Dealing with Psycho-oncology
by Indra Jasuja (Hony. Jt. Sec, Indian Cancer Society, Gurgaon)
Human behaviour is a complex interaction of action, reasoning
and emotions. An individual is able to face all impediments as
long as all these work in harmony. Every individual has his
own resources, depending on his personality, from which he
draws in time of crisis. An illness is what the patient feels
and disease is what the doctor treats.
During an illness like cancer the fabrication of these three
facets of personality get tattered and the patient is seen
floundering in the sea of uncertainties. Man is mostly
concerned with the well being of his body thus an illness like
cancer which strongly debilitates the body strongly effects
actions and emotions. As most of our actions are guided by
emotions they take over as soon as the diagnosis of cancer is
established. Loss of body control and the fear of death bring
about a myriad of negative emotions like denial, fear, anger,
anxiety, frustration, hopelessness and guilt.
Our automatic nervous system automatically switches on in time
of crisis and the para sympathetic nervous system brings it
back to normal. When a person like a cancer patient
experiences long drawn frequent crisis situations, there is a
constant state of arousal far removed from the normal. This
effects the body physically as thousands of chemical reactions
lead to production of hormones and chemicals which remain in
the body even after the cessation of the stressful situation.
This then becomes the ideal breeding ground for negative
feelings mentioned above.
We all have these negative emotions, after all what would a
human being be without them, for they make life rich in the
way that one learns to fight. There is an invisible thin line
between normal and abnormal emotions. In the latter case the
behaviour is carried on even after the cessation of the
reactive stimuli. Also the emotions are so exaggerated in a
cancer patient that it makes the person unable to cope with
everyday work situation.
All emotional support and counselling is done with the purpose of making the patient conscious of these feelings and helping him find out his own ways of coping with the situation where he has the responsibility of running his own life.
(Mrs. Indra Jasuja is M.A. in Psychology and holds Diploma in Medical and Social psychology from NIMHANS, Bangalore. She is a breast cancer survivor and has been caregiver to her husband who succumbed to pancreatic cancer. She has been the Vice President of the Breast Cancer Unit of Indian Cancer Society with whom she has worked for the last 16 years. She held the position of President of Cancer Sahyog for three years. She is a clinical Psychologist who has worked with psychiatric patients & drug addicts. She has been giving emotional support to cancer patients and their families for the last 16 years in the hospitals she visits. She also holds the position of Hony. Jt Sec, Indian Cancer Society, Gurgaon.)