Introduction
cancer
CANCER, ADVANCED CANCER, METASTATIC BREAST CANCER
Women with metastatic breast cancer now have a meaningful improvement in survival, with a median overall survival of about 2 years.The quality-of-life continuum has been described as a dialectic that extends from suffering and anguish at one extreme to an experience of integrity and wholeness at the other.Prevalence rates for elevated levels of psychological distress are significant in individuals with advanced cancer. Plumb and HollandGRACE (Growing Resilience And CouragE) is a 6-week multi-faced, psycho-educational program developed with the goal of enabling individuals with cancer to find viable solutions to move toward an experience of integrity and wholeness. Meaning-centered psychotherapeutic individual and group intervention has been found to have successful outcomes in the cancer population.