Ulmer Schatzkiste
摘要
Each year, approximately 37,000 parents of minor children in Germany are diagnosed with cancer. In addition to physical symptoms, profound existential and psychosocial burdens arise. Particularly young children often have only limited time to form conscious memories of their dying parent.
ObjectiveThis article comprises a presentation of the psycho-oncological service Ulmer Schatzkiste (“Ulm treasure chest”), an innovative dignity-centered approach in the palliative setting, as well as a description of the concept, process, previous experiences, and challenges.
Materials and methodsThe program combines structured psycho-oncological support with professional film production. Based on existential psychotherapy, dignity therapy, and the model of double awareness, parents with advanced cancer are supported in biographical reflection and in creating an audiovisual legacy. The multiphase process includes diagnostic assessment, preparatory sessions, filming, post-production, and follow-up support. A feasibility study provided initial evidence of positive effects of the offer on existential stress.
ResultsSince 2022, 50 films have been produced for families with a total of 94 children. The intervention is experienced as meaningful and stabilizing. For children, it creates a tangible and emotionally accessible memory. Challenges include late referral, limited resources, and substantial coordination requirements.
ConclusionThe Ulmer Schatzkiste represents a creative and practice-oriented approach to promoting dignity, autonomy, and generativity in the palliative context. Early integration into oncological care pathways and a systematic evaluation of effectiveness appear warranted.