“In sickness and in health”: A group intervention for spouses caring for patients with brain tumors Journal Article


Authors: Horowitz, S.; Passik, S. D.; Malkin, M. G.
Article Title: “In sickness and in health”: A group intervention for spouses caring for patients with brain tumors
Abstract: The spouses of patients with brain tumors face extraordinary stresses. As the disease progresses, the patient undergoes profound personality and behavioral changes, may lose control of bodily functions, and, with the loss of cognitive function, may not recognize the spouse. The course of the disease is complicated and unpredictable, and as the patient deteriorates, he or she often requires 24-hour supervision. Recognizing the needs of spouses who care for brain tumor patients at home, the Neuro-oncology treatment team at Memorial Sloan-Kettering Cancer Center initiated a group to provide practical and emotional support for them. The group, which lasted for 18 months, helped facilitate the patients' home care and reduced the spouses' anxiety and depression, as conveyed by the spouses' verbal reports and their reluctance to terminate the group. The authors attribute the profound meaning of the group to its members to therapeutic factors that are unique to the interpersonal nature of most group processes. These factors include universality, altruism, information, and the instilling of hope. The authors also attribute the group's success to the fact that it served as a “transitional object” for group members undergoing the painful process of losing a loved one in piecemeal fashion by providing a surrogate for the dying spouse and thereby easing the members' transition from spouse to widow or widower. © 1996 by The Haworth Press, Inc. All rights reserved.
Keywords: cancer patient; brain tumor; social support; depression; stress; caregiver; anxiety; behavior disorder; home care; parent; personality disorder; article
Journal Title: Journal of Psychosocial Oncology
Volume: 14
Issue: 2
ISSN: 0734-7332
Publisher: Taylor & Francis Group  
Date Published: 1996-01-01
Start Page: 43
End Page: 56
Language: English
DOI: 10.1300/J077v14n02_03
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 22 November 2017 -- Source: Scopus
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  1. Steven D Passik
    122 Passik
  2. Mark Malkin
    38 Malkin