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Denial and terminal illness

The American Journal of Hospice & Palliative Care

|March 1, 1994

Summary

This summary is machine-generated.

Denial in terminally-ill patients can be a coping mechanism for regaining control. Social workers can help patients and families find strengths and make decisions, facilitating healthier coping strategies.

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Area of Science:

Psychology
Palliative Care
Social Work

Background:

Denial in terminally-ill patients is often viewed as a problem requiring intervention by healthcare professionals.
This perspective contrasts with viewing denial as an integral part of the acceptance process.

Purpose of the Study:

To reframe the understanding of denial in terminally-ill patients.
To explore the role of social workers in managing denial and promoting adaptive coping.

Main Methods:

Conceptual analysis of denial as a psychological response to terminal illness.
Exploration of social work interventions focused on patient and family empowerment.

Main Results:

Denial emerges as a strategy to assert control within uncontrollable circumstances of terminal illness.

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Social work interventions aimed at fostering patient/family autonomy can mitigate denial.

Conclusions:

Shifting the focus from 'fixing' denial to empowering patients and families is crucial.
Facilitating patient and family control can lead to the adoption of more functional coping mechanisms, moving beyond denial.