Authors: | Holland, J.; Poppito, S.; Nelson, C.; Weiss, T.; Greenstein, M.; Martin, A.; Thirakul, P.; Roth, A. |
Article Title: | Reappraisal in the eighth life cycle stage: A theoretical psychoeducational intervention in elderly patients with cancer |
Abstract: | Elderly patients with cancer face unique physical and psychiatric challenges in coping with their illness. Optimal psychosocial therapy for older cancer patients requires recognizing certain enhanced psychological capacities such as coping better with illness, which is associated with older age. This strength can be combined with the most appropriate cognitive coping strategies to develop a model intervention. This paper describes such a model, which integrates Erik Erikson's eighth and final psychosocial developmental life stage, in which the task is to achieve ego integrity (equanimity) or to experience despair (sadness, regrets), with Susan Folkman's cognitive coping paradigm, which utilizes reappraisal. This theoretical model addresses older cancer patients who are struggling with depression, isolation, and despair related to aging and illness, and utilizes cognitive reappraisal in a group setting to foster relatedness, acceptance of illness, and a sense of meaningful integration. © 2009 Cambridge University Press. |
Keywords: | aged; neoplasm; neoplasms; quality of life; patient education; patient education as topic; age factors; social environment; age; adaptive behavior; psychological aspect; adaptation, psychological; depression; anxiety disorder; cognitive therapy; sick role; patient attitude; psychotherapy, group; elderly; erikson; folkman; reappraisal; group therapy; life event; loneliness; social isolation; anxiety disorders; depressive disorder; life change events |
Journal Title: | Palliative and Supportive Care |
Volume: | 7 |
Issue: | 3 |
ISSN: | 1478-9515 |
Publisher: | Cambridge University Press |
Date Published: | 2009-09-01 |
Start Page: | 271 |
End Page: | 279 |
Language: | English |
DOI: | 10.1017/s1478951509990198 |
PUBMED: | 19788768 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "Source: Scopus" |