Hope Modules: Brief Psychotherapeutic Interventions to Counter Demoralization from Daily Stressors of Chronic Illness

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

  1. 1.

    Frank JD, Frank JB. Persuasion and healing: a comparative study of psychotherapy. 3rd ed. Baltimore, MD: Johns Hopkins Univ Press. 1991;14.

  2. 2.

    Kaite CP, Karanikola M, Merkouris A, Papathanassoglou EDE. “An ongoing struggle with the self and illness”: a meta-synthesis of the studies of the lived experience of mental illness. Arch Psych Nursing. 2015;29:458–73.

    Article  Google Scholar 

  3. 3.

    Cavelti M, Rusch N, Vauth R. Is living with psychosis demoralizing? Insight, self-stigma, and clinical outcome among people with schizophrenia across 1 year. J Nerv Ment Dis. 2014;202:521–59.

    Article  PubMed  Google Scholar 

  4. 4.

    Shea SC. The practical art of suicide assessment. Hoboken, NJ: John Wiley. 2004;78–79.

  5. 5.

    Slavney PR. Diagnosing demoralization in consultation psychiatry. Psychosomatics. 1999;40:325–9.

    CAS  Article  PubMed  Google Scholar 

  6. 6.

    Griffith JL, Gaby L. Brief psychotherapy at the bedside: countering demoralization from chronic medical illness. Psychosomatics. 2005;46:109–16.

    Article  PubMed  Google Scholar 

  7. 7.

    Griffith JL, Dsouza A. Demoralization and hope in clinical psychiatry and psychotherapy. In: Alarcon RD, Frank JB, editors. The psychotherapy of hope: the legacy of persuasion and healing. Baltimore, MD: Johns Hopkins Univ Press; 2012. p. 158–77.

    Google Scholar 

  8. 8.

    Thurman H. Jesus and the disinherited. Boston: Beacon Press; 1976. p. 11.

    Google Scholar 

  9. 9.

    Hillesum E. An interrupted life. New York: Henry Holt; 1983. p. 130.

    Google Scholar 

  10. 10.

    Weingarten K. Reasonable hope: construct, clinical applications, and supports. Fam Process. 2010;49(1):5–25.

    Article  PubMed  Google Scholar 

  11. 11.

    Weingarten K. Hope in a time of global despair. In: Flaskas C, McCarthy I, Sheehan J, editors. Hope and despair in narrative and family therapy. New York: Routledge; 2007. p. 1–23.

    Google Scholar 

  12. 12.

    Walsh F. Traumatic loss and major disaster: strengthening family and community resilience. Fam Process. 2007;46:2007–27.

    Article  Google Scholar 

  13. 13.

    Southwick SW, Pietrzak RH, White G. Interventions to enhance resilience and resilience-related constructs in adults. In: Southwick SW, Litz BT, Charney D, Friedman MJ, editors. Resilience and mental health: challenges across the lifespan. New York: Cambridge University Press; 2011. p. 289–306.

    Google Scholar 

  14. 14.

    Wade A. Despair, resistance, hope: response-based therapy for victims of violence. In: Flaskas C, McCarthy I, Sheehan J, editors. Hope and despair in narrative and family therapy. New York: Routledge; 2007. p. 63–74.

    Google Scholar 

  15. 15.

    Wade A. Small acts of living: everyday resistance to violence and other forms of oppression. Contemp Fam Ther. 1997;19:23–39.

    Article  Google Scholar 

  16. 16.

    Lazarus RS, Folkman S. Stress, appraisal, and coping. New York: Springer; 1984.

    Google Scholar 

  17. 17.

    Uchino BN. Social support and physical health: understanding the health consequences of relationships. New Haven, CT: Yale University Press; 2004.

    Google Scholar 

  18. 18.

    Maddi SR. The story of hardiness: twenty years of theorizing, research, and practice. Consulting Psychology Journal: Practice and Research. 2002;54:173–85.

    Article  Google Scholar 

  19. 19.

    Snyder CR, Taylor JD. Hope as a common factor across psychotherapy approaches: a lesson from the dodo's verdict. In: Snyder CR, editor. Handbook of hope: theory, measures, & applications. New York: Academic Press; 2000. p. 89–108.

    Google Scholar 

  20. 20.

    Weihs KL, Enright TM, Simmens SJ. Close relationships and emotional processing predict decreased mortality in women with breast cancer: preliminary evidence. Psychosom Med. 2008;70(1):117–24.

    Article  PubMed  Google Scholar 

  21. 21.

    Chochinov HM. Dignity therapy: final words for final days. New York: Oxford University Press; 2012.

    Google Scholar 

  22. 22.

    Arnsten A. Stress signaling pathways that impair prefrontal cortex structure and function. Nat Rev Neurosci. 2009;10:409–21.

    Article  Google Scholar 

  23. 23.

    Eisenberger NI. An empirical review of the neural underpinnings of receiving and giving social support: implications for health. Psychosom Med. 2013;75:545–56.

    Article  PubMed  PubMed Central  Google Scholar 

  24. 24.

    Hornstein EA, Fanselow MS, Eisenberger NI. A safe haven: investigating social-support figures as prepared safety stimuli. Psychol Sci. 2016;27(8):1051–60.

    Article  PubMed  Google Scholar 

  25. 25.

    Fox MD, Snyder AZ, Vincent JL, Corbetta M, Van Essen DC, Raichle ME. The human brain is intrinsically organized into dynamic, anticorrelated functional networks. Proc Natl Acad Sci U S A. 2005;102:9673–8.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  26. 26.

