Self-compassion and the Four Noble Truths in Breast Cancer Patients
Keywords:
Self-compassion, Four Noble Truths, Patient with breast cancerAbstract
This article aims to study the relationship between self-compassion and the Four Noble Truths in patients with breast cancer undergoing chemotherapy. Recently, breast cancer is the most common cancer among women worldwide and a primary treatment method is chemotherapy. However, chemotherapy side effects can lead to significant suffering for patients. To manage the distress caused by chemotherapy side effects, patients with breast cancer need to regulate their emotions through self-compassion, which can be understood in conjunction with the Four Noble Truths.
The study found that self-criticism and stress positively correlate with self-compassion. The findings support the idea that self-criticism can be a source of suffering (Samudaya), with its origins in various forms of desire, such as seeking physical pleasure, comfort, wealth, or praise through good deeds. These desires can lead individuals to judge themselves harshly, reducing their self-compassion.
Additionally, body image and attachment styles were positively correlated with self-compassion at a lower level, as body image is considered a cause of suffering (Samudaya). The root of suffering is in the “self” or self-attachment, which drives individuals to seek external validation, resulting in greed. When this greed is unmet, it can lead to anger or distress.
Positive attitudes, engagement in enjoyable activities, positive connections with others, self-acceptance, and emotional balance support the research findings from a Buddhist perspective. Experiencing pain and suffering is a normal part of being human and should be accepted rather than resisted. Cultivating self-compassion allows individuals to confront and embrace their pain with kindness, fostering resilience and well-being.
The research findings can inform further studies in chronic patients undergoing long-term treatment which can lead to the development of programs that promote self-compassion through the principles of the Four Noble Truths.
Keywords: Self-compassion, Four Noble Truths, Patient with breast cancer
References
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209-49.
American Cancer Society. (2021).Global cancer facts & figures (4th ed.); [cited 2022 Mar 1] Available from: https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/global-cancer-facts-and-figures/global-cancer-facts-and-figures-4th-edition.pdf
National Cancer Institute. News & events [Internet]. USA.gov: National Cancer Institute; 2022 [cited 2023 Mar 1]. Available from: https://www.cancer.gov/news-events/press-releases/2022
Strategy and Planning Division, Ministry of Public Health [Internet]. (2019). Statistics of breast cancer; [cited 2022 Mar 1] Available from: https://bps.moph.go.th/new_bps/sites/ default/files/statistic62.pdf
Neff KD. The development and validation of a scale to measure self-compassion. Self and Identity. 2003;2:223-50. Doi: 10.1080/15298860390209035.
Neff KD, Hsieh Y-P, Dejitterat K. Self-compassion, achievement goals, and coping with academic failure. Self and Identity. 2005;4(3):263-87. Doi: 10.1080/13576500444000317
Neff K, Davidson O. Self-compassion: Embracing suffering with kindness. In: Ivtzan I, Lomas T, editors. Mindfulness in positive psychology: The science of meditation and wellbeing. Abingdon: Routledge/Taylor & Francis Group; 2016. p. 37–50.
Albertson ER, Neff KD, Dill-Shackleford KE. Self-compassion and body dissatisfaction in women: A randomized controlled trial of a brief meditation intervention. Mindfulness. 2015;6(3):444-54. Doi: 10.1007/s12671-014-0277-3
Neff KD, Dahm KA. Self-compassion: What it is, what it does, and how it relates to mindfulness. In: Gaudiano BA, editor. Major themes in mental health. Mindfulness: Nonclinical applications of mindfulness: Adaptations for school, work, sports, health, and general well-being. 2017:495-517.
Germer CK, Neff KD. Self-compassion in clinical practice. J Clin Psychol. 2013;69(8):856-67.
Shapira LB, Mongrain M. The benefits of self-compassion and optimism exercises for individuals vulnerable to depression. The Journal of Positive Psychology. 2010;5:377-89.
Smeets E, Neff K, Alberts H, Peters M. Meeting suffering with kindness: Effects of a brief self-compassion intervention for female college students. J Clin Psychol. 2014;70(9):794-807.
Todorov N, Sherman KA, Kilby CJ, Breast Cancer Network Australia. Self-compassion and hope in the context of body image disturbance and distress in breast cancer survivors. Psychooncology. 2019;28(10):2025-32.
Breines JG, Chen S. Self-compassion increases self-improvement motivation. Pers Soc Psychol Bull. 2012;38:1143.
Diedrich A, Grant M, Hofmann SG, Hiller W, Berking M. Self-compassion as an emotion regulation strategy in major depressive disorder. Behav Res Ther. 2014;58:43-51.
Johnson E, O’Brien K. Self-compassion soothes the savage ego-threat system: Effects on negative affect, shame, rumination, and depressive symptoms. Journal of Social and Clinical Psychology. 2013;32:939-63. Doi: 10.1521/jscp.2013.32.9.939.
