Saying the final goodbye: When some say goodbye, we say hello Journal Article


Authors: Wiener, L.; Marcus, J.; Rasmussen, C.; Loscalzo, M.; Rosa, W. E.; Roth, A.
Article Title: Saying the final goodbye: When some say goodbye, we say hello
Abstract: This paper is based on a symposium delivered at the 21st Annual American Psychosocial Oncology Society Conference in Albuquerque, New Mexico in March 2024. The symposium derived from presenters' clinical and academic experiences, spanning from trainee to experienced senior mental health practitioners, working in diverse clinical cancer settings with persons dying from cancer across the life course. The final goodbye is not just a statement of farewell, but rather a conversation begun from the moment of “hello” in a therapeutic psychosocial-oncology relationship that may encompass a range of dimensions including time and space, verbal utterances, bodily gestures, and unspoken thoughts. Consideration of the ultimate goodbye, and the universality of death, especially when unpredictable, and even if never articulated, can inform the therapy and mold a helpful and caring end to the relationship. Maintaining a focus on living with present circumstances - what is feared, what is regretted, what is cherished, and what can still be hoped for, while understanding the certitude of death during the end stages of cancer - may be considered the art of psychosocial oncology. Since it can only be garnered over time with practice, there are few “wrong” ways to do this with humility—and many formidable experiences to learn from. © 2025 The Author(s). Psycho-Oncology published by John Wiley & Sons Ltd. This article has been contributed to by U.S. Government employees and their work is in the public domain in the USA.
Keywords: health practitioner; death; communication; communication skill; mental health; dying; end of life; psychosocial; symposium; relationship; conversation; human; article; care behavior; good-bye; gesture
Journal Title: Psycho-Oncology
Volume: 34
Issue: 7
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2025-07-01
Start Page: e70178
Language: English
DOI: 10.1002/pon.70178
PROVIDER: scopus
PMCID: PMC12270712
PUBMED: 40675785
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PubMed record and PDF -- Source: Scopus
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  1. Andrew J Roth
    106 Roth
  2. William   Rosa
    220 Rosa