Skip to main content

Advertisement

Log in

“I don’t want to be an artificial man”: Narrative reconstruction of sexuality among prostate cancer survivors

  • Articles
  • Published:
Sexuality and Culture Aims and scope Submit manuscript

Abstract

After interviewing prostate cancer support group members, I use narrative analysis to examine survivors’ post-illness stories of changes in sexual activity and identity. The main events in the narratives were the choice of a treatment option and the post-treatment changes in survivors’ sex lives, whether described as the end of the sex life or the beginning of a modified one. Survivors characterized their wives as uninterested in sex and seldom described support group peers as helpful sources of sex-related information. The value of health took precedence over the desire for sex among men who experienced erectile dysfunction. My observations suggest implications related to (a) masculine identity, (b) sex among the elderly, (c) the social construction of sexuality, (d) defining and redefining sexuality, (e) physician-patient interaction, (f) sex talk among social support group members, and (g) the apparent clash between the values of sex and health.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Andriote, J. M. (1998, March 10). Getting personal. Washington Post, p. 10 (Health Section).

  • Aries, E. (1998). Gender differences in interaction. In D. Canary & K. Dindia (Eds.), Sex differences and similarities in interaction: Critical essays and empirical investigations (pp. 65–81). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Arrington, M. I. (2000). Sexuality, society, and senior citizens: An analysis of sex talk among prostate cancer support group members. Sexuality and Culture, 4(4), 45–74.

    Article  Google Scholar 

  • Bland, J. H. (1997). Live long, die fast: Playing the aging game to win. Minneapolis, MN: Fairview Press.

    Google Scholar 

  • Bostwick, D. G., MacLennan, G. T., & Larson, T. R. (1996). Prostate cancer: What every man—and his family—needs to know. New York: Villard.

    Google Scholar 

  • Braithwaite, D. O. (1993). “Isn’t it great that people like you get out?”: The process of adjusting to disability. In E. B. Ray (Ed.), Case studies in health communication (pp. 149–159). Hillsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Bronner, G. (1997, June–July). Helping health care professionals on issues of intimacy and sexuality among the aging. SIECUS Report, 25(5), 4–7.

    Google Scholar 

  • Carson, C. C., & Akwari, O. E. (1980). Rectal ejaculation and prostatic carcinoma. Urology, 16, 188–189.

    Article  Google Scholar 

  • Charmaz, K. (1987). Struggling for a self: Identity levels of the chronically ill. In J. Roth & P. Conrad (Eds.), Research in the sociology of health care (pp. 283–321), Greenwich, CT: JAI Press.

    Google Scholar 

  • — (1994). Identity dilemmas of chronically ill men Sociological Quarterly, 35, 269–288.

    Article  Google Scholar 

  • Ciabattari, J. (1999, September 19). What seniors fear. Parade Magazine (newspaper supplement).

  • 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.

    Article  Google Scholar 

  • Doyle, J. A. (1995). The male experience (3rd ed.). Dubuque, IA: William C. Brown.

    Google Scholar 

  • Ellingson, L. L., & Buzzanell, P. M. (1999). Listening to women’s narratives of breast cancer treatment: A feminist approach to patient satisfaction with physician-patient communication. Health Communication, 11, 153–183.

    Article  Google Scholar 

  • Fitch, M. I., Gray, R., Franssen, E., & Johnson, B. (2000). Men’s perspectives on the impact of prostate cancer: Implications for oncology nurses. Oncology Nursing Forum, 27, 1255–1263.

    Google Scholar 

  • Foucault, M. (1978). The history of sexuality: An introduction (Vol. 1). New York: Vintage Books.

    Google Scholar 

  • Frank, A. W. (1995). The wounded storyteller: Body, illness, and ethics. Chicago: University of Chicago Press.

    Google Scholar 

  • Garlick, B., Dixon, S., & Allen, P. (Eds.). (1992). Stereotypes of women in power: Historical perspectives and revisionist views. Westport, CT: Greenwood.

    Google Scholar 

  • Haas, S. M. (1999). Relationship maintenance in gay male couples coping with HIV/AIDS. Unpublished doctoral dissertation, University of Illinois, Urbana-Champaign, IL.

    Google Scholar 

  • Hanlon, A. L., Schultheiss, T. E., Hunt, M. A., Movsas, B., Peter, R. S., & Hanks, G. E. (1997). Chronic rectal bleeding after high-dose conformal treatment of prostate cancer warrants modification of existing morbidity scales. International Journal of Radiation, Oncology, Biology, Physics, 38, 59–63.

