In the following paper I describe the training and sport psychological support of Mrs. K. Mrs. K. was suffering from breast cancer and after finishing the clinical therapy she started training. I will not go into the training science topics such as training methods, training control and forms of organisation in the report. It would adversely affect the scope at this point and the legibility. This list focuses on the psychological component of the intervention. At the same time I refer to the work of Klaus Detlev Grawe “Neuropsychatrie”. I prefer to refer to the work of Klaus Grawe when giving psychological advice to clients, as I can achieve the best results with this method. Due to the clear division into four fields it's the best way for me to understand and communicate it.. Within the work I regularly refer to the work Neuropsychatrie by Prof. Dr. Grawe. This also forms the basis of the following work.
Table of Contents
Rehabilitation training for breast cancer from a sports psychological perspective using the example of patient K.
Foreword
Anamnesis and admission
Implementation:
Control
Binding
Pleasure
Self-value increase
Intervention
Summary
Bibliography
Objectives and Research Themes
This case study documents the psychological and physical rehabilitation process of a 32-year-old breast cancer patient. The core research aim is to demonstrate how a sports-psychological intervention, based on Klaus Grawe’s consistency theory, can successfully restore a patient's physical confidence and emotional well-being after clinical cancer treatment.
- Application of Grawe’s four basic needs (Control, Binding, Pleasure, Self-value) in sports therapy.
- Management of cancer-related fatigue through structured, movement-based interventions.
- Transition from individual care to group-based rehabilitation (Lifekinetik and Crosspunch).
- Psychological mechanisms of patient motivation and avoidance-target mitigation.
Excerpt from the Case Study
Binding
Attachment is a basic need, all mammals develop a need for attachment. In humans, this need is developed in the womb. Thus, a newborn baby recognizes its mother immediately after birth due to the color of her voice. The attachment behavior also affects the other two basic needs of control and pleasure. The attachment behaviour of the mother also explains attachment behaviour in adulthood. This early childhood bonding experience shapes the type of bonding and control a person has until well into adulthood or even for life (Grawe 2004). Whoever experiences a secure attachment behaviour from the mother's side as a child will also build secure attachments in later life and show confidence in dealing with people and situations. In contrast, uncertain or ambivalent bonds are more difficult to achieve. Besides this very personal bond, there is also a bond and a sense of belonging. For a long time, this sense of belonging was not given enough importance in psychotherapy and psychological considerations. In the last years it shows me how important the bond in groups is. People have been living in groups or families since ancient times in order to survive. In earlier times, religions created the feeling of belonging together. Later also football or the club in which one is involved. (Grawe, 2004) Social media have emerged in recent years. The enormous popularity also indicates a desire for bonding.
The bond is important for the success of the training. The bond to a reference person, in this case the trainer and/or a person in such a situation, is characterized by enormous advantages. However, the trainer must first earn this trust. During the entire accompaniment, at no point of the support may this trust be broken. To do this, the trainer must know the needs of the patients and assess them in detail. Open and honest communication is particularly important. Communication must always be open and honest, not only on the verbal level, but especially also on the non-verbal level. The needs of the patient should be at the centre of such an intervention.
Summary of Chapters
Foreword: The author outlines the scope of the report, emphasizing the focus on psychological components based on Klaus Grawe’s neuropsychotherapy.
Anamnesis and admission: This section details the patient's medical history, current health status, and the primary goal of regaining physical confidence after breast cancer treatment.
Implementation: Describes the initial phase of the training, focusing on nature-based activity and initial questionnaires to establish a structured routine.
Control: Analyzes the concept of loss of control during illness and strategies to overcome avoidance targets to protect basic needs.
Binding: Explores the significance of secure attachment and group belonging in rehabilitation success, highlighting the trainer-patient relationship.
Pleasure: Focuses on the role of movement and coordination training (Lifekinetik) in boosting dopamine and creating a positive, joyful mood.
Self-value increase: Discusses the final pillar of Grawe’s theory, emphasizing goal-setting (SMART) to improve the patient’s self-esteem.
Intervention: Summarizes the long-term progression from individual training to group integration, concluding with the patient's successful return to competitive fun runs.
Summary: Reflects on the successful application of Grawe's basic needs in restoring the patient's performance confidence.
Keywords
Breast cancer rehabilitation, Sports psychology, Klaus Grawe, Consistency theory, Fatigue syndrome, Patient K, Lifekinetik, Crosspunch, Neuropsychotherapy, Physical activity, Basic needs, Self-esteem, Avoidance targets, Mental health, Oncology.
Frequently Asked Questions
What is the core subject of this paper?
The paper examines the rehabilitation process of a breast cancer patient through the lens of sports psychology, specifically utilizing the Neuropsychotherapy framework developed by Klaus Grawe.
What are the primary thematic fields discussed?
The study focuses on the four basic needs as defined by Grawe: control, attachment (binding), pleasure (or pleasure gain), and self-value enhancement.
What is the main objective of this study?
The primary goal is to help the patient, referred to as Mrs. K., regain confidence in her physical abilities and performance after the conclusion of her clinical cancer treatment.
Which scientific methodology is utilized?
The author uses a case study approach, applying neuropsychotherapeutic principles, structured training monitoring via questionnaires (FAMOS), and performance diagnostics to guide the rehabilitation.
What is covered in the main body of the work?
The main body details the transition from initial, highly supervised individual training to group-based training sessions like Lifekinetik and Crosspunch, while constantly monitoring physical and mental exhaustion.
Which keywords characterize this work?
Key terms include breast cancer rehabilitation, sports psychology, consistency theory, fatigue management, and the specific methodology of Grawe's basic needs.
How does the training environment change over the course of the intervention?
The training begins with closely monitored, individual, nature-based activities and eventually transitions the patient into group sessions, fostering a sense of belonging and increased confidence.
What role does the 'Crosspunch' training play in this case?
Crosspunch, a training method combining boxing and functional exercises, was used to provide a structured yet flexible environment that encouraged physical improvement while avoiding overstrain.
What was the outcome for the patient after one year?
After one year of psychological and physical support, the patient regained confidence and successfully participated in a competition, showing no significant difference compared to healthy participants.
- Citar trabajo
- Tristan Bechmann (Autor), 2019, Rehab by Chest Cancer. Training and Sport Psychological Support, Múnich, GRIN Verlag, https://www.grin.com/document/1151845
