Psychotherapeutic Experience of Shaping a Meaningful Future in an Oncology Patient Using Metaphoric Associative Cards (A Clinical Case Study)
https://doi.org/10.25016/2782-652X-2025-0-95-66-72
Abstract
Relevance. Oncological diseases significantly alter an individual’s perception of their life, generating uncertainty regarding the meaning and direction of their future. Cognitive-behavioral therapy remains the most commonly applied method of psychological support for oncology patients. However, psychotherapeutic work aimed at addressing the problem of constructing a meaningful future in cancer patients represents a promising and relevant direction in psychotherapy.
Aim: To facilitate the formation of a meaningful future in an oncology patient through the use of metaphoric associative cards.
Materials and methods. This study presents a clinical case of a female patient undergoing outpatient oncological treatment for breast cancer. The psychotherapeutic intervention was carried out using metaphorical associative cards, namely “The World of My Possibilities”, “The Joys of Everyday Life”, and “Small Happiness”, alongside the application of authorial techniques such as “Life Values”, “My Meaning of Life”, and “Internal and External Supports/Resources”.
Results. As a result of the intervention, the patient identified the following personal values: work, family, carefreeness, and harmony with oneself. During the therapeutic process, these values were transformed, with harmony with oneself emerging as the most significant, followed by family and work. The patient identified her family as the primary source of meaning in her future life. Resources were defined as contact with nature, creativity, and friendships.
Conclusion. The metaphorical associative cards demonstrated their effectiveness in supporting the process of shaping a meaningful future in a patient with breast cancer.
About the Authors
D. М. Martynenko
Central State Medical Academy of Department of Presidential Affairs
Russian Federation
Russian Federation
Darya Mikhailovna Martynenko – a graduate of the Department of Clinical Psychology, a social psychologist, a specialist in working with MAC
19, Timoshenko Str., Moscow
G. A. Tkachenko
Central State Medical Academy of Department of Presidential Affairs;
Central Clinical Hospital of the Management Affair of President Russian Federation
Russian Federation
Russian Federation
Galina Andreevna Tkachenko – PhD Psychol. Sci., medical psychologist, Associate Рrof. of the Department psychiatry
19, Timoshenko Str., Moscow
15, Timoshenko Str., Moscow
O. A. Obukhova
Federal Scientific and Clinical Center for Medical Rehabilitation and Balneology of the Federal Medical and Biological Agency
Russian Federation
Russian Federation
Olga Arkadyevna Obukhova – PhD Med. Sci., doctor
6, build. 1, Rodnikovaya Str., Goluboe village, Moscow region
References
1. Belova D.E. Smyslovoe budushchee v kontekste professional’nogo samoopredeleniya studentov – psihologov [Semantic future in the context of professional self-determination of psychology students]: Diss. … PhD Psichol. Sci. Ekaterinburg, 2004. 232 р. (In Russ.)
2. Biktina N.N., Kekk A.N. Personality traits and role positions of cancer patients [Personality traits and role positions of cancer patients]. Modern problems of science and education [Modern problems of science and education]. 2015; 2(1) URL: https://science-education.ru/ru/article/view?id=20391 (In Russ.)
3. Gunchenkova E.A., Korablina E.P. Cennostnye orientacii zhenshchin, v kontekste preodoleniya trudnyh zhiznennyh situacij. [Women’s value orientations in the context of overcoming difficult life situations]. Psihopedagogika v pravoohranitel’nyh organah [Psychopedagogy in law enforcement agencies]. 2015; 3(62): 63–67. (In Russ.)
4. Dmitrieva N.V., Buravcova N.V. Metaforicheskie karty v prostranstve konsul’tirovaniya i psihoterapii. [Metaphorical maps in the space of counseling and psychotherapy]. Novosibirsk, 2015. 227 p. (In Russ.)
5. Kalshed D. Vnutrennij mir travmy: arhetipicheskie zashchity lichnostnogo duha [The inner world of trauma: archetypal defenses of the personal spirit]. Moscow, 2007. 368 p. (In Russ.)
6. Muri S., Grir S. Kognitivno-povedencheskaya terapiya dlya onkologicheskih pacientov. Oksfordskoe rukovodstvo [Cognitive behavioral therapy for cancer patients. The Oxford Guide/Stirling Moore, Stephen Greer]. Kiev, 2021. 400 p. (In Russ.)
