Experiences of psychosocial adjustment within 18 months of amputation: an interpretative phenomenological analysis

Hamill, Roger; Carson, Suzanne; Dorahy, Martin J.

doi:10.3109/09638280903295417

Cited by 53 publications

(53 citation statements)

References 34 publications

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“…This is a well-supported finding by Hamil's study, 31 where the process of transition to a new identity was also found in a group of amputees. The final phase of this process, to reach a new self-identity, is completely dependent on how the patient performed his or her self-identity changes in the other domains.…”

Section: Discussionsupporting

confidence: 72%

“…Saradjian and colleagues' study 25 stressed the importance of the individual's awareness of physical difference and the ability to integrate the prosthesis for the recovery process. Hamill and colleagues, 31 in a qualitative study with eight lower limb amputees, found an interesting theme associated with self-identity changes: the renegotiation process of the new identity. According to the study, this process represents the subjects' transition to a new identity that causes an initial resistance and which is mediated by decisional, informational and social factors.…”

Section: Introductionmentioning

confidence: 99%

“…As far as we know, since this review until now, ten studies have been carried out on the experience of limb amputation. 3,5,12,19,23,25,26,[30][31][32] Only two of these 25,31 addressed the self-identity changes related to limb loss. Saradjian and colleagues' study 25 stressed the importance of the individual's awareness of physical difference and the ability to integrate the prosthesis for the recovery process.…”

Section: Introductionmentioning

confidence: 99%

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Beyond the body image: a qualitative study on how adults experience lower limb amputation

et al. 2011

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Objective: To explore adults' experiences of lower limb amputation, focusing on the changes in self-identity related to the impairment. Design: A cross-sectional and qualitative study, using semi-structured interviews. Interviews were transcribed, coded and analysed by two independent researchers. Setting: A rehabilitation medicine service from a general public hospital. Participants: A convenience sample of 42 patients with lower limb amputation performed after the age of 18 and followed up in the physical medicine and rehabilitation department of a general hospital. Main outcome measures: A semi-structured interview, addressing three core areas: the emotional impact of amputation; the adjustment process; and the relation with the external resources. Results: Eight themes emerged from interviews: reactions and feelings about becoming amputee; changes in own life; problems in well-being; relation with the prosthesis; self-perceptions; aims related to the rehabilitation and future plans; relation with the rehabilitation; and perceived social support. These results supported a theoretical model for the self-identity changes related to limb loss. Conclusions: The self-identity changes after a lower limb amputation appear beyond the patient's body image and functioning, affecting the patient's awareness of the impairment, biographical self and any future projections.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Beyond the body image: a qualitative study on how adults experience lower limb amputation

et al. 2011

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“…IPA is influenced by phenomenology in its emphasis on subjective experience but also by symbolic interactionism in its appreciation that insight into the meaning individuals ascribe to their experiences can only be gleaned through a process of interpretation (Hamill et al 2010). IPA can be described as being (i) idiographic because of its focus on how individuals allocate meaning to their experiences, (ii) inductive because it allows themes to naturally emerge from the dataset and (iii) interrogative because it encourages a dialogue to emerge that evaluates how outcomes fit with extant theory and research (Hamill et al 2010).…”

Section: Methodsmentioning

confidence: 99%

Meditation Awareness Training for Individuals with Fibromyalgia Syndrome: an Interpretative Phenomenological Analysis of Participants’ Experiences

2015

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Fibromyalgia syndrome (FMS) is a complex and poorly understood psychosomatic pain disorder. The illness has been the subject of controversy, both in terms of the alleged lack of interest and capability of the medical community to understand and support patients with FMS, and the burden that such individuals place upon economic and healthcare resources. Due to the lack of convincing data for the effectiveness of extant pharmacological and non-pharmacological FMS treatments, a recent direction in FMS research has been the empirical investigation of mindfulness and other meditation-based approaches. The present qualitative study explored whether following participation in a mindfulnessbased intervention, patients with FMS report experiencing changes in (i) how they experience and relate to their illness and (ii) their attitudes towards societal participation, work and unemployment. Ten individuals with FMS were randomly selected from the intervention arm of a randomised controlled trial (RCT) evaluating the effectiveness of a mindfulnessbased intervention known as Meditation Awareness Training (MAT) for the treatment of FMS. Transcripts of semistructured interviews were analysed using Interpretative Phenomenological Analysis, a robust and rigorous qualitative methodology for analysing subjective experiences. Five super-ordinate themes emerged from the dataset: (i) reservations about participating, (ii) improvements in psychosomatic well-being, (iii) spiritual growth, (iv) awareness of impermanence and (v) increased sense of citizenship. MAT was experienced as both an acceptable and accessible intervention by individuals with FMS, and participants reported experiencing improvements in psychosocial functioning as well as an increased sense of societal responsibility. MAT appears to have utility for treating FMS and for changing the attitudes of some individuals with FMS towards community engagement and societal contribution.

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“…Hamill et al [28] and Senra et al [29] both described the process of regaining a sense of normality in their qualitative analyses of experiences following amputation. They described the process as a re-negotiation of self-identity.…”

Section: Discussionmentioning

confidence: 99%

Expectations of rehabilitation following lower limb amputation: a qualitative study

Ostler¹,

Ellis‐Hill²,

Donovan‐Hall³

2013

Disability and Rehabilitation

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Purpose: To explore the expectations of patients about to undergo prosthetic rehabilitation following a lower limb amputation. Method: Design: Qualitative study using semi structured interviews. Setting: Interviews were conducted at two district general hospitals. Participants: Eight patients who had undergone a major lower limb amputation due to vascular insufficiency were interviewed within two weeks of their amputation. All patients had been referred for prosthetic rehabilitation. Results: Five key themes emerged from the interviews: uncertainty, expectations in relation to the rehabilitation service, personal challenges, the prosthesis and returning to normality. These findings illustrate how participants faced uncertainty both pre-and postoperatively and often looked towards established amputees for the provision of accurate information.

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Experiences of psychosocial adjustment within 18 months of amputation: an interpretative phenomenological analysis

Cited by 53 publications

References 34 publications

Beyond the body image: a qualitative study on how adults experience lower limb amputation

Beyond the body image: a qualitative study on how adults experience lower limb amputation

Meditation Awareness Training for Individuals with Fibromyalgia Syndrome: an Interpretative Phenomenological Analysis of Participants’ Experiences

Expectations of rehabilitation following lower limb amputation: a qualitative study

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