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An Autoethnographic Account of Familial Mediterranean Fever: A Turkish Patient's Discovery of Spiritual Meaning
1Psychiatric Nursing Department, Gulhane Faculty of Nursing, University of Health Sciences, Turkiye, 06010, Etlik, Ankara, Turkey. cyuksel2006@gmail.com.
Abstract:
Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder characterized by recurrent febrile episodes that are accompanied by pain in the abdomen, chest, or joints caused by peritonitis, pleuritis, skin lesions, arthritis, and pericarditis. This original article aims to provide an analytic autoethnographic account of a Turkish patient's experience of FMF, with a focus on the discovery of spiritual meaning. In addition to discussing the grief reactions to a loss of health, the article uses self-reflexive discourse and narrative-based analysis to explore four stages of discovery of spiritual meaning through FMF: "omnipotent me," "God's punishment," "God's test," and "God's mercy." The article provides an in-depth look at the experience of FMF, a chronic and lifelong disease, through a spiritual lens and offers suggestions for mental health professionals and rheumatologists providing holistic treatment to FMF patients that might improve treatment adherence.
Insights
Familial Mediterranean Fever (FMF) is a genetic autoinflammatory disorder. This autoethnographic study explores spiritual meaning discovery through FMF, offering insights for holistic patient care.
Area of Science:
- Rheumatology
- Genetics
- Psychology
Background:
- Familial Mediterranean Fever (FMF) is a chronic genetic autoinflammatory disorder.
- FMF presents with recurrent febrile episodes and systemic inflammation affecting multiple organs.
- Understanding the patient experience is crucial for effective management of chronic illness.
Purpose of the Study:
- To provide an autoethnographic account of a Turkish FMF patient's lived experience.
- To explore the discovery of spiritual meaning throughout the course of FMF.
- To offer insights for healthcare professionals in providing holistic FMF patient care.
Main Methods:
- Autoethnography and narrative-based analysis.
- Self-reflexive discourse to examine personal experiences.
- Exploration of four distinct stages of spiritual meaning discovery.
Main Results:
- Identified four stages of spiritual meaning discovery: 'omnipotent me,' 'God's punishment,' 'God's test,' and 'God's mercy.'
- Detailed the grief reactions associated with loss of health due to FMF.
- Highlighted the importance of a spiritual lens in understanding the FMF experience.
Conclusions:
- FMF significantly impacts patients' lives, necessitating a holistic approach to care.
- Spiritual meaning discovery can be a coping mechanism for chronic illness.
- Recommendations are provided for mental health professionals and rheumatologists to enhance treatment adherence and patient well-being.
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