Odou N, Brinker J. Self-compassion, a better alternative to rumination than distraction as a response to negative mood. The Journal of Positive Psychology. 2015;10:447-57.
Zhu X, Chen L, Huang B, Wang Y, Ji L, Wu J, et al. The prognostic and predictive potential of Ki-67 in triple-negative breast cancer. Sci Rep. 2020;10(1):225. Doi: 10.1038/s41598-019-57094-3.
Kraehenbuehl L, Weng CH, Eghbali S, Wolchok JD, Merghoub T. Enhancing immunotherapy in cancer by targeting emerging immunomodulatory pathways. Nat Rev Clin Oncol. 2022;19(1):37-50.
Neff KD. The role of self-compassion in development: A healthier way to relate to oneself. Hum Dev. 2009;52(4):211–4. Doi: 10.1159/000215071
Raes F. The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness. 2011;2:33-6.
Alizadeh S, Khanahmadi S, Vedadhir A, Barjasteh S. The relationship between resilience with self-compassion, social support and sense of belonging in women with breast cancer. Asian Pac J Cancer Prev. 2018;19(9):2469-74.
Umphrey LR, Sherblom JC. The relationship of hope to self-compassion, relational social skill, communication apprehension, and life satisfaction. IJW. 2014;4(2):1-18. Doi: 10.5502/ijw.v4i2
Gilbert P, Catarino F, Duarte C, Matos M, Kolts R, Stubbs J, et al. The development of compassionate engagement and action scales for self and others. Journal of Compassionate Health Care. 2017;4(1)4. Doi: 10.1186/s40639-017-0033-3
Hermanto N, Zuroff DC. Experimentally enhancing self-compassion: Moderating effects of trait care-seeking and perceived stress. The Journal of Positive Psychology. 2016;13(6):617-26.
Payutto PA. Buddhadhamma: The Laws of Nature and Their Benefits to Life. [place unknown]: Buddhadhamma Foundation; 2021.
Quyet NT, Lan PT, Phuong NT. The Four Noble Truths: An integrative Buddhist philosophy of life. European Journal of Science and Theology. 2022;18(6):47–63.
Sirois FM, Molnar DS, Hirsch JK. Self-compassion, stress and coping in the context of chronic illness. Self and Identity. 2015;14(3):334-47.
Markus HR, Kitayama S. Cultural variation in the self-concept. In: Strauss J, Goethals GR, editors. The self: Interdisciplinary approaches. New York: Springer; 1991. p.18-48.
Heine SJ, Lehman DR, Markus HR, Kitayama S. Is there a universal need for positive self-regard? Psychol Rev. 1999;106(4):766.
Kitayama S, Markus HR, Matsumoto H, Norasakkunkit V. Individual and collective processes in the construction of the self: Self-enhancement in the United States and self-criticism in Japan. J Pers Soc Psychol. 1997;72(6):1245–67. Doi: 10.1037/0022-3514.72.6.1245
Meredith LS, Sherbourne CD, Gaillot SJ, Hansell L, Ritschard HV, et al. Promoting psychological resilience in the US military. Rand Health Quarterly. 2011:1(2).
Carver CS, Scheier MF. Three human strengths. In: Aspinwall LG, Staudinger UM, editors. A psychology of human strengths: Fundamental questions and future directions for a positive psychology. Washington (DC): American Psychological Association; 2003. p. 87-120.
Gouveia VV, Milfont TL, Guerra VM. Functional theory of human values: Testing its content and structure hypotheses. Personality and individual differences. 2014;60:41-7.
Terry ML, Leary MR. Self-compassion, self-regulation, and health. Self and Identity. 2011;10(3):352-62.
Conze E. The way of wisdom: The Five Spiritual Faculties [Internet]. [place unknown]: Buddhist Publication Society; 1953 [cited 2022 Mar 1] Available from: http://enlight.lib.ntu.edu.tw/FULLTEXT/JR-AN/an23935.pdf
Brazier NC, Levine MA. Drug-herb interaction among commonly used conventional medicines: A compendium for health care professionals. Am J Ther. 2003;10(3)163-9.
Miyagawa Y, Neff KD. How self-compassion operates within individuals: An examination of latent profiles of state self-compassion in the US and Japan. Mindfulness. 2023;14(6):1371-82.
Simona D, Amritha KS. Suffering, Self, and Healing: Common Psychological Themes in Buddhist Thought. Amritha: Eureka Publications; 2024. p. 160
Phong CT. Awakening from within: an exploration of self-healing through a Buddhist approach. Journal of Spirituality in Mental Health. 2024:1-29.
Paonil W, Sringernyuang L. Buddhist perspectives on health and healing. The Chulalongkorn Journal of Buddhist Studies. 2002;1(2):93-105.
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