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REHABILITATION FROM HEART DISEASE: THE FORK IN THE ROAD
There comes a time when the gears can change and the next phase of the journey can begin. How do we know when this is? After the “hurly-burly” of reaction, a state of preparedness is reached. How do we know that we are emotionally ready for reconstruction? The first thing that must be in place is your physical state: your physician has reassured you and declared you stable, whether your symptoms have completely subsided or are still present but are not of serious significance. From the emotional point of view, you will no longer be troubled by anxiety to any prominent degree, and sadness will not dominate, nor low mood weigh you down. Anger will not be a monkey on your back. The appearance of any of these mood states, at times, is normal, and you should not be alarmed by them, but any of these emotional states persisting indicates that a balance has not yet been achieved. The symbol of the fork in the road on the journey of recovery represents the choice that is offered to travelers who are still burdened with residual emotional symptoms. One option is continued reaction. Here, the danger is of continuing a pattern that has become established: we know that habits are hard to break, and the particular habit we want to avoid is the inadvertent establishment of what has been called “the sick role.” This occurs in individuals who, though they have received reassurance about their physical state, continue to react and to behave as the “perpetual patient” and retreat into unnecessary dependency. (Note that sometimes?for example, in the situation of a patient like Rose, who is slowly recovering?at least initially, some dependency is called for.)
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