Acceptance of relapse fears in breast cancer patients: effects of an act-based abridged intervention

Objective: Relapse fear is a common psychological scar in cancer survivors. The aim of this study is to assess the effects of an abridged version of Acceptance and Commitment Therapy (ACT) in breast cancer patients.Method: An open trial was developed with 12 non-metastatic breast cancer patients assigned to 2 conditions, ACT and waiting list. Interventions were applied in just one session and focused on the acceptance of relapse fears through a ‘defusion’ exercise. Interference and intensity of fear measured through subjective scales were collected after each intervention and again 3 months later. Distress, hypochondria and ‘anxious preocupation’ were also evaluated through standardized questionnaires.Results: The analysis revealed that ‘defusion’ contributed to decrease the interference of the fear of recurrence, and these changes were maintained three months after intervention in most subjects. 87% of participants showed clinically significant decreases in interference at follow-up sessions whereas no patient in the waiting list showed such changes. Statistical analysis revealed that the changes in interference were significant when comparing pre, post and follow-up treatment, and also when comparing ACT and waiting list groups. Changes in intensity of fear, distress, anxious preoccupation and hypochondria were also observed.Conclusions: Exposure through ‘defusion’ techniques might be considered a useful option for treatment of persistent fears in cancer patients. This study provides evidence for therapies focusing on psychological acceptance in cancer patients through short, simple and feasible therapeutic methods.

Maximilian’s Journeys through Spain and Brazil: The Long Way to the Mexican Empire

In May of 1864, Maximilian of Austria reached the Mexican coast, being this journey his last, ending three years later with his execution. Much has been written about the reasons that prompted his acceptance of the crown of Mexico, a country so distant in every sense of his cultural environment. However, years ago Maximilian had traveled to Spain and Brazil (to Spain twice) and these experiences, although not determinant, greatly influenced the decision of the Archduke, who saw the chance to realize a dream he had conceived on his trip to Spain and that was consolidated during his stay in Brazil, as we can extract from his travel memoirs.

Blogueros latinoamericanos, los creativos culturales de inicios del siglo XXI

El presente artículo tiene como objetivo explorar la producción textual, la identidad blog y las prácticas sociales a partir de la sistematización de relatos escritos por bloggers latinoamericanos desde una perspectiva de la fenomenología tecnológica. Planteamos una discusión sobre la comprensión de prácticas sociotécnicas y significados de las experiencias humanas que bloggers latinoamericanos debaten a partir de sus posicionamientos políticos, económicos, éticos, sociales y culturales. Son “Creativos Culturales” del siglo XXI, debido a que escriben desde sus contextos, reflexionan las experiencias y cotidianidades de sus sociedades desde la red como ejercicio para la comprender el presente de Latinoamericana y su lugar en el mundo global.