COPING-BASED INTERVENTION STRATEGIES

Coping is explained as a circular process involving three repetitive s teps: (1) perception of a change in well-being; (2) cognitive processi ng of information, in assessing its impact and possible consequences; and (3) coping as such, including many different modes. In general, ac tive, task-oriented behaviour in which patients tackle problems, remai n optimistic and seek attention and care is considered favourable. A p assive and withdrawn attitude with ruminations, self-accusation and re signation is known to be unfavourable. Based on problem-solving theory , a coping-based intervention strategy is presented as follows:(1) est ablishing a therapeutic relationship; (2) analysis of the problem (sit uation and actual coping); (3) definition of problem for patient; (4) defining goals; and (5) working through and modification of coping. A rich body of scientific evidence now exists in almost all areas of med icine that such short and structured interventions contribute signific antly to the healing process.