Dying cancer patients' experiences of powerlessness and helplessness
2008 (English)In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 16, no 7, 853-862 p.Article in journal (Refereed) Published
Goals of work
Experiences of powerlessness and helplessness are closely linked to incurable diseases but seldom studied in patients with disseminated cancer. The aim is to explore the perception, experiences and significance of powerlessness and helplessness, to study triggering factors and to make quantifications.
Materials and methods
One hundred three patients, enrolled in four different palliative home-care settings, completed a questionnaire with both Likert-type questions and open-ended questions. The response rate was 58%, and background data was reported as frequencies, whereas the main material was analysed using a qualitative content analysis.
Impending death, symptoms, loss of control and autonomy, ignorance, isolation and uncertainty constituted the basis for powerlessness and helplessness, but each factor was reinforced by the occurrence of suddenness, high intensity and/or lengthiness. In total, 65% reported definite experiences of powerlessness and helplessness. These feelings also held a deeper meaning, involving aspects such as existential loneliness and hopelessness. They were ultimately caused by an incapacity to control feelings and cope with the situation related to the impending death. The results are discussed in relation to Cassel’s theory of suffering and existential psychology.
Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2008. Vol. 16, no 7, 853-862 p.
IdentifiersURN: urn:nbn:se:liu:diva-40571DOI: 10.1007/s00520-007-0359-zISI: 000256475100013Local ID: 53498OAI: oai:DiVA.org:liu-40571DiVA: diva2:261420