The book tells the stories of 39 patients with incurable lung cancer. It aims to help patients, families, and healthcare providers understand the experience of living with cancer. It also invites reflections on the essential questions of meaning, resilience, and coping with adversity in life. The author is a family doctor, teacher, and researcher who is also a stage 4 lung cancer patient himself. He is patient #40. Facing one's mortality, patients with cancer develop an urgency to find meaning in life. They struggle with the illness, its emotional impact, and the consequences of treatments. However, with time, reflection, and support from others, they develop resilience. Cancer patients often are not passive. Instead, they choose different strategies to maintain and restore their health. They also leverage a variety of approaches to cope better with their struggle. The book is for cancer patients who are tarrying at the limits of time. It is also for those who live around patients with cancer: caregivers, families and friends, and health care providers. People who struggle with other illnesses will also find aspects of their story reflected here. Also, the ones who have experienced a crisis of identity will discover elements of their story here as well. By sharing the experiences of the forty authentic individuals, the book opens the space for them to teach others. This book is about the essence of the human experience at its limits. It is for every reader.

This volume strives to give oncologists and other medical practitioners a thorough picture of the oncology patient. It’s designed to show that psychological needs of the patient are an important aspect that should be considered for optimizing the effects of cancer treatment, no less than genetic, immunological, physiological and other medical features that are often considered as necessary components of personalized medicine. Using evidence-based information, the book describes the different ways cancer touches upon a person’s life, including emotional, physical, and social changes, important decisions, and support structure. It also details the phases every cancer patient encounters along the way, from getting tested and waiting for the diagnosis, to treatments, survival, and confronting one’s mortality. Psycho-oncology for the Clinician will serve to contribute to the further scientific development of psycho-oncology, expand its use as a treatment modality, strengthen its status as an essential component of cancer care, and promote the acceptance of psycho-oncology as the new evidence-based constituent of personalized medicine in oncology.

Meaning-Centered Psychotherapy (MCP) for advanced cancer patients is a highly effective intervention for advanced cancer patients, developed and tested in randomized controlled trials by Breitbart and colleagues at Memorial Sloan-Kettering Cancer Center. This treatment manual for group therapy provides clinicians in the oncology and palliative care settings a highly effective, brief, structured intervention shown to be effective in helping patients sustain meaning, hope and quality of life.

Our existence is fragile. I learned that in many intricate ways, so I do not take today for granted. I do not know what tomorrow will bring. I do not even know if tomorrow will come. On the eve of Thanksgiving 2016, I received the diagnosis of stage 4 lung cancer. Next to dying, I fear the spread of cancer to my brain and losing my ability to think, speak, or write. This loss would be devastating to me.The fragility of our life made me want to be authentic. Therefore, I am writing this memoir to be authentic--we become our true selves when we author who we are. I am afraid of being forgotten. Death does frighten me. But more than dying, I am scared of having no one remember me or, even worse, of being recognized differently from who I was. At the same time, I have never thought that I was entitled to ask others not to forget me. But, not to be forgotten is precisely what I yearn for. While I am writing for the other, I am simultaneously writing for myself. I am one of the readers and will test the subject as it gets written. My criteria are stricter. I want to say, "This is my narrative."I need to be able to say, "This is my narrative."

The properties and function of human communication. Called “one of the best books ever about human communication,” and a perennial bestseller, Pragmatics of Human Communication has formed the foundation of much contemporary research into interpersonal communication, in addition to laying the groundwork for context-based approaches to psychotherapy. The authors present the simple but radical idea that problems in life often arise from issues of communication, rather than from deep psychological disorders, reinforcing their conceptual explorations with case studies and well-known literary examples. Written with humor and for a variety of readers, this book identifies simple properties and axioms of human communication and demonstrates how all communications are actually a function of their contexts. Topics covered in this wide-ranging book include: the origins of communication; the idea that all behavior is communication; meta-communication; the properties of an open system; the family as a system of communication; the nature of paradox in psychotherapy; existentialism and human communication.

Chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. The 2010 Patient Protection and Affordable Care Act required the Department of Health and Human Services (HHS) to enlist the Institute of Medicine (IOM) in examining pain as a public health problem. In this report, the IOM offers a blueprint for action in transforming prevention, care, education, and research, with the goal of providing relief for people with pain in America. To reach the vast multitude of people with various types of pain, the nation must adopt a population-level prevention and management strategy. The IOM recommends that HHS develop a comprehensive plan with specific goals, actions, and timeframes. Better data are needed to help shape efforts, especially on the groups of people currently underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments. Because pain varies from patient to patient, healthcare providers should increasingly aim at tailoring pain care to each person's experience, and self-management of pain should be promoted. In addition, because there are major gaps in knowledge about pain across health care and society alike, the IOM recommends that federal agencies and other stakeholders redesign education programs to bridge these gaps. Pain is a major driver for visits to physicians, a major reason for taking medications, a major cause of disability, and a key factor in quality of life and productivity. Given the burden of pain in human lives, dollars, and social consequences, relieving pain should be a national priority.

This open access book has been written by ten Belgian health care professionals, nurses, university professors and doctors specializing in palliative care and ethicists who, together, raise questions concerning the practice of euthanasia. They share their experiences and reflections born out of their confrontation with requests for euthanasia and end-of-life support in a country where euthanasia has been decriminalized since 2002 and is now becoming a trivial topic.Far from evoking any militancy, these stories of life and death present the other side of a reality needs to be evaluated more rigorously.Featuring multidisciplinary perspectives, this though-provoking and original book is intended not only for caregivers but also for anyone who questions the meaning of death and suffering, as well as the impact of a law passed in 2002. Presenting real-world cases and experiences, it highlights the complexity of situations and the consequences of the euthanasia law.This book appeals to palliative care providers, hematologists, oncologists, psychiatrists, nurses and health professionals as well as researchers, academics, policy-makers, and social scientists working in health care. It is also a unique resource for those in countries where the decriminalization of euthanasia is being considered. Sometimes shocking, it focuses on facts and lived experiences to challenge readers and offer insights into euthanasia in Belgium.

A compassionate, shame-free guide for your darkest days “A one-of-a-kind book . . . to read for yourself or give to a struggling friend or loved one without the fear that depression and suicidal thoughts will be minimized, medicalized or over-spiritualized.”—Kay Warren, cofounder of Saddleback Church What happens when loving Jesus doesn’t cure you of depression, anxiety, or suicidal thoughts? You might be crushed by shame over your mental illness, only to be told by well-meaning Christians to “choose joy” and “pray more.” So you beg God to take away the pain, but nothing eases the ache inside. As darkness lingers and color drains from your world, you’re left wondering if God has abandoned you. You just want a way out. But there’s hope. In I Love Jesus, But I Want to Die, Sarah J. Robinson offers a healthy, practical, and shame-free guide for Christians struggling with mental illness. With unflinching honesty, Sarah shares her story of battling depression and fighting to stay alive despite toxic theology that made her afraid to seek help outside the church. Pairing her own story with scriptural insights, mental health research, and simple practices, Sarah helps you reconnect with the God who is present in our deepest anguish and discover that you are worth everything it takes to get better. Beautifully written and full of hard-won wisdom, I Love Jesus, But I Want to Die offers a path toward a rich, hope-filled life in Christ, even when healing doesn’t look like what you expect.

This manual provides guidance on proven disease prevention strategies and practical behavioral science principles for health workers involved in all levels of planning and operating local and regional health programmes. Issues discussed include: basic disease prevention principles; community health intervention strategies; improving health throughout the life cycle; leading forms of death and disability including brain and behavioural disorders, cardiovascular diseases, strokes and cancers; and successful strategies for behavioural change.

Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.