The conceptual framework of biographical disruption has dominated studies into the everyday experience of chronic illness. Biographical disruption assumes that the illness presents the person with an intense crisis, regardless of other mitigating factors. However, our data suggests that the lives of people who have a particular illness that is notably marked by sudden onset are not inevitably disrupted. Extensive qualitative interviews were conducted with a sample of veteran non-Hispanic white, African-American, and Puerto Rican Hispanic stroke survivors, at one month, six months and twelve months after being discharged home from hospital. Narrative excerpts are presented to describe specific discursive resources these people use that offset the disrupting connotations of stroke. Our findings suggest a biographical flow more than a biographical disruption to specific chronic illnesses once certain social indicators such as age, other health concerns and previous knowledge of the illness experience, are taken into account. This difference in biographical construction of the lived self has been largely ignored in the literature. Treating all survivor experiences as universal glosses over some important aspects of the survival experience, resulting in poorly designed interventions, and in turn, low outcomes for particular people.

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This study examines how people caring for a spouse with Alzheimer's disease reconstruct the meaning of closeness within their marriage. In-depth interviews were conducted with 13 men and 15 women. The authors discovered that significant changes in the social identity of the impaired spouse may have important implications for how caregivers view their marriage and their ability to reestablish a sense of marital closeness. The majority of caregivers experienced significant disruptions in their marriage as a result of their respective spouse's dementia. The authors further discovered that the caregiver wives in the study sample were more likely than caregiver husbands to report that perceived changes in the spouses' identity altered how they identified themselves within their marriage, leading to longer term disruption of marital closeness. The findings suggest that retaining a sense of marital closeness is often quite difficult for caregiving spouses, pointing to the need for specific types of caregiver education and support.