Skip to main content

Advertisement

Log in

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

  • Complex Medical-Psychiatric Issues (MB Riba, Section Editor)
  • Published:
Current Psychiatry Reports Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. 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.

    Article  Google Scholar 

  2. 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. 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. 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. 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. Frankl VE. Man's search for meaning: An introduction to Logotherapy. 4th ed. Boston: Beacon Press; 1992.

    Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  9. 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. 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  CAS  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  13. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  14. 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. Albom M. Tuesdays with morrie: A young man, an old man, and life's greatest lesson. New York: Bantam Doubleday Dell Publishing Group; 1997.

    Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Work supported by grants from the American Cancer Society: MRSG-13-233-01-PCSM and the Westreich Foundation (Dr. Lori Montross Thomas), as well as the National Institute of Mental Health K23MH091176 (Dr. Scott Irwin).

Compliance with Ethics Guidelines

Conflict of Interest

Lori P. Montross Thomas, Emily A. Meier, and Scott A. Irwin declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lori P. Montross Thomas.

Additional information

This article is part of the Topical Collection on Complex Medical-Psychiatric Issues

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Thomas, L.P.M., Meier, E.A. & Irwin, S.A. Meaning-Centered Psychotherapy: A Form of Psychotherapy for Patients With Cancer. Curr Psychiatry Rep 16, 488 (2014). https://doi.org/10.1007/s11920-014-0488-2

Download citation

  • Published:

  • DOI: https://doi.org/10.1007/s11920-014-0488-2

Keywords

Navigation