The construction of a life and its end

Abstract

This paper proposes to present a case study concerning the work of Psychology as regards the principle of autonomy ofadolescents, specifically in cases of patients affected by cancer in phases with no possible therapeutic cure. The studyreports the trajectory of psychotherapeutic interventions during the process of treatment of the disease and that of palliativecare. The basic aspect of the study refers to respect to the autonomy of a female adolescent that had several feelingsthat stood out or overcame others, being able to maintain the freedom of expressing them, of questioning and demandingsupport. Psychological care was based on the understanding that the patient had conditions to orientate her own life andto build her own history. One tried to make easier adaptation to many losses resulting from the progression of the disease,favoring better ways to deal with the fear of death, the anguish of separation and annihilation of the self, making easierdealing with the sense of existence. Unconditional and comprehensive understanding was offered to the patient’s worldview and of the courses of action that made sense for her in this existential survey. We concluded that an emphatic attitude,the establishment of an authentic bond of confidence, the support to develop a sense of personal value may createa dialogic context in which the liberation of the individual and original power of the patient was promoted, helping thepatient in her existential journey