By Patrice Guex, Karol Sikora
Melanoma is very universal and in lots of occasions a really scary illness, yet for too lengthy the mental elements and results were missed. An advent to Psycho-Oncology offers in a transparent and easy demeanour with the reactions of melanoma sufferers to their sickness, and the ways that they are often helped. within the context of a multidisciplinary method that takes account of scientific remedies in addition to mental interventions, Guex bargains feedback for higher methods of speaking in an effort to supply a healing partnership among carer and buyer.
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Additional resources for An Introduction to Psycho-Oncology
Anxiety is at the root of patients’ refusal of treatment, or of their desire to change the regime, to escape what they feel to be threatening. This may be an indication of loss of confidence in medicine, which may bring with it the interruption of treatment and the recourse to adjuvant therapies. 38 Chapter 4 The pain of the cancer patient ACUTE AND CHRONIC PAIN Pain is an important symptom in oncology. Many patients will suffer it at some time during the course of their illness. Of course it depends on the site or the type of tumour, but also on the therapeutic methods utilized and the psychosocial context in which the disease occurs (Foley 1982; Payne and Foley 1984).
The patient cannot easily envisage the treatment ahead (surgery, radiotherapy, or chemotherapy), which may involve changes in his physical make-up or psychological functions, and also great suffering (Wortman 1984). – The sudden confrontation with his own vulnerability. Even if the prognosis is favourable and gives hope of a good recovery, the limits of his life are now written down somewhere (Bronner-Huszar 1971). This violent upset on several levels sometimes gives rise to the need for assessment and allows feelings of guilt, thoughts of sins to be atoned for, or the desire to settle accounts which were previously pending.
If the patient has a case history of bipolar depression (alternating phases of mania and depression), one must not forget to maintain the basic treatment, if it is compatible with the care of the present illness. AN INTRODUCTION TO PSYCHO-ONCOLOGY 35 One must think of it if there is irritability, agitation, reduced need for sleep, expansiveness, or grandiose manifestations. COGNITIVE DISORDERS Alterations in mental state are observed fairly frequently during the course of the disease (Folstein et al.