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Published in: Current Psychiatry Reports 10/2014

01-10-2014 | Complex Medical-Psychiatric Issues (MB Riba, Section Editor)

Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer

Authors: Lori P. Montross Thomas, Emily A. Meier, Scott A. Irwin

Published in: Current Psychiatry Reports | Issue 10/2014

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Abstract

Caring for patients with cancer involves addressing their myriad physical, psychological, social, and spiritual needs. Although many cancer treatments focus on physical or psychological needs, few treatments specifically target the basic need for meaning and spiritual well-being in this population. This article describes the creation and evolution of a new psychotherapy devoted to these needs, a therapy termed "meaning-centered psychotherapy.” In this article, a detailed description of meaning-centered psychotherapy is provided. An explanation of the current research findings related to this treatment are also offered, with information about the various group and individual treatments as well as the new expansions for use with cancer survivors or nursing staff. Overall, meaning-centered psychotherapy shows promise for enhancing meaning and spiritual well-being among patients with cancer and offers exciting possibilities for future research in other areas.
Literature
1.
go back to reference Ferris FD, Balfour HM, Bowen K, Farley J, Hardwick M, Lamontagne C, et al. A model to guide patient and family care: based on nationally accepted principles and norms of practice. J Pain Symptom Manag. 2002;24(2):106–23.CrossRef Ferris FD, Balfour HM, Bowen K, Farley J, Hardwick M, Lamontagne C, et al. A model to guide patient and family care: based on nationally accepted principles and norms of practice. J Pain Symptom Manag. 2002;24(2):106–23.CrossRef
2.
go back to reference Irwin SA, Fairman N, Montross L. Alleviating psychological and spiritual pain. In: Porter Storey C Jr., editor. UNIPAC 2: A resource for hospice and palliative care professionals. 4th ed. Glenview: American Academy of Hospice and Palliative Medicine; 2012. Irwin SA, Fairman N, Montross L. Alleviating psychological and spiritual pain. In: Porter Storey C Jr., editor. UNIPAC 2: A resource for hospice and palliative care professionals. 4th ed. Glenview: American Academy of Hospice and Palliative Medicine; 2012.
3.
go back to reference APA handbook of psychology, religion, and spirituality (vol 2): An applied psychology of religion and spirituality. Washington, DC, US: American Psychological Association, Washington, DC; 2013. APA handbook of psychology, religion, and spirituality (vol 2): An applied psychology of religion and spirituality. Washington, DC, US: American Psychological Association, Washington, DC; 2013.
4.•
go back to reference Breitbart W. Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10(4):272–80. This literature review offers a comprehensive overview of meaning, spirituality, and transcendence in end-of-life care, describes how traditional psychotherapies have tried to address topics among cancer patients, and how Meaning-Centered Psychotherapy helps to address those needs. Breitbart W. Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer. 2002;10(4):272–80. This literature review offers a comprehensive overview of meaning, spirituality, and transcendence in end-of-life care, describes how traditional psychotherapies have tried to address topics among cancer patients, and how Meaning-Centered Psychotherapy helps to address those needs.
5.•
go back to reference Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010;19(1):21–8. This is a foundational article in Meaning-Centered Psychotherapy as it describes in detail the first randomized controlled trial in this area. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, et al. Meaning-centered group psychotherapy for patients with advanced cancer: a pilot randomized controlled trial. Psychooncology. 2010;19(1):21–8. This is a foundational article in Meaning-Centered Psychotherapy as it describes in detail the first randomized controlled trial in this area.
6.
go back to reference Frankl VE. Man's search for meaning: An introduction to Logotherapy. 4th ed. Boston: Beacon Press; 1992. Frankl VE. Man's search for meaning: An introduction to Logotherapy. 4th ed. Boston: Beacon Press; 1992.
7.
go back to reference Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med. 2009;12(10):885–904.PubMedCrossRef Puchalski C, Ferrell B, Virani R, Otis-Green S, Baird P, Bull J, et al. Improving the quality of spiritual care as a dimension of palliative care: the report of the consensus conference. J Palliat Med. 2009;12(10):885–904.PubMedCrossRef
8.•
