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Existential crisis

Tommy Carlsson, Veronica Starke, Elisabet Mattsson
OBJECTIVE: to explore written statements found in online discussion boards where parents currently expecting, or with previous experience of expecting, a child with a prenatally diagnosed congenital anomaly communicate about their emotional process from diagnosis to birth. DESIGN: cross-sectional qualitative study of messages in public online discussion boards. SETTING: Swedish public discussion boards about reproductive subjects. SAMPLE: ten pregnant women and eight parents (of children with prenatal diagnoses) who had written 852 messages in five threads in Swedish online discussion boards identified via systematic searches...
March 2, 2017: Midwifery
Camilo E Fadul, Heather Wishart
33 Background: Diagnosis of malignant glioma is catastrophic and standard treatment options remain non-curative. Patients are not guaranteed a good outcome, have significantly decreased QOL and exposure to risk. Shared decision making, is believed to diffuse decisional distress accompanying complex situations. METHODS: Semi-structured interviews explored patient, caregiver and physician perceptions of standard of care treatment recommendations following diagnosis. Cognitive, neurological and functional ability was evaluated with neurological examination, Karnofsky Performance Scale (KPS), Trail-Making Test and The Hopkins Verbal Learning Test (HVLT)...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
Xanthe Glaw, Ashley Kable, Michael Hazelton, Kerry Inder
The aim of this integrative literature review was to identify high quality empirical research and theoretical literature on the sources of meaning in life and people's beliefs regarding the meaning of life. This will inform current mental health clinical practice and research by providing a synthesis of empirical and theoretical literature. Failure to address meaninglessness or the existential crisis can lead to psychopathologies such as depression, anxiety, addiction, aggression, hopelessness, apathy, lower levels of well-being, physical illness, and suicide...
March 2017: Issues in Mental Health Nursing
David Hui, Masanori Mori, Sharon M Watanabe, Augusto Caraceni, Florian Strasser, Tiina Saarto, Nathan Cherny, Paul Glare, Stein Kaasa, Eduardo Bruera
Although outpatient specialty palliative-care clinics improve outcomes, there is no consensus on who should be referred or the optimal timing for referral. In response to this issue, we did a Delphi study to develop consensus on a list of criteria for referral of patients with advanced cancer at secondary or tertiary care hospitals to outpatient palliative care. 60 international experts (26 from North America, 19 from Asia and Australia, and 11 from Europe) on palliative cancer care rated 39 needs-based criteria and 22 time-based criteria in three iterative rounds...
December 2016: Lancet Oncology
Peter Strang
Existential anxiety might reinforce bodily symptoms All crises have existential elements, but the crisis will transform to a predominantly existential crisis, when the dying person is no longer shielded from stressful thoughts about death, meaninglessness, existential loneliness and unsolved guilt issues. The suffering is not merely on an existential level, as the connection between body and mind is strong and existential anxiety might reinforce bodily symptoms, e.g. pain. In this article, the influence of death anxiety and loneliness is discussed in relation to pain treatment in palliative care...
November 22, 2016: Läkartidningen
M Samsonia, M Kandelaki, K Samsonia, I Jojua
The majority of widespread cancers on the stage of clinical manifestation is incurable and therapy is only for the purpose of life extension. So, it isn`t surprising that most of people realize the word "cancer" as a verdict. A man himself doesn`t believe in his own death and doesn`t realize the fact that "Death is an appropriate phenomenon, but not punishment". Facing the death causes existential crisis. The understanding of inevitable fact of death arouses short, but desperate fight against it, which is, in most cases accompanied by anxiety...
March 2016: Georgian Medical News
Matthew Colbeck
Depictions of coma have come to dominate literary and filmic texts over the last half century, a phenomenon coinciding with advancements in medical technology that have led to remarkable increases in the survival rates of patients with chronic disorders of consciousness. Authors of coma fiction are preoccupied with the imagined subjective experience of coma, often creating complex, dream-like worlds from which the protagonist must escape if survival is to be achieved. However, such representations appear to conflict with medical case studies and patient narratives that reveal that most often survivors of coma have no recollection of the coma itself...
September 2016: Medical Humanities
Elizabeth Dunn, Anne Arber, Ann Gallagher
PURPOSE: This paper reports a study exploring the lived experience of fifteen men and women treated with allogeneic stem cell transplant (SCT) for haematological malignancy. METHOD: The study followed an interpretive phenomenological methodology using semi-structured interviews. Participants aged between 22 and 68 years were purposively recruited from two specialist treatment centres and were interviewed within three months to one year post SCT between April and September 2013...
April 2016: European Journal of Oncology Nursing: the Official Journal of European Oncology Nursing Society
(no author information available yet)
Individuals experience crisis when their estimation of resources needed to successfully manage traumatic situations such as addiction and dependency is greater than their perception of resources available. Some recovery models are limited in their perspective on enhanced outcomes, failing to put the individual in a position of strength and on the path to a positive, more meaningful future. Rehabilitation can be too general, failing to incorporate personal experiences of trauma into the therapeutic plan. Recovery models must address these insufficiencies and promote an individual's biological, psychological, and spiritual abilities to transform and experience higher levels of functioning-actually brought about by traumas and personal life crises such as addictions and dependencies...
July 2015: Journal of Addictions Nursing
Michèle Gaillard-Bosson
In the framework of a helping relationship with a person in suicidal crisis, contemplating one's own death can help to prevent suicidal act. Due to the psychological experiences at work, it is important for the caregiver to have thought about and accepted their own existential finiteness, a process which enables them to provide better support for the person in severe distress.
