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Luxembourg Map for As information about treatment is gradually presented and processed, hope and optimism may emerge to compete with the more distressing thoughts. . Adaptation this period may last for weeks, or months, and involves the person adapting more positively to their diagnosis and developing longterm coping strategies in order to maintain equilibrium. Although these models propose a staged adaptive process, not all individuals will move through the stages smoothly and achieve emotional equilibrium or a stage of acceptance and adaptation. It is likely that elements from different stages' may co-occur for example, a person may experience significant distress even when actively coping with their illness. Individuals may also move backwards and forwards between stages and reactions, for example shifting their focus from one of cure to one of healing', in which they try to resolve life issues and achieve some completion of their life's achievements. They may still maintain hope at this time, but rather than hope for a cure they may shift towards hope for a good' or pain-free death Little and Sayers Religion and spirituality are frequently important factors in maintaining this type of hope see in the spotlight later in this chapter. Luxembourg Map 2016.