Inclusion Criteria:

- The patient must be at least 18 years of age (because of the nature of "Dignity
Psychotherapy," which presumes a relatively advanced level of social and
psychological development).

- Have a terminal illness (Stage IV with a prognosis of less than 6 months, but
expected to live at least 7 to 10 days, i.e. the average length of the protocol)

- Must be able to identify a family member/significant other who agrees to participate
in the study (in the case of "Dignity Psychotherapy," this family member/significant
other will receive the generativity document)

- Be able to communicate with an English-speaking therapist (patients who are visually
impaired will be offered assistance with the consent forms and surveys)

- In the investigator's judgement, participant is cognitively able to provide valid,
informed consent.

Exclusion Criteria:

- Significant psychiatric disturbance sufficient to preclude participation in a
psychotherapeutic intervention (e.g. acute, severe psychiatric symptoms which would
require individual treatment and medication management rather than a psychotherapy
intervention).

- Active psychotic mental disorder (e.g. schizophrenia, acute mania), or marked
paranoid ideation. Patients who are on stable regimens of psychotropic medications
(e.g. antidepressants for clinical depression) or who are in concurrent individual or
group psychotherapy will not be excluded. This information regarding concurrent
psychiatric treatment will be collected and utilized as a co-variate in data
analysis.

- Presence of a cognitive disturbance (i.e. delirium or dementia) sufficient to
preclude participation in psychotherapy, and/or data collection.

- Physical limitations or illness severity sufficient to preclude participation in
psychotherapy