Psychodynamic interventions in cancer care II: a qualitative analysis of the therapists' reports: Focus of psychodynamic-oriented interventions in cancer patients
Abstract
Background To investigate the focus of psychodynamic-oriented interventions in cancer patients by means of a qualitative analysis of the therapists' reports. Methods One hundred thirty-five reports collected within a controlled psychotherapy trial were analyzed; the themes addressed during the intervention were classified in categories reflecting the focus of the intervention and correlated with sociodemographic and medical data and type of intervention. Results Twenty main themes were identified and classified in two categories: category 1 corresponded to interventions based on expression and support, and category 2 to interventions based on introspection, with subcategory 2.1 focusing on the patient's psychological functioning and subcategory 2.2 focusing on his way to engage and communicate in relationships. While the most frequently addressed theme was related to the diagnosis of cancer (N = 102/576; 22.6%), the majority of themes were related to other concerns (N = 446/576; 77.4%). Half of the interventions (50.4%) were classified in category 1, 27.4% in category 2.1, and 9.6% in category 2.2. Patients of category 1 entered less often brief psychotherapy (step 2 of the intervention) and more frequently suffered from advances disease. Conclusions A wide variety of themes are addressed in psychodynamic interventions in the oncology setting, illustrating that cancer is not the only focus of therapy. Other themes reflect different psychological difficulties triggered by the…
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Different psychological interventions with cancer patients emphasise the importance of a unique and safe relationship of the client with someone who genuinely cares and sees, understands and accepts their experience.
“This is emphasised by different psychological interventions with cancer patients (Boulton et al.,2001; Carlson,2015; Krenz et al.,2014; MacCormack et al.,2001).”
From Developing an emotion‐focused therapy model for fear of cancer recurrence: A case‐level task analysis. (2024) · cites this paper as Krenz et al.,2014
Cites
Zwerenz, R., Beutel, M. E., Imruck, B. H., Wiltink, J., Haselbacher, A., Ruckes, C., Schmidberger, H., Hoffmann, G., Schmidt, M., Köhler, U., et al. (2012) · BMC Cancer · doi:10.1186/1471-2407-12-578 · Cited by 25 · see citing works
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Elias, A., Ricci, M., Rodriguez, L. H. D., Pinto, S. D., Giglio, J. S., & Baracat, E. (2015) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2015.01.007 · Cited by 41 · see citing works
Psycho-oncological interventions and psychotherapy in the oncology setting.
de Vries, M., & Stiefel, F. (2014) · Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · doi:10.1007/978-3-642-40187-9_9 · Cited by 21 · see citing works
Self-citationMenichetti, J., Giusti, L., Fossati, I., & Vegni, E. A. M. (2015) · European Journal of Cancer Care · doi:10.1111/ecc.12412 · Cited by 18 · see citing works
Singer, S., Kojima, E., Beckerle, J., Kleining, B., Schneider, E., & Reuter, K. (2017) · Psycho-Oncology · doi:10.1002/pon.4427 · Cited by 15 · see citing works
“Psychotherapy provides cancer patients with a safe place to talk about their experience with the disease and its treatment, allowing them to process emotions and thoughts, thereby assisting them in managing the illness and finding emotional relief.(10,11) Depression and anxiety can be reduced.”
BackgroundPhilipp, R., Walbaum, C., & Vehling, S. (2024) · Death Studies · doi:10.1080/07481187.2024.2353362 · Cited by 11 · see citing works
“In our systematic literature review, we included a total of 31 qualitative studies: 10 case studies, 20 clinical illustrations, and one other qualitative study (Krenz et al., 2014).”
Morgan, C., & Cooper, M. (2015) · Counselling and Psychotherapy Research · doi:10.1002/capr.12028 · Cited by 11 · see citing works
Psychotherapy in the Oncology Setting.
de Vries, M., & Stiefel, F. (2018) · Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · doi:10.1007/978-3-319-64310-6_9 · Cited by 10 · see citing works
Self-citationSinger, S., Kojima, E., Deppisch, L., Taylor, K., Wickert, M., Riedel, P., Alt, J., Hess, G., Hechtner, M., & Bayer, O. (2021) · Counselling and Psychotherapy Research · doi:10.1002/capr.12488 · Cited by 8 · see citing works
Elias, A., Ricci, M., Rodriguez, L. H. D., Pinto, S. D., Giglio, J. S., & Baracat, E. (2017) · Estudos de Psicologia (Campinas) · doi:10.1590/1982-02752017000400009 · Cited by 6
Die Versorgungslandschaft in der Psychoonkologie
Singer, S., Hornemann, B., Bruns, G., & Petermann-Meyer, A. (2017) · Nervenheilkunde · doi:10.1055/s-0038-1636899 · Cited by 5 · see citing works
“Hauptthema der Arbeit ist die Auseinandersetzung der Patienten (und ihrer Angehörigen) mit den Belastungen und Veränderungen, die die Krankheit auf körperlicher, kognitiver, sozialer und psychischer Ebene bewirkt mit dem Ziel, ein neues inneres Gleichgewicht in einer unfreiwillig veränderten Lebenssituation zu finden.”
