"Cancer as a Turning Point" by Lawrence LeShan, PhD: A Powerful Book Every Cancer Patient Should Read

Review by NL Newsletter Editor, Cynthia Chatfield

"Getting cancer can become the beginning of living. The search for one's own being, the discovery of the life one needs to live, can be one of the strongest weapons against disease."

Dr. Lawrence LeShan’s therapeutic methods have achieved extraordinary results with advanced cancer patients—irrespective of whatever physical healing choices they made.

Over the past thirty years that he has been practicing his unique form of psychotherapy, approximately half of his cancer patients with poor prognoses have experienced long term remission and many are still alive. That is a powerful statement you may want to read again!

Nearly all dramatically improved their emotional state and quality of life. Every cancer patient who wants to maximize his or her odds for survival should at least consider how LeShan’s approach might be incorporated into the conventional, complementary or alternative physical healing path they have chosen.

Dr. LeShan has worked with cancer patients for over fifty years now and is referred to as “the father of mind-body therapy” by many in the field. He has been a research and clinical psychologist and is the author of more than a dozen books, including three excellent choices for cancer patients: Cancer As A Turning Point: A Handbook for Cancer Patients, Their Families and Health Professionals, You Can Fight For Your Life: Emotional Factors in the Treatment of Cancer, and How to Meditate: A Guide to Self-Discovery.”

Cancer as a Turning Point uses patient stories to show how to mobilize the cancer patient's self-healing abilities and to use them to augment whatever physical healing program the patient has chosen. The book comes out of a thirty-five year research project involving several thousand people with cancer. It is designed to teach cancer patients and their families, friends, physicians, clergymen, and psychotherapists how to use psychological change to help heal and strengthen the patient's compromised immune system.

In the beginning of his career, when he first began working with cancer patients, LeShan utilized the classic psychotherapeutic approach he was trained in, where the model was to uncover what was wrong with the patient and then determine what could be done about it. Was there something dark and hidden within the patient’s psyche? Could it be brought to light and either cured or compensated for?

This traditional analytic approach can have very positive effects with many types of mental, emotional and behavioral issues, but LeShan maintains that it did not prove helpful in mobilizing the immune system—something cancer patients must immediately accomplish if they are to survive. During the time he used this classical approach, almost none of his cancer patients survived their diagnosis longer that what had been predicted.

LeShan then began to shift his treatment method and his questions. He began to ask “What’s right with this person? What ways of being with themselves, with others and with the world will lead them to the greatest enthusiasm and satisfaction in their lives? What would provide a solid reason for being, the kind of meaning and purpose that makes us glad to get out of bed in the morning and glad to go to bed at night—the kind of life that makes us look forward zestfully to each day and to the future."

And having determined that together, he reasoned that he and his patient could begin to move toward embracing that way of being and creating that life. In effect, the definition of psychotherapy has been changed from removing the patient’s pain and reducing symptoms—to helping each patient find their own special “music” that will lead them to the “song” they came to sing in this lifetime. LeShan found that this process could be exhilarating for some and downright terrifying for others, but always beneficial in the end.

He describes the process in the following way: "Let us suppose we say in effect to a patient that your Fairy Godmother will come in that door in a few minutes. She will make you an offer. In six months your inner and outer life can be exactly what you would like it to be so that you would use yourself most completely and have the maximum enjoyment and zest possible. You can change your feelings and your circumstances. There are no limitations on age, sex, education, and so forth. We shall assume that you choose good physical health as a basis and take it from there. There are only two catches. You must tell her in the next five minutes, and this is a once-in-a-lifetime deal. She won't be back after granting your proposal……” You will have just described your heart’s deepest desire and where and how you would love to live."

Therapy that is useful for mobilizing cancer patients' immune systems aims at discovering the answer to this question and understanding what has blocked its perception and/or its being lived out as a life-style--then helping patients move toward it. Very often patients will respond with "I don't know" when asked how they would change their life. The goal then becomes having them accept that this is the most important question at this stage of their life.

Something Within Us Yearns for Wider Vistas and Broader Skies

LeShan coaches patients to take control over their own life, to search for a lifestyle that truly suits them and expresses who they are—and then to begin to move toward creating that lifestyle. For most, this will entail a complete transformation of how they view themselves, no longer being motivated by what they “should” do, versus what they would truly enjoy doing. LeShan asks his patients to dig down and ask themselves: “What would truly fulfill me—what style of being, relating, creating would bring me to a life of zest and enthusiasm?” Time and again, he found that the answer to this question was the very thing that would most profoundly mobilize their immune system against cancer.

“Over and over again, I have seen one of two things happen when the total environment of the person with cancer is mobilized for life and his or her inner ecology is thereby changed in a positive way. For some, the patient's life is prolonged, not in an arbitrary way, but in order that there may be more experience of the self, self-recognition and the recognition—and often fulfillment—of dreams. And then there were the genuine miracles—not magic, but dedicated devotion and hard work which made the cancer a turning point in the person's life rather than a sign of its ending. The more we learn about human biology and psychology, the more we learn about how to change and improve the quality and ambiance of life both internal and external, the more this second result may become commonplace. And when it is time to die, we need to understand what our life was about, to know and accept who we have become.”

How Psychological Change Can Mobilize a Compromised Immune System

One of LeShan’s patient stories illustrate much of what has been related so far, and there are many excellent ones in the book. Ethel had metastasized breast cancer and had been told by her doctors that she had approximately two months to live. She sought therapy to deal with her fear and to find out how to live until she died. It wasn’t difficult to uncover her secret dreams. Ethel had always wanted to travel, particularly on the ocean, and she had always felt she belonged at sea, jokingly saying that in a previous life, she must have been a sailor.

Her best memories from her life were the ten years she had worked in an exclusive clothing store—she had loved being a saleswoman there. Even then, she had pored over travel brochures and dreamed of cruises. She became a wife, then a mother and she put away her dreams for what she believed was the reality she was supposed to be living. Now that Ethel was a cancer patient, she was asked, “Why not travel now?” Her husband was dead, her children grown and independent. She replied that now she was sick and shouldn’t leave her excellent medical care. It didn’t take much convincing to get her to reconsider that rather bleak option. And so Ethel took all her life savings and booked a first class cabin on a long cruise—and off she went, with great excitement and anticipation.

Four months later she stormed into the doctor’s office and shouted, “Here, I’ve spent all my money. I’m broke—and I’m still alive!” She and the doctor began to laugh, as he pointed out the obvious alternative. He was later able to use his connections to get Ethel a job selling in a boutique on an ocean liner, creating a lifestyle which she absolutely loved. The cancer had shown no signs of increasing and slowly shrunk to about half its original size over the years. Ethel had no further medical treatments, but simply went forward, joyfully living a lifestyle that she found completely fulfilling and exciting. She sent the doctor a Christmas card every year—no matter where in the world she was.

Cancer as a Turning Point is every bit as relevant and on the cutting edge of our medical knowledge as it was when first published in 1989. There are three additional sections of the book worth pointing out. There's a very useful workbook chapter called "29 Exercises for Creating Your Ideal Life: What Actions Can You Take Now to Shape Your Life So it More Closely Resembles Your Dreams?" LeShan also includes an excellent chapter on meditation and a chapter with insightful advice about how to find the right therapist to work with.

For more info, see Dr. LeShan’s website at www.cancerasaturningpoint.org. For more about Cynthia Chatfield, see the “About” link on this website.