Psychological and emotional concerns of adolescents during a parent's
terminal cancer are described. Compared to younger children, the adole
scents' greater cognitive and empathic capacities allowed them to be m
ore aware of losses and of the parent's physical and emotional pain. P
arental illness also precipitated conflict around issues of developmen
tally appropriate separation. The capacity to use intellectual defense
s, search for meaning and deeper understanding, and seek help were pot
ent coping abilities. Contrary to the prevailing view, most of the ado
lescents coped with stress without resorting to severe acting out.