This viewpoint describes the case of a 4-year-old boy's journey in art therapy after his cancer had returned, which despite surgery, radiation, and chemotherapy, ultimately claimed his life. The patient and his family participated in art therapy over the course of 18 months. As an integrated, palliative component of treatment, art therapy helped…

Art therapy can be an effective way to focus on end of life issues with cancer patients facing imminent death. This viewpoint discusses ethical challenges in the treatment of a 63-year-old man with terminal lung cancer who was participating in short-term individual art therapy. Difficult issues that often surface in the final days of life may…

Hopelessness has become an increasingly important construct in palliative care research, yet concerns exist regarding the utility of existing measures when applied to patients with a terminal illness. This article describes a series of studies focused on the exploration, development, and analysis of a measure of hopelessness specifically intended…

Several studies have shown that the symptoms of grief are different from symptoms of depression among bereaved family members. This study is an attempt to replicate this finding among advanced cancer patients and examine clinical correlates of patient grief and depression. Analyses were conducted on data from interviews with 123 advanced cancer…

This article presents a summary of recent crisis management publications. The first research report summarized, "Predictors of PTSD," was a study of predictor variables for responses to the World Trade Center attack. The second paper, "Effective Mental Health Response to Catastrophic Events," looked at effective responses following Hurricane…

Loneliness is a universal phenomenon, and its pain is intensified by a diagnosis of a terminal illness. The present study is an investigation of the strategies used by patients with Multiple sclerosis (MS), by individuals diagnosed with cancer, and by the general population to cope with loneliness. Three hundred and twenty nine MS patients, 315…

Examined responses of 1,110 terminally ill persons with cancer at varying time periods prior to death. Disengagement and Objective Self-Awareness theories, which suggest that people nearing death would increase desire to separate from others, were not supported. Found few differences in responses of persons further from, or closer to, death.…

Examined relationships among death anxiety, disclosure behaviors, and attitudes toward terminal care of 99 oncologists. Found death anxiety scores lower for oncologists than typically reported for physicians. Short-term repeated exposure to dying patients resulted in comfort with dying patients whereas long-term repeated exposure resulted in…

Art work produced by geriatric patient on psychiatric ward illustrated metaphors of loss. After three months, patient was diagnosed with liver cancer; she died three weeks later. All work was produced before cancer diagnosis, yet it showed similarities to work by cancer patients, suggesting that client unconsciously knew she was dying and worked…

Reports on abandoned study examining potential benefits of psychotherapy to terminal cancer patients. Preliminary feasibility study found physicians' attitudes toward their dying patients as reformed and progressive. Interest shown by physicians did not translate into tangible research effort in spite of active pursuit by investigator over period…

Depression at the end of life is a common mental health issue with serious implications for quality of life and decision making. This study investigated the reliability and validity of one of the most frequently used measures of depression, the Hamilton Depression Rating Scale (HAM-D) in 422 patients with terminal cancer admitted to a palliative…

Couples in which one spouse had terminal cancer reported expressions of love, marriage problems, and commitment to each other after diagnosis of cancer and before diagnosis. Cancer group reported expressing more love to each other after diagnosis and more love than comparison group of healthy subjects. Cancer couples were less committed to each…

Interviewed 100 terminally ill cancer patients to examine farewells made before the interview and those desired and planned but not yet completed. Most patients (81 percent) desired to farewell; most wanted farewell to occur late in course of their dying. Prominent in preferred styles of farewells were the gift, conversation, and letter.…

Notes that, in survey of 50 cancer patients offered living wills, 6 individuals declined to sign advance directives. Contains detailed evaluation of each of six cases. Discusses potential value of living wills in context of other, newer forms of advance directives, such as durable power of attorney for health care, and more detailed living will…

Recounts personal experiences concerning art therapy as both a lymphoma patient and an artist. A few selections from two periods in the hospital illustrate physical and emotional pain. (JPS)