(Guardian) Mark Taubert–I thought I should always be positive with my patients – until I found out how damaging that can be

There is a lot of pressure to be positive these days. Some people even regard it as a form of wellness treatment in itself and warn of the potential dangers of “allowing negativity into their lives”. But such enforced optimism ignores the realities of our existence. Some patients seem to think negativity will shorten their lives. But researchers in different studies have tested the hypothesis that optimism can impact survival in cancer patients and have found that it does not have an impact. In one of these studies, there was a suggestion that encouraging patients to be positive perhaps even represents an additional burden.

Whether you have terminal cancer or not, believing everything must stay positive just isn’t sustainable. It needs to be balanced with realism. An expectation that outcomes will and must always conclude well can in itself create disappointment and anxiety – because, at some level, we know that we cannot guarantee those wishes will come true.

Being pessimistic or negative on occasion can help, and patients tell me that it is pragmatic and even reassuring to talk about the worst-case scenarios that may lie ahead. When my patients spend more time getting used to the very real possibility that things will work out not so well, it can reduce anxiety considerably over future weeks and month

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