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May 18, 2026Frontiers in PsychologyOpen Access

Chemotherapy-related cognitive impairment as a crisis of the self: a Winnicottian psycho-oncological perspective

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Authors

SKSun Mie KangJKJin Su Kim

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Overview

Theoretical paper reconceptualizes CRCI in survivors, suggesting a focus on self-identity and relational safety.

Key Points

  • This paper aims to reconceptualize CRCI by exploring its impact on self-experience and identity through a psycho-oncological perspective.
  • Synthesized Winnicottian concepts including True Self, False Self, holding, and play.
  • Developed a conceptual model linking cognitive dysfunction to disruptions in selfhood and relational safety.
  • CRCI disrupts the continuity of the True Self, particularly in survivors with strong cognitive identity.
  • Cognitive unreliability leads to intensified False Self functioning, including vigilance and concealment.
  • Recovery is framed as restoring a supportive holding environment for authentic self-experience, beyond cognitive remediation.

Cite This Study

Kang et al. (2026) studied this question.

synapsesocial.com/papers/6a0aabc25ba8ef6d83b6f7c3https://doi.org/10.3389/fpsyg.2026.1811745
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