Supportive-expressive group therapy: the transformation of existential ambivalence into creative living while enhancing adherence to anti-cancer therapies
| Autor: | Diane Clifton, Fiona McDermott, Stanley Samuel Gold, George Christie, Graeme C. Smith, David M Clarke, Ann Morgan, Christine Hill, David W. Kissane, Brenda Grabsch |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Psychotherapist media_common.quotation_subject medicine.medical_treatment Culture Health Behavior Experimental and Cognitive Psychology Breast Neoplasms Ambivalence Altruism Group psychotherapy Creativity Interpersonal relationship Social support Medicalization medicine Humans Assertiveness Interpersonal Relations media_common Randomized Controlled Trials as Topic Social Support Middle Aged Psychiatry and Mental health Oncology Psychotherapy Group Female Psychology Attitude to Health Bereavement Wit and Humor as Topic |
| Zdroj: | Psycho-oncology. 13(11) |
| ISSN: | 1057-9249 |
| Popis: | Supportive-Expressive Group Therapy (SEGT) has been developed and manualised in the research setting, but there have been few clinical accounts of its utility. In this qualitative review of its application in the Melbourne-based randomised control trial (RCT) for women with advanced breast cancer, SEGT is considered from the perspective of the structure and framework of therapy, its therapists, the issues that develop in exploring its common themes and what constitutes a well functioning group. Groups move through identifiable developmental phases. The mature group process transforms existential ambivalence into creative living, evidenced by humour, celebration, assertiveness, altruism, new creative pursuits and eventually courageous acceptance of dying. Challenges and pitfalls include avoidance, non-containment of ambivalence, intolerance of difference, anti-group phenomena and splitting. A key element is the medicalization of the group culture whereby members and co-therapists explore health beliefs and attitudes about care. This promotes compliance with anti-cancer treatments, including both the initiation of and perseverance with chemotherapy. This mechanism could prove to be a potentially important pathway in promoting longer survival. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|