Psychotherapy for cancer patients

  At present, cancer has become a common disease that seriously endangers human health. In China alone, according to the statistics in 1992, there are about 2 million cancer patients and 1.3 million people died from cancer every year. It is far from enough to rely on a certain treatment method alone, and a considerable proportion of cancer patients have achieved satisfactory results by using comprehensive treatment. As an oncology professional, I cannot emphasize on treatment and neglect psychological factor treatment. Many years of clinical observation show that extreme pessimism and mental depression may promote one of the causes of cancer deterioration, which is detrimental to both treatment and recovery. Therefore, psychological treatment is especially important for adjuvant treatment of cancer patients. Now, we would like to present some experiences for colleagues’ reference.  I. Analysis of psychological characteristics of cancer patients 1. It is difficult to accept the sudden cancer diagnosis and there is a fluke mentality. Patients always try to pass repeated examinations in major hospitals to negate the diagnosis. But it is easy to delay the timely treatment, more often seen in people who are usually confident.  2. When patients learn that they have cancer, they are nervous and anxious. They are prone to fire and anger; fidgeting and affecting sleep. These people have strong character, work seriously and are not willing to lag behind in everything. Once they fall ill and stop working, they have a sense of loss psychologically.  3. Fear and resentment after the disease. Such patients are cautious everywhere, fearing that the doctor’s treatment is wrong or the nurse issued the wrong medication. Some people even count the pills each time they are given, and are upset when they find more or less. Originally able to take care of themselves, but also rely on others everywhere, bedridden, mostly seen in the personality of the withdrawn.  4.Depressed and disappointed in the treatment. Patients are depressed and lazy, with indifferent expressions; worried about the estrangement of spouses and children, internal grief, or even unbearable physical torture and light-heartedness. Introverted personality is more common.  Firstly, observe and analyze the psychological state of the patients, and adopt different methods to enlighten the specific psychology caused by different environments; for patients who are usually more confident, make them understand and treat the disease correctly, adopt a positive attitude, strive for mutual trust between doctors and patients, and treat them early so as not to delay the disease; for those who are withdrawn, give inspiration and guidance to overcome the fear psychologically; for patients with heavy worries, give inspiration and guidance to overcome the fear. For patients with heavy worries, make them realize that bad psychological and mental state can lead to deterioration of the disease, so that they can be relieved from their multiple thoughts and worries; for patients with introverted personality, doctors and nurses should help patients find the spiritual strength to support their living.  2. Encourage the patient to establish the belief of survival. Ancient medical books say, “The spirit is not revived, the will is not cured, so it cannot be cured.” The patient should be encouraged to fight against the disease with the firm belief that it can be cured. Medical personnel should treat patients with sincerity and use the art of language to infect patients and warm their hearts, so as to strengthen patients’ belief in survival. They make the patients realize that they can only survive if they fight tenaciously against cancer, believe in modern medicine and actively cooperate with treatment.  3.When patients receive surgery, radiotherapy, chemotherapy and other treatments, explain the necessity of treatment. Explain to patients that all kinds of treatment may have side effects, so that they can have enough mental and psychological preparation to better cooperate with the treatment. There are many clinical cases that show that to a certain extent, good mental state as an adjuvant treatment can often have unexpected effects.  In conclusion, cancer patients have a lot of psychological conflicts. While patients are in great need of active treatment by medical and nursing staff, it is not negligible to attach more importance to psychological treatment and try to arouse patients’ desire to live.