a patient was diagnosed with ovarian cancer 5 years ago. she underwent chemotherapy and radiotherapy, but cancer returned 2 years ago with metastases to the bone and possibly the lung. she says the cancer is "no longer curable, but treatable." during this time the patient’s daughter was critically injured in a car accident and now lives with a traumatic brain injury, needing round-the-clock care. her husband had an affair. she continues to work and volunteers with various community groups. which phenomenon is the patient demonstrating?