervention for Newly Diagnosed Cancer Patientsp. 119
Introductionp. 119
Theoretical Background and Themes of Our Psychoeducational Modelp. 119
Target Groups of Patients and Evidence of Efficacy of the Structured Psychoeducational Group Interventionp. 122
Process, Techniques and Case Examplep. 125
Service Developmentp. 132
Summaryp. 132
Referencesp. 133
Meaning-Centered Group Psychotherapyp. 137
Introductionp. 137
Backgroundp. 137
Theoretical Conceptual Framework Underlying Meaning-Centred Psychotherapyp. 138
Target Groups of Patientsp. 139
Main Themes and Format of the Therapyp. 140
Key Therapist Techniques in the Application of MCGPp. 144
Case Examplep. 145
Key Challenges in Application of MCGPp. 146
Overview of Evidence on Efficacyp. 146
Service Development and Future Directionsp. 146
Summaryp. 146
Acknowledgementp. 147
Recommended Readingp. 147
Referencesp. 147
Couple-Focused Group Intervention for Women with Early Breast Cancer and Their Partnersp. 149
Backgroundp. 149
Intervention Strategies and Main Themes of the Couple-Focused Group (CFG)p. 151
Evidence on Efficacyp. 152
Processes and Techniquesp. 153
Case Examplep. 155
Service Developmentp. 155
Summaryp. 156
Supporting Materialsp. 157
Acknowledgementsp. 157
Referencesp. 157
Couple and Family Therapiesp. 159
Couples Therapy in Advanced Cancer: Using Intimacy and Meaning to Reduce Existential Distressp. 161
Introductionp. 161
Integrating Meaning-Making and Intimacy: Working Modelsp. 162
Processes: Structure and Overview of Therapyp. 164
Couple Exercises and Case Examplesp. 169
Evidence on Efficacyp. 171
Service Developmentp. 171
Summaryp. 172
Recommended Readingp. 172
Referencesp. 172
Therapies for Sexual Dysfunctionp. 175
Backgroundp. 175
Processes and Techniquesp. 178
Case Examplesp. 178
Evidence on Efficacyp. 180
Service Developmentp. 180
Summaryp. 180
Supporting Materialsp. 180
Acknowledgementsp. 182
Referencesp. 182
Focused Family Therapy in Palliative Care and Bereavementp. 185
Theoretical Backgroundp. 185
Target Groups of Patientsp. 186
Main Themes and Format of the Therapyp. 186
Therapy Processes and Techniquesp. 188
Supporting Materialsp. 194
Overview of Evidence on Efficacyp. 194
Case Examplesp. 194
Service Developmentp. 196
Summaryp. 196
Acknowledgementp. 196
Recommended Readingp. 196
Referencesp. 196
Therapies Across the Life Cyclep. 199
Therapy in the Setting of Genetic Predisposition to Cancerp. 201
Backgroundp. 201
Counselling and Psychotherapeutic Interventionsp. 204
Case Examplep. 207
Evidence on Efficacyp. 209
Service Developmentp. 209
Summaryp. 209
Supporting Materialsp. 209
Referencesp. 210
Psychotherapy with Paediatric and Adolescent Cancer Patientsp. 213
Introductionp. 213
Assessmentp. 213
Service Developmentp. 215
Treatment Selection: Methods, Techniques and Efficacyp. 216
Issues in Treatmentp. 217
Case Discussion: a Multidisciplinary Team Approachp. 220
Summaryp. 222
Referencesp. 222
Therapy for Parental Cancer and Dependent Childrenp. 225
Backgroundp. 225
Theoretical and Evidence-Based Rationalep. 225
Components of the Programmep. 229
Evidence for Efficacyp. 231
Summary of the Training Programmep. 232
Current and Future Directionsp. 232
Referencesp. 233
Psychosocial Interventions for Elderly Cancer Patientsp. 235
Introductionp. 235
Cancer in the Elderly: Clinical Evaluationp. 235
Quandaries and Reliability of Interventionsp. 236
Psychosocial Theories on Ageing: Basis for Interventionsp. 236
Elderly Cancer Patient Interventionsp. 238
Forgiveness: Life - Illness - Deathp. 240
Cognitive-Behavioural Therapyp. 241
Life and Hope: Transforming Fear into Hopep. 242
Selected Therapies: Intervention Techniques with Groups of Elderly Cancer Patientsp. 243
Case Examplesp. 243
Overview of Evidence for Therapeutic Benefitp. 244
Conclusionp. 244
Referencesp. 244
Reconstructing Meaning in Bereavementp. 247
The Clinical Contextp. 247
Theoretical Perspectives: the Changing Landscape of Lossp. 247
Grief and the Quest for Meaningp. 249
Techniques for Reconstructing Meaning in Lossp. 251
Clinical Illustration of Therapy as Meaning Reconstructionp. 254
Overview of Efficacy of Meaning-Making Interventionsp. 255
Service Development to Build a Programmep. 255
Conclusionp. 255
Referencesp. 256
Indexp. 259
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