BackgroundInfluentialAptitudes communicationnelles et formations à la communication en oncologie : Discussion critique
Stiefel, F., & Bourquin, C. (2014) · doi:10.1007/s11839-014-0490-2 · Cited by 4
Self-citationAlmeida, S. N., Elliott, R., Silva, E. R., & Sales, C. M. D. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12624 · Cited by 2 · see citing works
Reflections on psychodynamic psychotherapy for patients with cancer facing existential threat
Stiefel, F., & Michaud, L. (2025) · British Journal of Psychotherapy · doi:10.1111/bjp.70005 · Cited by 2
Self-citationPolese, D., Mazzetta, A., Galiuto, L., Nardo, G. D., & Parisi, P. (2025) · Journal of Psychosocial Oncology · doi:10.1080/07347332.2025.2559636 · Cited by 2 · see citing works
Philipp, R., Walbaum, C., Lindner, R., Karger, A., Maatouk, I., Dinger, U., & Vehling, S. (2024) · PPmP. Psychotherapie, Psychosomatik, medizinische Psychologie · doi:10.1055/a-2322-8596 · Cited by 2 · see citing works
“Insbesondere Patient:innen, die sich aufgrund von Beziehungsproblemen im Kontext der Erkrankung und des be-vorstehenden Lebensendes eine Psychotherapie wünschen, können von diesem Behandlungsansatz profitieren [14].”
An exploration of psychotherapists’ experiences in medically driven cancer care settings
Reitano, G. (2017) · Counselling and Psychotherapy Research · doi:10.1002/capr.12135 · Cited by 2 · see citing works
Tra la vita e la morte: studio clinico sul percorso psicodrammatico di due pazienti oncologi
Lamiani, G., Fossati, I., & Vegni, E. A. M. (2017) · RICERCHE DI PSICOLOGIA · doi:10.3280/rip2016-004008 · Cited by 3 · see citing works
Philia, I., Eirini, S., & Marina, S. (2021) · International Journal of Psychiatry Research · doi:10.33425/2641-4317.1114 · Cited by 1
“In fact, all participant women referred to the experience of the illness and its psychosocial consequences as instigating the onset of psychotherapy, even though cancer-related issues did not seem to constitute the only focus of psychotherapy [34].”
BackgroundInfluentialCombined Therapy Versus Usual Care in the Treatment of Depressed Cancer Patients With Pain
Bovero, A., Ieraci, V., Amodeo, L., Malabaila, A., Ferrero, A., & Torta, R. (2017) · International Journal of Psychotherapy Practice and Research · doi:10.14302/issn.2574-612x.ijpr-17-1604 · Cited by 1 · see citing works
“In this context, brief psychotherapy is used to improve adaptive coping styles and to maintain adherence with the therapeutic program of oncological patients with pain: when depression and pain are comorbid, the patients’ adherence with treatments was reduced [52].”
BackgroundStarling, M. (2019) · University of East London · doi:10.15123/uel.8749x
Psychodynamic interventions in palliative care: Cui bono?
Stiefel, F., Bourquin, C., & Michaud, L. (2025) · Palliative & Supportive Care · doi:10.1017/s1478951525101041
Self-citationРоль психотерапии в лечении и реабилитации онкогинекологических больных
Rytik, E. Г., Солопова, А. Г., Идрисова, Л. Э., & Чуканова, Е. М. (2017) · Psikhiatriya · doi:10.30629/2618-6667-2017-76-108-114
La psycho-oncologie depuis 20 ans, une discipline fidèle à ses promesses ?
Machavoine, J., & Saltel, P. (2015) · Psycho-Oncologie · doi:10.1007/s11839-015-0541-3
- Authors
- Krenz, S., Godel, C., Stagno, D., Stiefel, F., & Ludwig, G.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Krenz, Sonia
- ORCID
- Ludwig, Gundula
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2013-08-23
- Volume
- 23
- Issue
- 1
- Pages
- 75-80
- ISSN
- 1057-9249 (ISSN-L)
- OpenAlex
- W1558313284
- Cited by
- 23
- References
- 0
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2021: 1 · 2017: 8 · 2015: 5 · 2014: 1 · 2013: 1
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- psychodynamic psychotherapy, cancer patients, psychological functioning, interpersonal relationships, brief psychotherapy, advanced disease, patient needs
- MeSH terms
- Adaptation, Psychological, Female, Humans, Interpersonal Relations, Male, Middle Aged, Neoplasms, Treatment Outcome, Psychotherapy, Psychodynamic
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