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"I found this book to be a well-written, sensitively presented, and important resource for those engaged in this critical area of work. Thank you, Dr. Werth, for making such a substantial contribution to this field."--Journal of Palliative Care "[This book offers] over 20 contributors, all with impeccable credentials, covering many perspectives that we need to consider more frequently and in greater depth...There is much that awaits you in this book."--Illness, Crisis, and Loss "Counseling Clients Near the End of Life is a marvelous resource for mental health providers who are searching for useful information in areas such as the following: resolving ethical dilemmas; assisting clients in planning for the end of life; counseling caregivers of clients who are near the end of life; and assisting people in dealing with grief. The editor of this work, Dr. James Werth, has done a splendid job of gathering various experts to share their perspectives on end of life care and choices at this time of life--and he has also written an excellent chapter on counseling clients who are dying." Gerald Corey, EdD, ABPP Professor Emeritus of Human Services and Counseling California State University, Fullerton This highly accessible guide to counseling people who are terminally ill and their families fills a critical need in the counseling literature. Written for front-line mental health professionals and counseling graduate students, the text integrates research with practical guidance. It is replete with the experiences of contributing authors who are leaders in counseling terminally ill individuals , real-life case examples, clinical pearls of wisdom, and tables of practice pointers that provide quick access to valuable knowledge. The text offers information that is requisite for all counselors who provide services to persons who are terminally ill and their families. It addresses common issues that influence different types of counseling approaches, such as how the age, ethnicity, or religion of a client affects counselor conceptualizations and actions. The book discusses how to manage symptoms of depression, anxiety, and cognitive impairment near the end of life. It explains how advance directives can be used to assist dying individuals and their loved ones. The counseling needs of family members before and after death are addressed as well as counseling loved ones experiencing complicated grief. The text also examines the particular concerns of counselors regarding self-care and the benefits of working as part of a professional team. Woven throughout are important considerations such as cultural diversity, ethical challenges, laws, and regulations; and advocacy at client and social policy levels. Readers will also benefit from the inclusion of additional references for more in-depth study. Key Features: Integrates research with practical and accessible information Provides clinical ìpearlsî that can be put to use immediately Provides a reader-friendly format that includes real-life case studies and tables with important pointers Describes the counseling experiences of leading practitioners that include examples of successful and unsuccessful interventions Based on a comprehensive framework developed by a Working Group of the American Psychological Association
"Although I have been a hospice nurse for almost 19 years, I am not a counselor. However, I will be able to use some of the information I learned here to assist my patients and my colleagues with issues encountered during the difficult time when patients are dying and families are struggling with realities. I will definitely share this book with our bereavement counselors and social workers." Score: 90, 4 stars --Doody's "[T]his is aÖbook about possibilities-not finalities...about all the different ways that people deal with loss and bereavementÖand how solution focused brief therapy can be helpful in making sense of the experience that people go through when facing death." --Harry Korman, MD Solution focused practice challenges the conventional approach to bereavement counseling by emphasizing solution building over simple problem-solving. Joel Simon, with over 16 years of experience in the field, demonstrates how this therapy can help clients think of possibilities, rather than limitations, when facing death or the loss of a loved one. This book presents a general overview of solution focused practice, tools, and methodologies for practitioners. Simon also provides real-life vignettes and verbatim transcripts from actual patients in end-of-life or bereavement counseling. This book provides insight into the philosophy and practice of solution focused therapy, as applied to clients with life-limiting conditions and their loved ones. Key topics discussed: The use of language in solution focused practice: theory, meaning making, and the role of emotions Tools of solution-building, with questions, troubleshooting guidelines, and tips for evaluating outcomes The distinction between problem-solving and solution-building Co-constructing goals with clients Applying solution focused principles to hospice, grief, and bereavement practice This resource serves as an invaluable tool for social workers, hospice workers, psychologists, and other bereavement and grief-counseling professionals.
Placing a focus on the spiritual needs of death and dying, the theme of this book is that the focus of counselling with people who are dying should be on the psychospiritual aspects of death and dying. It is based on two assumptions - that death and anxiety, not pain, are the most critical issues for the dying, and that the time of dying is an opportunity for growth and transformation. The author believes that it is imperative for counselling professionals to realize that at this time understanding and caring are primary.
