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January 23, 1978

Adaptive Mechanisms and Leukemia-Reply

Author Affiliations

Ellis Fischel State Cancer Hospital Columbia, Mo

JAMA. 1978;239(4):294-295. doi:10.1001/jama.1978.03280310026008

In Reply.—  Dr Glickman raises several valid issues in his letter. However, the object of our study was to identify the adaptive coping mechanisms of adult acute leukemia patients in remission. It indeed was determined that return to the hospital was a stress-provoking situation associated with the inescapable realization of the presence of the disease. From a practical standpoint of patient management, we are now attempting to administer leukemia maintenance chemotherapy on an outpatient basis whenever possible so that the patient can continue a reasonably normal life-style.Patients with malignant diseases do form a hospital family and show a great deal of true concern for each other.1 This is an important part of their support system. They tend to visit each other in their homes, help each other with their hobbies, and communicate openly with regard to the nature of their disease. A grief reaction experienced by the group