Department of Psychiatry and Mental Health, Centro Hospitalar Barreiro-Montijo, EPE, Barreiro, Portugal.
Medical School of Lisbon, University of Lisbon, Lisboa, Portugal.
Palliat Support Care. 2020 Jun;18(3):254-262. doi: 10.1017/S147895151900110X.
The aim was to understand the processes of therapeutic changes in Meaning-Centered Group Psychotherapy (MCGP) in a Portuguese sample.
Adult cancer patients with distress motivated to participate in MCGP were identified; descriptive and narrative analyses were performed on the session content.
The sample had 24 participants (mean age: 63.43 years); the majority were females (75%), with a median academic degree (54%). Breast cancer was most frequent (67%) at the localized stage (71%). The narrative analysis defined seven categories according to the MCGP themes. In "Moments with Meaning (MwM)," the most relevant dimensions were related to interpersonal relations, the moment of diagnosis, and personal achievements. This category established relations with almost all other categories, as did the category "historical sources of meaning (SoM)." The category "identity before and after cancer diagnosis" was only related to "attitudinal SoM" and "transitions." Historical SoM had two dimensions, "past" and "present and future" legacies, in which prominent topics related to family, childhood, achieved goals, and values to pass to others explored. Attitudinal SoM established relations only with the category "creative SoM," in which "courage" and "responsibility" were the main dimensions, which were also related to "MwM," "historical," and "attitudinal SoM." Experiential SoM, with the main dimension "love," was related to "MwM" and "historical SoM." Transitions only established relations with "historical SoM" and "identity before and after cancer."
The findings that "MwM" and "historical SoM" were the categories which established a solid pattern of relations suggest that these are the main psychotherapy topics that can have more influence for the participants; one explanation is that these categories imply a concrete way of thinking, which is easier to understand. This process of therapeutic changes must be integrated in a cultural context, as it is well known to have an impact upon the "meaning" of life.
旨在了解葡萄牙样本中意义中心团体心理治疗（MCGP）治疗变化的过程。
确定有困扰并愿意参加 MCGP 的成年癌症患者；对会议内容进行描述性和叙述性分析。
样本中有 24 名参与者（平均年龄：63.43 岁）；大多数为女性（75%），中位数学历（54%）。乳腺癌最常见（67%）处于局部阶段（71%）。叙事分析根据 MCGP 主题定义了七个类别。在“有意义的时刻（MwM）”中，最相关的维度与人际关系、诊断时刻和个人成就有关。该类别与几乎所有其他类别都建立了关系，与“意义的历史来源（SoM）”也是如此。“癌症诊断前后的身份”类别仅与“态度 SoM”和“过渡”相关。历史 SoM 有两个维度，“过去”和“现在和未来”遗产，其中突出的主题涉及家庭、童年、实现的目标和价值观传承。态度 SoM 仅与“创造性 SoM”建立关系，其中“勇气”和“责任”是主要维度，也与“MwM”、“历史”和“态度 SoM”相关。体验式 SoM，主要维度是“爱”，与“MwM”和“历史 SoM”相关。过渡仅与“历史 SoM”和“癌症前后的身份”建立关系。
“MwM”和“历史 SoM”是建立牢固关系模式的类别，这表明这些是对参与者影响更大的主要心理治疗主题；一种解释是，这些类别意味着一种更具体的思维方式，更容易理解。这种治疗变化过程必须在文化背景下进行整合，因为众所周知，它会对生活的“意义”产生影响。
