åêðáéäåõóçó γ.ν.α.

Ψυχικές και πνευματικές ανάγκες
ασθενή τελικού σταδίου
Ε Μαλλισόβα 1 , Ι Κάλλας 2
summary
MALISSOVA E, KALLAS I. Psychical and mental diseases at the final stage. Actually, mental
causes are closely related to the demonstration of a bodily disease. Especially with regard to chronic
diseases, e.g. neoplastic disease, cancer, the psychological factor is there, as long as the therapist is
well aware of the proper technique and has the persistence and desire to investigate. He will locate the
psychological cause and connect it with trauma or anticipations of the past, disappointments, denial
of the reality by the person in question, unconscious desires. The therapist will use psychotherapeutic
procedures in order to define the complex mechanisms that connect older psychological trauma to
the current ones. The therapy of the psyche is far-reaching, because it deals with the investigation
of causes of psychological pain, and not the symptoms. Death lingers behind each change that occurs
in our lives, our careers, and our relationships. And us, from fear for this change, we resist, xxxxxxxxxxxxxxxxxxx
we
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defend ourselves, finally denying life itself, along with the natural circle of development and wear
that characterises it. Even the inevitable bodily death must not be dealt with as the end, but as a
passage to a new beginning. The inner fear of death may lead us to a form of serenity, as long as we
explore each fear, even the darkest one. Nevertheless, we need a whole different set of ideas, and
a different kind or relationship between the therapist and the patient. We can be aided by the great
thinkers that looked death in the eye quite honestly. Everybody is meant to experience the joy of life
and the fear of mortality. We are to abandon the relics of the model alleging that patients are fatally
suffering and need a distant, perfect, full-proof therapist. Everyone, including therapists and patients,
face the same fear, the trauma of mortality, the worm into the seed of existence. Nosokomiaka
Chronika, 71, Supplement, 291-301, 2009.
Key words: death, fear, loss, anxiety, suicide.
ΠΕΡΙΛΗΨΗ
Υπάρχει μια στενή σχέση ανάμεσα στα ψυχικά αίτια και την εκδήλωση μιας σωματικής νόσου.
Ειδικότερα, σε χρόνιες νόσους π.χ. όπως η νεοπλασία, ο καρκίνος, ο ψυχολογικός παράγοντας
είναι παρών, φθάνει ο θεραπευτής να ξέρει την τεχνική και να έχει την επιμονή και την
επιθυμία να ψάξει. Θα βρει το ψυχικό αίτιο και θα το συνδέσει με τραύματα ή προσδοκίες του
παρελθόντος, με διαψεύσεις, με μια απάρνηση της πραγματικότητας από το υποκείμενο άτομο,
με ασυνείδητες επιθυμίες. Θα βρει, με ψυχοθεραπευτικές διαδικασίες, τους πολύπλοκους
1
Νοσηλεύτρια – Προϊσταμένη Τακτικών Εξωτερικών Ιατρείων, 2 Νοσηλευτής, Εξωτερικό Ψυχιατρικό Ιατρείο Γ.Ν.Α. «Ο Ευαγγελισμός»