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Supportive Care in Cancer

, Volume 14, Issue 12, pp 1246–1251 | Cite as

A narrative account of the impact of positive thinking on discussions about death and dying

  • Catherine McGrathEmail author
  • Kathleen Montgomery
  • Karolyn White
  • Ian H. Kerridge
Original Article

Abstract

Goals of work

The purpose of this study was to explore the experience of autologous stem cell transplant recipients (ASCT) and those who care for them.

Materials and methods

This was a qualitative prospective, longitudinal study. Ten patients who were about to have ASCT and nine carers were recruited to the study. Interviews were to be conducted at regular intervals six times over 2 years. The narratives of two widowed carers were analysed using Grounded Theory and read for themes on positive thinking and death.

Main results

Positive thinking has a range of meanings, and its use can have a range of consequences. It can either be a useful coping strategy or can interfere with important conversations and planning about the end of life, and subsequently add to the distress of a grieving partner.

Conclusions

It is important for patients, their partners and their health professionals to be able to discuss potential adverse consequences of illness, including death, without being hindered by the obligation to be positive or optimistic.

Keywords

Autologous stem cell transplant Positive thinking Death Carers 

References

  1. 1.
    Aries P (1994) Western attitudes toward death: from the middle ages to the present. Marion Boyars, LondonGoogle Scholar
  2. 2.
    Charmaz K (2000) Grounded theory: objectivist and constructivist methods. In: Denzin N, Lincoln Y (eds) Handbook of qualitative research. Sage. Thousand OaksGoogle Scholar
  3. 3.
    de Raeve L (1997) Positive thinking and moral oppression in cancer care. Eur J Cancer Care (6):249–256CrossRefGoogle Scholar
  4. 4.
    Exley C, Letherby G (2001) Managing a disrupted lifecourse: issues of identity and emotion work. Health 5(1):112–132Google Scholar
  5. 5.
    Gadamer H-G (1989) Truth and method. Continuum, London New YorkGoogle Scholar
  6. 6.
    Glaser B (1978) Theoretical sensitivity: advances in the methodology of grounded theory. Sociology, Mill ValleyGoogle Scholar
  7. 7.
    Gorer G (1965) Death, grief and mourning in contemporary Britain. Cresset, New YorkGoogle Scholar
  8. 8.
    Handler E (1996) Time on fire: my comedy of terrors. Henry Holt and Company, New YorkGoogle Scholar
  9. 9.
    Hodgins P (2000) Haematopoietics. In: New selected poems. Duffy and Snellgrove, Potts PointGoogle Scholar
  10. 10.
    Kubler-Ross E (1997) On death and dying. Simon and Schuster, New YorkGoogle Scholar
  11. 11.
    Lupton D (2003) Medicine as culture: illness, disease and the body in western societies. Sage, LondonGoogle Scholar
  12. 12.
    McGrath P (2004) The burden of the ‘RA RA’ positive: survivors’ and hospice patients’ reflections on maintaining a positive attitude to serious illness. Support Care Cancer 12:25–33CrossRefPubMedGoogle Scholar
  13. 13.
    Petticrew M, Bell R, Hunter D (2002) Influence of psychological coping on survival and recurrence in people with cancer: systematic review. Br Med J 325(7372):1066–1075CrossRefGoogle Scholar
  14. 14.
    Porter L, Keefe F, Hurwitz H, Faber M (2006) Disclosure between patients with gastrointestinal cancer and their spouses. Psycho-oncology (in press)Google Scholar
  15. 15.
    Reynolds P, Hurley S, Torres M, Jackson J, Boyd P, Chen V (2000) Use of coping strategies and breast cancer survival: results from the black/white cancer survival study. Am J Epidemiol 152(10):940–949CrossRefPubMedGoogle Scholar
  16. 16.
    Rittenberg CN (1995) Positive thinking: an unfair burden for cancer patients? Support Care Cancer 3(1):37–39CrossRefPubMedGoogle Scholar
  17. 17.
    Schofield P, Ball D, Smith J, Borland R, O’Brien P, Davis S, Olver I, Ryan G, Joseph D (2004) Optimism and survival in lung carcinoma patients. Cancer 100(6):1276–1282CrossRefPubMedGoogle Scholar
  18. 18.
    Schou I, Ekeberg Ø, Ruland CM (2005) The mediating role of appraisal and coping in the relationship between optimism–pessimism and quality of life. Psycho-oncology 14:718–727CrossRefPubMedGoogle Scholar
  19. 19.
    Schou I, Ekeberg Ø, Ruland CM,Sandvik L, Karesen R (2004) Pessimism as a predictor of emotional morbidity one year following breast cancer surgery. Psycho-oncology 13:309–320CrossRefPubMedGoogle Scholar
  20. 20.
    Steinhauser K, Christakis N, Clipp E, McNeilly M, Grambow S, Parker J, Tulsky J (2001) Preparing for the end of life: preferences of patients, families, physicians, and other care providers. J Pain Symptom Manage 22(3):727–737CrossRefPubMedGoogle Scholar
  21. 21.
    Taylor S (1983) Adjustment to threatening events: a theory of cognitive adaptation. Am Psychol 1161–1173Google Scholar
  22. 22.
    Weisman A (1972) On dying and denying: a psychiatric study of terminality. Behavioral Publications, New YorkGoogle Scholar
  23. 23.
    Wilkinson S, Kitzinger C (2000) Thinking differently about thinking positive: a discursive approach to cancer patients’ talk. Soc Sci Med 50(6):797–811CrossRefPubMedGoogle Scholar
  24. 24.
    Zhang A, Siminoff L (2003) Silence and cancer: why do families and patients fail to communicate? Health Commun 15(4):415–429CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Catherine McGrath
    • 1
    Email author
  • Kathleen Montgomery
    • 1
    • 2
  • Karolyn White
    • 1
  • Ian H. Kerridge
    • 1
    • 3
  1. 1.Centre for Values, Ethics and the Law in MedicineUniversity of SydneySydneyAustralia
  2. 2.University of CaliforniaRiversideUSA
  3. 3.Haematology DepartmentWestmead HospitalSydneyAustralia

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