The Value Filter: A Novel Framework for Psychosocial Adjustment to Traumatic Upper Extremity Amputation

Area of Science:

• Psychology
• Occupational Health
• Rehabilitation Medicine

Background:

• Traumatic upper extremity amputation from work injuries presents unique psychosocial challenges.
• Existing adjustment theories may not fully capture the experience of limb loss.
• Understanding survivor perspectives is crucial for effective support.

Purpose of the Study:

• To explore the lived experiences of individuals with traumatic upper extremity amputation due to work injury.
• To understand how these individuals adjust to their injury and its consequences.
• To develop a preliminary model of psychosocial adjustment in this population.

Main Methods:

• Qualitative study employing semi-structured interviews with 11 participants.
• Interviews conducted within 3 years of the amputation.
• Grounded theory (constructivist) approach for data analysis.

Main Results:

• A
• Value Filter
• emerged, shaped by the perceived value of the hand and work/activities.
• Two key themes identified:
• Instability of the Core Identity
• and
• Efforts to Stabilize the Self
• .
• These themes influenced the formation of new values, impacting adjustment.

Conclusions:

• A preliminary model of psychosocial adjustment for traumatic upper extremity amputation is proposed.
• The model highlights the role of self-perception and the value of function in adaptation.
• Findings may inform interventions for individuals with acquired loss of highly valued body parts.