In Singapore,
cancer is still seen as a terminal disease with little hope of recovery, and there is also a stigma
against psychological counselling and psychiatric support, facilitated by the general stigma
against mental illness amongt both patients and, paradoxically, healthcare professionals.67 Furthermore, a family - centred model of decision - making
tends to be predominant in Asian populations, 68 and in Singapore this is further encouraged by public policy such as healthcare subsidies that are based on a calculation of the immediate family's total income, rather than individual income.69 Beliefs or expectations of the role that the family caregiver ought to play may thus exist and may influence the way individuals respond to the intervention.