Cancer Patients Embrace Forgiveness Therapy and Other Self-Care Strategies
Making the Mind-Body Connection: Self-Care Strategies for Cancer Patients
by Brad Krause
The importance of the mind-body connection is evident in the increasingly impactful role that mindfulness and spiritual belief play in helping cancer patients improve their quality of life. And a growing number of cancer patients are turning to alternative approaches that draw on the mind’s ability to moderate the body’s responses to illness.
There is a growing body of research, including research done by the International Forgiveness Institute, showing that mind-body approaches in oncological medicine aid the healing process; help patients with advanced cases of the disease cope with their condition and its devastating emotional effects; and help sufferers maintain a happier lifestyle and positive mindset. Self-care strategies and spiritual strength can also help alleviate depression, anxiety and fatigue, and even energize the patient.
Cancer patients have to cope with an overwhelming situation dominated by treatments that are often as unpleasant as the disease. Chemotherapy and radiation therapy cause nausea, weakness, hair loss and other side effects that keep the patient feeling sick. Fortunately, there are many powerfully-effective mind-body strategies that help the cancer patient maintain a healthy and efficacious self-care regimen.
Breathing deeply and mindfully helps establish the mind-body connection. It’s a core component of yoga and many forms of meditation. Deep-breathing exercises relax you, lower your heart rate and blood pressure, and enable you to focus on positive thoughts. Try breathing deeply and center on how it makes you feel. If you prefer, listen to calming music during your breathing exercise. You can also combine breathing with some form of physical exercise, such as walking, biking, or yoga.
Forgiveness and self-forgiveness
According to the respected health website WebMD.com, if you can bring yourself to forgive, you are likely to enjoy lower blood pressure, a stronger immune system, and a drop in the stress hormones circulating in your blood. Back pain, stomach problems, and headaches may disappear. And you’ll reduce the anger, bitterness, resentment, depression, and other negative emotions that accompany the failure to forgive.
While refusing to forgive may not directly cause disease, according to WebMD, the negative impact of holding on to painful memories and past wounds can weaken the immune system and make you more susceptible to illness including cancer.
“It’s important to treat emotional wounds or disorders because they really can hinder someone’s reactions to the treatments — even someone’s willingness to pursue treatment,” says Dr. Steven Standiford, chief of surgery at Cancer Treatment Centers of America. “In fact, forgiveness therapy is now an integral part of treatment at Cancer Treatment Centers of America.”
Watch a short video about the amazing power forgiveness has had on one woman’s life and her battle with cancer. “If I hadn’t learned to forgive,” says Jayne Valseca, a cancer patient who was essentially given a death sentence, “I may not even be alive today.” Watch the video here.
“If I hadn’t learned to forgive, I may not even be alive today.” Jane Garcia Valseca
While not a treatment method per se, the act of forgiving yourself can free you mentally and emotionally so that you may best concentrate on healing. When you get cancer, you may blame yourself for smoking, eating the wrong foods, spending too much time in the sun…the list could go on forever. You question every decision you’ve ever made and punish yourself for the actions you did, or did not do, that might have contributed to your disease. By practicing self-forgiveness, you will gain an inner peace and the freedom to look to the future instead of the past.
Meditation is another self-centering exercise in which quiet and inner stillness focus one’s awareness. Meditation can help cancer patients manage nausea, pain and stress, and aid the body’s ability to heal by improving sleep and mood. Mindfulness is key to self-care in cancer patients, and few things help focus one’s energy and inner resources better than meditation. There are many forms of meditation. Some people concentrate on one part of their body, while others focus on a word or phrase as they meditate. Some meditative disciplines focus on controlling pain, while others are designed to help practitioners accept and cope with the physical changes their bodies are going through.
The mind’s ability to project images with sensory qualities is another effective means of making the mind-body connection. Mental images can affect your senses, a useful exercise for people suffering the physical discomforts of cancer. Some patients combine their spirituality with meditation by concentrating on religious images. Patients with a strong sense of spirituality often gain a strong sense of well-being, which makes it easier to cope with the disease.
