The authors examine the coping strategies employed by advanced prostate cancer patients receiving hormonal therapy to learn from their experience about potential solutions to their nonmedical needs. The study was based on in-depth interviews with 15 such patients and data analysis by the constant comparative method. The main psychosocial difficulties detected were patients’ bodily feminization, sexual dysfunction, and disruption of spousal intimacy. Participants contended with these difficulties through disguise, diversion, and avoidance strategies applied in social interactions, and through self-redefining, self-distancing, and self-solacing cognitive tactics. The analysis of these coping techniques clarifies the motives behind their adoption by the participants, their changing patterns over time, their advantages and disadvantages, and the potential that understanding these issues possesses for improving interventions aimed at alleviating patients’ difficulties.
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References
1.
Altwein, J., Ekman, P., Barry, M., Biermann, C., Carlsson, P., Fosså, S., et al. (1997). How is quality of life in prostate cancer patients influenced by modern treatment? The Wallenberg Symposium.Urology, 49(4A), 66-76.
2.
Becker, G. (1997a).Disrupted lives: How people create meaning in a chaotic world. Berkeley: University of Cali- fornia Press.
3.
Becker, G. (1997b).Healing the infertile family: Strengthening your relationship in the search for parenthood (Rev. ed.). Berkeley, CA: University of California Press.
4.
Bernard, H. R. (1994).Research methods in anthropology: Qualitative and quantitative approaches (2nd ed.). Thousand Oaks, CA: Sage.
5.
Bjorck, J. P., Hopp, D. P., & Jones, L. W. (1999). Prostate cancer and emotional functioning: Effects of men- tal adjustment, optimism, and appraisal.Journal of Psychosocial Oncology,17(1), 71-85.
6.
Boehmer, U., & Clark, J. A. (2001). Married couples’ perspectives on prostate cancer diagnosis and treat- ment decision-making.Psycho-Oncology,10, 147-155.
7.
Chapple, A., & Ziebland, S. (2002).Prostate cancer: Embodied experience andperceptions of masculinity. Sociology of Health and Illness,24, 820-841.
8.
Clark, J. A., Wray, N., Brody, B., Ashton, C., Giesler, B., & Watkins, H. (1997). Dimensions of quality of life expressed by men treated for metastatic prostate cancer.Social Science & Medicine,45, 1299-1309.
9.
Douglas, J. D. (1977). Shame and deceit in creative deviance. In E. Sagarin (Ed.),Deviance and social change (pp. 59-86). Beverly Hills, CA: Sage.
10.
Douglas, M. (1966).Purity and danger: An analysis of concepts of pollution and taboo. London: Routledge and Kegan Paul.
11.
Ekins,R., & King, D. (1999).Towardsa sociology of transgendered bodies.SociologicalReview,47, 580-602.
12.
Esper, P., & Redman, B. G. (1999). Supportive care, pain management, and quality of life in advanced prostate cancer.Urologic Clinics of North America,26, 375-389.
13.
Feigin, R., Sherer, M., & Ohry, A. (1996).Couples’ adjustmentto one partner’s disability: The relationship between sense of coherence and adjustment.Social Science & Medicine,43, 163-171.
14.
Feldman, J. S. (1993). An alternative group approach: Using multidisciplinary expertise to support patients with prostate cancer and their families.Journal of Psychosocial Oncology,11(2), 83-93.
15.
Fitch, M. I., Gray, R., Franssen, E., & Johnson, B. (2000). Men’s perspectives on the impact of prostate can- cer: Implications for oncology nurses.Oncology Nursing Forum,27, 1255-1263.
16.
Garnick,M. B. (1993).Prostatecancer: Screening, diagnosis,andmanagement.Annals of Internal Medicine, 118, 804-818.
17.
Glaser, B. G. (1978).Theoretical sensitivity. Mill Valley, CA: Sociology Press.
18.
Gray, R. E., Fitch, M., Phillips, C., Labrecque, M., & Fergus, K. (2000). To tell or not to tell: Patterns of dis- closure among men with prostate cancer.Psycho-Oncology,9, 273-282.
19.
Herr, H. W., Kornblith, A.B.,& Ofman,U.(1993).Acomparison of the qualityof life of patientswith meta- static prostate cancer who received or did not receive hormonal therapy.Cancer,71, 1143-1150.
20.
