Approximately two thirds of all Dutch cancer patients have severe emot
ional problems shortly after their change from the treatment regime in
to the regime of medical controls. Half of them even need professional
support. It is, therefore, important that a professional listens with
empathy to the patient's version of the illness story. Story telling
helps to overcome the existential crisis of being a cancer patient; it
is an essential step in the revalidation process. Themes and open que
stions which structure the communication are suggested in this article
. (C) 1998 Elsevier Science B.V. All rights reserved.