Abstract
Receiving a diagnosis of cancer is a traumatic event and changes one's life forever. The period of initial diagnosis and treatment is indeed a life transition, regardless of the prognosis. It precipitates a change in self-perception, physically, emotionally, and interpersonally. It changes how a woman sees herself, her family, and her world. Simultaneously the woman is confronted with many decisions to make regarding treatment options and the management of personal, familial, and work related responsibilities. People have the opportunity to reflect on old decisions and to make new decisions. Inevitably one is confronted by mortality. The management of this illness is done in the context of a complex network of relationships with family, friends, coworkers, doctors, other medical personnel, and clergy. Often it is the clinical social worker who is in the position of facilitating access to and participation in resources for care. Many women join healing communities or wellness centers to find a model of care and achieve a state of well-being that utilizes and encourages the support of these relationships. Understanding the importance and impact of these relationships can help clinical social workers facilitate cancer wellness in their clients and advocate better on their behalf. The intent of this paper is to understand the concept of cancer wellness as a relational approach and to promote its place in integrative clinical social work practice.
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REFERENCES
Applegate, J. &J. Bonovitz. (1995). The facilitating partnership. Northvale, N.J.: Aronson.
Elliott, C. (1996). Through a glass darkly: Chronic illness in the therapist. Clinical Social Work. 24(1):21–34.
Faller, H., S. Schilling, M. Otteni,& H. Lang. (1995). Social support and social stress in tumor patients and their partners., Zeitschrift fur Psychosomatische Medizin und Psychoanalyse. 41(2):141–157.
Gilligan, C. Rogers, A. and Tolman, D. (1991). Women, Girls and Psychotherapy: Reframing Resistance. New York: Haworth.
Jordon, J., Kaplan, A., Miller, J. Stiver, I., and Surrey, J. (1991). Women's growth in connection: Writings from the Stone Center. New York: Guilford Press.
Kleinman, A. (1988). The illness narratives: suffering, healing and the human condition. New York: Basic Books.
Mitchell, S. (1988). Relational Concepts in Psychoanalysis: An Integration. New York: Basic Books.
Oktay, J. and Walter, C. (1991). Breast Cancer in the Life Course: Women's Experiences. New York: Springer.
Reid-Cunningham, M., Snyder-Grant, D., Stein, K., Tyson, E.,& Halen, B. (1999). Women with chronic illness: overcoming disconnection in Works in Progress, Number 80. Wellesley, MA: Stone Center, Wellesley College.
Rolland, J. (1994). Families, Illness and Disability. New York: Basic Books.
Spiegel, D. (1997). Psychosocial aspects of breast cancer treatment in Seminars in Oncology 24(Suppl 1)1422–1426.
Spiegel, D. and Classen, C. (2000). Group therapy for cancer patients. New York: Basic.
Sutherland, C. and Goldstein, M (1992). Joining a healing community for cancer: Who and why? Social Science Medicine, 35:3, 323–333.
Vinokur, A.D., B.A. Threatt, D. VinokurKaplan,& W. A. Satariano (1990). The process of recovery from breast cancer for younger and older patients. Changes during the first year. Cancer 65(5):1242–1254.
Winnicott, D. (1965). The maturational process and the facilitating environment. New York: International Universities Press.
Zecher, E. (2000). Waltzing with the Malach Hamavet, Temple Israel Newsletter, October, Boston.
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Spira, M., Kenemore, E. Cancer as a Life Transition: A Relational Approach to Cancer Wellness in Women. Clinical Social Work Journal 30, 173–186 (2002). https://doi.org/10.1023/A:1015245512377
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DOI: https://doi.org/10.1023/A:1015245512377