Demoralization syndrome - A relevant psychiatric diagnosis for palliative care

David W. Kissane, David M. Clarke, Annette F. Street

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Hopelessness, loss of meaning, and existential distress are proposed as the core features of the diagnostic category of demoralization syndrome. This syndrome can be differentiated from depression and is recognizable in palliative care settings. It is associated with chronic medical illness, disability, bodily disfigurement, fear of loss of dignity, social isolation, and - where there is a subjective sense of incompetence - feelings of greater dependency on others or the perception of being a burden. Because of the sense of impotence or helplessness, those with the syndrome predictably progress to a desire to die or to commit suicide. A treatment approach is described which has the potential to alleviate the distress caused by this syndrome. Overall, demoralization syndrome has satisfactory face, descriptive, predictive, construct, and divergent validity, suggesting its utility as a diagnostic category in palliative care.

Original languageEnglish
Pages (from-to)12-21
Number of pages10
JournalJournal of Palliative Care
Volume17
Issue number1
Publication statusPublished - 1 Mar 2001

Cite this

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Demoralization syndrome - A relevant psychiatric diagnosis for palliative care. / Kissane, David W.; Clarke, David M.; Street, Annette F.

In: Journal of Palliative Care, Vol. 17, No. 1, 01.03.2001, p. 12-21.

Research output: Contribution to journalArticleResearchpeer-review

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