The patient's motivation in seeking complementary therapies

被引:30
作者
Ritvo, P
Irvine, J
Katz, J
Matthew, A
Sacamano, J
Shaw, BF
机构
[1] Canc Care Ontario, Div Prevent Oncol, Toronto, ON M5G 2L7, Canada
[2] Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada
[3] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada
[4] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[5] Ontario Canc Inst, Div Epidemiol Biostat & Behav Sci, Toronto, ON M4X 1K9, Canada
[6] Univ Hlth Network, Princess Margaret Hosp, Toronto, ON, Canada
[7] Univ Hlth Network, Toronto Gen Hosp, Dept Anaesthesia, Toronto, ON, Canada
[8] Ontario Inst Studies Educ, Dept Psychol, Toronto, ON M5S 1V6, Canada
[9] Victoria Mental Hlth Serv, Victoria, BC, Canada
[10] Hosp Sick Children, Dept Psychol, Toronto, ON M5G 1X8, Canada
关键词
motivation; therapy-seeking; complementary therapies;
D O I
10.1016/S0738-3991(99)00063-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The motivations of cancer patients in seeking complementary therapies are, fundamentally, self-healing motivations which, when engaged appropriately, can contribute to the patient's psychological and physical well being. In this paper, we apply a theoretical model, the Risk Adaptation Model, to furthering the clinical understanding of the motivations of cancer patients in seeking complementary therapies. The model identifies six discrete cognitive processes which, in combination, are hypothesized to play a central role in therapy seeking. Emphasis in this model is placed on the patient's need to maintain positive expectancies (optimism) when faced with the risk and uncertainty of cancer. This understanding of complementary therapy seeking is grounded in the perspective that clinicians must respect the autonomy of cancer patients in their quest for appropriate therapies, and assist rather than direct their process of therapy-seeking. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:161 / 165
页数:5
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