While studying peoples reactions to medical stress, Temple University psychologist Suzanne Miller and University of Pennsylvania gynecologic oncologist Charles E. Mangan placed 40 women about to undergo colposcopy in two different groups, according to their coping style.
Millers main interest was to see whether any of these women would cope better if they had extra information. She gave half of each group voluminous details about what would happen and how they would feel; she gave the rest only the basic facts. Overall, the results reinforced the benefits of avoidance. The women given minimal information felt more relaxed throughout the procedure than the women who knew more.
Millers research shows that different people react to news about their situations in very different ways. That means, she suggests, that people should seek as much or as little information as their individual coping style dictates.
Does the research on denial mean we should regress to the days when physicians used to say, Dont tell patients anything, because they dont really want to know? Hardly. People have a right to know what is going to happen to them, and to take part in decisions about their treatment. But patients can get necessary information without learning a lot of nerve-racking details they dont need.
For example, a physician can say: You have a suspicious Pap test. The next procedure is called colposcopy; it will take fifteen minutes. The doctor doesnt need to describe everything a colposcope does, feels like or might find. Similarly, a woman should seek all the options if she has a suspicious Pap test, but once she makes a decision, she should not be obsessed about it.
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