{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T21:59:27Z","timestamp":1789423167889,"version":"build-2803163510"},"reference-count":109,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Growing evidence underscores the importance of hope in shaping patients\u2019 experiences. In the context of illness, hope regulates emotions, supports resilience, helps patients face uncertainty, and sustains the belief that life remains meaningful and worth living, even in adversity. While its relevance is well documented, very few approaches actively cultivate hope for its possible indirect therapeutic impact at a psycho-physical level. Among them, some positive psychology contributions seems to be particularly significant. Drawing on Snyder\u2019s model, hope is conceptualized as the combination of agency\u2014the motivation to pursue goals\u2014and pathways thinking\u2014the perceived capacity to identify and adapt routes toward these goals. Specifically, hope therapy exhibits significant effectiveness in chronic illness, which requires the ability to reorganize one\u2019s activities and goals, although its clinical applications remain largely confined to cancer care. This paper argues for a broader application of hope therapy within palliative care, a field marked by complex, multidimensional vulnerability. Palliative care itself can be understood as a paradigmatic form of accompaniment: an ongoing, compassionate presence that supports patients and families. Within this relational framework, hope, understood as a moral virtue, becomes a central element, sustaining meaning, purpose, and dignity. The aim of this paper is thus to illustrate the role of the virtue of hope within the experience of illness and to argue that fostering hope in palliative care can enhance patients\u2019 quality of life and psychosocial wellbeing. It also aims to examine the theoretical foundations and practical applications of Snyder\u2019s hope-based intervention, highlighting its relevance in this context. Finally, it explores how cultivating hope through professional education can sustain compassionate accompaniment within palliative care systems. In this perspective, caring for vulnerability and creating new protocols for strengthening patients\u2019 character\u2014so that they may experience greater wellbeing even in the face of serious illness\u2014can be understood as an expression of shared civic responsibility, involving healthcare professionals, institutions, and the wider community in a collective commitment to care.<\/jats:p>","DOI":"10.3389\/fpsyg.2026.1753363","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:36:35Z","timestamp":1777613795000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Hope as moral accompaniment: a framework for palliative care practice"],"prefix":"10.3389","volume":"17","author":[{"given":"Elena","family":"Ricci","sequence":"first","affiliation":[{"name":"Department of Health and Life Sciences, European University of Rome","place":["Roma, Italy"]},{"name":"Institute of Law, Politics and Development, Sant\u2019Anna School of Advanced Studies","place":["Pisa, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ver\u00f3nica","family":"Fern\u00e1ndez-Espinosa","sequence":"additional","affiliation":[{"name":"Centro de Educaci\u00f3n en Virtdes y valores, Universidad Francisco de Vitoria","place":["Pozuelo de Alarc\u00f3n, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Navarini","sequence":"additional","affiliation":[{"name":"Department of Health and Life Sciences, European University of Rome","place":["Roma, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"ref1","volume-title":"Summa Theologiae","author":"Aquinas","year":"1981"},{"key":"ref2","volume-title":"Nicomachean Ethics","author":"Aristotle","year":"2009"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/03601277.2025.2541703","article-title":"The effect of hope-based interventions on self-compassion, future time perspectives, and life expectancy among older adults","author":"Azdanloo","year":"2025","journal-title":"Educ. 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