Abstract
Dealing with cancer involves a number of complex communication issues for patients, health professionals, and family members. This article examines over 200 clinical papers and research studies published between 1966 and 1986 that focus on communication dimensions of the cancer experience. The review analyzes communication issues from three p&spectives: the patient, the health orofessional. and the farnilv. The literature indicates that the major dommunicatibn issues for pkients are related to maintaining a sense of control, seeking information, disclosing feelings, and searching for meaning. For health professionals, the primary communication issues center on imparting information, communicating hope, and sharing control. The major issues facing family members pertain to the concealment of feelings, acquiring information, and coping with helplessness. The article also provides a methodological critique of the literature, citing strengths and weaknesses and pointing to directions for future research.