Women's experiences of breast cancer: a longitudinal perspective

Hdl Handle:
http://hdl.handle.net/10149/301650
Title:
Women's experiences of breast cancer: a longitudinal perspective
Authors:
Swainston, K. (Katherine)
Advisors:
van Wersch, A. (Anna)
Citation:
Swainston, K. (2013) Women's experiences of breast cancer: a longitudinal perspective. Unpublished PhD Thesis, Teesside University
Publisher:
Teesside University
Issue Date:
15-Mar-2013
URI:
http://hdl.handle.net/10149/301650
Abstract:
Utilising a hermeneutic phenomenological approach twenty women’s experiences of breast cancer were explored through semi-structured interviews at three time points during their healthcare trajectory from recent diagnosis to early follow-up. Phenomenological analysis guided by van Manen’s (1990) principles revealed numerous multifaceted themes some of which were time limited while others spanned the data collection period. Use was made of an adapted life grid approach in order to enhance the implicit meanings to be elicited through interpretation of text. Central themes depicting the medicalisation of breast cancer, perceptions and management of the body and participants’ emotional journey were uncovered. Breast cancer was found to represent a biographical disruption that had a long-term impact on a woman’s body, self, identity and sense of embodiment. Changes to the body, due to breast cancer treatment, and an altered way of being in the world, elicited disruption to the body-self relationship, a separation that was reinforced by the healthcare system. Participants were found to adopt a variety of coping strategies to manage ongoing change and the stress elicited by experiencing breast cancer as a chronic illness. Avoidance, information management, conscious passivity in treatment decision-making and positive cognitive restructuring are examples of such mechanisms. However, women’s experiences of each theme identified and the emergence and maintenance of these themes varied according to women’s biography, diagnosis and prescribed treatment regime, cancer schema, and social support. Accordingly, models of care must address women’s individual experiences and recognise their changing needs throughout the year post diagnosis.
Type:
Thesis or dissertation
Language:
en
Keywords:
breast cancer; qualitative; womens experiences; longitudinal; hermeneutic phenomenology; illness grids

Full metadata record

DC FieldValue Language
dc.contributor.advisorvan Wersch, A. (Anna)en_GB
dc.contributor.authorSwainston, K. (Katherine)en_GB
dc.date.accessioned2013-09-16T15:22:32Z-
dc.date.available2013-09-16T15:22:32Z-
dc.date.issued2013-03-15-
dc.identifier.urihttp://hdl.handle.net/10149/301650-
dc.description.abstractUtilising a hermeneutic phenomenological approach twenty women’s experiences of breast cancer were explored through semi-structured interviews at three time points during their healthcare trajectory from recent diagnosis to early follow-up. Phenomenological analysis guided by van Manen’s (1990) principles revealed numerous multifaceted themes some of which were time limited while others spanned the data collection period. Use was made of an adapted life grid approach in order to enhance the implicit meanings to be elicited through interpretation of text. Central themes depicting the medicalisation of breast cancer, perceptions and management of the body and participants’ emotional journey were uncovered. Breast cancer was found to represent a biographical disruption that had a long-term impact on a woman’s body, self, identity and sense of embodiment. Changes to the body, due to breast cancer treatment, and an altered way of being in the world, elicited disruption to the body-self relationship, a separation that was reinforced by the healthcare system. Participants were found to adopt a variety of coping strategies to manage ongoing change and the stress elicited by experiencing breast cancer as a chronic illness. Avoidance, information management, conscious passivity in treatment decision-making and positive cognitive restructuring are examples of such mechanisms. However, women’s experiences of each theme identified and the emergence and maintenance of these themes varied according to women’s biography, diagnosis and prescribed treatment regime, cancer schema, and social support. Accordingly, models of care must address women’s individual experiences and recognise their changing needs throughout the year post diagnosis.en_GB
dc.language.isoenen
dc.publisherTeesside Universityen
dc.subjectbreast canceren_GB
dc.subjectqualitativeen_GB
dc.subjectwomens experiencesen_GB
dc.subjectlongitudinalen_GB
dc.subjecthermeneutic phenomenologyen_GB
dc.subjectillness gridsen_GB
dc.titleWomen's experiences of breast cancer: a longitudinal perspectiveen_GB
dc.typeThesis or dissertationen
dc.publisher.departmentSchool of Social Sciences and Lawen_GB
dc.type.qualificationnamePhDen
dc.type.qualificationlevelDoctoralen
or.citation.harvardSwainston, K. (2013) Women's experiences of breast cancer: a longitudinal perspective. Unpublished PhD Thesis, Teesside University-
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