PSYC 328 Lecture Notes - Lecture 12: Family Therapy, Retching, Advance Healthcare Directive

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Chapter 12: psychological issues in advancing and terminal illness. In early childhood most frequently due to motor vehicle accidents, accidental drowning, poisoning, injury, or falls in the home. In middle age, death becomes more realistic and in some cases, assumes fearful proportions, both because it is more common and because people develop the chronic health problems that may ultimately kill them. In some cases, refusal of treatment = depression and hopelessness; in other cases = supported by thoughtful choice. Is there a right to die: an important social trend affecting terminal care is the right-to-die movement, which maintains that dying should become more a matter of personal choice and personal control. Changes in the patient"s self-concept: patients with advancing illnesses but adjust their expectations and activities according to the stage of their disorder. In determining how to respond, one must try to understand which of several reasons may be producing the behavior.

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