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A Woman With Cancer Deborah came to University Hospital when she was 25. She was the mainstay of a young farming family. Her husband, Merle, was now farming his family land, working hard to keep financially solvent during these difficult f;lrming days. They had four children: Carolyn, 4 months; Michael, 17 months; John, 4 years; and Susie, 5 years. There was nothing special about this woman or her circumstances; she was like every woman who had ordinary daily chores and responsibilities, people in her life about whom she cared and who cared for her, worries, goals, dreams, and her life before her. Deborah's 4-week postpartum checkup and Pap smear were normal; however, six weeks later she had heavy, irregular bleeding. To Deborah this symptom picture did not seem to fit the pattern of her other preg nancies, and so she returned to her doctor. A large lesion was found on the posterior cervix and biopsies of the tissue revealed moderately dif ferentiated adenocarcinoma of the cervix. Referral to the University Hospital 60 miles away confirmed the diagnosis. Further tumor workup, which included a pelvic ultrasound, bladder cystoscopy, sigmoidoscopy, and chest x-ray, was normal, although the IVP was notable for nonvi sualization of the right ureter, thought to be secondary to an enlarged lymph node.
Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. This failure can compromise the effectiveness of health care and thereby adversely affect the health of cancer patients. Psychological and social problems created or exacerbated by cancer-including depression and other emotional problems; lack of information or skills needed to manage the illness; lack of transportation or other resources; and disruptions in work, school, and family life-cause additional suffering, weaken adherence to prescribed treatments, and threaten patients' return to health. Today, it is not possible to deliver high-quality cancer care without using existing approaches, tools, and resources to address patients' psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. Cancer Care for the Whole Patient recommends actions that oncology providers, health policy makers, educators, health insurers, health planners, researchers and research sponsors, and consumer advocates should undertake to ensure that this standard is met.
At last, here is a comprehensive guide for practitioners who work with breast cancer patients and their families. It includes a series of psychosocial interventions to be used with couples during early stage breast cancer. There is extensive evidence that emotional and social support positively influences women’s abilities to cope to breast cancer. The first person that a woman with breast cancer turns to for support is her husband or intimate partner. However, as partners of breast cancer patients are struggling with their emotional distress, they often feel inadequate about their ability to help their wives and partners cope. It is important for practitioners to understand this concept of twofold stress.
"Kayser and Scott have written an excellent manual for mental health practitioners who care for women with cancer. To provide the best treatment for women and couples living with cancer, it is imperative for the therapist to have a thorough understanding of medical treatments as well as normal responses to the experience. Readers of this well-written, thoughtful, and practical book will have both." -Hester Hill Schnipper, LICSW, BCD, OSW-C, Chief, Oncology Social Work, BIDMC, Author, After Breast Cancer: A Commonsense Guide to Life After Treatment Close relationships can be vital to a woman’s recovery from breast or gynecological cancer and the myriad stressors that accompany diagnosis and treatment. Helping Couples Cope with Women’s Cancer shows readers not only how to enlist the patient’s closest support person in coping with the disease, but also to help that partner with the stressors, such as feelings of inadequacy and loss, that so often come with the role. The authors, established experts on their subject, recognize the challenges couples face, the central role of communication in coping, and the individuality of each patient and couple. In addition to proven intervention techniques and helpful assessment tools, the book features case illustrations, "What to do if..." sections, sociocultural considerations, and suggestions for when the patient’s caregiver is not her partner. Key areas of coverage include: Assessment: quality of life, impact of illness, family resources. Balancing work, family, self-care, and the demands of illness. Cognitive coping, relaxation, stress reduction. Body image, sexuality, and intimacy. Helping children cope: developmental guidelines. Transitions: goal-setting, life after cancer, facing recurrence or terminal illness. The skills and insights contained in Helping Couples Cope with Women’s Cancers will benefit a range of health and mental health practitioners, including counselors, social workers, clinical psychologists, psychiatrists, and nurses. Graduate students planning a career in health psychology or couples therapy should also find it a valuable resource.
Preceded by Psychosocial nursing care along the cancer continuum / edited by Rose Mary Carroll-Johnson, Linda M. Gorman, Nancy Jo Bush. 2nd ed. c2006.
“Such a comprehensive resource for survivors has been long overdue.” --Michelle Melin, M.P.P., Director of Patient Services Y-ME National Breast Cancer Organization "An excellent, well-researched book that responds to the needs of survivors." --Anna Meadows, M.D. Director, Division of Oncology and Children's Cancer Research Center, Children's Hospital of Philadelphia Now as never before cancer survivors are discovering their potential for renewed sexuality, which many may never have thought possible. In this comprehensive new book, the leading authority in the field carefully and reassuringly explains your options and gives you the accurate, up-to-date information you need to take advantage of them. Now you can make the decisions that are best for you based on recent medical advances and the newest perspectives. This unique guide covers: * The kinds of sexual problems both men and women are likely to face after treatment--and state-of-the-art solutions * The most effective infertility treatments * How to assess the risks of pregnancy * The latest information on body image, low sex drive, performance anxieties, medications, sex aids, and reconstructive surgery * Special topics such as sex after breast or prostate cancer, and the specific problems facing gays, singles, and survivors of childhood cancers
This volume is in a series which explores the most current research in the Area Of Environmental Stressors And The Emotional Reaction They Envoke. Divided into four parts it considers stress in the workplace, in daily life, in schools as well as stress and disease.
"This volume addresses the construct of dyadic coping between people in intimate relationships. By strict definition, dyadic coping involves both partners and is the interplay between the stress signals of one partner and the coping reactions of the other or a genuine act of common (shared) coping. As the chapters in this volume illustrate, the construct of dyadic coping is nuanced, interpreted differently by the chapter authors to include processes such as everyday communication, interpersonal conflict, joint problem solving, the giving and receiving of emotional support, and dealing with life stressors as a we, not just two Is. The primary aim of this book is to present current approaches on stress and coping in couples, to bring American and European contributions together, and to stimulate further fruitful scientific exchange on this topic of growing importance. Intended primarily for scholars in the field of marital research, stress and coping research, and interpersonal relationships, the book also serves as a useful reader for practitioners. As the idea of dyadic coping is a new and innovative approach in the area of marital therapy, this volume should be of interest to therapists as well"--Preface. (PsycINFO Database Record (c) 2006 APA, all rights reserved)
The focus of Berek and Hacker's for four editions has been on the application of basic and clinical science to the clinical practice of gynecologic oncology. That approach has been successful and the book has been well received. The Fifth Edition follows the format of the previous editions, with the addition of color. We will also include a fully searchable companion Website that includes an image bank.
In recent decades a growing number of studies have described cancer as a “we-disease”. Patients with cancer as well as intimate partners experienced psychological distress. Studies displayed that various relational factors (e.g., attachment style, mutuality, etc.) such as diverse close relationship processes (e.g., dyadic coping, communication, shared-decision making, etc.) have an impact on individual (e.g., physical and psychological health, quality of life) and dyadic (e.g., marital quality and satisfaction, sexual and reproductive health, etc.) outcomes. Thus, programs reducing psychological distress and enhancing dyadic processes were developed.