Heyman, E. N., & Rosner, T. T. (1996).Prostate cancer: An intimate view from patients and wives.Urologic Nursing,16, 37-44.
21.
Jakobsson, L., Hallberg, I. R., & Lovén, L. (2000). Experiences of micturition problems, indwelling cathe- ter treatment and sexual life consequences in men with prostate cancer.Journal of Advanced Nursing, 31, 59-67.
22.
Jenkins, R. (2000). Categorization: Identity, social process and epistemology.Current Sociology,48, 7-25.
23.
Jones, E. E., Farina, A., Hastorf, A. H., Markus, H., Miller, D. T., & Scott, R. A. (1984).Social stigma: The psy- chology of marked relationships. New York: Freeman.
24.
Kaps, E. C. (1994). The role of the support group: ‚Us, too.’ Cancer,74, 2188-2189.
25.
Karp, D. A. (1992). Illness ambiguity and the search for meaning: A case study of a self-help group for affective disorders.Journal of Contemporary Ethnography,21, 139-170.
26.
Kornblith, A. B., Herr, H. W., Ofman, U. S., Scher, H. I., & Holland, J. C. (1994). Quality of life of patients with prostatecancer andtheir spouses:The value of a database in clinical care.Cancer,73, 2791-2802.
27.
Lavery, J. F., & Clarke, V. A. (1999).Prostate cancer: Patients’ and spouses’ coping and marital adjustment. Psychology, Health and Medicine,4, 289-302.
28.
Lincoln, B. (1989).Discourse and the construction of society: Comparative studies of myth, ritual, and classifica- tion. New York: Oxford University Press.
29.
Lincoln, Y. S., & Guba, E. G. (1985).Naturalistic inquiry. Newbury Park, CA: Sage.
30.
Lorber, J. (1999). Crossing borders and erasing boundaries: Paradoxes of identity politics.Sociological Focus,32, 355-370.
31.
Maxwell, M. B. (1993). Cancer of the prostate.Seminars in Oncology Nursing,9, 237-251.
32.
Miles, M. B., & Huberman, A. M. (1984).Qualitative data analysis: A sourcebook of new methods. Newbury Park, CA: Sage.
33.
Perry, J. (1996). Writing the self: Exploring the stigma of hearing impairment.Sociological Spectrum,16, 239-261.
34.
Poole, G.,Poon, C., Achille, M., White, K., Franz,N., Jittler, S., et al. (2001).Social support for patientswith prostate cancer: The effect of support groups.Journal of Psychosocial Oncology,19(2), 1-16.
35.
Preves, S. E. (2000).Negotiating the constraints of gender binarism: Intersexuals’ challenge to gender cat- egorization.Current Sociology,48, 27-50.
36.
Sestini, A. J., & Pakenham, K. I. (2000). Cancer of the prostate: A biopsychosocial review.Journal of Psychosocial Oncology,18(1), 17-38.
37.
Snow, D. A., & Anderson, L. (1987). Identity work among the homeless: The verbal construction and avowal of personal identities.American Journal of Sociology,92, 1136-1171.
38.
Sommers, S. D., & Ramsey, S. D. (1999). A review of quality-of-life evaluations in prostate cancer. Pharmacoeconomics,16, 127-140.
39.
Steginga, S. K., Occhipinti, S., Dunn, J., Gardiner, R. A., Heathcote, P., & Yaxley, J. (2001). The supportive care needs of men with prostate cancer (2000).Psycho-Oncology,10, 66-75.
40.
Storrs, D. (1999). Whiteness as stigma: Essentialist identity work by mixed-race women.Symbolic Interac- tion,22, 187-212.
41.
Strauss, A., & Corbin, J. (1990).Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
42.
Tannock, I., Gospodarowicz, M., Meakin, W., Panzarella, T., Stewart, L., & Rider, W. (1989). Treatment of metastaticprostatic cancer with low-dose prednisone: Evaluation of pain and quality of life as prag- matic indices of response.Journal of Clinical Oncology,7, 590-597.
43.
Taylor, S. J., & Bogdan, R. (1984).Introduction to qualitative research methods: The search for meanings (2nd ed.). New York: John Wiley.
44.
Weiss, M. (1995). Fence sitters: Parents’ reactions to sexual ambiguities in their newborn children. Semiotica, 107, 33-50.
