Download An Introduction to Psycho-Oncology by Patrice Guex, Karol Sikora PDF

By Patrice Guex, Karol Sikora

Melanoma is intensely universal and in lots of events a really scary affliction, yet for too lengthy the mental features and results were neglected. An creation to Psycho-Oncology offers in a transparent and straightforward demeanour with the reactions of melanoma sufferers to their disorder, and the ways that they are often helped. within the context of a multidisciplinary technique that takes account of scientific remedies in addition to mental interventions, Guex bargains feedback for greater methods of speaking for you to supply a healing partnership among carer and purchaser.

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To be thoroughly informed, by taking advice from several doctors, may give significant support at the time of diagnosis. At another stage, this might seem both inadequate and dangerous for the policy of care and a handicap to concentrating all forces on a specific task. The central problem of this whole story is that of living constantly in uncertainty: to live with all the ambiguity of cancer, experienced as life-threatening but treated as a chronic sickness. Each person asks himself about the consequences, the risks of recurrence, the progressiveness of the disease and the anguish it will cause among family and friends.

This is revealed when the patient does not present the classical signs of rebellion on the announcement of his diagnosis (suffering, fear, and anger) (Wirsching et al. 1981). Renneker (1981) has defined the ‘pathological niceness syndrome’. This may signal dangerous ground and constitutes a risk factor. It is particularly important to monitor patients who present as too submissive, passive, and anxious in order to please the doctor (Bahnson 1976; Baltrusch 1975). Generally, they belong to the category of people who do not present any problem, and whom one appreciates for it, because they do not require one to devote too much time to them and are always in agreement.

Sometimes the symptoms anticipate the treatments. In fact, some patients feel sick when merely thinking about their chemotherapy the day before the treatment, on the way to the hospital, or encountering the smells or colours of the treatment room. This anticipatory nausea is the result, as with chronic pain, of a process of classical conditioning (Bernstein et al. 1979). Repeated injections of cytotoxic chemicals in association with contextual stimuli (smells, sounds, colours) give rise to the development of nausea and vomiting, which in their turn make the response worse.

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