go back to reference Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012;30(12):1304–9. This is the foundational article pertaining to Meaning-Centered Group Psychotherapy’s adaptation to an individual therapy format.PubMedCrossRefPubMedCentral Breitbart W, Poppito S, Rosenfeld B, Vickers AJ, Li Y, Abbey J, et al. Pilot randomized controlled trial of individual meaning-centered psychotherapy for patients with advanced cancer. J Clin Oncol. 2012;30(12):1304–9. This is the foundational article pertaining to Meaning-Centered Group Psychotherapy’s adaptation to an individual therapy format.PubMedCrossRefPubMedCentral
9.•
go back to reference Breitbart W, Applebaum A. Meaning-centered group psychotherapy. In: Watson M, Kissane DW, editors. Handbook of psychotherapy in cancer care. 1st ed. Oxford: JWiley; 2011. A helpful description of the theoretical underpinnings for Meaning-Centered Group Psychotherapy as well as detailed information about the content and aim of each psychotherapy session within the treatment. Breitbart W, Applebaum A. Meaning-centered group psychotherapy. In: Watson M, Kissane DW, editors. Handbook of psychotherapy in cancer care. 1st ed. Oxford: JWiley; 2011. A helpful description of the theoretical underpinnings for Meaning-Centered Group Psychotherapy as well as detailed information about the content and aim of each psychotherapy session within the treatment.
10.
go back to reference Greenstein M. The house that's on fire: meaning-centered psychotherapy pilot group for cancer patients. Am J Psychother. 2000;54(4):501–11.PubMed Greenstein M. The house that's on fire: meaning-centered psychotherapy pilot group for cancer patients. Am J Psychother. 2000;54(4):501–11.PubMed
11.
go back to reference Applebaum AJ, Lichtenthal WG, Pessin HA, Radomski JN, Simay Gokbayrak N, Katz AM, et al. Factors associated with attrition from a randomized controlled trial of meaning-centered group psychotherapy for patients with advanced cancer. Psycho-Oncology. 2012;21(11):1195–204.PubMedCrossRef Applebaum AJ, Lichtenthal WG, Pessin HA, Radomski JN, Simay Gokbayrak N, Katz AM, et al. Factors associated with attrition from a randomized controlled trial of meaning-centered group psychotherapy for patients with advanced cancer. Psycho-Oncology. 2012;21(11):1195–204.PubMedCrossRef
12.
go back to reference van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Cuijpers P, Knipscheer-Kuipers K, et al. Effectiveness and cost-effectiveness of a meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial. BMC Psychiatry. 2014;14:22. 244X-14-22.PubMedCrossRefPubMedCentral van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Cuijpers P, Knipscheer-Kuipers K, et al. Effectiveness and cost-effectiveness of a meaning-centered group psychotherapy in cancer survivors: protocol of a randomized controlled trial. BMC Psychiatry. 2014;14:22. 244X-14-22.PubMedCrossRefPubMedCentral
13.
go back to reference van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Tollenaar RA, Cuijpers P, et al. Meaning making in cancer survivors: a focus group study. PLoS ONE. 2013;8(9):e76089.PubMedCrossRefPubMedCentral van der Spek N, Vos J, van Uden-Kraan CF, Breitbart W, Tollenaar RA, Cuijpers P, et al. Meaning making in cancer survivors: a focus group study. PLoS ONE. 2013;8(9):e76089.PubMedCrossRefPubMedCentral
14.•
go back to reference Fillion L, Duval S, Dumont S, Gagnon P, Tremblay I, Bairati I, et al. Impact of a meaning-centered intervention on job satisfaction and on quality of life among palliative care nurses. Psycho-Oncology. 2009;18(12):1300–10. Only study thus far to adapt Meaning-Centered Psychotherapy for use with staff. Fillion L, Duval S, Dumont S, Gagnon P, Tremblay I, Bairati I, et al. Impact of a meaning-centered intervention on job satisfaction and on quality of life among palliative care nurses. Psycho-Oncology. 2009;18(12):1300–10. Only study thus far to adapt Meaning-Centered Psychotherapy for use with staff.
15.
go back to reference Albom M. Tuesdays with morrie: A young man, an old man, and life's greatest lesson. New York: Bantam Doubleday Dell Publishing Group; 1997. Albom M. Tuesdays with morrie: A young man, an old man, and life's greatest lesson. New York: Bantam Doubleday Dell Publishing Group; 1997.
16.
go back to reference Palinkas LA, Horwitz SM, Chamberlain P, Hurlburt MS, Landsverk J. Mixed-methods designs in mental health services research: a review. Psychiatr Serv. 2011;62(3):255–63.PubMedCrossRef Palinkas LA, Horwitz SM, Chamberlain P, Hurlburt MS, Landsverk J. Mixed-methods designs in mental health services research: a review. Psychiatr Serv. 2011;62(3):255–63.PubMedCrossRef
Metadata
Title
Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer
Authors
Lori P. Montross Thomas
Emily A. Meier
Scott A. Irwin
Publication date
01-10-2014
Publisher
Springer US
Published in
Current Psychiatry Reports / Issue 10/2014
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI
https://doi.org/10.1007/s11920-014-0488-2

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