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41
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42
SEGT addresses the following main areas: (1) medical illness and treatment; (2) cognitive and behavioral coping skills for the illness and treatment; (3) family and social network issues; (4) relationships with health care providers; (5) life values and priorities; (6) self-image; (7) death and dying; and (8) group functioning regarding task and engagement. Each group ends with a stress reduction exercise of relaxation and guided imagery. D. Spiegel and J. Spira,
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46
Spiegel notes that contemporary trials may not demonstrate a survival effect because the baseline of psychosocial care provided for all patients with cancer (including the control sample) has improved significantly over the past ten to twenty years, a welcome advance emerging from the recognition that state of mind affects state of body (D. Spiegel, “Mind Matters: Group Therapy and Survival in Breast Cancer,”
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61
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64
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