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Updated: Jun 14, 2026

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
Published on: October 29, 2021
Experiences of psychosocial adjustment within 18 months of amputation: an interpretative phenomenological analysis
Roger Hamill1, Suzanne Carson, Martin Dorahy
1Regional Acquired Brain Injury Unit, Musgrave Park Hospital, Belfast Health & Social Care Trust, Belfast, UK. roger.hamill@belfasttrust.hscni.net
Purpose:
To explore participants' experiences of psychosocial adjustment within 18-months following amputation in a manner that can inform further research and clinical practice.
Method:
Transcript data from eight semi-structured interviews were analysed using Interpretative Phenomenological Analysis.
Results:
Three super-ordinate themes emerged from the analysis: (1) pre-amputation decision-making process and control, (2) renegotiation of self-identity and the struggle to accept a new 'disabled' identity, and (3) adjustment as a social process.
Conclusion:
This research furthers understanding of pre-acute, acute and post-acute adjustment processes from the insider-perspective of individuals who have experienced amputation. A picture emerged in which individuals adjusted to amputation and its sequelae through a process of renegotiation of self-identity that was mediated through a wide range of decisional, informational and social factors. Suggestions for clinical practice and further research are discussed.
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