WORTHLESSNESS ABANDONMENT DENIAL TRUCULENCE REPUDIATION TIME PER- SPECTIVE / / / / 4 3 2 1 Worthless; not okay I'm not okay; feels I'm okay but I'm okay; strong and never will be; flawed and inade- I goof up, self regard undeserving quate make mistakes 4 3 2 1 Feels abandoned Lonely and isolated Feels somewhat Feels cared for and and rejected neglected well looked after 4 3 2 1 Avoids speaking word "cancer" or its equivalent Admits diagnosis and illness, but denies implications Uncertain or euphemism Correct perception of illness and related problems 4 3 2 1 Feels victimized, Has doubts and Believes that Feels that very good bitter, mistreated serious questions only "ade- care is received. by caregivers regarding care and quate" care Very + attitude to treatment is being given caregivers 4 3 2 1 Rejects or antagonizes Mild rejection of Accepts help Gladly accepts sources of support others; somewhat grudgingly sources of help sullen and support 4 3 2 1 Closed; no tomorrow Only a day at a time Cautious about future; wait and see Unlimited; foresees future as if no illness