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Cognitive-Existential Group Therapy for Patients with Primary Breast Cancer — Techniques and Themes

✍ Scribed by David W. Kissane; Sidney Bloch; Patricia Miach; Graeme C. Smith; Ann Seddon; Nicholas Keks

Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
48 KB
Volume
6
Category
Article
ISSN
1057-9249

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✦ Synopsis

We describe a model of cognitive-existential group therapy designed to be integrated over 6 months with regimens of adjuvant chemotherapy given as conventional medical treatment to breast cancer patients with stage 1 and 2 disease. Our broad therapy goals are for members to develop a supportive network, work through grief over losses, improve problem solving and develop cognitive strategies to maximise coping, enhance a sense of mastery over life and re-evaluate priorities for the future. Specific group themes include death anxiety, fear of recurrence, living with uncertainty, understanding treatment with chemotherapy, radiotherapy and hormone regimens, the collaborative doctor-patient relationship, body and self image, sexuality, relationships with partner, friends and family, surgical reconstruction, life style effects and future goals. Active coping skills are developed through teaching formal problem solving and cognitive restructuring of automatic negative thoughts. Technical aspects of the therapy are discussed.

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