Background: By examining the medical-philosophical Latin heritage, some psycho-oncology principles may be traced in Claudius Galenus and Lucius Anneus Seneca. The former hypothesized a link between depression and cancer, the latter strongly underlined the need for not wasting time, living in the present by searching for meaning and reaching wellbeing of the soul through virtues, even when dealing with misfortune and negative life events. Methods: On these premises, what follows here is an analysis of the first steps in the science of psychosocial care in cancer starting with the work of Arthur M. Sutherland and moving on to more recent psycho-oncology research, which has shown the centrality of a bio-psychosocial approach in cancer integrating cure and care (within the double-meaning of the old Latin noun cura). Results: Studies of the biopsychosocial approach cover the psychological implications of cancer (e.g., prevalence of emotional distress, application of DSM/ICD classical and more recent psychiatric classification systems), their psychobiological concomitants (e.g., inflammation and immune dysregulation mechanisms in depression, chronobiology of stress and cancer) and interpersonal issues (e.g., doctor-patient communication and role of neuron mirror system) are discussed Conclusions: Psychosocial oncology avoids the distinction between curing and caring and includes science and compassion in a whole approach to the multi-dimensionality of the human being in balancing evidence-based with person-centered/narrative based oncology (values-based oncology).
Quam bene vivas referre: curing and caring in psycho-oncology
GRASSI, Luigi
2013
Abstract
Background: By examining the medical-philosophical Latin heritage, some psycho-oncology principles may be traced in Claudius Galenus and Lucius Anneus Seneca. The former hypothesized a link between depression and cancer, the latter strongly underlined the need for not wasting time, living in the present by searching for meaning and reaching wellbeing of the soul through virtues, even when dealing with misfortune and negative life events. Methods: On these premises, what follows here is an analysis of the first steps in the science of psychosocial care in cancer starting with the work of Arthur M. Sutherland and moving on to more recent psycho-oncology research, which has shown the centrality of a bio-psychosocial approach in cancer integrating cure and care (within the double-meaning of the old Latin noun cura). Results: Studies of the biopsychosocial approach cover the psychological implications of cancer (e.g., prevalence of emotional distress, application of DSM/ICD classical and more recent psychiatric classification systems), their psychobiological concomitants (e.g., inflammation and immune dysregulation mechanisms in depression, chronobiology of stress and cancer) and interpersonal issues (e.g., doctor-patient communication and role of neuron mirror system) are discussed Conclusions: Psychosocial oncology avoids the distinction between curing and caring and includes science and compassion in a whole approach to the multi-dimensionality of the human being in balancing evidence-based with person-centered/narrative based oncology (values-based oncology).I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.