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Coping amid uncertainty: an illness trajectory perspective

C L Wiener1, M J Dodd

  • 1University of California, San Francisco.

Scholarly Inquiry for Nursing Practice
|January 1, 1993
PubMed
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This study redefines coping with cancer by examining uncertainty in illness trajectory. It analyzes how individuals manage temporality, body, and identity, offering a new framework for understanding patient coping processes.

Area of Science:

  • Oncology
  • Psychology
  • Sociology

Background:

  • Conventional definitions of coping lack a comprehensive framework for understanding patient experiences.
  • Cancer presents unique challenges related to temporality, body, and identity, influencing coping mechanisms.

Purpose of the Study:

  • To propose an alternative to the conventional social/psychological definition of coping.
  • To examine the uncertainties of temporality, body, and identity in coping with cancer using an illness trajectory framework.

Main Methods:

  • Theoretical analysis using the "illness trajectory" framework.
  • Examination of the interaction between uncertain conditions and patient work processes.

Main Results:

  • Identified key uncertainties in temporality, body, and identity for cancer patients.

Related Experiment Videos

  • Described complex work processes individuals engage in to "cope with" cancer.
  • Highlighted that coping processes are experienced differently by each individual.

    • Conclusions:

    • The proposed framework offers a more holistic understanding of coping with cancer.
    • These findings have implications for understanding coping mechanisms in other chronic diseases.
    • Redefines "coping" as a complex, individualized process of managing illness uncertainties.