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PALLATIVE CARE FOR CANCER PATIENTS
AGARWAL, Rajeev (Dharamshila Cancer Hospital and Research Centre, Delhi)

Malignant disease beyond the possibility of cure is not uncommon not only in India but all over the world. Not only cancer but there are other diseases like Motor Neutron Disease (MND) multiple Selerpsos etc. which can not be cured. But these patients are living human being and need symptomatic relief and total care till they die. This is what we call 'PALLIATIVE CARE'. It is based on the philosophy 'there is limit for cure but no limit for care? The term palliation means 'Comfort without cure'. The patient with terminal disease can be defined as a patient which has no possibility of cure by any known scientific means and the average life span is less than 6 months. The programme or movement to deliver the palliative care is called 'HOSPICE'. It can be a separate ward or unit in the hospital, home care programme or a separate hospice centre such as Shanti Avedna Ashram. The issues and problems involved in palliative care are 1. Medical issue-relief of symptoms 2. Financial and administrative 3. Emotional problems of patient, family and care givers both personal and professional 4. Problem of communication shall be discussed. Breaking the bad news to the patient and family needs art of communication on the part of treating physician and create emotional disturbance to the patient and care givers. The issue involved are whether truth should be told to the patient or not, if told how much to be told, who should break the bad new, timing and place of breaking the bad news etc. The psycho-oncologist can play a major role in palliative care for cancer patient and should be an essential part of hospice team.


PSYCHOLOGY OF HEALTH: BEYOND COOKIES IN THE JAR
AKOIJAM, A. Bimol & MISRA, G. (University of Delhi)

BEYOND COOKIES IN THE JAR the most widely used definition of health is by W.H.O. which looks at health as the physical, mental, and social well-being. As "well-being" is experiential in nature, the three aspects of health can be integrated into a unified psychological reality. It is such a possibility that makes "self as the core anchoring construct that embodies the psychological reality called "health". The nature of this "self is often construed as an independent, autonomous, bounded and "self-contained" entity. And listening to the "inner voice" of this "self or the search for a means to be in touch with that "real self becomes hall-mark of many conventional approaches to health in psychology. However, the possibility remains that such approaches might not only be detrimental to the "well-being" of the individuals but also deny the possibility of fully exploiting their potential for negotiating with predicaments and paradoxes of human existence. This is because the autonomous and "self-contained self is a historically embedded reality that is co-terminous with a given socio-economic and political order. The present paper explores the alternative forms of "self understanding and brings out their implications for understanding the issues and challenges in the emerging field of Health Psychology.


STUDENT UNREST, SOCIETY'S PSYCHO-SOCIAL HEALTH CLIMATE, AND
EMERGING CHALLENGES IN BANGLADESH
ARA, Shawkat (University of Rajshahi, Bangladesh)

This study investigated the factors of student unrest in the universities of Bangladesh affecting society's psychosocial health. To this end, the structural properties of socio-political attitudes were examined. The undergraduate and postgraduate students (N=500) completed Traditionalism and Progressivism Scale. A factor analysis using Kaiser's criterion of oblique rotation method yielded ten factors. They included Racial Tolerance, Resistance to Family Planning, Pro-Religiosity, Supportive of Students Movements, Favoring Feminism, Anti Ethnocentrism, Open Nationalism as against Closed Nationalism, Favoring Secularism, and Freedom for Mass-Media, Disfavoring Political Democracy etc. The results indicated that certain progressive and certain traditional socio-political attitudes stemming from the present political, economic and cultural situation and religious condition may exert enormous influence on the ideological stance causing student unrest affecting society's psycho-social health climate.


THE POSSIBILITIES OF HUMAN PERFECTION: VEDANTIC VIEW
AULUCK, Shanti (Lady Sri Ram College)

The question of mental health is intimately linked with the search of harmony in inner life and effective living. Such issues imply valuing, and therefore orthodox scientism in psychology has been shying away from deliberating on it. Most of the personality theories, with few exceptions, have arisen from clinical experience and hence mental health could be conceived more as freedom from sickness. In Indian tradition the notion of Sthitpragya is the culmination of the possibilities of human perfection. The key to the question of psychological health lies in the search of 'who am I'. A deeper level of analysis within the paradigm of Advait Vedanta reveals that operating from the confines of 'ego' is the root of all conflicts, despair and sufferings.

ABSTRACTS
(SAAP-Delhi Con.-1999)
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