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Contents Acknowledgments Chapter 1 Introduction: Counseling Individuals with a Life-Threatening Illness Chapter 2: Historical Perspectives on Dying and Illness Introduction The Study of Dying: Early Efforts Hospice: A Way to Care for the Dying Kübler-Ross and On Death and Dying Toward a More Inclusive Conceptualization of the Dying Process References Chapter 3: Effective Professional Caregivers: Seven Sensitivities Introduction Sensitivity to the whole person Sensitivity to the problem of pain and discomfort Sensitivity to honest, open, and mutual communication Sensitivity to the individual¿s autonomy Sensitivity to the individual¿s needs Sensitivity to cultural differences Sensitivity to treatment goals References Chapter 4: The Skilled Counselor Skill as a Counselor The Effective Counselor Sensitivity to Families Sensitivity to Different Age Groups and Populations Working With Children and Adolescents Working with the Developmentally Disabled Working with the Older Persons Sensitivity to Self References Chapter 5: Responses to Life-Threatening Illness Introduction Physical Responses Cognitive Responses Emotional Responses Behavioral Responses Spiritual Responses Conclusion References Chapter 6: Understanding the Illness Experience Introduction Disease-Related Factors: What Are the Particular Issues Raised by the Illness? The Nature of the Disease Predictability of the Disease Course Symptoms Psychological Effects Social Consequences Disease Trajectory Treatment Differences When Does Disease Strike? The Importance of the Life Cycle Infancy and Early Childhood The School-Age Child Adolescence The Young Adult The Middle-Aged Adult The Older Adult Social and Psychological Factors Characteristics such as Gender, Race, Ethnicity and Culture, Social Class, and Income Intellectual Ability, Knowledge, Education, and Prior Experience The Meaning of Illness, Life, and Death: Religious, Spiritual, and Philosophical Systems Personality, Coping Skills, and Will to Live Informal Support: The Importance of Family, Friends, and Confidantes Formal Support Concurrent Crises Conclusion References Chapter 7: The Prediagnostic Phase: Understanding the Road Before Introduction Symptom Related Factors Physical and Psychological Factors Situational Factors Social Factors The Process of Health-Seeking Health-Seeking in Other Contexts ReferenceS Chapter 8: Counseling Clients through Crisis of Diagnosis The Diagnostic Divide: The Acute Phase Understanding the disease Examining and maximizing health and life-style Maximizing one¿s coping strengths and limiting weaknesses Developing strategies to deal with issues created by disease Exploring the effect of illness on one¿s sense of self and relationships with others Ventilating feelings and fears Incorporating the present reality of the diagnosis into one¿s sense of past and future The End of the Acute or Diagnostic Phase References Chapter 9: Counseling Clients in the Chronic Phase of Illness The Chronic Phase: An Overview Managing symptoms and side effects Carrying out medical regimens Preventing and managing medical crises Managing stress and examining coping Maximizing social support and minimizing social isolation Normalizing life in the face of disease Dealing with financial concerns Preserving self-concept Redefining relationships with others throughout the course of the disease Ventilating feeling and fears Finding meaning in suffering, chronicity, uncertainty, or decline The End of the Chronic Phase References Chapter 10: Counseling Clients in Recovery Introduction Dealing with the physical, psychological, social, financial, and spiritual residues of illness Coping with ongoing fears and anxieties, including fear of reoccurrence Examining life and life-Style issues and reconstructing one¿s life Redefining relationships with caregivers References Chapter 11: Counseling Clients in the Terminal Phase Introduction Discussing Death Decisions in the Terminal Phase Should the Person Enter a Hospice Program? Ethical Issues at the End-of-Life Tasks of the Terminal Phase Dealing with symptoms, discomfort, pain, and incapacitation Managing health procedures and institutional procedures Managing stress and examining coping Dealing effectively with caregivers Preparing for death and saying good-bye Preserving self-concept Preserving relationships with family and friends Ventilating feelings and fears Finding meaning in life and death The Special Problem of the Comatose Person As Death Approaches References Chapter 12: Counseling Families During an Life-Threatening Illness Introduction The Experience of Illness: A Family Perspective Assessing Factors that Affect Family Reactions Assessing Caregiving Family Tasks Throughout the Illness The Prediagnostic Phase The Diagnostic Phase The Chronic Phase Families and Recovery The Terminal Phase Supporting Families at the Time of Death Conclusion References
Library of Congress Subject Headings for this publication:
Critically ill -- Counseling of.
Critically ill -- Psychology.
Death -- Psychological aspects.
Attitude to Death.
Critical Illness -- psychology.
Terminally Ill -- psychology.