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To actualize their hopes for improvement, participants used a self-guided process centered on pragmatic action: researching options, gaining experience, and frankly evaluating results. Many participants discovered unanticipated personal abilities and resources, and those became highly useful in coping with other challenges apart from cancer. This made the increased personal abilities and resources \u201clife transforming\u201d rather than being substantially limited to reducing cancer-related problems. The action-oriented features and processes of LTCs seemed to be more fully described by experiential learning theory than by posttraumatic growth and coping. Supportive intervention to facilitate positive change processes could decrease suffering and enhance positive psychosocial and spiritual outcomes for cancer survivors.<\/jats:p>","DOI":"10.1177\/1049732313499074","type":"journal-article","created":{"date-parts":[[2013,7,18]],"date-time":"2013-07-18T01:30:12Z","timestamp":1374111012000},"page":"1155-1167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["The Nature of Life-Transforming Changes Among Cancer Survivors"],"prefix":"10.1177","volume":"23","author":[{"given":"Perry","family":"Skeath","sequence":"first","affiliation":[{"name":"Department of Health and Human Services, Bethesda, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanti","family":"Norris","sequence":"additional","affiliation":[{"name":"Smith Center for Healing and the Arts, Washington, District of Columbia, 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