It should be noted that spirituality and religion are not interchangeable terms. Some people use religion to channel and focus their spirituality, while other patients consider themselves spiritual, though not religious, at least not in the formal sense of the word. A cancer diagnosis may cause some people to become religious, or to return to a religious practice they may have previously abandoned. Research has shown that spirituality is capable of enhancing the patient’s quality of life through renewed optimism and hope for a future free of the disease.
Cancer patients sometimes experience difficulty with prescriptive medications, as these are often used as necessary pain management. Incorporating self-care practices like deep breathing and meditation can help prevent cancer patients from becoming addicted to opioids during their course of treatment. The use of alternative therapies to create the mind-body connection has been proven effective at alleviating pain without an excessive use of prescriptive methods.
Cancer ravages the body in many ways. Its effects can also oppress the mind, impeding its ability to help patients deal with the symptoms of the disease. But alternative self-care therapies and spirituality can help marshal the power of the mind to mitigate the pain and physical misery of cancer.
About Brad Krause:
After four years in the corporate world working 15-hour days, 6 days a week, Brad Krause demonstrated the ultimate act of self-care by leaving his draining, unfulfilling job behind. He now spends full-time helping others as a self-care guru, writer and life coach (SelfCare.info). He sums up his vision by saying, “We all have the potential to be the best versions of ourselves we can possibly be, but it comes down to prioritizing our own wellness through self-care. And that’s what I’m here to help people discover!”
You can contact Brad at Brad@selfcaring.info.
Why Forgiveness Is Not Only a Psychological Construct
The entrance of the idea of forgiveness into the social sciences is quite recent. The first publication within psychology that centered specifically on people forgiving other people was published in the late 20th century (Enright, Santos, and Al-Mabuk, 1989). That article examined children’s, adolescents’, and adults’ thoughts about what forgiving is. In other words, the study took one slice of forgiveness, in this case people’s thoughts, and examined those thoughts from a scientific perspective. Such an investigation, of course, does not then imply that forgiving is all about thoughts and thoughts alone just because that was the focus of the scientific investigation.
People forgiving other people is an ancient idea, first explicated thousands of years ago in the story within the Jewish tradition of Joseph forgiving his 10 half-brothers who sold him into slavery. The portrait of forgiveness in that ancient report includes Joseph’s entire being, not just his thinking, as he shows anger, a sense at first of revenge, which slowly transforms into tenderness toward his half-brothers in the form of weeping, hugs, generosity, and an outpouring of love. His entire being was involved in the forgiving.
Philosophers, such as Aristotle and Aquinas, have developed what is known as the virtue-ethics tradition to explain morality. To be virtuous is, like Joseph, to produce a moral response with one’s entire being: thoughts, feelings, behaviors, motivations toward goodness, and relationships that reflect that goodness.
Psychologists, in contrast, and especially if they do not rely on this wisdom-of-the-ages, tend to compartmentalize forgiveness. For example, they may borrow from personality psychology and conclude that there is a trait of forgiving and a state of forgiving and these are somehow different. A trait forgiver, it is assumed, already has a personality geared to forgiving. In other words, expertise in forgiving is not forged by practice, practice, and more practice as we all have this opportunity toward developing expertise in forgiving.
Other psychologists, when they do not take the virtue-ethics position, tend to think of forgiving as mostly emotional as the forgiver substitutes more pleasant feelings for the existing resentment toward an offending person. Substitution of feelings, as seen in the Joseph story, is only one part, and not even the most important part of forgiveness. Offering love in a broad sense is the most important part.
The bottom line is this: Taking only a psychological perspective on the concept of forgiving tends toward reductionism, breaking up of forgiveness into smaller and more exclusive parts than should be the case. This tends to distort the concept of forgiveness. If a distorted view of forgiveness is presented to clients in therapy, are we helping those clients reach their highest potential as forgivers?
Enright, R. D., Santos, M., & Al-Mabuk, R. (1989). The adolescent as forgiver. Journal of Adolescence, 12, 95-110.
A New Approach to School Bullying: Eliminate Their Anger
“Introducing Forgiveness Counseling to the Schools”
If you do an electronic search for anti-bullying programs, you will see three prominent approaches, the 3 P’s:
- Peer mediation
- Persistent norms. (This is a “no-bully zone;” we do not tolerate bullying in this school)
What makes people so angry that they:
a) retain the anger for a long time, sometimes years;
b) find no solution to that anger; and,
c) give the never-say-die anger to others?
