Supportive group therapy with women with breast cancer: main unconscious fantasies

Authors

  • Vera Lúcia Rezende UNICAMP
  • Neury José Botega UNICAMP

Keywords:

Psychology, breast cancer, brief psychotherapy, group psychotherapy

Abstract

This work investigated the provision of psychological assistance for women with breast cancer. The aims of this study were: 1. to examine the experience of the Psychological Support Group established in the Centro de Atenção Integral à Saúde da Mulher (CAISM), UNICAMP, Campinas, Brasil; and, 2. to analyse the dynamic aspects of one of these groups, as well as the psychological state of the patients involved. During the sessions, the patients complained considerably and demonstrated feelings of rejection and suspicion. Several ordinary, unconscious fantasies were identified, the basis ofwhich was a generalized fear of castration. The need to expose oneself was viewed as being full of
risks and as a threat to further losses. This group psychological approach resulted in a close
experience of the above feelings that allowed some of them to be dealt with.

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References

Angelergues-De Kerchove, C. - Et "la mort viendra ... ": des psychothérapies de patients atteints de maladies létales. Rev. Fran. Psychanal., 3: 659-66, 1991.

Anzieu, D. - O grupo e o inconsciente: o imaginário grupal. São Paulo, Casa do Psicólogo, 1993. 227p.

Baider, L.; Mikm, J.c.; De-Nour, K. - Time-limited thematic group with post-mastectomy patients. J. Psych. Res., 28(4):323-30, 1984.

Bahamondes, M.Y.M. - Recuperação física e emocional das mastectomizadas. In: Pinotti, J.A, ed. - Terapêutica em mastologia. São Paulo, Manole, 1984. p.111-5.

Bion, W.R. - Experiências com grupos. 2ed. Rio de Janeiro, Imago, 1970. 185p.

Bridge, L.R.;Benson, P.; Pietroni, P.C; Piest, R.G. - Relaxation and imagery in the treatmentofbreastcancer. BMJ 297 (5): 1169- 72,1988.

Britto, AV. (ed) - Registro de câncer de base populacional de Campinas: dados de 1991. Universidade Estadual de Campinas, Campinas, São Paulo, 1993, 8p.

Corbineau, G.D. - Um grupo de pacientes mastectomizadas: aplicações da psicanálise no trabalho institucional. Infor. Psiq. 8(1): 10-8,1989.

Dmoch, W. - Sobre alguns aspectos do procedimento com pacientes mastectomizadas. In: Prill, H-J. & Langen, D. - Ginecologia psicossoinática: o caminho psicossomático para a prática ginecológica. São Paulo, Roca, 1985. p.315-9.

Fallowfield, L.J. & Hall, A - Psychosocial and sexual imapct of diagnosis and treatment of breastcancer. Br.Med. Bull., 47(2): 388-99, 1991.

Fengler, J.- Grupos de auto-ajuda de mulheres cancerosas. In: Prill, H.J. & Langen, D. - Ginecologia psicossomâtica: o caminho psicossomático para a prática ginecológica. São Paulo, Roca, 1985. p.320-26.

Flórez, H.B. - Psicoterapia de grupo en pacientes de cancer. Rev. Lat. Am. Psicol., 2 (1): 47- 63,1979.

Isaacs, S. - A natureza e a função da fantasia. In: Klein, M; Heimann, P; Isaacs, S; Riviere, J. - Os progressos da psicanálise. 2ed. Rio de Janeiro, Guanabara Koogan, 1982.9-135.

Kães, R. - El aparato psíquico grupal: construcciones de grupo. Barcelona, Granica, 1977. 347p.

Klein, M. - Algumas conclusões teóricas sobre a vida emocional do bebê. In: Klein, M; Heimann, P; Isaacs, S; Riviere, J. - Os progressos da psicanálise. 3ed. Rio de Janeiro, Guanabara Koogan, 1982. p 216-55.

Krynski; S. - Reações psicológicas e psicopatológicas relacionadas à cirurgia da mama. Bol. CEPP 4 (2): 59-65, 1986.

Moreira, P.; Garbovesky, C; Casá, D. - Psicoterapia en pacientes mastectomizadas. Revista Argentina de cirugia, 49: 119-20, 1985.

Negrin, L.C - Epidemiologia del cancer de la glandula mamaria. In: Muñoz, G. A H., ed.- Avances en mastología. Caracas, Ed. Universitaria, 1992. p.155-64.

Ramirez, AJ. - Liaison psychiatry in a breast cancer unit. Royal Soe. Med., 82: 15-7,1989.

Renneker, R.M.D. & Cutler, M.M.D. - Psychological problems of adjustment to cancer of the breast. J. Am. Med. Assi., 148(10): 833-8,1952.

Sachs, S.H.; Davis, M.; Reynolds, S.A; Spagnola, M.; Hall, P; Bloch, A - Comparative results of postmastectomy rehabilitation in a specialized and community hospital. Cancer 48: 1251-5,1981.

Segal, H. - Sonho, fantasia e arte. Rio de Janeiro, Imago, 1993. 132p. (Coleção Nova Biblioteca de Psicanálise).

Spiegel, D. & Bloom, J.R. - Group therapy and hypnosis reduce metastatic breast carcinoma paio. Pefchosom. Med., 45 (4): 333-9, 1983.

Spiegel, D.; Kraemer, H.C; BIoom, J.R.; Gottheil, E. - Effect of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet. 14: 888-91, 1989.

Stegert, O. A - Psychological management of breast cancer patients in a group. Z-Lymphol 17 (1): 15-7,1993.

Vinogradov, S. & Yalon, I.D. - Manual de psicoterapia de grupo. Porto Alegre, Artes Médicas, 1992. 215p.

Weigand, O.; Souza, AZ. De; Okawara, H.; Costa,E.C; Savatore, CA - Reabilitação pós-mastectomia. Rev. Ass. Med. Bras., 28(5- 6): 143-47, 1982.

Willis, J. - Building on strengths. Nursing times 88(15) 21,1992.

Winick, L. & Robbins, G.F. - Physical and psychologic readjustment after mastectomy: ao evaluation of Memorial Hospital's PMRG Programo Cancer 39: 478-86, 1977.

Published

1998-12-31

How to Cite

Rezende, V. L. ., & Botega, N. J. . (1998). Supportive group therapy with women with breast cancer: main unconscious fantasies. Psychological Studies, 15(1). Retrieved from https://seer.sis.puc-campinas.edu.br/estpsi/article/view/5815