Braveman Brent, Helfrich Christine, Kielhofner Gary, Albrecht Gary
Department of Occupational Therapy, University of Illinois at Chicago, M/C 811, 1919 W. Taylor Street, Chicago, Illinois 60612, USA.
J Occup Rehabil. 2003 Sep;13(3):143-57. doi: 10.1023/a:1024949117344.
Analyses of life stories has increasingly been used to understand how different individuals interpret and respond to an experience such as the onset of disability. This paper presents findings of a prospective qualitative study of 12 men living with AIDS who attempted to return to paid employment. Narrative analysis of four interviews over 12 months was used to explore the relationship between return-to-work efforts and whether participants' narratives progressed, remained stable, or regressed. Findings suggest that the men who demonstrated progressive narratives recreated an identity including a view of themselves as workers and recaptured a sense of competence. Men with regressive narratives demonstrated decreased identity and competence while men with stable narratives showed little change in either identity or competence. This paper contributes to our understanding of how the framing of an illness or disability by an individual may influence the progression of his life history narrative.
对人生故事的分析越来越多地被用于理解不同个体如何解读和应对诸如残疾发作这样的经历。本文呈现了一项对12名试图重返有偿工作的艾滋病男性患者进行的前瞻性定性研究的结果。通过对12个月内进行的四次访谈进行叙事分析，以探究重返工作努力与参与者的叙事是进步、保持稳定还是退步之间的关系。研究结果表明，那些叙事有进步的男性重塑了一种身份，包括将自己视为工作者的观念，并重新获得了一种能力感。叙事退步的男性表现出身份认同和能力的下降，而叙事稳定的男性在身份认同或能力方面几乎没有变化。本文有助于我们理解个体对疾病或残疾的认知如何可能影响其人生故事叙事的发展。
