University of Stirling, Stirling, Scotland, UK.
Curr Opin Support Palliat Care. 2020 Sep;14(3):263-269. doi: 10.1097/SPC.0000000000000504.
Cancer impacts the whole family and relational system, not just the individual with the diagnosis. The present article identifies and reviews publications in the field of family therapy and cancer since 2019, to describe the theoretical models and techniques applied, and the outcomes achieved.
A search of databases and grey literature led to the identification of five articles from four studies. Four papers described primary research and one summarized a case example. Papers were published by teams in the USA, Sweden and Iceland. Each article described the benefits of adopting a family therapy approach on outcomes such as family communication, bereavement and decreased carer burden. Four papers described specialist family therapists delivering the interventions, and one used oncology nurses drawing on the theories and techniques of family therapy.
The rarity of family therapy publications in the past year reflects the individual-level approach to cancer which permeates both medicine and talking therapies. The utility of family therapy could be further surfaced through more large-scale studies which thoroughly describe the unique theoretical basis and techniques, alongside outcomes for multiple people within the family system.
目的综述：癌症不仅影响到诊断患者本身，还会影响整个家庭和相关系统。本文旨在自 2019 年以来，确定和综述癌症领域的家庭治疗相关出版物，描述所应用的理论模型和技术，以及取得的成果。
最近发现：对数据库和灰色文献的检索，确定了来自四项研究的五篇文章。其中四篇文章描述了主要研究，一篇文章总结了一个案例。这些文章由来自美国、瑞典和冰岛的团队发表。每篇文章都描述了采用家庭治疗方法对家庭沟通、丧亲之痛和减少照顾者负担等结果的益处。其中四篇文章描述了专业家庭治疗师提供干预措施，一篇文章则利用肿瘤学护士的理论和技术。
总结：过去一年中家庭治疗出版物的稀缺反映了癌症个体化治疗的现状，这种现状既存在于医学领域，也存在于心理治疗领域。通过更多大规模的研究，可以进一步发现家庭治疗的实用性，这些研究需要详细描述独特的理论基础和技术，以及家庭系统中多个成员的结果。
