Cancer Stress And Death

When I delivered the keynote address at our joint 1977 symposium on Cancer, Stress, and Death in Montreal, I took great pride in announcing my unique qualification for this singular honor-I had survived a normally fatal cancer, a histiocytic reticulosarcoma that had developed under the skin of my thigh several years pre viously. Faced with the physical and emotional realities of this situa tion, I refused to retreat from life in desperation. I immediately underwent surgery and cobalt therapy, but insisted on knowing my chances for a lasting recovery, which at that time seemed far from encouraging. Although I knew it would take tremendous self-discipline, I was determined to continue living and working without worrying about the outcome. I suppressed any thoughts of my ostensibly imminent death, but rewrote my will, including in it several suggestions for the continuation of my work by my colleagues. Having taken care of that business, I promptly forced myself to disregard the whole calamity. I immersed myself in my work-and I survived! But, of course, this was not my only reason for my feelings of pride and accomplishment.

In Facing Cancer and the Fear of Death: A Psychoanalytic Perspective on Treatment, Dr. Norman Straker proposes that "death anxiety" is responsible for the American society's failure to address costly futile care at the end of life; more specifically, doctors default on the appropriate prescription of palliative care because of this anxiety. This leads to unnecessary suffering for terminally-ill patients and their families and significant distress for physicians. To address these challenges in the culture of medical education, increased psychological support for physicians who treat dying patients is necessary. Additionally, physicians need to reach a consensus regarding the discontinuation of active treatments. Psychoanalysts have traditionally denied the importance of death anxiety and report relatively few treatment cases of dying patients in their literature. This book offers multiple treatment reports by psychoanalysts that illustrate the effectiveness and value of a flexible approach to patients facing death. The psychoanalytic reader is expected to gain a greater level of comfort with facing death and is encouraged to consider making themselves more available to the ever-increasing population of cancer survivors. Further, psychoanalysts are encouraged to be more useful partners to the oncologists that are burdened by the irrational feelings of all parties.

The emotional pressures on cancer patients and their families are increasing and traditional supports are decreasing. This book attempts to provide a readable, authoritative and balanced review of the emotional pressures and coping methods of cancer patients, and the help currently available to them. The special problems of children and terminal patients with cancer, and the role of the family in coping, are also examined. A balanced and critical assessment is made of defects in health organisation, training of personnel and attitudes to cancer patients in Western society. A similar assessment is made of the growing tendency to self help, mutual help and group activities for such patients. While each individual needs to select coping aids best suited to his or her own temperament, medical advisors need to make more time available for discussion of technical, emotional, social and sexual problems. The availability of a cancer-treating "team" makes this feasible. Chapters were invited from physicians, psychiatrists, psychologists and sociologists expert in this field, and they have responsed to the challenge of writing in non-technical language. This is so that readership can cross disciplinary boundaries and thus stimulate physicians, nurses, psychologists, sociologists, clergy and others, to satisfy some of the currently unmet needs of cancer patients. The reader may note a small amount of overlap between some chapters, permitted in order to maintain continuity and make each chapter complete in itself.

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.

THE NEW YORK TIMES BESTSELLER! "I had the choice to come back ... or not. I chose to return when I realized that 'heaven' is a state, not a place" In this truly inspirational memoir, Anita Moorjani relates how, after fighting cancer for almost four years, her body began shutting down—overwhelmed by the malignant cells spreading throughout her system. As her organs failed, she entered into an extraordinary near-death experience where she realized her inherent worth . . . and the actual cause of her disease. Upon regaining consciousness, Anita found that her condition had improved so rapidly that she was released from the hospital within weeks—without a trace of cancer in her body! Within this enhanced e-book, Anita recounts—in words and on video—stories of her childhood in Hong Kong, her challenge to establish her career and find true love, as well as how she eventually ended up in that hospital bed where she defied all medical knowledge. In "Dying to Be Me," Anita Freely shares all she has learned about illness, healing, fear, "being love," and the true magnificence of each and every human being!