The morally distressing
situations described by Wilkinson (1987), Elpern et al.
For most people, intrusive thoughts are relatively short-lived and undisruptive; however, they are highly problematic and distressing
for some (Freeston & Ladouceur, 1999) and are thought to be underreported even in clinical populations (Grant, Pinto, Gunnip, Mancebo, Eisen, & Rasmussen, 2006).
Goals include: (a) identifying life situations that increase distress, (b) reducing the scope of distressing
emotions and their impact on coping efforts, (c) increasing the effectiveness of problem-solving coping efforts to manage problematic situations, and (d) teaching skills that will enable the cancer survivor to deal effectively with distressing
emotions and anticipated problems.
This observation is the latest in a series of reports linking distressing
events in a person's life to depressed immune function (SN: 5/24/80, p.
Even more distressing
is the estimate that persons with spinal cord injury commit suicide two to six times more frequently than the general population (Frisbie & Kache, 1983; Geisler, Jousse, Wynne-Jones, & Breithaupt, 1983; Judd & Brown, 1992).