With a Foreword by Robert A. Neimeyer, PhD "Where was this book when I was new as a counselor?....Fortunately, it is here now, and with all the scope, depth, resourcefulness, and balance required for such situations." -Dr. Robert Kastenbaum, PhD "This book will now be an indispensable resource for anyone who wants to understand, counsel, or otherwise help individuals with life-threatening illnesses and their family members." --Charles A. Corr, PhD, CT "Without question, this is the book you'll want your own caregivers to have read should you ever contend with life-threatening illness." --Therese A. Rando, PhD, BCETS, BCBT Life-threatening illness is not only a medical crisis; it is a psychological, social, and spiritual crisis as well. Also, serious illness affects not only the patient, but the patient's family. Therefore, the two major premises of this book are that care in life-threatening illness must be holistic, and it must be family centered. Doka presents an insightful, comprehensive guide for counselors, social workers, and health care professionals, as they assist clients experiencing a serious illness. The book builds on a model developed by the author, based upon earlier work by Avery Weisman and E. M. Patterson. Doka's model presents illness as a series of phases: Prediagnostic: individuals may decide how to handle troubling symptoms or to take certain diagnostic tests Diagnostic: centered on the existential crisis posed by the diagnosis Chronic: individuals must cope with the disease and treatment Recovery: acknowledges that even when individuals survive an encounter with life-threatening illness, there are still considerable issues that must be resolved Terminal phase: individuals deal with the inevitability of death In his discussion of each phase, the author delineates specific tasks for patients to perform and the issues they must adapt to. He also presents strategies for counselors and health care professionals to use with individuals in each phase of illness.
Maintaining dignity for patients approaching death is a core principle of palliative care. Dignity therapy, a psychological intervention developed by Dr. Harvey Max Chochinov and his internationally lauded research group, has been designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as they grapple with the reality of life drawing to a close. In the first book to lay out the blueprint for this unique and meaningful intervention, Chochinov addresses one of the most important dimensions of being human. Being alive means being vulnerable and mortal; he argues that dignity therapy offers a way to preserve meaning and hope for patients approaching death. With history and foundations of dignity in care, and step by step guidance for readers interested in implementing the program, this volume illuminates how dignity therapy can change end-of-life experience for those about to die - and for those who will grieve their passing.
Nearly half of people at the end of life will receive hospice care, but few psychologists, nurses, physicians, chaplains, and hospice workers have been trained specifically to recognize and address the psychological, social, and emotional issues that may arise in patients who are dying. Patients in the midst of advanced terminal illness may experience a variety of distressing emotions, and may feel anxious, frightened, regretful, or desperate. This guide was created specifically to guide helping professionals of all kinds through the process of working through patients’ psychological issues to allow them peace and comfort in their final moments. The Helping Professional’s Guide to End-of-Life Care clarifies the spiritual and emotional care that patients need and presents an evidence-based approach integrating cognitive behavioral therapy (CBT), transpersonal psychotherapy, hypnosis, mindfulness, and guided imagery to help patients manage emotional distress at the end of life. Through case conceptualizations and detailed treatment planning guidance, readers learn to formulate comprehensive assessment and treatment plans for patients and gain skills that will help them manage the emotional intensity of this work. This secular, professional treatment model can be applied to patients of any religious or spiritual background. The book also addresses integrating the patient’s therapeutic team with the medical team, addressing the emotional needs of friends and family of the dying, crisis intervention for suicidal patients, working with clients on psychotropic medications, and how helping professionals can manage their own emotions to become more effective clinicians.
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.
Decision Making near the End of Life provides a comprehensive overview of the recent developments that have impacted decision-making processes within the field of end-of-life care. The most current developments in all aspects of major underlying issues such as public attitudes, the impact of media, bioethics, and legal precedent provide the background information for the text. The authors examine various aspects of end-of-life choices and decision-making, including communication (between and among family, medical personnel, the dying person), advance directives, and the emergence of hospice and palliative care institutions. The book also explores a variety of psychosocial considerations that arise in decision-making, including religion/spirituality, family caregiving, disenfranchised and diverse groups, and the psychological and psychiatric problems that can impact both the dying person and loved ones. Case studies and first-person stories about decision-making, written by professionals in the field, bring a uniquely personal touch to this valuable text.
From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life.
"Gamino and Ritter do an excellent job of providing cogent advice and helpful suggestions for how professionals can manage ethical dilemmas that arise from the practice of grief counseling." -J. William Worden, PhD, ABPP Clinical Psychologist Laguna Niguel, California Author, Grief Counseling and Grief Therapy, 4th Edition (From the Foreword) Essential reading for grief counselors, mental health clinicians, death educators, hospice workers, clergy, funeral directors, and social workers. Grief counselors are confronted daily with a host of serious ethical dilemmas, some so critical that they can drastically change the course of a counselor's practice and career. This practical and authoritative guide serves as a comprehensive handbook for navigating the difficult ethical issues grief counselors confront daily with clients. These include confidentiality, end-of-life issues, intimacies with clients, challenges posed by unnatural deaths, spiritual and cultural considerations, and many more. To tackle these issues head on, Gamino and Ritter present the Five P Model, a customized process for ethical decision-making that will help counselors outline a specific, step-by-step course of action to respond to the ethical dilemma at hand. The book is also rich with case examples, both hypothetical and real-life, to demonstrate how to implement the Five P Model in practice, and apply it to various ethical dilemmas. Among the key topics discussed: How to address ethical problems posed by Internet counseling, such as authenticating identity, securing confidentiality, and intervening in a crisis Death competence on the part of the counselor and how the counselor's own experience of grieving can inform counseling practice Guidance on how to report a colleague or face a complaint How to meet ethical obligations towards clients when moving or closing a practice