2004
DOI: 10.5014/ajot.58.4.398
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Transformation of Meaning Perspectives in Clients With Rheumatoid Arthritis

Abstract: The purpose of this qualitative study was to examine the process of transformation of personal beliefs, values, feelings, and knowledge (meaning perspectives) underlying occupational change in a small group of clients with rheumatoid arthritis during home-based rehabilitation. A grounded theory approach used to collect and analyze data concurrently included: (1) a sample of five adult clients diagnosed with rheumatoid arthritis in occupational therapy, (2) data collection through 28 semi-directed interviews, a… Show more

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Cited by 44 publications
(52 citation statements)
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“…Shared themes among several of these studies appear to be transformation of how one evaluates the self [16][17][18]. For example, individuals with arthritis who were receiving home-based rehabilitation shifted from a self-evaluation based on selfreliance, activity and altruism to redefined values within a self-caring framework [19,20]. Similarly, for individuals who were receiving rehabilitation following severe cardiac events, the importance of transformation of self-definition was a key to adoption of a new lifestyle that would allow them to care for their health [16].…”
Section: Transformation and Chronic Illnessmentioning
confidence: 99%
“…Shared themes among several of these studies appear to be transformation of how one evaluates the self [16][17][18]. For example, individuals with arthritis who were receiving home-based rehabilitation shifted from a self-evaluation based on selfreliance, activity and altruism to redefined values within a self-caring framework [19,20]. Similarly, for individuals who were receiving rehabilitation following severe cardiac events, the importance of transformation of self-definition was a key to adoption of a new lifestyle that would allow them to care for their health [16].…”
Section: Transformation and Chronic Illnessmentioning
confidence: 99%
“…Similar to Carel's (2007) theorization of RA as transformative, it is proposed that the disruptive nature of RA within people's everyday performance of activities and tasks can be mediated by a "transformative" shift in the person's meanings, values, and knowledge. Through a process of critical reflection, involving the deconstruction and reconstruction of previous life stories, a new identity can be formed allowing the person to achieve the balance necessary for maintaining health and well-being (Carel, 2007;Dubouloz et al, 2004). It is important, however, to recognize that such transformations and reconstructions occur within a broader political and social context.…”
Section: Opportunities For Transformationmentioning
confidence: 99%
“…Whether feeling removed or separate from her body or consumed by it, each of the women in this research described the centrality of the body within their everyday lives (Ahistrand et al, 2012;Dubouloz et al, 2004;Plach et al, 2004). In RA, the body is the site of pain and disability-it is both object and subject, a biological body and a lived body (Peuravaara, 2013), and it can be experienced as both distant and immediate (Carel, 2007).…”
Section: The Bodymentioning
confidence: 99%
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