“Keep a little fire burning; however small, however hidden.” — Cormac McCarthy

Hope is fundamental to human existence. It is paradoxical in its duality, however, as its very existence implies the possibility of despair (Lynch, 1962). This dialectic between hope and despair is central to considerations of chronic illness management, as well as to studies of the relationship between expectations and the placebo effect (Corbett, et al., 2007; Ratcliffe, 2011). Hope influences expectation, but is a distinct and multifaceted cognitive, embodied, and broadly existential experience (Mattingly, 2010). In order to maintain hope when faced with a situation that appears hopeless, individuals must navigate multiple contradictions between reality and possibility, embrace cultural notions of what is deemed acceptable to hope for, and be attentive to the hopes and concerns of significant others (Averill and Sundararajan, 2005; Chesla, 2005; DelVecchio Good, et al., 1990; Sulmasy, et al., 2010; Brown, 2015).

RESOURCE: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721951/

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