Chammas Danielle, Williamson Brianna, Scheel Teddy, Goyal Neha, Rosenberg Leah B, Shalev Daniel, Gamble Alex, Polisso Mike, Rosa William E, Brenner Keri O
Division of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Department of Psychiatry, University of California San Francisco, San Francisco, California, USA.
J Palliat Med. 2024 Sep 13. doi: 10.1089/jpm.2024.0317.
Psychological symptoms are notably prevalent in palliative care (PC) settings, significantly impacting quality of life for patients and their families. Given the inherent multidimensionality of suffering in PC, addressing these psychological aspects is essential. This article aims to introduce and integrate discrete concepts from various schools of psychotherapy, which are directly applicable to PC practices, thereby providing clinicians with a rich toolkit to manage psychological distress. The article focuses on 10 key concepts from different psychotherapeutic traditions. They are a small sample from the vast and deep pool of wisdom contained in psychotherapeutic theory, and they were selected due to their direct applicability to PC practice. Adopting psychotherapeutic principles, along with leveraging the interdisciplinary wisdom inherent in PC practice, enhances our therapeutic relationships in PC and empowers patients to navigate their illness with greater resilience and adaptive coping.
心理症状在姑息治疗(PC)环境中尤为普遍,严重影响患者及其家人的生活质量。鉴于姑息治疗中痛苦具有内在的多维度性,解决这些心理问题至关重要。本文旨在介绍并整合来自各种心理治疗学派的离散概念,这些概念直接适用于姑息治疗实践,从而为临床医生提供丰富的工具包来管理心理困扰。本文重点介绍了来自不同心理治疗传统的10个关键概念。它们只是心理治疗理论所蕴含的浩瀚而深刻的智慧宝库中的一小部分,之所以选择它们是因为它们直接适用于姑息治疗实践。采用心理治疗原则,同时利用姑息治疗实践中固有的跨学科智慧,可增强我们在姑息治疗中的治疗关系,并使患者更有韧性和适应性地应对疾病。