Literature DB >> 29430679

Seeking certainty through narrative closure: men's stories of prostate cancer treatments in a state of liminality.

Ilkka Pietilä1,2, Raisa Jurva1, Hanna Ojala1, Teuvo Tammela3.   

Abstract

Radical treatments of prostate cancer often lead to a pervasive liminal state that is characterised by multiple uncertainties that relate both to a possible recurrence of cancer and recovery from side effects, such as erectile and urinary dysfunctions. Liminality can make it difficult for cancer patients to narrate their experiences, as their stories lack a definite ending. After interviews with 22 Finnish men who had undergone radical prostatectomy, we analysed how men produce closure in their illness narratives. Focusing on the timelines of control visits or their anticipated recovery from side effects, these interviewees sought provisional certainty within a seemingly chaotic future. By locating erectile dysfunction in the wider context of a life-course and interpreting their fading sexuality as a 'natural' consequence of ageing, these men were adjusting to their post-operative lives. Our study further shows that the inability to adjust personal experiences to positive culturally available storylines that provide a chance for the narrative reconstruction of life, can cause materialised negative consequences, such as relationship breakdowns.
© 2018 Foundation for the Sociology of Health & Illness.

Entities:  

Keywords:  ageing; biographical disruption; masculinity; sexuality; side effects; uncertainty

Mesh:

Year:  2018        PMID: 29430679     DOI: 10.1111/1467-9566.12671

Source DB:  PubMed          Journal:  Sociol Health Illn        ISSN: 0141-9889


  5 in total

Review 1.  Supportive care needs of men with prostate cancer: A systematic review update.

Authors:  Jai Prashar; Patricia Schartau; Elizabeth Murray
Journal:  Eur J Cancer Care (Engl)       Date:  2022-01-17       Impact factor: 2.328

2.  Still lost in transition: a qualitative descriptive study of people's experiences following treatment completion for haematological cancer in Wales, UK.

Authors:  Tessa E Watts; Janet Bower
Journal:  Ecancermedicalscience       Date:  2019-12-12

3.  In their own words: A narrative analysis of illness memoirs written by men with prostate cancer.

Authors:  Jill van der Kamp; Afke Wieke Betten; Lotte Krabbenborg
Journal:  Sociol Health Illn       Date:  2021-12-01

4.  Identifying and managing adverse drug reactions: Qualitative analysis of patient reports to the UK yellow card scheme.

Authors:  Bernadine O' Donovan; Ruth M Rodgers; Anthony R Cox; Janet Krska
Journal:  Br J Clin Pharmacol       Date:  2022-03-23       Impact factor: 3.716

5.  Views of advance care planning in caregivers of older hospitalised patients following an emergency admission: A qualitative study.

Authors:  Anna-Maria Bielinska; Stephanie Archer; Gehan Soosaipillai; Julia Riley; Lord Ara Darzi; Catherine Urch
Journal:  J Health Psychol       Date:  2020-06-09
  5 in total

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