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1818 THTH ANNUALANNUALCONFERENCECONFERENCEOFOF JAPANESE JAPANESEASSOCIATIONASSOCIATIONOF CLINICALOF CLINICALTHANATOLOGTHANATOLOG Y Y Logotherapy,Logotherapy,MeaningMeaningTherapy, &Therapy, &SpiritualitySpirituality ©Paul T. P. Wong OverviewOverview The role of meaning in spiritual care The role of meaning in spiritual carefor cancer patientsfor cancer patients Dr. Frankl’s Logotherapy & hisDr. Frankl’s Logotherapy & hisconcept of spiritualityconcept of spirituality Wong’s Meaning Therapy in tappingWong’s Meaning Therapy in tappinginto the human capacity for meaninginto the human capacity for meaningmakingmaking Breitbart’s Meaning-Breitbart’s Meaning-Centered Group TherapyCentered Group Therapyfor Cancer Patientsfor Cancer Patients Session 1 – Concepts of meaning andSession 1 – Concepts of meaning andsources of meaningsources of meaning Session 2 – Cancer and meaningSession 2 – Cancer and meaning Session 3 – Meaning and historical context of Session 3 – Meaning and historical context of lifelife Session 4 – Storytelling, life projectSession 4 – Storytelling, life project Session 5 – Limitations and finiteness of lifeSession 5 – Limitations and finiteness of life Session 6 – Responsibility, creativity, deedsSession 6 – Responsibility, creativity, deeds Session 7 – Experience, nature, art, humorSession 7 – Experience, nature, art, humor Session 8 – Termination, goodbyes, hopesSession 8 – Termination, goodbyes, hopesfor the futurefor the future Itami’s Meaningful LivingItami’s Meaningful LivingTherapy with CancerTherapy with CancerPatientsPatients Reynolds (1989) - The basic principles for theReynolds (1989) - The basic principles for thepatient of M.L.T. are:patient of M.L.T. are: 1.1. To take major responsibility in the fight against To take major responsibility in the fight againstthe disease.the disease. 2.2. To live a life devoted to fulfilling daily goals. To live a life devoted to fulfilling daily goals. 3.3. To be helpful to others. To be helpful to others. 4.4. To undergo training in coping with the anxiety To undergo training in coping with the anxietyassociated with illness and the fear of death.associated with illness and the fear of death. 5.5. To contend with death naturally and To contend with death naturally andconstructively by accepting the principle thatconstructively by accepting the principle thateveryone inevitably dies.everyone inevitably dies. 6.6. To avoid being a "sick person" even though ill. To avoid being a "sick person" even though ill. 7.7. To live out the remainder of life ositivel, To live out the remainder of life positively, Katsutaro NagataKatsutaro Nagata WHO professor,WHO professor,psychosomaticpsychosomaticmedicine andmedicine andpsychopharmacolopsychopharmacologygy LogotherapyLogotherapyapproach to pain &approach to pain &illnessillness Logotherapy asLogotherapy aseffective treatmenteffective treatmentfor chronic ainfor chronic ain