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Related Experiment Video

Updated: Jul 12, 2025

Exploring the Use of Isolated Expressions and Film Clips to Evaluate Emotion Recognition by People with Traumatic Brain Injury
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When hope is lost.

Philip R Appel1

  • 1MedStar National Rehabilitation Network, Silver Spring, MD, USA.

The American Journal of Clinical Hypnosis
|November 1, 2023
PubMed
Summary

Rehabilitation and palliative care address loss from incurable conditions. Integrating mindfulness, disidentification, and ego-state work helps patients maintain their sense of self amidst physical decline.

Area of Science:

  • Medical Specialties
  • Psychology
  • Patient Care

Background:

  • Rehabilitation Medicine and Palliative Medicine share common ground in managing patient experiences of loss and impending loss due to incurable conditions.
  • Patients in both rehabilitation and palliative care settings frequently encounter significant losses that can negatively impact their quality of life, hope, and resilience.
  • These losses are often tied to a patient's core sense of self, challenging their identity in the face of medical adversity.

Purpose of the Study:

  • To explore the shared challenges of loss in rehabilitation and palliative care.
  • To propose a therapeutic approach for preserving a patient's sense of self when confronting physical decline.
  • To integrate psychological strategies into medical care for incurable conditions.

Main Methods:

Keywords:
Hypnosispalliationrehabilitation

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  • The article suggests a framework for addressing patient loss and suffering.
  • This framework incorporates mindfulness practices.
  • It also includes Disidentification techniques and Ego-State work.

Main Results:

  • The proposed approach aims to help patients preserve their sense of self.
  • It focuses on differentiating the self from bodily experiences and medical conditions.
  • This can foster greater resilience and quality of life despite incurable illness.

Conclusions:

  • Mindfulness, Disidentification, and Ego-State work offer valuable tools for patients facing loss in rehabilitation and palliative care.
  • These methods can support a stable sense of self, independent of physical health status.
  • Integrating these psychological approaches can enhance patient well-being and coping mechanisms in chronic and terminal illness care.