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Erschienen in: Journal of Occupational Rehabilitation 1/2022

19.05.2021

The Value Filter: A Novel Framework for Psychosocial Adjustment to Traumatic Upper Extremity Amputation

verfasst von: Joanne Maxwell, Judith Friedland, Bonnie Kirsh, Dorcas Beaton

Erschienen in: Journal of Occupational Rehabilitation | Ausgabe 1/2022

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Abstract

Purpose Upper extremity traumatic amputation due to work injury is a devastating injury with poor outcomes. As it does not appear to follow existing theories of psychosocial adjustment to injuries and illness, we sought to understand this problem by asking those who have sustained the injury, how they try to adjust. Methods Qualitative methods were used to interview 11 participants within 3 years of their accident. Questions included “Tell me about the impact of the amputation on your life”. Data were systematically gathered and analyzed using a grounded theory (constructivist) approach which led to a preliminary model of adjustment. Results The Value of the Hand, and the Value of Working and Doing, emerged as central phenomena and created a Value Filter through which our participants’ new experiences were interpreted. Two interacting themes, Instability of the Core Identity, and Efforts to Stabilize the Self, describe the effects of the process which either interfered with or promoted the formation of new values that, in turn, could lead to adjustment. Conclusions The preliminary model helps explain psychosocial adjustment for individuals with a traumatic upper extremity amputation due to work injury. The model may also be useful with other acquired injuries where the lost body part was deemed highly valuable for the individual’s sense of self.
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Metadaten
Titel
The Value Filter: A Novel Framework for Psychosocial Adjustment to Traumatic Upper Extremity Amputation
verfasst von
Joanne Maxwell
Judith Friedland
Bonnie Kirsh
Dorcas Beaton
Publikationsdatum
19.05.2021
Verlag
Springer US
Erschienen in
Journal of Occupational Rehabilitation / Ausgabe 1/2022
Print ISSN: 1053-0487
Elektronische ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-021-09976-5

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