Survivors

In the Chapter by Lent a model for restoring emotional well-being is presented. He refers to Ryan and Deci's concepts of hedonic vs. eudiamonic perspectives of well-being, wherein well-being is attributed to either to the valance between positive and negative affect, or the quest to achieve growth, purpose, and meaning in one's life, respectively. Lent relates the hedonic view to the development of research on subjective well-being, while the eudiamonic position is more pertinent to the study of psychological well-being. He further suggests that enhancing psychological well-being may be the central route to improving subjective well-being. The approach taken in the previous chapter by Nezu and Nezu focuses primarily on directly improving the subjective well-being of cancer survivors through the means of problem-focused coping and problem-solving therapy, which has a good deal of research to support its efficacy. This approach primarily focuses on targeting specific aspects of the three components of subjective well-being outlined by Lent: life satisfaction, positive affect, and negative affect. Beneficial shifts in these components are accomplished through teaching coping and appraisal strategies to enhance coping skills and problem-related coping efficacy, as illustrated in Lent's model.

In the current chapter, although there is unquestionably some overlap, we will focus on interventions that place somewhat greater emphasis on the emotion-focused end of the coping spectrum, which more often subscribe to a more eudiamonically-oriented approach to achieving well-being, that is, by aiming to uncover meaning and purpose in one's life, rather than exclusively teaching cognitive coping strategies. The underlying aim is to establish and elaborate a framework of eudiamonic well-being that will persist regardless of fluctuations in day-to-day subjective well-being or hedonic happiness. Although it is theoretically appealing to apportion coping and well-being into such categories, undoubtedly the stress-reduction interventions discussed in this chapter act on many levels to support symptom reduction and enhanced well-being.

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