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DEATH, DYING AND BEREAVEMENT: DEPRESSION IN TERMINALLY ILL PEOPLE
Depression in terminally ill people has been a controversial subject. Many people when told their diagnosis are not feeling ill and in such circumstances denial and anger are readily explicable. Glaser and Strauss (1965) believe that when a person is first told that he is terminally ill, his response is one of depression, after which he may choose to accept or reject the prognosis. In Kubler-Ross's classification of the stages of dying (1969), depression sets in when the person's health declines, when his body is thinner, weaker and more debilitated. The depression may be compounded by other losses, such as loss of breast, limb, income or social status, and almost certainly it will also be due to the prospect of the loss of life itself. Lamerton (1973) points out that some people worry about unfinished business from the past, or the anticipated suffering and bereavement of others.
Hinton (1972) believes that depression is the commonest emotional upset in terminally ill people. The sadness, apathy and misery experienced tends to be under-rated by health professionals, including physiotherapists, who may believe that such emotions are evoked entirely by the person's poor physical condition. This is an erroneous assumption, other people who have the prospect of recovery do not exhibit the same degree of misery. It is certainly not helpful to tell the dying person, 'It could be worse', for clearly it could not. Depression is normal and fully understandable in terminally ill people and Saunders (1978) believes that labelling them with psychiatric diagnoses is not helpful.
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