Dignity and psychotherapeutic considerations in end-of-life care

被引:65
|
作者
Chochinov, HM [1 ]
Hack, T
Hassard, T
Kristjanson, LJ
McClement, S
Harlos, M
机构
[1] Univ Manitoba, Dept Psychiat, Winnipeg, MB R3T 2N2, Canada
[2] CancerCare Manitoba, Dept Psychosocial Oncol, Winnipeg, MB, Canada
[3] CancerCare Manitoba, Manitoba Palliat Care Res Unit, Winnipeg, MB, Canada
[4] Edith Cowan Univ, Perth, WA, Australia
[5] Univ Manitoba, Fac Nursing, Winnipeg, MB R3T 2N2, Canada
[6] St Boniface Gen Hosp, Winnipeg, MB R2H 2A6, Canada
关键词
D O I
10.1177/082585970402000303
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The basic tenets of palliative care are frequently subsumed under the goal of helping patients to die with dignity. Our research group has studied the issue of dignity, with dying patients serving as the primary informants. This paper reviews some of our findings, including an overview of the Dignity Model that derives from our empirical work. Furthermore, this paper summarizes various psychotherapeutic approaches which have been considered for this vulnerable patient population. Finally, we provide the rationale based on the Dignity Model for a psychotherapeutic intervention we have coined Dignity Therapy. This brief, individualized therapeutic approach has been informed by our dignity work, and specifically designed for application in patients nearing death.
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页码:134 / 142
页数:9
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