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Fortællinger om cancer og eksistens i det unge voksenliv
Nordic Council of Ministers, Nordic School of Public Health NHV.
2005 (Danish)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Narratives of Cancer and Existence In the Young Adult Life. (English)
Abstract [da]

Baggrund : Meget få forskningsprojekter har udforsket den unge voksne cancerpatients mestring. Selvom antallet af unge voksne, som diagnosticeres med cancer er lille, anses det for væsentligt at opnå en kompleks og dyb helhedsforståelse af deres mestring, eftersom prognosen for helbredelse i denne aldersgruppe generelt er god, ogde således efterfølgende forventes at have et helt voksenliv at planlægge og håbe for, leve og mestre. Hensigt : at opnå en fordybet indsigt iden unge voksne cancerpatients levede erfaring af egen mest-ring gennem hendes/hans egne fortællinger med fokus på bevarelse/genskabelse af selvforståelse, virkelighedsforståelse og livsforståelse i behandlingsfasen af cancersygdommen. Metode : Som en væsentlig del af dette forskningsprojekt er udviklet en narrativ hermeneutisk - fænomenologisk forskningsmetode funderet i Paul Ricoeurs filosofi. Otte unge cancerpatienter imellem 21 og 31 år har deltaget i forskningsprojektet.Resultat :Fire metafortællinger om primært eksistentielle mestringstemaer i det unge voksenliv med cancer er vokset frem af deltageres fortællinger. Narrative mestringstemaer i disse er forandring og konstans i det unge voksenliv med cancer, nærhed og afstand i hverdagslivet med cancer, livsmod oglidelse i livetmed cancer, som parvis optræder i en kontinuerlig og samtidig bevægelse/spændingimellem hinanden og den eksistentielle betydning af metaforisk og symbolsk billedsprog og præfigurative, konfigurative og refigurative dimensioner i fortællingen for mestring i det unge voksenliv med cancer. Konklusion : Deltageres mestring fremstår meget situationsbunden, hvor samtidighed og kontinu-erlig bevægelse imellemovenstående mestringstemaer er kendetegnende for den unge voksne cancerpatients mestring, således at de kontinuerligt er/bevæger sig mange steder på samme tid i deresmestring. Deltageres mestring kommer til eksistens gennem fortælling, med tilblivelsen af narrativ identitet i en kreativ, refleksiv efterligning eller gendigtning af begivenheder/erfaringer i det levede liv. Fortællingens mimetiske dimensioner i deltageres samlede fortællinger fremstår således både som væsentlige kendetegn for deltageres fortælleproces og mestringsproces

Abstract [en]

Background : Very few research projects have studiedthe coping of the young adult cancer patient.Even though the number of young adults diagnosed with cancer is small, it is considered essential togain a comprehensive and deep understanding of the coping of this age group as the prognosis of being cured is verygood. The majority may therefore have a whole adult life to plan and hope for, live and cope with. Purpose : To gain a comprehensive and deep understanding of the lived experience of coping of the young adult cancer patient through personal narratives focusing on preservation/recreation of self-understanding, understanding of realityand understanding of life in the treatment phase of the cancerdisease. Method : As an integral part of this research project a narrative hermeneutic - phenomenological research method based on the philosophy of Paul Ricoeur has been developed. Eight young adultcancer patients have participated in the research project. Result : Four metanarratives about primarily existential coping themes in the young adult life with cancer have developed from the narratives of the participants. Narrative metathemes of these arechange and constancy in young adult life with cancer, nearness and distance in everyday life withcancer, life-force and suffering in life with cancer, which appear in couples in a continuous and simultaneous movement/tension between each other, and the existential meaning of metaphoric andsymbolic figurative language and prefigurative, configurative and refigurative dimensions in nar-ration/narratives for coping in the young adult life with cancer. Conclusion : The coping of the participants appears very situational, in that simultaneity and continuous movement between the above coping themes are characteristics of the coping of the young adult cancer patient, as they continuously and simultaneously are/are moving in many places in their coping. The coping of the participants come to existence through narration/narratives with the creation of narrative identityin a creative,reflective imitation or reinvention of events/ experiences of the lived life. The mimetic dimensions of narration/narratives in the narratives of theparticipants appear thus as essential characteristics of their narration process as well as coping process.

Place, publisher, year, edition, pages
2005. , 70 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2005:15
Keyword [en]
Cancer, The Young Adul t, Coping, Narrative, Existenc
Keyword [da]
Cancer, den unge voksne, mestring, fortælling, eksistens
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3291OAI: oai:DiVA.org:norden-3291DiVA: diva2:733183
Presentation
2005-06-01, Nordic School of Public Health NHV, Box 12133, 402 42 Göteborg, Sweden, 13:00 (Danish)
Supervisors
Note

ISBN 91-7997-102-4

Available from: 2014-07-08 Created: 2014-07-08 Last updated: 2014-07-08Bibliographically approved

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