    Laird AR, Fox PM, Eickhoff SB, Turner JA, Ray KL, McKay DR, et al. Behavioral interpretations of intrinsic connectivity networks. J Cogn Neurosci. 2011;23:4022–37.

    Article  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Chen E, Miller GE, Lachman ME, Gruenewald TL, Seeman TE. Protective factors for adults from low-childhood socioeconomic circumstances: the benefits of shift-and-persist for allostatic load. Psychosom Med. 2012;74:178–86.

    Article  PubMed  PubMed Central  Google Scholar 

  28. 28.

    Eisenberger NI, Cole SW. Social neuroscience and health: neurophysiological mechanisms linking social ties with physical health. Nat Neurosci. 2012;15:669–74.

    CAS  Article  PubMed  Google Scholar 

  29. 29.

    Griffith JL, Kohrt BA. Managing stigma effectively: what social psychology and social neuroscience can teach us. Acad Psychiatry. 2016;40(2):339–47.

    Article  PubMed  Google Scholar 

  30. 30.

    Gonzales L. Deep survival—who lives, who dies, and why. New York: W.W. Norton; 2004.

    Google Scholar 

  31. 31.

    Joiner TE, Orden KA, Witte TK, Selby EA, Ribeiro JD, Lewis R, et al. Main predictions of the interpersonal–psychological theory of suicidal behavior: empirical tests in two samples of young adults. J Abn Psychol. 2009;118(3):634–46.

    Article  Google Scholar 

  32. 32.

    Cacioppo JT, Patrick W. Loneliness: human nature and the need for social connection. New York: W.W. Norton. 2008.

  33. 33.

    Brewer MB, Chen Y. Where (who) are collectives in collectivism? Toward conceptual clarification of individualism and collectivism. Psychol Rev. 2007;114(1):133–51.

    Article  PubMed  Google Scholar 

  34. 34.

    Noorani F. Hope modules. In: Building resilience in humanitarian workers. Google Sites; 2016. https://sites.google.com/site/gwresilienceworkshop/. Accessed 22 Oct 2016.

  35. 35.

    Nguyen NP, Dendeluri S, Kocher E, Dyer A, May C. The refugee crisis in Greece: a psychiatric needs assessment. Research poster presentation at the 169th Annual Meeting of the American Psychiatric Association; Atlanta, GA. May 13-18, 2016.

  36. 36.

    Griffith JL. Neuroscience and humanistic psychiatry: a residency curriculum. Acad Psychiatry. 2014;38:177–84.

    Article  PubMed  Google Scholar 

  37. 37.

    Cuthbert BN, Insel TR. Toward the future of psychiatric diagnosis: the seven pillars of RDoC. BMC Med. 2013;11:126.

    Article  PubMed  PubMed Central  Google Scholar 

  38. 38.

    Argyris C, Putnam R, Smith DM. Action science. San Francisco: Jossey-Boss; 1985.

    Google Scholar 

  39. 39.

    White M. Maps of narrative practice. New York: W.W. Norton; 2007.

    Google Scholar 

  40. 40.

    Griffith JL, Griffith ME. Engaging the sacred in psychotherapy: how to talk with people about their spiritual lives. New York: Guilford Press; 2002.

    Google Scholar 

  41. 41.

    Levinas E. Totality and infinity (A. Lingis, trans.). Pittsburgh, PA: Duquesne University Press; 1961.

    Google Scholar 

  42. 42.

    Wampold BE. The research evidence for the common factors models: a historically situated perspective. In: Duncan BL, Miller SD, Wampold BE, Hubble MA, editors. The heart and soul of change. 2nd ed. Washington, DC: American Psychological Association; 2002. p. 49–82.

    Google Scholar 

  43. 43.

    Sprenkle DH, Davis SD, Lebow JL. Common factors in couple and family therapy. New York: Guilford Press; 2009.

    Google Scholar 

  44. 44.

    Norcross JC, editor. Psychotherapy relationships that work: therapist contributions and responsiveness to patients. London: Oxford University Press; 2002.

    Google Scholar 

  45. 45.

    Padesky CA, Mooney KA. Strengths-based cognitive-behavioral therapy: a four-step model to build resilience. Clin Psychol Psychother. 2012;19:283–90.

    Article  PubMed  Google Scholar 

  46. 46.

    Conoley CW, Pontrelli ME, Oromendia MF, Del Carmen BB, Nagata CM. Positive empathy: a therapeutic skill inspired by positive psychology. J Clin Psychol. 2015;71(6):575–83.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

Kaethe Weingarten, Ph.D. and her Witnessing Project (www.witnessingproject.org) provided ongoing consultation and inspiration for this work. Lisa Catapano, M.D., Ph.D. collaborated with the author in an initial workshop presentation of the hope modules, “Teaching the “common factors” of psychotherapy with psychotherapeutic modules of evidence-based practices,” at the 2013 Annual Meeting of the Association for Academic Psychiatry in Charleston, SC, Oct 16–19, 2013.

Author information

Affiliations

Authors

Corresponding author

Correspondence to James L. Griffith.

Ethics declarations

Ethical Considerations

IRB Review is not applicable for this study. There is no protected health information, and this study is HIPPA compliant.

Disclosure

The author states that there is no conflict of interest.

Funding Sources

None.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Griffith, J.L. Hope Modules: Brief Psychotherapeutic Interventions to Counter Demoralization from Daily Stressors of Chronic Illness. Acad Psychiatry 42, 135–145 (2018). https://doi.org/10.1007/s40596-017-0748-7

Download citation

Keywords

  • Mode Hopping
  • Psychotherapeutic Interventions
  • Practice Hope
  • Assertive Coping
  • Primary Learning Objective