A laughing bald child in a cheerily decorated children’s ward. A bright yellow daffodil. A confident woman stepping out into the world having just lost both breasts.
These are all things with which we associate cancer. They are overwhelmingly happy things: big smiles, bright colours and positive people.
We tell cancer survivors to “stay positive.” But what if the reality of undergoing an intense and physically crippling treatment means that they don’t want to?
This was the topic of a recent Gawker article, written by cancer survivor Lauren Sczudlo. In the article, Sczudlo spoke candidly and seriously about her frustration when her family refused to acknowledge that her chemotherapy experience had left her feeling sick, tired and depressed:
I think that they expected me to exude the upbeat attitude of the survivors on television commercials, donning pink ribbons and walking marathons, declaring a new lease on life. Cancer patients are expected to be poster children of a movement, meant to reassure the masses that this plague, and even imminent death, can be overcome with positive affirmations and attitude adjustments.
According to the American Cancer Society, over a quarter of cancer patients develop depression. In Australia, the figures are lower, but still significant, with a survey of members of the NSW Cancer Registry showing that 9% of participants reported clinically significant levels of anxiety and 4% reported depression.
We wouldn’t tell any other clinically depressed person to just “cheer up”, but this seems to be an acceptable way to react when someone with a serious illness is feeling down.