January 2015: Soins. Psychiatrie
Bruno Figueiredo Damásio, Sílvia Helena Koller
This study sought to assess how the search for meaning interacts with crisis of meaning and with different categories of meaning in life (meaningfulness, crisis of meaning, existential indifference, and existential conflict). Furthermore, the moderation role of search for meaning between the relation of categories of meaning and subjective well-being (SWB) was also evaluated. Participants included 3,034 subjects (63.9% women) ranging in age from 18 to 91 (M = 33.90; SD = 15.01) years old from 22 Brazilian states...
2015: Spanish Journal of Psychology
Carsten C Schermuly, Michael Draheim, Ronald Glasberg, Vladimir Stantchev, Gerrit Tamm, Michael Hartmann, Franz Hessel
BACKGROUND: The complexity of providing medical care in a high-tech environment with a highly specialized, limited labour force makes hospitals more crisis-prone than other industries. An effective defence against crises is only possible if the organizational resilience and the capacity to handle crises become part of the hospitals' organizational culture. To become more resilient to crises, a raised awareness--especially in the area of human resource (HR)--is necessary. The aim of this paper is to contribute to the process robustness against crises through the identification and evaluation of relevant HR crises and their causations in hospitals...
2015: Human Resources for Health
Lucia Fattori, Cesare Secchi
The authors present two clinical cases involving an existential crisis which led the patients to lose what had been the foundation in their lives, their faith. Although the therapeutic settings differ--the first patient had a few psychotherapy sessions following a psychotic episode with a mystical background, while the second was in the final stage of analytic treatment - the authors highlight how in both clinical cases a loss of faith becomes a total and urgent crisis of the Self. The fracture which ensues seems to generate an intense engagement of the body which, paradoxically during a loss of faith, induces an experience of ecstasy of the kind that has traditionally been reported...
August 2015: International Journal of Psycho-analysis
Lina Palmér, Gunilla Carlsson, David Brunt, Maria Nyström
BACKGROUND: The majority of new mothers in Sweden initiate breastfeeding and many experience initial difficulties. This experience is an important cause of early breastfeeding cessation. To increase understanding, there is a need to explore the lived experiences of the decision to continue or cease breastfeeding. The aim of this study is therefore to explain and understand how this decision is influenced by the meaning of severe initial difficulties. METHODS: A lifeworld hermeneutical approach was used for the study...
2015: International Breastfeeding Journal
Riccardo Williams
Unlike most of his contemporaries, Jervis felt it was necessary to give new answers to last century's clinical psychology crisis. He managed to show the relevance that psychological knowledge coming from other sectors (such as philosophy, evolutionary biology, cybernetics, ethology and, nowadays, neuroscience) could have for clinical psychology. He realized that the clinical world was at risk of loosing its cultural models of reference and threatened to break up with the scientific tradition with which it had not been able to establish a profitable dialogue...
2012: Medicina Nei Secoli
Michèle Gaillard-Bosson
In the framework of a helping relationship with a person in suicidal crisis, contemplating one's own death can help to prevent suicidal act. Due to the psychological experiences at work, it is important for the caregiver to have thought about and accepted their own existential finiteness, a process which enables them to provide better support for the person in severe distress.
January 2015: Soins. Psychiatrie
Annemette Bondo Lind, Charlotte Delmar, Klaus Nielsen
OBJECTIVE: The aim was to explore how mindfulness group therapy for somatoform disorders influenced the patients' stress experiences, coping strategies and contextual psychosocial processes. METHODS: A longitudinal pre- and post-treatment design, using 22 semi-structured individual pre- and post-treatment interviews. Data-analysis was based on a thematic methodology. RESULTS: Pre-treatment patients were struggling in an existential crisis, feeling existentially insecure about their social identity, the causes, consequences and management of their illness; experiencing difficulties identifying and expressing stress-related cognitions, emotions and feelings, and low bodily and emotional self-contact; often leading to avoidant coping, making these individuals highly stress-vulnerable...
December 2014: Journal of Psychosomatic Research
Gary Rolfe
The professions of nursing and nurse education are currently experiencing a crisis of confidence, particularly in the UK, where the Francis Report and other recent reviews have highlighted a number of cases of nurses who no longer appear willing or able to 'care'. The popular press, along with some elements of the nursing profession, has placed the blame for these failures firmly on the academy and particularly on the relatively recent move to all-graduate status in England for pre-registration student nurses...
July 2015: Nursing Philosophy: An International Journal for Healthcare Professionals
Martijn Hagens, H Roeline W Pasman, Bregje D Onwuteaka-Philipsen
BACKGROUND: In the Netherlands, people with a wish to die can request physician assistance in dying. However, almost two thirds of the explicit requests do not result in physician assistance in dying. Some people with a wish to end life seek counselling outside the medical context to end their own life. The aim of this cross-sectional research was to obtain information about clients receiving counselling for non-physician assisted suicide, and the characteristics and outcome of the counselling itself...
2014: BMC Health Services Research
Mei Bai, Mark Lazenby, Sangchoon Jeon, Jane Dixon, Ruth McCorkle
OBJECTIVE: In our context, existential plight refers to heightened concerns about life and death when people are diagnosed with cancer. Although the duration of existential plight has been proposed to be approximately 100 days, evidence from longitudinal studies raises questions about whether the impact of a diagnosis of advanced cancer may require a longer period of adjustment. The purpose of our study was to examine spiritual well-being (SpWB) and quality of life (QoL) as well as their interrelationship in 52 patients with advanced cancer after 100 days since the diagnosis at one and three months post-baseline...
August 2015: Palliative & Supportive Care
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