    Article  Google Scholar 

  • Hirschman, K. M. (2001). Fidelity and Fecundity: A Study of Sex Communication as Performance in Parent-Child and Physician-Patient Relationships. Unpublished doctoral dissertation, University of South Florida, Tampa, FL.

    Google Scholar 

  • Jamieson, K. H. (1995). Beyond the double bind: Women and leadership. New York: Oxford University Press.

    Google Scholar 

  • Kanter, R. M. (1977). Men and women of the corporation. New York: Basic Books.

    Google Scholar 

  • Klopfer, W. G. (1965). The interpersonal theory of adjustment. In R. Kastenbaum, (Ed.), Contributions to the psychology of aging (pp. 37–43). New York: Springer.

    Google Scholar 

  • Korda, M. (1997). Man to man: Surviving prostate cancer. New York: Vintage Books.

    Google Scholar 

  • Korenman, S. G. (1998). New insights into erectile dysfunction: A practical approach. American Journal of Medicine, 105, 135–44.

    Article  Google Scholar 

  • Kunkel, E. J., Bakker, J. R., Myers, R. E., Oyesanmi, O., & Gomella, L. G. (2000). Biopsychosocial aspects of prostate cancer. Psychosomatics, 41, 85–94.

    Article  Google Scholar 

  • Langellier, K. M., & Sullivan, C. F. (1998). Breast talk in breast cancer narratives. Qualitative Health Research, 8, 76–94.

    Article  Google Scholar 

  • Newton, A. C. (1996). Living with prostate cancer: One man’s story: What every man should know. Toronto: McClelland & Stewart.

    Google Scholar 

  • Olive, T. E. (1996). Cultural and collective stories of health and illness: An analysis of women’s stories and media representations of breast cancer. Unpublished doctoral dissertation, University of South Florida, Tampa, FL.

    Google Scholar 

  • Phillips, R. H. (1994). Coping with prostate cancer: A guide to living with prostate cancer for you and your family. Garden City Park, NY: Avery.

    Google Scholar 

  • Strauman, E. C. (1997). The exhausted face of illness: A narrative analysis of media accounts of chronic fatigue syndrome. Unpublished master’s thesis, University of South Florida, Tampa, FL.

    Google Scholar 

  • Thompson, T. L. (1994). Interpersonal communication and health care. In M. Knapp & G. Miller (Eds.), Handbook of interpersonal communication (2nd ed., pp. 696–735). Thousand Oaks, CA: Sage.

    Google Scholar 

  • Tiefer, L. (1994). The medicalization of impotence: Normalizing phallocentrism. Gender and Society, 8, 363–377.

    Article  Google Scholar 

  • U.S. Bureau of the Census (1993). Population projections of the United States by age, sex, race, and Hispanic origin: 1992 to 2050. Current population reports, Series P25, No. 1092. Washington, DC: Government Printing Office.

    Google Scholar 

  • Vanderford, M. L., & Smith, D. H. (1996). The silicone breast implant story: Communication and uncertainty. Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Vanderford, M. L., Smith, D. H., & Harris, W. S. (1992). Value identification in narrative discourse: Evaluation of an HIV education demonstration project. Journal of Applied Communication Research, 20, 123–160.

    Article  Google Scholar 

  • Vanderford, M. L., Stein, T., Sheeler, R., & Skochelak, S. (2001). Communication challenges for experienced clinicians: Topics for an advanced communication curriculum. Health Communication, 13, 261–284.

    Article  Google Scholar 

  • Weeks, J. (1987). Sexuality. London: Routledge.

    Google Scholar 

  • West, C. (1993). Race matters. Boston: Beacon Press.

    Google Scholar 

  • Wood, J. T. (2000). Gendered lives: Communication, gender, and culture (4th ed.). Belmont, CA: Wadsworth.

    Google Scholar 

  • Wood, J. T., & Conrad, C. R. (1983). Paradox in the experience of professional women. Western Journal of Speech Communication, 47, 305–322.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Arrington, M.I. “I don’t want to be an artificial man”: Narrative reconstruction of sexuality among prostate cancer survivors. Sex Cult 7, 30–58 (2003). https://doi.org/10.1007/s12119-003-1011-9

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12119-003-1011-9

Keywords

Navigation