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Integration of Psychopharmacotherapy with Psychotherapy and Other Psychosocial Treatment

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Psychopharmacology in Oncology and Palliative Care

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Abstract

The effective use of psychotropic medication in cancer care involves attention to both pharmacology and symbolic communication. Prescribing is part of a therapeutic relationship in which meaning as well as medication is dispensed. Numerous factors influence the meaning of medication, including preexisting psychiatric condition, personal history, disease phase, disease stage, ethnic, cultural and individual differences, and cancer-specific symptoms. Cancer patients are understandably sensitive to the implications of what their doctors say and do, so both a prescription and the lack of one are communications about the doctors’ perception of the nature and severity of their patients’ condition and their concern for them. Perceived uncertainty, loss of control, and feelings of dependency are common themes. Integrating patients’ concerns into prescribing practice can enhance treatment. Combining and integrating psychotropic medication and psychosocial interventions are important aspects of oncological care.

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Author information

Authors and Affiliations

  1. Stanford Center for Integrative Medicine, Stanford University, Stanford, CA, USA

    Manuela Kogon

  2. Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA

    David Spiegel

Authors
  1. Manuela Kogon
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  2. David Spiegel
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Correspondence to Manuela Kogon .

Editor information

Editors and Affiliations

  1. Biomedical & Specialty Surgical Sciences, University of Ferrara, Ferrara, Italy

    Luigi Grassi

  2. Department of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA

    Michelle Riba

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Kogon, M., Spiegel, D. (2014). Integration of Psychopharmacotherapy with Psychotherapy and Other Psychosocial Treatment. In: Grassi, L., Riba, M. (eds) Psychopharmacology in Oncology and Palliative Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40134-3_6

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  • DOI: https://doi.org/10.1007/978-3-642-40134-3_6

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