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Benefits of Early Interventions with Cancer Patients A Clinician's 15 Year Observations Christel J. Bejenke, M.D. CHRISTEL J. BEJENKE, M. D. is a board-certifted anaesthesiologist in private practice in Santa Barbara Cali<strong>for</strong>nia. Among others she studied with Milton Erickson. She has used hypnosis and related approaches <strong>for</strong> over 25 years in anaesthesiology, obstetrics (hyperemesis gravidarum and <strong>for</strong> stressfree births); <strong>for</strong> acute and chronic pain conditions, and other medical indications. She developed methods which are easily integrated into busy conventional medical practices and applicable to a multitude of interventions. Her special interest is supportive care of cancer patients and improvement of quality af life be<strong>for</strong>e, during, and after surgery, as well as <strong>for</strong> chemotherapy, radiatian, bone marrow transplantation, etc. Along with hypnosis and self-hypnosis, she includes imagery and psychoneuro-immunological approaches. Dr Bejenke teaches and lectures nationally and internationally and has authored several publications including the chapter "Painful Medical Procedures" in J. Barber Ed.: Hypnosis and Suggestion in the Treatment of Pain (1996). ABSTRACT The emotional distress of patients confronted with the diagnosis of cancer is often underappreciated by physicians, as are the lasting effects of initial negative experiences. Early application of hypnotic approaches can aid in developing coping skills, allow patients to become active, co-responsible participants in their medical care, and enable them to lead meaningful lives, no matter which direction their illness may take. Preparation <strong>for</strong> surgery, chemotherapy, radiation, bone marrow transplantation etc. can reduce physical suffering and treatment side effects. Imagery and "psychoneuroimmunological" modalities can be included. Such approaches can facilitate patient management. Loved ones can be taught supportive measures which can decrease their sense of impotence. This paper is an abbreviated Introduction to the author's Cancer Workshop and was presented at the 1997 ISH. Correspondence Address: Christel J. Bejenke 4004 Cuero Ave. Santa Barbara, CA 931, USA Phone: +1 805 682-2990 CHARACTERSTICS OF CANCER PATIENTS Years ago I began to observe a distinct difference - during my pre-anesthesia interviews - between other surgical patients (no matter how serious their condition, or how extensive their expected surgery) and patients who had a diagnosis of cancer (no matter how minimal their anticipated intervention might be). I eventually recognized a charac-teristic pattern of distinctive features which seemed to be common to the majority of "cancer patients". One is the high degree of emotional distress, another the lasting effect of initial negative physical and emotional experiences. Both are often under-appreciated by physicians. From the moment of first confrontation with the diagnosis, patients pass through different emotional stages during the course of their illness - each with its own peculiarities and requirements. The paramount experience includes fear, helplessness, victimization, and bewilderment: fear of mutilation - suffering - death: helplessness in view of the enormity of 15