ABSTRACT

Life-threatening illness such as cancer may lead to existential distress, fears about dying, and questioning our legacy and impact on those around us. Building on the foundation of meaning-focused interventions in cancer care and the significance of the therapeutic alliance, the paradigm of vicarious resilience can inform oncology social work, serving as a means of growth, resilience, and self-care for clinicians. Vicarious resilience is the strength clinicians may experience through clients’ resilience in facing adversity, and the meaning that practitioners can gain from supporting individuals through traumatic situations, namely life-threatening illness. Social workers in the field of oncology are at risk for vicarious traumatization and compassion fatigue, as they walk alongside clients through suffering and loss, while also positioned to experience vicarious resilience and meaning through the resilience displayed by clients. This paper will examine the potential benefits of vicarious resilience in the field, and through enhancing psychoeducation and incorporating it into training and supervision, it can be brought to the fore as a paradigm in cancer care, offering a means to support practitioners. A case study involving a composite client navigating her cancer journey will be shared, illustrating the companionship and vicarious resilience through the oncology social work relationship.

摘要

癌症等危及生命的疾病可能会导致存在的痛苦、对死亡的恐惧，以及质疑我们的遗产和对我们周围人的影响。基于癌症护理中以意义为中心的干预措施和治疗联盟的重要性，替代弹性范式可以为肿瘤学社会工作提供信息，作为临床医生成长、弹性和自我保健的一种手段。替代弹性是临床医生通过客户面对逆境的弹性而体验到的力量，以及从业者可以从支持个人度过创伤情况（即危及生命的疾病）中获得的意义。肿瘤学领域的社会工作者面临着替代性创伤和同情疲劳的风险，因为他们与客户一起经历痛苦和损失，同时也定位于通过客户展示的弹性来​​体验替代弹性和意义。本文将研究该领域替代恢复力的潜在好处，通过加强心理教育并将其纳入培训和监督，它可以作为癌症护理的范例脱颖而出，提供一种支持从业者的方法。将分享一个案例研究，该案例涉及一名综合客户在她的癌症之旅中导航，通过肿瘤社会工作关系说明陪伴和替代弹性。它可以作为癌症护理的典范而脱颖而出，提供一种支持从业者的手段。将分享一个案例研究，该案例涉及一名综合客户在她的癌症之旅中导航，通过肿瘤社会工作关系说明陪伴和替代弹性。它可以作为癌症护理的典范而脱颖而出，提供一种支持从业者的方法。将分享一个案例研究，该案例涉及一名综合客户在她的癌症之旅中导航，通过肿瘤社会工作关系说明陪伴和替代弹性。