We find that unfair treatment from other people is the source of so much anger in this world (Enright & Fitzgibbons, 2015). Anger as a source of inner disruption in the form of anxiety, low-self esteem, and pessimism all too often goes unrecognized. After all, if a person with high anxiety comes to a mental health professional, it is natural to focus on the presenting symptom. Yet, our research and the clinical work connected to it suggest that toxic anger, the kind that is deep and long-lasting, often is at the heart of many psychological symptoms for those who have a history of being treated unfairly.
Forgiveness therapy, as an empirically-verified treatment, reduces and even eliminates the toxic anger (Enright & Fitzgibbons, 2015). This is a paradoxical psychotherapy. As the client discussed the unfair behaviors coming from others, the treatment focus shifts from the client’s symptoms to an exploration of who the offending person is, what emotional wounds this person has, the vulnerabilities and doubts and fears that person brought to the painful interactions with the client.
As the client realizes that to forgive is not to excuse or forget or abandon the quest for justice or necessarily even reconcile with the other, then forgiveness therapy can proceed without distortion of what, exactly, it means to forgive. To forgive is to offer goodness to those who have not been good to the client. It is the offering of a virtue that has been around for thousands of years across many philosophies and religions and worldviews. To forgive offers the client a way to eliminate resentment by offering goodness…and it works (see, for example, Lin, Mack, Enright, Krahn, & Baskin, 2004).
When a student in school begins to aggress onto others, those who use the lens of forgiveness therapy start to ask these questions:
- Does the one showing the bullying behavior seem to be particularly angry?
- What is the source of this anger? Might it be unfair treatment from others in the past, perhaps at home or in school or in the peer group?
- Might this student be in pain, which emerged from the injustice, and might that pain now have turned to a toxic anger?
- Might this student be willing to examine who perpetrated the injustice and the subsequent hurt and ask, “Can I forgive this person (or persons) for what they did to me?”
School counselors now have a resource for taking this kind of therapy directly to those who bully (Enright, 2012). Rather than focus on the symptoms of aggression, disobedience to school expectations, or even the student’s own anger, the treatment shifts: Who hurt you? Is this person hurting and vulnerable and confused? Do you know what forgiveness is and is not? Would you be interested in trying to forgive the one who caused you so much pain? This kind of therapy can take up to 12 or more weeks, but that is the blink-of-an-eye relative to anger that can last for years.
As the student’s pain subsides by seeing the inherent worth in the one who was cruel and by fostering compassion toward that person (not because of what was done but instead because of whom the other is as a person), so too does the anger within the one who bullies start to fade, and this takes away the incentive to bully. The focus is not on the symptoms exclusively any more, nor is it on only creating school norms (which are all too easily ignored by those who bully when they are nurturing a rage inside).
To reduce bullying, we need to see the anger inside those who bully and have a plan to reduce it. Forgiveness therapy, as empirically shown, already has done its job. Now it is time to transport such therapy from the clinician’s office into the school setting for the good of those who bully and for the good of those who are the unwitting recipients of their pain.
Posted in Psychology Today December 17, 2016
- Enright, R.D. (2012). Anti-bullying forgiveness program: Reducing the fury within those who bully. Madison, WI: International Forgiveness Institute.
- Enright, R.D. & Fitzgibbons, R. (2015). Forgiveness therapy. Washington, DC: APA Books.
- Gambaro, M.E., Enright,R.D., Baskin, T.A., & Klatt, J. (2008). Can school-based forgiveness counseling improve conduct and academic achievement in academically at-risk adolescents? Journal of Research in Education, 18, 16-27.
- Lin, W.F., Mack, D., Enright, R.D., Krahn, D., & Baskin, T. (2004). Effects of forgiveness therapy on anger, mood, and vulnerability to substance use among inpatient substance-dependent clients. Journal of Consulting and Clinical Psychology, 72(6), 1114-1121.
- Park, J.H., Enright, R.D., Essex, M.J., Zahn-Waxler, C., & Klatt, J.S. (2013). Forgiveness intervention for female South Korean adolescent aggressive victims. Journal of Applied Developmental Psychology, 20, 393-402.
