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Saying the Final Goodbye: When Some Say Goodbye, We Say Hello
Lori Wiener1, Joel Marcus2, Cassandra Rasmussen2
1Pediatric Oncology Branch, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, Maryland, USA.
The final goodbye in psychosocial oncology is an ongoing therapeutic conversation, not just a farewell. Focusing on present life circumstances and the certainty of death guides this essential end-of-life care.
Area of Science:
- Psychosocial Oncology
- End-of-Life Care
- Cancer Psychology
Background:
- The symposium was presented at the 21st Annual American Psychosocial Oncology Society Conference.
- Presenters included mental health practitioners with diverse clinical and academic experience in cancer care.
Purpose of the Study:
- To explore the concept of the "final goodbye" within the therapeutic relationship in psychosocial oncology.
- To discuss how considering end-of-life issues informs clinical practice and patient care.
Main Methods:
- The content is derived from clinical and academic experiences of mental health practitioners.
- Discussion encompasses the lifespan of patients with cancer.
Main Results:
- The "final goodbye" is framed as a continuous therapeutic dialogue, not a singular event.
- Acknowledging the universality and unpredictability of death can shape end-of-life therapy.
- Focusing on present life circumstances (fears, regrets, hopes) is key to managing end-stage cancer care.
Conclusions:
- The art of psychosocial oncology involves navigating the end of life by focusing on living with current circumstances amidst the certainty of death.
- Humility and learning from experience are crucial in this practice.
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