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Making Meaning Out of Nonsense

By, Sheri

"Why me?" is a question I asked myself, as do many other people when they are first diagnosed. For me, it was not a question of self-pity, but a challenge to determine what meaning cancer played in my life. As an eleven-year survivor of a rare malignant brain tumor (diagnosed at age 24), I am fortunate to have had many years to reflect on the meaning of cancer in my life.

I found myself being drawn to existential literature about three years after my cancer experience. Existential philosophy put into words my process of dealing with cancer. To be very simplistic, existentialists believe that in acknowledging and coming to terms with the "givens (limits) of existence," one finds the freedom to both see and choose from the possibilities life has to offer. Existentialists also believe that in accepting the limits of existence, we allow ourselves to live fully in the present. Finally, another tenet of existentialism is that there is no definite meaning to existence. Each of us must define meaning from our individual experiences we have in life.

So how does this all relate to my cancer experience? First, I translated "accepting the givens of existence" to mean: If I can't change the fact that there is a big "wall" (or limit) in my life, all I can change is my relationship to that wall. I reframed my cancer experience as an opportunity to learn. My responsibility was to determine what exactly I was supposed to learn. An experience which had seemed senseless and devoid of meaning, now offered tremendous opportunity!

It was during an exercise at the Cancer Support and Education Center in Menlo Park, California, that I received my first clue. In the exercise, the group members were asked to fold a piece of paper in half and on one side, list all of their needs, writing them down as quickly as they could think of them. Then, on the opposite side of the page, we were asked to write down how we satisfied these needs in our lives.

Well I flunked both parts. After I had written down three or four of my needs, I couldn't think of anymore. At age 24, I had not really considered what my needs were. After our group meeting, I thought of many more needs: my need to express my creativity, my need for stimulation and change, my need for security and stability, my need for adventure, and many more. Then came the second half of the exercise: To list ways I had in my life to satisfy these newly acknowledged needs. I realized for most of my needs, I had no clear ways in my life to meet them. I vowed that night to restructure my life to meet my needs.

Although it took me some time to regroup and make the changes, I have had nothing but immense satisfaction in leading a life that meets my needs. To me, this happiness defines what total health is all about. Taking responsibility for getting well, physically, emotionally and spiritually, gave me an incredibly positive attitude. I had faith that the surgery, radiation and chemotherapy would be strong in attacking my first tumor. My real challenge was to gain balance in my life by living a life that was structured to meet all my needs.

I want to make a clear distinction here. Although I took responsibility for getting and staying well, this never translated to taking responsibility for causing my cancer. I believe that cancer has a life of its own and there are causes too numerous and diverse to name. I feel that with the exception of a few cancers, nobody ever knows the cause of their cancer. Instead of looking for the cause of cancer in my life, I looked for the meaning of cancer in my life. I knew that I had created a lot of stress and was not leading a balanced life which met my needs. On top of this, I was not expressing my emotions. I decided that these situations, if left unchanged, might impact my immune system and allow the cancer to grow. I do not think that I caused my cancer, I just wanted to take responsibility for making the changes I could to promote full health.

If I had to summarize in one word what cancer has given me in my life, it is FREEDOM. This might sound bizarre for those of you who have been recently diagnosed. It was only after several years of reflection that I figured this out. It was the freedom to make different choices and see new possibilities in my life. The freedom to live my life fully in the present, without focusing on the past or worrying about the future.

Before my cancer, I overextended myself in both my personal and professional lives. I felt responsible for other people's happiness and attempted to solve everyone's problems for them. I also kept so busy, being an achiever and taking care of everyone at the same time, that I had forgotten to take care of myself. I had to let go of the "shoulds" and "oughts" in my life. Beliefs, such as, "I can do anything" and "I'm the unending giver" had to be modified.

I now know how to say "no" to others and I can be a receiver in relationships by offering others a chance to give. I balance my need for change and challenge with focus and relaxation. I set realistic goals and have learned others respect these honest expectations. I am in a career that I feel passionate about. I allow myself time to do all the things I enjoy, to explore the world, to satisfy my curiosity, to take care of my health, and to nurture my relationships. I surrender to my inner strength rather than trying to control every situation. I live my life with joy and gratitude.

Existentialists believe that it is part of the human condition to struggle over one's purpose in life. During a self-development seminar I attended, the group members were asked to write down his or her purpose in life. "Wow, that's heavy," I thought. Even though I had never articulated my purpose, it instantly came to mind: To know myself well enough to use my gifts and to authentically express who I am in the world. I have lived by this purpose ever since. I've felt no pressure to "perform," but rather I continually try to better understand myself and challenge myself to stay aware of or create opportunities to touch others' lives or enrich my own by being who I am. What do you think the existentialists would say about that??

I have also learned the joy of living fully in the present. Before I was sick, when I was in grade school I wanted to be in high school; when I was in high school, I wanted to be in college; when I was in college, I wanted to be working; when working on Wall St. I wanted to be starting my own company. . . .

Now I have learned to enjoy the process. I am fully satisfied every step of the way. I don't wait to feel satisfied only when I reach the next point. This does not mean that I do not have goals in my life. It just means that I am going to take my time and enjoy the process of meeting them. Another difference is that I have balanced goals in my life.

At the Cancer Support and Education Center, we were asked to create different kinds of goals over various periods of time. We set two-week, one-month, six-month and one-year goals in many areas of our lives including: life-work (which is clearly more than a job), health goals, relationship goals and pure pleasure goals (my personal favorite!) We then identified mini-steps for achieving even the shortest-term goals. This is how I began to restructure my life. I have continued to set goals this way through out the last eleven years.

Making meaning out of a seemingly random experience has been very powerful for me. As the existentialists say, no one can define the meaning for us; it is a process of discovery and reflection. Sometimes it is a matter of "trying on" one meaning and seeing how it feels for you. Cancer in your life may make a lot more sense than you think.

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