By Geoffrey L. Greif, Paul H. Ephross

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Kraemer, H. C. (1986). Efficacy of group therapy for problems with postmastectomy self-perception, body image, and sexuality. Journal of Sex Research. 22(4), 438–451. Liebermann, M. A. (1988). The role of self-help groups in helping patients and families cope with cancer. Ca–A Cancer Journal for Clinicians. 38(3), 162–168. , & Haji-Mahmoodi, M. (2001). Anxiety and depression in breast cancer patients before and after participation in a cancer support group. Patient Education and Counseling. 45(3), 195–198.

Liebermann (1988) had reported that although client-led self-help groups have not been proved to be an effective means of treatment because research concerning them has not been available, they do appear to have “meaningful roles in helping individuals with psychosocial problems” (p. 168). Other authors maintain that self-help groups are now quite prevalent (Gray & Fitch, 2001). While much information is available about different types of cancerfocused treatment groups, studies continue to be performed in an attempt to substantiate the effectiveness of one group treatment method over another.

This problem may continue long after the person has survived cancer. Some experience either overprotectiveness or distancing from spouses or lovers. Interpersonal manifestations are multiple and often provide surprises for group members. Economic Issues Economic issues become a major concern with many cancer patients. Insurance may become difficult or impossible to obtain following a cancer diagnosis (Nessim & Ellis, 2000). Job discrimination is commonly reported in hiring, as well as in promotions and job assignments.

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