A Pathways Approach to Cancer

  • Angele McGrady
  • Donald Moss


In past decades, cancer was often viewed as a death sentence. Today, the diagnosis of cancer often heralds not sudden death but a transformed mode of living, and a challenge to manage the many adverse effects of treatment, the uncertainty of one’s future, and a challenge to quality of life. Cancer survivors frequently report depression and anxiety. Chemotherapy often produces recurring nausea and lingering cognitive deficits. A growing body of research provides evidence that many self-regulation skills, dietary changes, and lifestyle changes can assist cancer survivors to cope with the presence of their diagnosis, manage the adverse effects, and sustain quality of life. This chapter provides a case study of Ellen, illustrating how a Pathways Model can be applied for patients with a cancer diagnosis. Initially, the Pathways Model enabled her to assume self-management of her illness and enhanced coping with the adverse effects of her oncology treatments. When Ellen suffered malignant metastases and required renewed chemotherapy, her efforts to utilize Pathways skills to manage resurgent adverse effects illustrate the adaptation of the Pathways Model for longer term conditions.


Cancer Chronic illness Disease management Mindfulness Spirituality 


  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.CrossRefGoogle Scholar
  2. Cramer, H. (2012). Mindfulness-based stress reduction for breast cancer: A systematic review and metaanalysis. Current Oncology, 19(5), e343–52. doi: 10.3747/co.19.1016.Google Scholar
  3. Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness (revised edition). New York, NY: Bantam Books.Google Scholar
  4. Katz, R. (2009). The cancer fighting kitchen: Nourishing, big flavor recipes for cancer treatment and recovery. New York, NY: Ten Speed Press.Google Scholar
  5. Leshan, L. (1990). Cancer as a turning point: A handbook for people with cancer, their families, and helping professionals. New York, NY: Plume.Google Scholar
  6. Ledesma, D., & Kumano, H. (2009). Mindfulness-based stress reduction and cancer: A meta-analysis. Psychooncology, 18(6), 571–9. doi: 10.1002/pon.1400.CrossRefPubMedGoogle Scholar
  7. McGrady, A., & Moss, D. (2013). Pathways to illness, pathways to health. New York, NY: Springer.CrossRefGoogle Scholar
  8. Mehl-Madrona, L. (2005). Coyote wisdom: The power of story in healing. Rochester, VT: Bear and Company.Google Scholar
  9. Mehl-Madrona, L. (2010). Healing the mind through the power of story: The power of narrative psychiatry. Rochester, Vermont: Bear and Company.Google Scholar
  10. Towler, P., Molassiotis, A., & Brearley, S. G. (2013). What is the evidence for the use of acupuncture as an intervention for symptom management in cancer supportive and palliative care: An integrative overview of reviews. Supportive Care in Cancer, 21, 2913–2923. CrossRefPubMedGoogle Scholar
  11. Wu, X., Chung, V. C., Hui, E. P., Ziea, E. T., Ng, B. F., Ho, R. S., et al. (2015). Effectiveness of acupuncture and related therapies for palliative care of cancer: Overview of systematic reviews. Science Reports, 5, 16776. CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Angele McGrady
    • 1
  • Donald Moss
    • 2
  1. 1.Department of PsychiatryUniversity of ToledoToledoUSA
  2. 2.College of Integrative Medicine and Health SciencesSaybrook UniversityOaklandUSA

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