From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In February 1999, at Psychiatry Grand Rounds, David Spiegel, MD, discussed
coping strategies used by patients with cancer and evidence regarding the
efficacy of positive attitude, psychotherapeutic intervention, social support,
and complementary treatments.1 Mrs K, a 43-year-old
woman with metastatic breast cancer, described herself as an optimist and
said, "I'm not looking at this as a death sentence. I'm looking at it more
as an adventure. . . . I absolutely believe I will live longer because of
the positive stuff I'm doing—no question in my mind." Mrs K participated
in cancer support groups, exercised, and practiced qi gong for relaxation. She died of her disease in May 1999, leaving behind
her husband and 5-year-old son. We asked Dr B to update us about the year
since the conference.
Parker RA, Hartman EE. A 43-Year-Old Woman Coping With Cancer, 1 Year Later. JAMA. 2000;283(12):1614. doi:10.1001/jama.283.12.1614