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Am J Hosp Palliat Care. 2015 Mar;32(2):144-60. doi: 10.1177/1049909113508640. Epub 2013 Oct 18.

Mindfulness-based supportive therapy (MBST): proposing a palliative psychotherapy from a conceptual perspective to address suffering in palliative care.

The American journal of hospice & palliative care

Tan Seng Beng, Loh Ee Chin, Ng Chong Guan, Anne Yee, Cathie Wu, Lim Ee Jane, Christopher Boey Chiong Meng

Affiliations

  1. Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia [email protected].
  2. Department of Medicine, Faculty of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia.
  3. Department of Psychological Medicine, Faculty of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia.
  4. Faculty of Medicine, University Malaya Medical Center, Kuala Lumpur, Malaysia.

PMID: 24142593 DOI: 10.1177/1049909113508640

Abstract

OBJECTIVE: To develop a mindfulness-based palliative psychotherapy to address psychoexistential suffering in palliative care.

CONCEPTUALIZATION: First, a theory of suffering was formulated by merging 2 models of suffering from 2 thematic analyses of 20 palliative care patients and 15 informal caregivers. Second, the results from a secondary thematic analysis of suffering caused by health care interactions were conceptualized into a psychotherapy framework. Third, principles of mindfulness were incorporated into the framework to form a mindfulness-based psychotherapy.

RESULTS: Mindfulness-based supportive therapy (MBST) was developed with the following 5 components of presence, listening, empathy, compassion, and boundary awareness.

CONCLUSION: We believe that MBST is a potentially useful psychological intervention in palliative care, specifically designed to address psychoexistential suffering of terminally ill patients.

© The Author(s) 2013.

Keywords: mindfulness; palliative care; psychosocial care; psychotherapy; review; suffering

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