The body, identity, and self: Adapting to impairment
The body, identity, and self: Adapting to impairment
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DOI：
10.1111/j.1533-8525.1995.tb00459.x
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发表时间：
1995-09-01
影响因子：
1.2
通讯作者：
Charmaz, K
中科院分区：
文献类型：
--
作者：
Charmaz, K
严重的慢性疾病破坏了身体和自我之间的统一，并迫使身份发生改变。为了阐明身体、身份和自我在疾病中如何交叉，本文阐述了一种有缺陷的生活方式，即适应。适应意味着改变生活和自我，以适应身体的损失和限制，并解决身体与自我之间失去的统一。这意味着与疾病作斗争，而不是对抗疾病。适应过程包括三个主要阶段：（1）体验和定义损伤，（2）进行身体评估，随后进行身份权衡，病人权衡自己的得失并修改他们的身份目标，以及（3）通过放弃对疾病的控制并顺其自然的体验来向患病的自我投降。适应很少只发生一次。相反，慢性病患者在经历新的损失时被迫反复适应。这些数据包括 115 份关于经历慢性病的访谈和 25 份关于慢性病身体的更有针对性的访谈。扎根理论的策略提供了完成分析的方法。
Serious chronic illness undermines the unity between body and self and forces identity changes. To explicate how the body, identity, and self intersect in illness, one mode of living with impairment, adapting, is explicated in this article. Adapting means altering life and self to accommodate to bodily losses and limits and resolving the lost unity between body and self It means struggling with rather than against illness. The process of adapting consists of three major stages: (1) experiencing and defining impairment, (2) making bodily assessments and, subsequently, identity trade-offs, as ill people weigh their losses and gains and revise their identity goals, and (3) surrendering to the sick self by relinquishing control over illness and by flowing with the experience of it. Adapting seldom occurs only once. Rather chronically ill people are forced to adapt repeatedly as they experience new losses. The data consist of 115 interviews about experiencing chronic illness and 25 more focused interviews about the body in chronic illness. The strategies of grounded theory provided the methods for completing the analysis.