Setting patients free
11/13/2007 Eugene, OR staff Register-Guard (www.registerguard.com) The popular image of cancer patients facing their condition with a mixture of defiance and determined optimism is so pervasive that oncologists sometimes refer to it as the “prison of positive thinking.” “In the breast-cancer culture, cheerfulness is more or less mandatory, dissent a kind of treason,” journalist Barbara Ehrenreich wrote in Harper’s magazine after her own breast cancer diagnosis. For better or for worse, the treason has been pardoned and those prison doors have been pried open by a University of Pennsylvania research team. A study led by psychologist James Coyne that will be published in the December issue of the journal Cancer concludes that emotional well-being had no effect on overall cancer survival rates. But if previous reaction to similar findings is any indication, many prisoners of positive thinking will elect to remain in their cells. There’s really nothing wrong with that, Coyne says. There can be lots of emotional and social benefits to taking a positive approach as long as it isn’t tied to an expectation that it actually enhances cancer survival. The real downside of the “live strong, think positive” mantra is that when cancer patients experience the normal cycles of sadness, depression and self-pity, they exaggerate the consequences. They feel weak and defeated, and fear they’re letting their loved ones down. Even worse, they feel they may actually be reducing their chances of survival. Depression equals death. Coyne’s study is the largest ever to focus specifically on the relationship [...]