An Introduction to Psycho-Oncology by Patrice Guex, Karol Sikora

By Patrice Guex, Karol Sikora

Melanoma is intensely universal and in lots of events a really scary ailment, yet for too lengthy the mental elements and results were overlooked. An advent to Psycho-Oncology offers in a transparent and easy demeanour with the reactions of melanoma sufferers to their ailment, and the ways that they are often helped. within the context of a multidisciplinary procedure that takes account of scientific remedies in addition to mental interventions, Guex deals feedback for larger methods of speaking as a way to supply a healing partnership among carer and consumer.

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Consequently, sexual dysfunction may lead to a state of depression and an impoverishment of the quality of life. This alters the relationships with partners and increases the degree of isolation. These difficulties may also dissuade the patient from continuing his treatment, if his quality of life falls below a tolerable threshold. Certain patients will ask for a less aggressive treatment or will discontinue it rather than deprive themselves of a sex life (Vincent etal. 1975). DEPRESSION Depressive symptoms are frequent among cancer patients (Endicott 1984).

They often have sexual problems, which are bound up with the change in their feminine identity and the assault on their body image (BronnerHuszar 1971; Silberfarb 1984a; Schain 1982). Breast cancer patients often show symptoms associated with hormonal changes, whether as a result of hormone therapy (tamoxifen), chemotherapy (doxorubicin, cyclophosphamide, methotrexate, vin-cristine), radiotherapy, or, among premenopausal women, oophor-ectomy. These are hot flushes, paraesthesia (itching or burning, pins and needles), mood swings, fatigue, headaches, and insomnia.

Patients may remember that their illness began with a lessening of appetite and weight loss; every fear of recurrence may well show itself for them in the same way. Anorexia is often associated with a state of depression. Certain studies show that depression among cancer patients is manifested by feelings of low self-worth, uselessness, and guilt. Functional disorders, generally associated with latent depression, are difficult to distinguish in cancer patients from progression of the disease: anorexia, weight loss, insomnia, excessive tiredness, diminution of libido, and loss of interest in daily tasks (Holland and Mastrovito 1980).

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