Application of dignity therapy in an advanced cancer patient — Wider therapeutic implications

Abstract

Aim: Dignity therapy is a short-term, individualized, patient-focused form of therapy reducing stress and helping both the patient and his family appreciate the end-of-life situation. The present study describes the impact of dignity therapy on an advanced cancer patient within a Polish hospital setting. Methods: MH. Chochinov’s dignity therapy protocol was applied. A session was conducted during which an interview with the patient was recorded; subsequently subjected to a statistical analysis. The competent judges’ approach was used to effectively preclude subjective interpretation of the patient’s statement by an investigator. The judges’ appraisal was then checked for concordance (W Kendall). The patient was also asked to complete a survey questionnaire designed to assess the therapeutic effectiveness of dignity therapy in the intervention. Results: The patient indicated that family epitomized the most crucial values. He also highlighted other issues, i.e. his work and life’s passion — playing the drums. The survey questionnaire indicated that by far the greatest benefit consisted in an overall improvement of his mental well–being (4.67). Benefits for the family followed (4), including his hope for recovering family ties (4). An unexpected therapeutic effect consisted in re–establishing a broken relationship with his daughters. Conclusions: Dignity therapy proved effective not only as a method of enhancing the patient’s own sense of dignity in the face of impending death but also tangibly instrumental in overcoming a dramatic communication break within a family.