4.3.6 Peer Support Groups
Programs of self-help and mutual support of patients with cancer have been
available since the 1940's, when the American Cancer Society (ACS) established
visitor programs to offer practical help for patients at home (Mastrovito,
Moynihan, and Parsonnet, 1989). Some, such as the National Coalition for Cancer
Survivorship and many of their local chapters, enroll survivors of any type of
cancer and their relatives. Others target specific cancers; these include the
International Laryngectomy Society, the United Ostomy Association, and the
ACS's Reach-to-Recovery program for breast surgery patients. Many of the peer
support groups work closely with health care teams who refer patients them.
The experience and empathy of people who have experienced a disease can provide
credible support to others with the same disease or problem and can help new
patients learn to cope more effectively (Mantell, Alexander, and Kleiman,
1976). Support networks can also help patients to maintain social identity and
provide emotional support, material aid, and access to information (Walker,
MacBride, and Vachon, 1977). Because of the benefits provided by these groups,
clinicians should know which are active in their area and provide this
information to patients who wish to join them. Table 18 provides
suggestions on how to find a support group.
TENS
Acupuncture
Psychosocial Interventions
Relaxation and Imagery
Distraction and Reframing
Psychotherapy and Structured Support
Hypnosis
Pastoral Counseling
Index