Department of Social Work, Memorial Sloan Kettering Cancer Center , New York City , New York , USA.
Soc Work Health Care. 2019 Sep;58(8):764-775. doi: 10.1080/00981389.2019.1640337. Epub 2019 Jul 16.
Attributes of survivor guilt are present in the cancer survivorship population, including the presence of distress and loss, identification with a community, and surviving a situation that others have not. Oncology social workers must be aware of feelings and experiences that may be evoked when individuals witness fellow patients suffering and/or dying. In response, survivors may compare their own lives with the lives of those who have died and struggle to justify their existence. Often underlying feelings of guilt can be a sense of overwhelming helplessness, loss of control, grief, mourning, and a deep sense of injustice. This paper will explore the clinical manifestations and therapeutic interventions used to support individuals experiencing survivor guilt through discussion and case examples. The importance of addressing survivor guilt experienced by the clinician and within medical teams will be highlighted and future recommendations for research and program planning in this area will be discussed.
幸存者内疚的特征存在于癌症幸存者群体中，包括痛苦和失落感、与社区的认同感，以及在其他人未能幸存的情况下幸存下来。肿瘤社会工作者必须意识到，当个人目睹其他患者遭受痛苦和/或死亡时，可能会引起的情绪和体验。作为回应，幸存者可能会将自己的生活与那些已经死亡的人的生活进行比较，并努力证明自己的存在是合理的。通常，潜在的内疚感可能是一种压倒性的无助感、失控感、悲伤、哀悼和深深的不公平感。本文将通过讨论和案例示例探讨用于支持经历幸存者内疚的个体的临床表现和治疗干预措施。将强调解决临床医生和医疗团队中经历幸存者内疚的重要性，并讨论该领域的未来研究和计划建议。