7. Onkopsihologiya dlya vrachej-onkologov i medicinskih psihologov. Rukovodstvo. [Oncopsychology for oncologists and medical psychologists. The manual]. Ed.: A.M. Belyaev, V.A. CHulkova, T.YU. Semiglazova, M.V. Rogachev. Sankt-Peterburg, 2017. 352 p. (In Russ.)
8. Samushiya M.A., Barinov V.V. Affektivnye rasstrojstva u bol’nyh rakom organov zhenskoj reproduktivnoj sistemy (k probleme somatoreaktivnoj ciklotimii) [Affective disorders in patients with cancer of the female reproductive system (on the problem of somatoreactive cyclothymia)]. ZHurnal nevrologii i psihiatrii im. C.C. Korsakova [Journal of Neurology and Psychiatry named after C.C. Korsakov]. 2013; 113(4): 13–17. (In Russ.)
9. Semiglazova T.YU., Tkachenko G.A., CHulkova V.A. Psihologicheskie aspekty lecheniya onkologicheskih bol’nyh [Psychological aspects of the treatment of cancer patients]. Zlokachestvennye opuholi [Malignant tumors]. 2016; 451(21): 54–58. (In Russ.)
10. Tkachenko G.A., Yakovlev V.A. Cennostnye orientacii lichnosti v krizisnoj situacii [Value orientations of a personality in a crisis situation]. Sibirskij psihologicheskij zhurnal [Siberian Psychological Journal]. 2007; 6: 62–65 (In Russ.)
11. Frankl V. CHelovek v poiskah smysla. Sbornik. [Man in search of meaning. Translated from English and German.]. Ed.: L.YA. Gozmana, D.A. Leont’eva. Moscow, 1990. 368 p. (In Russ.)
12. Chajkovskaya I.A., Arguneev E.P. Vozmozhnosti metaforicheskih associativnyh kart v rabote s lichnostnym resursom klienta (na primere komplekta “Moj zhiznennyj scenarij”) [The possibility of metaphorical associative cards work with the resource area of the client (for example, the set of “My life script”)]. Vestnik Orenburgskogo gosudarstvennogo universiteta [Vestnik Orenburg State University]. 2018; 2(214): 91–96. (In Russ.)
13. Chulkova V.A. Pestereva E.V. Psihologicheskaya pomoshch’ onkologicheskim bol’nym [Psychological assistance to cancer patients]. Vestnik St. Petersburg State University [Bulletin of St. Petersburg State University]. 2010; 1(12): 185–191. (In Russ.)
14. Czamanski-Cohen J., Wiley J.F., Sela N. [et al.]. The role of emotional processing in art therapy (REPAT) for breast cancer patients. J Psychosoc Oncol. 2019; 1: 1–13. DOI: 10.1080/07347332.2019.1590491.
15. Paolis G.D., Naccarato A., Cibelli F. [et al.]. The effectiveness of progressive muscle relaxation and interactive guided imagery as a pain-reducing intervention in advanced cancer patients: A multicentre randomised controlled non-pharmacological trial. Complement Ther Clin Pract. 2019; 34: 280–287. DOI: 10.1016/j.ctcp.2018.12.014.
16. Xiang L., Wan H., Zhu Y. Effects of cognitive behavioral therapy on resilience among adult cancer patients: a systema tic review and meta-analysis. BMC Psychiatry. 2025; (25): 204. https://doi.org/10.1186/s12888-025-06628-3.
17. Wiswell S., Bell J.G., McHale J. [et al.]. The effect of art therapy on the quality of life in patients with a gynecologic cancer receiving chemotherapy. Gynecol Oncol. 2019; 152(2): 334–338. DOI: 10.1016/j.ygyno.2018.11.026.
18. Wu K. The impact of a cognitive-behavioral intervention model on fatigue levels and psychological resilience in cancer chemotherapy patients. Primary Care Medicine Forum. 2020; 34(24): 4963–4964. DOI: 10.19435/j.1672-1721.2020.34.041.
Review
For citations:
Martynenko D.М., Tkachenko G.A., Obukhova O.A. Psychotherapeutic Experience of Shaping a Meaningful Future in an Oncology Patient Using Metaphoric Associative Cards (A Clinical Case Study). Bulletin of psychotherapy. 2025;(95):66-72. (In Russ.) https://doi.org/10.25016/2782-652X-2025-0-95-66-72
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