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Crying: A force to balance emotions among cancer patients in palliative home care

Published online by Cambridge University Press:  27 February 2007

KERSTIN RYDÉ ,
MARIA FRIEDRICHSEN  and
PETER STRANG
KERSTIN RYDÉ
Affiliation:
Department of Social and Welfare Studies, Faculty of Health Sciences, Campus Norrköping, Linköping University, Norrköping, Sweden
MARIA FRIEDRICHSEN
Affiliation:
Department of Social and Welfare Studies, Faculty of Health Sciences, Campus Norrköping, Linköping University, Norrköping, Sweden Palliative Education and Research Center Unit of Palliative Care, Vrinnevi Hospital, Norrköping, Sweden
PETER STRANG
Affiliation:
Karolinska Institutet, FoUU, Stockholms Sjukhem, Stockholm, Sweden
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Abstract

Objective: Crying is a common but seldom studied phenomenon in palliative care. The aim of this study was to explore the significance of patients crying in a palliative care context.

Methods: Tape-recorded interviews with 14 cancer patients in palliative home care were carried out. To gain deeper understanding, a hermeneutic analysis and interpretation was used.

Results: Crying was described in different dimensions: (1) intense and despondent crying as a way of ventilating urgent needs, (2) gentle, sorrowful crying as a conscious release of emotions, and (3) quiet, tearless crying as a protection strategy. Crying seems to be an expression for an inner emotional force, provoked by different factors, which cause changes in the present balance. To cry openly but also to cry on the inside meant being able to achieve or maintain balance. Crying may be something useful, which could create release and help reduce tension, but it may also have a negative impact as it consumes energy and creates feelings of shame.

Significance of results: Professionals need to understand the different levels of crying. In such situations sometimes comforting the patient may not be the best solution, as some may need privacy.

Keywords

CryingPalliative careCancerEmotionsHermeneutic
Type
Research Article
Information
Palliative & Supportive Care , Volume 5 , Issue 1 , March 2007 , pp. 51 - 59
Copyright
© 2007 Cambridge University Press

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References

REFERENCES

Alvesson, M. & Sköldberg, K. (1994). Tolkning och reflektion: Vetenskapsfilosofi och kvalitativ metod. Lund: Studentlitteratur (in Swedish).
Becht, M. & Vingerhoets, A. (2002). Crying and mood change: A cross-cultural study. Cognition and Emotion, 16, 87–101.Google Scholar
Beck-Friis, B. & Strang, P. (1993). The family in hospital-based home care with special reference to terminally ill cancer patients. Journal of Palliative Care, 9, 5–13.Google Scholar
Betta, P. (1993). Mutual Crying: Experiences of Adult Female Patients Who Have Had Nurses Cry with Them. Unpublished doctoral dissertation. New York: Adelphi University.
Breitbart, W. (2002). Spirituality and meaning in supportive care: Spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10, 272–280.Google Scholar
Breitbart, W., Gibson, C., Poppito, R., et al. (2004). Psychotherapeutic interventions at the end of life: A focus on meaning and spirituality. Canadian Journal of Psychiatry, 49, 366–372.Google Scholar
Clements-Cortes, A. (2004). The use of music in facilitating emotional expression in the terminally ill. The American Journal of Hospice Palliative Care, 21, 255–260.Google Scholar
Corless, I. (2001). Bereavement. In Textbook of Palliative Nursing, Ferell-Rolling, B. & Coyle, N. (eds.), pp. 352–362. Oxford: Oxford University Press, Inc.
Cornelius, R. (1997). Toward a new understanding of weeping and catharsis? In The (Non)expression of Emotions in Health and Disease, Vingerhoets, A., Van Bussel, F. & Boelhouwer, A. (eds.), pp. 303–321. Tilburg, Netherlands: Tilburg University Press.
Efran, J. & Spangler, T. (1979). Why grown-ups cry: A two-factor theory and evidence from the miracle worker. Motivation and Emotion, 3, 63–72.Google Scholar
Ekvall, E. & Ternestedt, B.-M. (2003). Important aspects of health care for women with gynecological cancer. Oncology Nursing Forum, 30, 313–319.Google Scholar
Fooladi, M. (2005). The healing effects of crying. Holistic Nursing Practice, 19, 248–255.Google Scholar
Frey, W. (1985). Crying: The Mystery of Tears. Minneapolis, MN: Winston Press.
Friedrichsen, M., Strang, P., & Carlsson, M. (2000). Breaking bad news in the transition from curative to palliative cancer care—Patient's view of the doctor giving the information. Supportive Care in Cancer, 8, 472–478.Google Scholar
Frijda, N. (1986). The Emotions. New York: Cambridge University Press.
Gadamer, H. (1989). Truth and Method (2nd ed.). London: Sheed and Ward.
Gross, J., Fredrickson, B., & Levenson, R. (1994). The psychophysiology of crying. Psychophysiology, 31, 460–468.Google Scholar
Koestler, A. (1964). The Act of Creation. London: Hutchinson & CO.
Kuo, T.-T. & Ma, F.-C. (2002). Symptom distresses and coping strategies in patients with non-small cell lung cancer. Cancer Nursing, 25, 309–317.Google Scholar
Lazarus, R. & Folkman, S. (1984). Stress, Appraisal and Coping. New York: Springer Publishing Company.
Malterud, K. (2001). Qualitative research: Standards, challenges, and guidelines. Lancet, 358, 483–488.Google Scholar
Mathell, P., Vingerhoets, A., & Van Heck, G. (2001). Personality, gender, and crying. European Journal of Personality, 15, 19–28.Google Scholar
The New Oxford American Dictionary. (2005). Available at: www.oxfordreference.com. Retrieved Feb. 4, 2006.
Patel, V. (1993). Crying behavior and psychiatric disorder in adults: A review. Comprehensive Psychiatry, 34, 206–211.Google Scholar
Patton, M. (2004). Qualitative Research & Evaluation Methods (4th ed.). London: Sage.
Renz, M., Shutt-Mao, M., & Cerny, T. (2005). Spirituality, psychotherapy and music in palliative cancer care: Research projects in psycho-oncology at an oncology center in Switzerland. Supportive Care in Cancer, 13, 961–966.Google Scholar
Sadoff, R. (1966). On the nature of crying and weeping. Psychiatric Quarterly, 40, 490–503.Google Scholar
Stanton, A., Danoff-Burg, S., Cameron, C., et al. (2000). Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 68, 875–882.Google Scholar
Thulesius, H., Håkansson, A., & Petersson, K. (2003). Balancing—A basic process in end-of-life cancer care. Qualitative Health Research, 13, 1353–1377.Google Scholar
Ventegodt, S., Andersen, N., & Merrick, J. (2003). Holistic medicine IV: Principles of existential holistic group therapy and the holistic process of healing in a group setting. Scentific World Journal, 23, 1388–1400.Google Scholar
Vingerhoets, A., Van den Berg, M., Kortekaas, R., et al. (1993). Weeping: Associations with personality, coping and subjective health status. Personality and Individual Differences, 14, 185–190.Google Scholar
Wengström, Y., Häggmark, C., & Forsberg, C. (2001). Coping with radiation therapy: Strategies used by women with breast cancer. Cancer Nursing, 24, 264–271.Google Scholar
Williams, D. & Morris, G. (1996). Crying, weeping or tearfulness in British and Israeli adults. British Journal of Psychology, 87, 479–505.Google Scholar
Yalom, I. (1980). Existential Psychotherapy. New York: Basic Books.