The authors investigated longitudinally bereavement in mothers and fathers whose children died of cancer. Thirty-one parents were interviewed 6 and 18 months post-death. Analyses revealed parental differences and changes over time: (a) employment--fathers were more work-focused; (b) grief reactions--mothers expressed more intense grief reactions…

Confronting the reality of death is an important challenge for individuals facing life-threatening illness such as lung cancer, the leading cause of cancer death. Few studies, however, document the nature of death-related concerns in individuals newly diagnosed with lung cancer. The aims of this exploratory study were to examine unsolicited…

A 20 year retrospective qualitative case study was conducted to investigate the relational impact of choriocarcinoma (a type of gestational cancer) on a couple of child-bearing age. A unique feature to the study was that the primary investigator was the couple's biological son, initiating the first known auto-case study design. Using holistic…

Previous research suggests that caregivers and terminally ill patients face substantial difficulties discussing illness and death. Existing research, however, has focused primarily on the experience of patients. The current study compared responses as well as the relative strength of association between mortality communication, fear of death, and…

The death of the author's mother was not a surprise. Despite eighteen years of relative psychological and physical health while she lived with metastatic breast cancer, the last year of her life was a violent struggle against the disease that aggressively invaded her body. Her mother fought her death until the last moment. Within five days of…

This study comprehensively explored parental bereavement and adjustment at 6 months post-loss due to childhood cancer. Interviews were conducted with 18 mothers and 13 fathers. Interviews were transcribed verbatim and analyzed based on qualitative methodology. A model describing early parental bereavement and adaptation emerged with 3 domains:…

Results indicate cancer patients depend strongly on perceived strength of religious beliefs and values in coping with imminent death. Low fear of death was associated with previous experience with a dying person. Death anxiety scale score for cancer patients was significantly lower than for other populations. (Author/BEF)

There is a widely held clincial contention that people use similar coping strategies in facing life-threatening situations as they do in dealing with general life quandries. To examine this hypothesis, male cancer patients (N=74), male heart disease patients (N=77), elderly persons (N=73), male patients with nonlife-threatening illnesses or…

The author provides some reflections based on her experiences as a member of Becky's treatment team (see Werth, this issue). She briefly highlights some of the areas that were most important in her work with Becky and others with life-limiting illnesses, including information-seeking, social support, maintaining normalcy, depression and…

Presents a special series of seven articles dealing with biopsychosocial oncology, the role of psychology in cancer treatment. Includes an introduction by Lizette Peterson and articles by Thomas Burish and Michael Carey, Susan Jay et al., Shelley Taylor et al., David Cella and Susan Tross, Gerald Koocher, and Leonard Derogatis. (KS)

Asserts that, in some situations, one of the most useful strategies for helping cancer patients to cope can be denial. Presents definitions of coping in general and denial in particular. Discusses potential positive functions of denial for cancer patients and provides an overview of potential negative consequences. Concludes with brief summary and…

The author, a psychologist who has been specializing in end-of-life issues for over a decade, uses the death of his fiancee (Becky), following the withdrawal of a ventilator and the refusal to place her back on the machine, to discuss research and analysis of end-of-life care in the United States. After briefly discussing his own background,…

Presents recent investigations and reports related to group psychotherapy in cancer patients' treatment. Describes primary characteristics and results of studies examining evidence of therapeutic factors, psychosocial support groups, women's adjustment to mastectomies, training in stress management and coping skills, pain and mood disturbance, and…

The experience of siblings of a child with a life-threatening illness may be seen at the juncture of the following perspectives: (1) the family system; (2) a focus on living rather than on dying; and (3) a view toward positive adaptation rather than toward psychopathology. The most critical focus is on the sibling-patient relationship itself. (BJV)

Investigates experiences of Greek mothers who cared for a child dying of cancer. Highlighted some needs during the terminal period. Fifteen mothers were interviewed and both quantitative and qualitative procedures were used to analyze findings. Family networks played a significant role in supporting mother-child units, especially when death…