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Sporty, (2208), Treotement 9 chronics Medkek Cenaitoes: Copnife-behaitere Aheregy Streamer cand mntepreunc eatmeat Protecets. Ovastingtow American Ty crotog cat Mtoe > ILLNESS ACCEPTANCE INTERVENTION STRATEGY ‘A major stumbling lock in the medical treatment of individuals with chronic lines eles denial, Tress denial eer to individuals willing ness to acknowledge and accept that they have a chronic disease and the impact that disease stave has on them (Fennell, 2003). Needles to say ill. ness denial isa major cause of treatment noncesponsivenes, particularly non ‘compliance or nonadherence with a prescribed treatment regimen. On the ‘ther hand, ines ceepzance in asociated with positive treatment oeteones| (White, 2001). This chapter intoduces the eoncepts of lines denial sed illness acceptance. Both concepts are decribed in the concext of a phase ‘ode of chtonie illness. Ie then ofa aocied cogitive-behaviors therapy (CBT) intervention that can engender the shift fom illness drial illness sccepzance, This intervention and process are illustrated with a cave study and session eranseripsion. ILLNESS DENIAL AND CHRONIC ILLNESS Receiving the diagnosis ofa chronicillnss can be devasesting to both the patiene nd ferily members A not uncommon responce to badness i¢ self-management. Accordingly, providing clients accurate information and helping chem revise ctr illness percepions a well a fostering client self clficary are major goals of CBT interventions In the second instance, this internation can foeus on relationship te ‘es wherein the spouse of the chronically il individual aes noe aceape the cecher spouse's medical condition and expects chat life con somehow remain the same, Typically, the chronically ill soe wil attempe to meee that x pectation and attempt to "be the same person” they were premorbidly, Be cause this is noc posible, confit evenally aries, which tay lead eo sepa ration andfor divorce (Fennell, 2003), lnvthe third insance, che courseling intervention cen sss individuals to aiewe the los of their preilness sens of self and lifestyle sctviy level ‘An individual in Phases I and 2 senses wo accep the death the pe silloes ifs gone and hence ‘fue to aenowlede any permanent lesa By Pas 3s howeve. they know the cl sad the pele owl never ern The pe rrofoued and in Phase 3 ray wil with suport, choo eo engage 46 mexTwerorcHgonte Memon. conomoNs incerlonlly because ieisdlfcae, noc dangeces for hem co suppress ' (ennel, 203, pp. 276-277) ‘The following case example ilusteates the second instance CASE EXAMPLE Patoy and Tu have been marsied fo 8 years and have been expedienc- lng elational difiulies for the past 18 monthe. This coincided with Paty's lagnosisand the beginning other treatment foreyteric lupus erythemacsas (SLE) leis noteworthy cha her diagnosis was made during 2 medizal eval, ation by a rheumtologs 3 years earlier. The couple had hoped to adopt a child and were inthe final sazes ofthe proces when she began experiencing unbearable joie pain. ince dhe diagnosis of SLE was mace, plans for the adoption were put on hold and SLE appeared to take center stage in chee tives. Even choug her doctors tld her she hala ler frm of the disease, Pate intermictenly experienced severe oine pain and headaches, long with

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