58
心
理健康
杜宏
（內科主任醫師）
To Wan
癌症病人的心理調適
癌症是威脅人們生命健康的大敵。“談癌色變”並非誇
張。不同的人會對自己的厄運表現出不同的反應。在對待治
療用藥上，也會表現出許多截然不同的態度。這是人們心理
承受能力的差別。歸納癌症患者對用藥的種種心態，大體上
可有以下幾種：
順其自然的心理
當得知身患癌症後，一時產生複雜的心理反應是在所難免
的，但能正視現實，承認這一無法改變的客觀現實，故能從實際
出發，積極與醫生配合，接受治療，按醫囑行事，積極瞭解抗癌
的有關知識和治療方法，不輕信訛傳和荒誕的作法。這種心理狀
態的患者，多為精神狀態較佳、樂觀開朗、毅力比較強的人。曾
有一位老年患者得知自己患了胃癌，震驚過後，心情很快就平靜
下來。他說生、老、病、死是一切生物體生命過程的自然規律，
“畏者不可以苟免，貪者不可以苟得。”他一邊遵醫囑進行手術加
化療，同時在康復階段加入了癌症康復俱樂部，和病友們跳交誼
舞，參加康復旅遊，積極舉辦文藝聯歡活動。這種對待疾病的態
度對他來說其最大的收穫就是“苦惱人學會了笑”，因而病情比較
穩定，生活得既快樂而又充實。其實有許多這樣治癒的癌症患
者，他們才是生活中真正的強者。
迷信、依賴心理
這類患者具有強烈的求生欲望，當他們從恐懼中驚醒之後，
CANCER PATIENTS: THE
PSYCHOLOGY OF TAKING
THEIR MEDICINE
As cancer kills, various psy-
chologies of patients taking can-
cer medicine prevail. The best is
to accept the inevitable and to
abide with the professionals; pre-
pare psychologically for possible
death; join a cancer recovery club
and be most positive. Others
have their own superstitions on
the power of "potions" - regard-
less of difficulty or expense, they
would try their utmost but merely
based on hearsay, e.g., one lung
cancer patient injected himself
with unknown ampoules of hu-
man albumin, got a severe reac-
tion and died 2 weeks later. Oth-
ers are dominated by undue fear
and mistrust on the profession-
als - although acute fear alerts
the body to fight, prolonged fear
disrupts our immunity.Others are
obsessed with the "why me" no-
tion and are overwhelmed by an-
ger long after the diagnosis, es-
pecially when there is body
deformities. Strive to come to
terms with one's fate for maxi-
mum facilitation of the cancer
management.Yet others believe
t he i r dea t h i s i nev i t abl e
regardless.Their sheer cynicism
worsens their health, disrupts
normal eating and drinking and
death is really imminent but
through their own choice. Many
cancers are cured: be positive!
