Survivor guilt in cancer survivorship

Glaser, Susan; Knowles, Kimarie; Damaskos, Penny

doi:10.1080/00981389.2019.1640337

Cited by 30Cancer survivorship and careGrief, Bereavement, and Mental HealthPalliative and Oncologic Care

Survivor guilt in cancer survivorship

Glaser, Susan, Knowles, Kimarie, Damaskos, Penny·2019·Social Work in Health Care

DOI 10.1080/00981389.2019.1640337

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Abstract

Attributes of survivor guilt are present in the cancer survivorship population, including the presence of distress and loss, identification with a community, and surviving a situation that others have not. Oncology social workers must be aware of feelings and experiences that may be evoked when individuals witness fellow patients suffering and/or dying. In response, survivors may compare their own lives with the lives of those who have died and struggle to justify their existence. Often underlying feelings of guilt can be a sense of overwhelming helplessness, loss of control, grief, mourning, and a deep sense of injustice. This paper will explore the clinical manifestations and therapeutic interventions used to support individuals experiencing survivor guilt through discussion and case examples. The importance of addressing survivor guilt experienced by the clinician and within medical teams will be highlighted and future recommendations for research and program planning in this area will be discussed.

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For Louise, her experiential avoidance was related to survivor guilt, as she felt she had no right to feel sad/angry/fearful, given that she had survived cancer, unlike other patients.
“For Louise, this was also related to what has been termed the guilt of the (cancer) survivor (Glaser et al.,2019), as she felt she had no right to feel sad/angry/fearful, given that she had survived cancer, unlike other patients.”
From Developing an emotion‐focused therapy model for fear of cancer recurrence: A case‐level task analysis. (2024) · cites this paper as Glaser et al.,2019

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Additional file 1 of Implementing a nurse-delivered cognitive behavioural therapy intervention to reduce the impact of hot flushes/night sweats in women with breast cancer: a qualitative process evaluation of the MENOS4 trial
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Additional file 3 of Implementing a nurse-delivered cognitive behavioural therapy intervention to reduce the impact of hot flushes/night sweats in women with breast cancer: a qualitative process evaluation of the MENOS4 trial
Boxall, C., Fenlon, D., May, C. R., Nuttall, J., & Hunter, M. S. (2023) · Figshare · doi:10.6084/m9.figshare.24151293
Additional file 2 of Implementing a nurse-delivered cognitive behavioural therapy intervention to reduce the impact of hot flushes/night sweats in women with breast cancer: a qualitative process evaluation of the MENOS4 trial
Boxall, C., Fenlon, D., May, C. R., Nuttall, J., & Hunter, M. S. (2023) · Figshare · doi:10.6084/m9.figshare.24151290
Additional file 4 of Implementing a nurse-delivered cognitive behavioural therapy intervention to reduce the impact of hot flushes/night sweats in women with breast cancer: a qualitative process evaluation of the MENOS4 trial
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Authors: Glaser, S., Knowles, K., & Damaskos, P.
Affiliations: Memorial Sloan Kettering Cancer Center (US)
Corresponding author: Knowles, Kimarie
Venue: Social Work in Health Care
Publisher: Informa UK Limited
Published: 2019-07-16
Volume: 58
Issue: 8
Pages: 764-775
ISSN: 0098-1389 (ISSN-L)
1541-034X
DOI: 10.1080/00981389.2019.1640337
OpenAlex: W2959576780
Cited by: 30
References: 50
Citations by year: 2026: 4 · 2025: 5 · 2023: 12 · 2022: 6 · 2021: 1 · 2020: 2
FWCI: 0.94
Type: journal article
Language: en
Open access: closed
Locations: Social Work in Health Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords: survivor guilt, cancer survivorship, distress, loss, grief and mourning, helplessness, loss of control, sense of injustice, oncology social work, therapeutic interventions, healthcare teams
MeSH terms: Cancer Survivors, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Female, Guilt, Humans, Male, Middle Aged, Neoplasms, Stress, Psychological

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Survivor guilt in cancer survivorship

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