{"id":"https://openalex.org/W2072384652","doi":"https://doi.org/10.1001/archinternmed.2012.3633","title":"The Relief of Existential Suffering","display_name":"The Relief of Existential Suffering","publication_year":2012,"publication_date":"2012-08-28","ids":{"openalex":"https://openalex.org/W2072384652","doi":"https://doi.org/10.1001/archinternmed.2012.3633","mag":"2072384652","pmid":"https://pubmed.ncbi.nlm.nih.gov/22945389"},"language":"en","primary_location":{"id":"doi:10.1001/archinternmed.2012.3633","doi":"https://doi.org/10.1001/archinternmed.2012.3633","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinternmed.2012.3633","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5082769090","display_name":"David W. Kissane","orcid":"https://orcid.org/0000-0002-5930-4573","observed_orcids":["https://orcid.org/0000-0002-5930-4573"]},"institutions":[{"id":"https://openalex.org/I1334819555","display_name":"Memorial Sloan Kettering Cancer Center","ror":"https://ror.org/02yrq0923","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1334819555"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"David W. Kissane","raw_affiliation_strings":["Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. david.kissane@monash.edu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA. david.kissane@monash.edu","institution_ids":["https://openalex.org/I1334819555"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5082769090"],"corresponding_institution_ids":["https://openalex.org/I1334819555"],"apc_list":null,"apc_paid":null,"fwci":9.9917,"has_fulltext":false,"cited_by_count":186,"citation_normalized_percentile":{"value":0.98604475,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":100},"biblio":{"volume":"172","issue":"19","first_page":"1501","last_page":"1501"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10509","display_name":"Religion, Spirituality, and Psychology","score":0.573199987411499,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10509","display_name":"Religion, Spirituality, and Psychology","score":0.573199987411499,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":0.17579999566078186,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.09629999846220016,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/existential-distress","display_name":"existential suffering","score":0.9900000095367432},{"id":"https://openalex.org/keywords/advanced-disease","display_name":"advanced disease","score":0.7480000257492065},{"id":"https://openalex.org/keywords/progressive-disease","display_name":"progressive disease","score":0.6949999928474426},{"id":"https://openalex.org/keywords/fear-of-death","display_name":"fear of death","score":0.9599999785423279},{"id":"https://openalex.org/keywords/loss-and-change","display_name":"loss and change","score":0.925000011920929},{"id":"https://openalex.org/keywords/loss-of-control","display_name":"loss of control","score":0.8759999871253967},{"id":"https://openalex.org/keywords/self-dignity","display_name":"self-dignity","score":0.9210000038146973},{"id":"https://openalex.org/keywords/aloneness","display_name":"aloneness","score":0.9800000190734863},{"id":"https://openalex.org/keywords/meaning-in-life","display_name":"meaning in life","score":0.6039999723434448},{"id":"https://openalex.org/keywords/mystery","display_name":"mystery","score":0.49000000953674316},{"id":"https://openalex.org/keywords/adaptive-coping-strategies","display_name":"adaptive coping","score":0.5630000233650208},{"id":"https://openalex.org/keywords/physician-role","display_name":"physician role","score":0.6480000019073486},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.593999981880188}],"concepts":[{"id":"https://openalex.org/C127882523","wikidata":"https://www.wikidata.org/wiki/Q38066","display_name":"Existentialism","level":2,"score":0.8789408206939697},{"id":"https://openalex.org/C2778745096","wikidata":"https://www.wikidata.org/wiki/Q274782","display_name":"Dignity","level":2,"score":0.7456399202346802},{"id":"https://openalex.org/C2776911728","wikidata":"https://www.wikidata.org/wiki/Q208160","display_name":"Courage","level":2,"score":0.7321153283119202},{"id":"https://openalex.org/C2780876879","wikidata":"https://www.wikidata.org/wiki/Q3054749","display_name":"Meaning (existential)","level":2,"score":0.6966726183891296},{"id":"https://openalex.org/C2781321128","wikidata":"https://www.wikidata.org/wiki/Q5247072","display_name":"Death anxiety","level":3,"score":0.6412341594696045},{"id":"https://openalex.org/C120452360","wikidata":"https://www.wikidata.org/wiki/Q1773859","display_name":"Nature versus nurture","level":2,"score":0.6209181547164917},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5613932609558105},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5599154233932495},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.5400444269180298},{"id":"https://openalex.org/C2776291640","wikidata":"https://www.wikidata.org/wiki/Q2912517","display_name":"Value (mathematics)","level":2,"score":0.4991874694824219},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.4984006881713867},{"id":"https://openalex.org/C11012388","wikidata":"https://www.wikidata.org/wiki/Q170658","display_name":"Creativity","level":2,"score":0.4829087257385254},{"id":"https://openalex.org/C75795011","wikidata":"https://www.wikidata.org/wiki/Q917904","display_name":"Typology","level":2,"score":0.41263508796691895},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.3729005455970764},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.21884620189666748},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.15602019429206848},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11878529191017151},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11847063899040222},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.10973423719406128},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0},{"id":"https://openalex.org/C19165224","wikidata":"https://www.wikidata.org/wiki/Q23404","display_name":"Anthropology","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D001293","descriptor_name":"Attitude to Death","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005086","descriptor_name":"Existentialism","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1001/archinternmed.2012.3633","doi":"https://doi.org/10.1001/archinternmed.2012.3633","is_oa":false,"landing_page_url":"https://doi.org/10.1001/archinternmed.2012.3633","pdf_url":null,"source":{"id":"https://openalex.org/S4210206803","display_name":"Archives of Internal Medicine","issn_l":"0003-9926","issn":["0003-9926","0730-188X","1538-3679"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of Internal Medicine","raw_type":"journal-article"},{"id":"pmid:22945389","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22945389","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Archives of internal medicine","raw_type":"Journal Article"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.248.6159","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.248.6159","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://archinte.ama-assn.org/data/Journals/INTEMED/25374/isa120012_1501_1505.pdf","raw_type":"text"},{"id":"pmh:oai:CiteSeerX.psu:10.1.1.304.5238","doi":null,"is_oa":false,"landing_page_url":"http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.304.5238","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"http://archinte.ama-assn.org/data/Journals/INTEMED/25374/isa120012_1501_1505.pdf","raw_type":"text"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W30475171","https://openalex.org/W74705120","https://openalex.org/W355660433","https://openalex.org/W1515799666","https://openalex.org/W1582340060","https://openalex.org/W1604120739","https://openalex.org/W1887776009","https://openalex.org/W1964394992","https://openalex.org/W1982613743","https://openalex.org/W1987789700","https://openalex.org/W1992486078","https://openalex.org/W1995288620","https://openalex.org/W2023638772","https://openalex.org/W2056096298","https://openalex.org/W2097930684","https://openalex.org/W2098915527","https://openalex.org/W2403299984","https://openalex.org/W2420862584","https://openalex.org/W2751372848","https://openalex.org/W2798823261","https://openalex.org/W3023887779","https://openalex.org/W4237272871"],"related_works":["https://openalex.org/W7097004123","https://openalex.org/W126260504","https://openalex.org/W2737014250","https://openalex.org/W2936783544","https://openalex.org/W4388286757","https://openalex.org/W2137825625","https://openalex.org/W4321368855","https://openalex.org/W2561411450","https://openalex.org/W7164849885","https://openalex.org/W2021447902"],"abstract_inverted_index":{"Advanced":[0],"and":[1,16,30,45,73,89,97,106,114],"progressive":[2],"illnesses":[3],"bring":[4],"existential":[5,24,37],"suffering":[6],"to":[7,26,83,103],"patients":[8],"as":[9],"an":[10],"inevitable":[11],"consequence":[12],"of":[13,23,36,53,57,66,111],"the":[14,58],"disease":[15],"its":[17,28],"treatment.":[18],"Physicians":[19,99],"need":[20],"a":[21],"typology":[22],"distress":[25],"aid":[27],"recognition":[29],"improved":[31],"management.":[32],"The":[33],"major":[34],"forms":[35],"challenge":[38,85],"include":[39],"(1)":[40],"death":[41],"anxiety,":[42],"(2)":[43],"loss":[44,52],"change,":[46],"(3)":[47],"freedom":[48],"with":[49,94],"choice":[50],"or":[51],"control,":[54],"(4)":[55],"dignity":[56],"self,":[59],"(5)":[60],"fundamental":[61],"aloneness,":[62],"(6)":[63],"altered":[64],"quality":[65],"relationships,":[67],"(7)":[68],"our":[69],"search":[70],"for":[71],"meaning,":[72,112],"(8)":[74],"mystery":[75],"about":[76],"what":[77],"seems":[78],"unknowable.":[79],"An":[80],"adaptive":[81],"response":[82],"each":[84,108],"promotes":[86],"equanimity,":[87],"peace,":[88],"fulfillment":[90],"while":[91],"sustaining":[92],"engagement":[93],"life,":[95],"creativity,":[96],"joy.":[98],"can":[100],"do":[101],"much":[102],"nurture":[104],"courage":[105],"maintain":[107],"person's":[109],"sense":[110],"value,":[113],"purpose.":[115]},"counts_by_year":[{"year":2026,"cited_by_count":20},{"year":2025,"cited_by_count":20},{"year":2024,"cited_by_count":11},{"year":2023,"cited_by_count":20},{"year":2022,"cited_by_count":17},{"year":2021,"cited_by_count":13},{"year":2020,"cited_by_count":14},{"year":2019,"cited_by_count":7},{"year":2018,"cited_by_count":17},{"year":2017,"cited_by_count":12},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":12},{"year":2014,"cited_by_count":11},{"year":2013,"cited_by_count":6}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}
