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Coping with cancer through self-instruction: a hypothesis.

A D Weisman, H J Sobel

    Journal of Human Stress
    |March 1, 1979
    PubMed
    Summary
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    This study explores how cancer patients effectively manage illness stress, distinguishing healthy coping from defense mechanisms. It highlights cognitive self-instruction as a potential strategy for rehabilitation and self-control in cancer care.

    Area of Science:

    • Psychology
    • Oncology
    • Behavioral Medicine

    Background:

    • Most cancer patients exhibit effective coping mechanisms for illness-related psychosocial stress.
    • Understanding successful coping strategies is crucial for differentiating them from defense mechanisms.

    Observation:

    • A case study illustrates a "supercoper" utilizing cognitive self-instruction to overcome challenges.
    • This approach emphasizes self-control and personal responsibility in patient rehabilitation.

    Findings:

    • Cognitive self-instruction is a viable, though not universally applicable, problem-solving strategy for cancer patients.
    • Distinguishing between adaptive coping and pathological defense is key to understanding patient resilience.

    Implications:

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    • Cognitive self-instruction warrants further investigation as an intervention for cancer patients.
    • Promoting self-control and responsibility can enhance rehabilitation outcomes for individuals with cancer.
    • An intervention model for high-distress cancer patients is proposed.