- Reed, G. & Enright, R.D. (2006). The effects of forgiveness therapy on depression, anxiety, and post-traumatic stress for women after spousal emotional abuse. Journal of Consulting and Clinical Psychology, 74, 920-929.
The “F Word” for Sexual Abuse Survivors: Is Forgiveness Possible?
A Guest Blog by Dr. Suzanne Freedman
Editor’s Note: Forgiveness for sexual abuse survivors is a sensitive and controversial subject that is being addressed by Suzanne Freedman, Ph.D., Professor of Educational Psychology at the University of Northern Iowa in Cedar Falls, Iowa. Dr. Freedman has studied and conducted forgiveness research with Dr. Robert Enright, founder of the International Forgiveness Institute. Her dissertation was a landmark study that was published in the Journal of Consulting and Clinical Psychology on Forgiveness with Incest Survivors. This is a summary of a blog Dr. Freedman wrote that was posted earlier this month on the website “And He Restoreth My Soul.”
To view the complete blog, click here.
The idea of forgiveness for sexual abuse survivors is often met with surprise, skepticism, and even horror. However, past research with forgiveness illustrates that forgiveness education and/or forgiveness counseling can be healing for those who have experienced past sexual abuse.
Freedman & Enright (1996) conducted an individual educational intervention using forgiveness as the goal with 12 incest survivors. Results illustrated that post intervention individuals were more forgiving toward their abusers, had decreased anxiety and depression and increased hope for the future as well as greater self-esteem compared to those who had not experienced the forgiveness education and themselves preintervention (see Freedman & Enright, 1996). Research with other populations who have experienced deep hurt also illustrates increased forgiveness as well as greater psychological well-being post intervention.
When discussing the topic of forgiveness for survivors of sexual abuse, it is important to be clear about what exactly is meant by forgiveness, specifically what forgiveness is and is not. . . According to Enright (2001) and North (1987), forgiveness can be defined as “a willingness to abandon one’s right to resentment, negative judgment, and negative behavior toward one who unjustly injured us, while fostering the undeserved qualities of compassion, generosity and sometimes even love toward him or her”.
Notice in the definition that one has a “right” to feel resentment because of the way she or he was injured and that the offender does not “deserve” our compassion and generosity based on his or her actions. Forgiveness can also be more simply defined as a decrease in negative thoughts, feelings and behaviors toward an offender and perhaps, over time, a gradual increase in more positive thoughts, feelings and sometimes even behaviors toward an offender can occur.
Why Forgive? Many survivors of sexual abuse often ask, “Why do I need to forgive? Why do I need to do all the work? I didn’t do anything wrong.” Of course, this is true but when one forgives, they are personally benefiting by freeing themselves of anger, bitterness, and resentment. . . . Forgiveness allows one to free themselves of negative feelings as well as find meaning in the worst of life’s event. It is also a selfless and compassionate act as one who forgives is helping to stop the cycle of revenge and hatred. Using a compassionate and generous heart to meet deep pain and hurt is one of the most difficult things to do. However, by doing so you are freeing yourself from the prison of anger and power the abuser has over you.
The points below illustrate how forgiveness is not the same as accepting or pardoning the sexual abuse, reconciliation, being weak, denying one’s anger or giving up, nor does it mean that justice cannot occur:
- Forgiveness does not mean that you deny or excuse the offender of the wrongdoing. . . .
- Forgiveness takes time. . . .
- Forgiveness is a choice one makes for her or himself. . . .
- Forgiveness does not mean Reconciliation. . . .
- Forgiveness can occur in the absence of an apology. . . .
- Forgiveness and justice are not mutually exclusive. . . .
- Forgiveness does not mean Forgetting. . . .
Research supports forgiveness education and therapy as an effective form of treatment for those who have endured deep hurts such as sexual abuse and incest. Forgiveness leads to decreases in stress, anger, anxiety and depression (Enright, 2001). People who are able to forgive also are more hopeful, optimistic, and compassionate towards others. Forgiveness has physical heath benefits as well. Research illustrates decreased blood pressure, muscle tension and headaches in those who have forgiven.
