"Cancer, Trauma and Mentalisation" by Dr Daniel Anderson and Dr Victoria Jones
 
Abstract
 
This paper explores the role of mentalisation theory to aid the recovery of patients experiencing cancer-related post-traumatic stress disorder (CR-PTSD). While existing research highlights the significance of this condition, the paper especially emphasises the often-overlooked subgroup with a history of adverse adulthood or childhood experiences and complex PTSD. Approximately 14% of oncology patients meet diagnostic criteria for CR-PTSD. Consideration of sub-threshold post-traumatic stress symptoms reveals that a third of all cancer patients encounter some degree of post-traumatic stress. Notably, those with AAEs/ACEs face unique challenges, as traumatic memories may resurface during cancer care, impacting overall well-being.

The paper introduces a mentalisation-based framework to engage patients with cancer-related PTSD, offering a holistic approach grounded in psychoeducation, emotion-focused techniques, and transparent communication. By interrogating mentalisation theory regarding this patient group, the framework advocates for therapeutic relationships, multidisciplinary collaboration, and regular supervision to comprehensively address the psychological consequences of living with cancer-related post-traumatic stress. The significance of this framework lies in its potential to enhance patient outcomes, including improved engagement with cancer treatment.

The paper calls for further research and evaluation to assess the framework's efficacy to improve morbidity and mortality outcomes.