Palyatif Bakım Kapsamında Psikoterapiler ve Uygulamaları

Kanser hastaları ve diğer ölümcül ve/veya kronik hastalıkları olanlar için geliştirilen palyatif bakım, özellikle son on yılda multidisipliner bir tedavi yaklaşımı olarak geniş kullanım alanı bulmaya başlamıştır. Palyatif bakımda psikoterapi uygulamaları ise halen gelişimini sürdürmektedir. Psikoterapi ekollerinden klasik Bilişsel Davranışçı Terapi BDT , BDT nin üçüncü dalga ekolleri Sanat Terapi uygulamaları kanser hastaları başta olmak üzere palyatif bakım kapsamında kullanılmaktadır. Varoluşçu felsefenin ve varoluşçu psikoterapilerin palyatif bakım sürecinde kullanım öyküsü daha kısıtlı olsa da, bu özel popülasyonun psikolojik ihtiyaçlarına yanıt verebilecek uygulamalardan biri olabilir. Bu derlemenin içeriğinde palyatif bakım kapsamında günümüze kadar kullanılmış olan değişik psikoterapi ekollerinin bir bölümü ile bundan sonra bu alanda etkin olabilecek başka psikoterapi ekolleri tartışılmıştır

Anahtar Kelimeler:

Palyatif bakım, Bilişsel davranışçı terapi, Varoluşçu psikoterapi, Sanat terapi

Psychotherapies and their Practice within the Context of Palliative Care

Palliative care is carried out for patients who have cancer and/or other chronic or fatal diseases. It has been put to use particularly in the last decade. However, psychotherapeutic approaches within the context of palliative care are still being developed. Among psychotherapy approaches, Cognitive Behavioral Therapy CBT , third wave CBT approaches and Art Therapy are performed as part of palliative care, particularly for patients who have cancer. Even existentialist philosophy and existential psychotherapies have a limited story of usage in the course of palliative care and are supposed to be one of the psychotherapeutic approaches for the patients’ psychological problems. Certain parts of various psychotherapy approaches practised within the context of palliative care and other approaches that might be useful for this purpose are discussed in this review

Keywords:

Palliative care, Cognitive behavioral therapy, Existential psychotherapy, Art therapy,

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