I wrote this blog to describe how forgiveness can be healing for individuals who have been deeply, personally and unfairly hurt by acts of sexual abuse and incest. Forgiveness is an individual choice, and as such, we need to offer that choice to survivors of sexual abuse by accurately informing them about what it means to forgive, including what forgiveness is and is not, as well as respecting and supporting them when they choose to forgive.
This is a summary of a blog by Dr. Suzanne Freedman that was posted earlier this month on the website “And He Restoreth My Soul.” To view the complete blog, click here.
For more information on how to go about forgiving and the benefits of forgiveness please check out the following resources:
Enright, R.D. (2001). Forgiveness Is a Choice. Washington, D.C. APA Life Tools.
Enright, R. D. & Fitzgibbons, R. (2000). Helping Clients Forgive: An Empirical Guide for Resolving Anger and Restoring Hope. Washington D.C., American Psychological Association.
Freedman, S. & Enright, R. D. (1996). Forgiveness as an Intervention Goal With Incest Survivors. Journal of Clinical and Consulting Psychology, 64, 983-992.
Smedes, L. B. (1996). The Art of Forgiving. Nashville, TN: Moorings.
Malcom, W., DeCourville, N., & Belicki, K. (2007). Women’s reflections on the complexities of forgiveness. New York, New York: Routledge: Taylor & Francis Group.
“Become My Son”: A South African Mother’s Response to the Man Who Murdered Both Her Son and Her Husband
After Apartheid ended in South Africa, a white police officer named Mr. Van der Boek was put on trial. The court found that he had come to a woman’s home, shot her son at point-blank range, and then burned the young man’s body on a fire while he and his officers partied nearby. The woman’s husband was killed by the same men, and his body also was burned.
Unfathomable Cruelty and Indignity
I can’t fathom the source or the energy needed to fuel such cruelty. But more unfathomable is the surviving woman’s response (the mother of the son and wife to the husband murdered and burned). What must she have thought and felt as she sat in the court room being burdened and re-traumatized by evidence?
A member of the South African Truth & Reconciliation Commission turned to her and asked, “So, what do you want? How should justice be done for this man?”
How is Justice to be done?
That’s the right question, isn’t it? What is justice; how can it be achieved; how does it look different from mere retribution and punishment? But the judge asked “how should justice be done for this man?” – not – “for this surviving woman.”
What would this wife & mother say in the face of such murderous cruelty that further caused indignity to her husband’s and son’s remains?
“I want three things,” the woman said confidently:
“I want first to be taken to the place where my husband’s body was burned so that I can gather up the dust and give his remains a decent burial. My husband and son were my only family.”
Become My Son!?
“I want, secondly, for Mr. Van der Boek to become my son. I would like for him to come twice a month to the ghetto and spend a day with me so that I can pour out on him whatever love I still have.”
This is truly a breathtaking request. We can finish her sentence starting with “I would like for him to come twice a month to the ghetto and spend a day with me so that I . . .” – fill in the blank!
- So I can get him to feel the crushing poverty I live with.
- So I can have him feel the full void of my loss with no husband or son.
- So I can have him feel every distrusting eye scrutinize him as the minority in our community.
But no; she finishes her request with “so that I can pour out on him whatever love I still have.” How much love does she still have?
And I could not find if Mr. Van der Boek could possibly receive such love. Did he come out, as she asked, twice a month to spend the day with her for the sole purpose of receiving what ever love she may still possess?
“And finally, I would like Mr. Van der Boek to know that I offer him my forgiveness because Jesus Christ died to forgive. This was also the wish of my husband. And so, I would kindly ask someone to come to my side and lead me across the courtroom so that I can take Mr. Van der Boek in my arms, embrace him, and let him know that he is truly forgiven.”
From Michael Wakely, Can It Be True? A Personal Pilgrimage through Faith and Doubt.
Forgiveness cannot be demanded
I am not naive enough to think that it’s all good in South Africa, or that forgiveness should be given because it is expected, or that forgiveness should be given because it does as much to release the forgiver as it does the forgiven (for a contrasting view, read “You may free apartheid killers but you can’t force victims to forgive“). But as the woman in the above noted story alluded, forgiveness is possible when we recognize our own status as forgiven people.
This blog is reposted with permission from R.H. (Rusty) Foerger.
Visit his website: More Enigma Than Dogma
Related blogs by Rusty Foerger: