•Highlight moments in coping with terminal illness from the narrative and firsthand reflections of a patient's spouse.•Identify key insights from psychodynamic theory that provide a useful framework for psychological coping.•Strategize techniques and best practices in providing stability, wisdom and supportive structures to accompany patients and spouses facing terminal illness. Some patients and families make striking statements amid the tragedy of illness, such as, “…and yet it was a blessing.” It appears that these patients have a sense of holistic well-being as they approach death, which has developmentally emerged throughout the trajectory of their life-limiting illness. This phenomenon of “Existential Maturity” provides foundational principles to both capture and comprehend the unique nuances that foster psychologically coping. Lessons from traditions such as self-psychology, development and attachment theory provide inroads for better understanding this process. Moreover, clinicians' awareness of Existential Maturity can enhance patients' well-being, identity, relationships and quality of life as they face mortality. In this concurrent session, a patient's spouse will speak from her experience of accompanying her husband through the dying process. Her narrative will serve as a platform for highlighting various psychodynamic processes normative in terminal illness. A friend and psychoanalyst who accompanied the patient and spouse will reveal how the works of thinkers such as Winnicot, Bolwby, Kohut, Erickson and others illuminated the dynamics of their journey with serious illness. Finally, experts in palliative care and psychodynamic theory will provide practical techniques for clinicians to utilize these insights when caring for patients and families. The groundbreaking elements of this presentation are the firsthand, synthesized reflections from a patient's spouse and a collaborative discovery of the dimensions of the couple's experiences that are generalizable to many who face mortality. Moreover, clinicians of all disciplines will acquire skills to apply this framework of Existential Maturity in psychological coping towards a state of thriving at the end of life. As the field of palliative care quickly expands in breadth, this session offers greater depth to the psychological processes of each clinical encounter.
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