School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Eur J Cancer Care (Engl). 2013 May;22(3):389-99. doi: 10.1111/ecc.12042. Epub 2013 Jan 25.
In accepting illness as a subjective experience, there is value in examining how individuals perceive, interpret and understand its challenges, knowledge critical to understanding patterns of response. Although researchers have considered how prostate cancer can challenge 'embodied masculinities' few studies have considered gendered dynamics in men's cancer experiences more broadly. This article helps attends to this gap by examining how men with a variety of cancers made sense of the challenges of their illness. The results, part of a grounded theory study including 30 Canadian adult men, highlight how the men perceived a troubled future and a discordant present, a profound sense of uncertainty, and feelings of isolation. These patterns, infused with societal expectations for male bodies and lives, move beyond the particular needs varying by medical, demographic and situational diversities. More specifically, they are recognised as consistent with a 'biographical disruption' or an ongoing problematic situation destabilising how the men made sense of their individual selves and the world around them. Focused on commonalities and considerate of diversities, findings are reviewed in relation to existing work on illness and gender identity and work specific to men with cancer. Implications are discussed.
在将疾病视为一种主观体验时,研究个体如何感知、解释和理解其挑战是有价值的,这一知识对于理解反应模式至关重要。尽管研究人员已经考虑了前列腺癌如何挑战“具身的男子气概”,但很少有研究更广泛地考虑男性癌症经历中的性别动态。本文通过考察患有各种癌症的男性如何理解疾病带来的挑战,有助于填补这一空白。研究结果是扎根理论研究的一部分,包括 30 名加拿大成年男性,结果强调了男性如何感知未来的困扰和现在的不和谐、深刻的不确定性以及孤立感。这些模式受到社会对男性身体和生活的期望的影响,超越了因医疗、人口和情境多样性而产生的特殊需求。更具体地说,它们被认为与“传记式中断”或持续存在的问题情况一致,这些情况破坏了男性对自己和周围世界的理解。研究结果关注共性并考虑多样性,参照现有的关于疾病和性别认同的研究以及专门针对癌症男性的研究进行了审查。讨论了其影响。