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The liminal self in people with multiple sclerosis: an interpretative phenomenological exploration of being diagnosed.

Strickland, Karen; Worth, Allison; Kennedy, Catriona

Authors

Karen Strickland

Allison Worth

Catriona Kennedy



Abstract

Aim - to explore the lived experience of the meaning of being diagnosed with Multiple Sclerosis on the individual's sense of self. Background - The time of leading up to and immediately following the diagnosis of Multiple Sclerosis has been identified as a time period shrouded by uncertainty and one where individuals have a heightened desire to seek accurate information and support. The diagnosis brings changes to the way one views the self which has consequences for biographical construction. Design - A hermeneutic phenomenological study. Methods - In-depth qualitative interviews were conducted with 10 people recently diagnosed with multiple sclerosis. The data were analyzed using interpretative phenomenological analysis. Findings - This paper presents the three master themes: the 'Road to diagnosis', 'The liminal self' and 'Learning to live with Multiple Sclerosis'. The diagnosis of Multiple Sclerosis may be conceptualized as a 'threshold moment' where the individual's sense of self is disrupted from the former taken-for-granted way of being and propose a framework which articulates the transition. Conclusion - The findings highlight the need for health care professionals to develop interventions to better support people affected by a new diagnosis of Multiple Sclerosis. The conceptual framework which has been developed from the data and presented in this paper, provides a new way of understanding the impact of the diagnosis on the individual's sense of self when affected by a new diagnosis of Multiple Sclerosis. This framework can guide health care professionals in the provision of supportive care around the time of diagnosis.

Journal Article Type Article
Publication Date Jun 30, 2017
Journal Journal of clinical nursing
Print ISSN 0962-1067
Electronic ISSN 1365-2702
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 26
Issue 11/12
Pages 1714-1724
Institution Citation STRICKLAND, K., WORTH, A. and KENNEDY, C. 2017. The liminal self in people with multiple sclerosis: an interpretative phenomenological exploration of being diagnosed. Journal of clinical nursing [online], 26(11/12), pages 1714-1724. Available from: https://doi.org/10.1111/jocn.13593.
DOI https://doi.org/10.1111/jocn.13593
Keywords Multiple Sclerosis; Diagnosis; Biography; Liminality; Sense of self; Nursing; Psychosocial nursing; Qualitative research; Phenomenology

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