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"I-We" Boundary Fluctuations in Couple Adjustment to Colorectal Cancer and Life with a Permanent Colostomy: A Qualitative Validation Study

"I-We" Boundary Fluctuations in Couple Adjustment to Colorectal Cancer and Life with a Permanent Colostomy: A Qualitative Validation Study

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Title: "I-We" Boundary Fluctuations in Couple Adjustment to Colorectal Cancer and Life with a Permanent Colostomy: A Qualitative Validation Study
Author: McCarthy, Molly Clare
Abstract: This study aims to validate a classification system of couple adjustment to cancer, developed with breast and prostate cancer patients. The classification proposes that couples undergo fluctuations between togetherness (“We”-ness) and separateness (“I”-ness) during their cancer experience, which may affirm or erode their mutual identity. The application of the classification system to couples coping with colorectal cancer (CRC) and permanent colostomies served as a novel approach to member checking as a means of validation. Nine couples were interviewed. Transcripts were coded for “I-We” shifts in couples’ adjustment, either as these were implicitly described within their dialogue, or as they were explicitly self-identified by the couple. With the exception of four “We”-eroding shifts, all of the previously identified shifts within the “I-We” classification system were observed. One new “I-We” shift was developed from this analysis. Implications to colorectal cancer patients with colostomies and theories of couple resilience emphasizing “We”-ness are discussed.
Subject: Psychology
Oncology
Keywords: Member checking
Colorectal cancer
Colostomy
Dyadic coping
We-ness
Adjustment to cancer
Couple resilience
Validation
Type: Electronic Thesis or Dissertation
Rights: Author owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
URI: http://hdl.handle.net/10315/28261
Supervisor: Fergus, Karen D.
Degree: MA - Master of Arts
Program: Psychology (Functional Area: Clinical Psychology)
Exam date: 2014-08-13
Publish on: 2015-01-26

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