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Adapting Meaning-Centered Psychotherapy for Adolescents and Young Adults with Cancer
Abstract
There is a lack of validated psychotherapeutic interventions for the adolescent and young adult (AYA) cancer population, despite years of evidence of significant need. AYAs with cancer experience distress, anxiety, grief, life disruption, and loss of meaning. Meaning-making is a core developmental task of adolescence and contributes to identity development. This chapter reviews narrative and structural theories of identity development, viewed through the lens of a disruptive life event such as cancer. Clinical therapeutic issues are discussed, including the selection of AYA patients for participation in meaning-centered work, the therapeutic approach to difficult subjects such as prognosis or end of life, working with parents and caregivers, and dealing with grief and suicidality in a meaning-centered framework. Formal development of a manualized meaning-centered psychotherapy for AYAs is also discussed. A clinical vignette is presented to illustrate the main themes of a meaning-centered psychotherapeutic approach.
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The intervention is a novel combination of traditional behavioral symptom coping strategies, home-based physical activity, strategies from contemporary cognitive-behavioral theory-based approaches like ACT and those to foster self-compassion, concepts from MCP, and strategies to improve communication and healthcare engagement.
“The intervention, developed with input from YA cancer survivors and oncology providers, is a novel combination of traditional behavioral symptom coping strategies, home-based physical activity, strategies from contemporary cognitive-behavioral theory-based approaches like ACT [34] and those to foster self-compassion, concepts from MCP [38–41], and strategies to improve communication and healthcare”
From Improving symptom management for survivors of young adult cancer: rationale and study protocol for a pilot randomized controlled trial (2024) · cites this paper as [41]
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Dietrich, N., Estradé, A., & Cruzado, J. A. (2021) · Psicooncología · doi:10.5209/psic.77752 · Cited by 15
Dorfman, C. S., Shelby, R. A., Stalls, J. M., Somers, T. J., Keefe, F. J., Vilardaga, J. P., Winger, J. G., Mitchell, K., Ehren, C., & Oeffinger, K. C. (2023) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2022.0100 · Cited by 10
Marco, J. H., Llombart, P., Guillén, V., Baños, R. M., Romero, R., Garcia-Conde, A., & Pérez Rodríguez, S. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.892573 · Cited by 7
Liu, Q., Ho, K. Y., Lam, K. K. W., Wong, F. K. Y., Lam, W., Cheng, F. W. T., Wei, H., Chan, K., Ting, M., Yang, F. N., et al. (2025) · BMC Medicine · doi:10.1186/s12916-025-04287-5 · Cited by 5
Dorfman, C. S., Shelby, R. A., Stalls, J. M., Thomas, S. M., Arrato, N. A., Herold, B., Somers, T. J., Keefe, F. J., Winger, J. G., Vilardaga, J. P., et al. (2024) · Pilot and Feasibility Studies · doi:10.1186/s40814-024-01510-7 · Cited by 3
CPD: Psychological and social impact of retinoblastoma on teenage and young adult survivors
O’Donnell, N. (2023) · Optician · doi:10.12968/opti.2023.268.6917.18
Metadata
- Authors
- Kearney, J. A., & Ford, J. S.
- Venue
- Oxford Medicine Online
- Publisher
- Oxford University Press
- Published
- 2017-01
- OpenAlex
- W4237005172
- Cited by
- 6
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1
- FWCI
- 0.00
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- meaning-centered therapy, adolescent and young adult cancer, meaning-making, identity construction, narrative identity theory, grief, suicidality, end-of-life discussions, prognosis, manualized psychotherapy
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