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'I just wasnae me anymore': Individual Experiences of Identity Loss, Identity Negotiation, Acceptance and ‘Adjustment’ in Acquired Hearing Loss

机译:“我只是在等我了”:个人身份损失,身份协商,接受和获得性听力损失中的“调整”经历

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摘要

Objectives: There appears to be growing evidence that living with acquired hearing lossud(AHL) results in people experiencing increased psychological distress. However, there isudcurrently a dearth of research examining psychological adjustment to AHL. The availableudmodels assume that psychological adjustment to AHL is a sequential process. Personaludaccounts of AHL and evidence regarding other disabilities suggest that psychologicaludadjustment is a far more complex process. Consequently, the present study aimed to exploreudindividuals‟ experience of the process of psychological adjustment to AHL. In addition,udindividuals‟ understandings of the concept of adjustment were also explored.udMethod: Ten semi-structured interviews were conducted with individuals who had acquireduda moderate, severe or profound hearing loss in adulthood. These were transcribed andudanalysed for recurrent themes using Interpretative Phenomenological Analysis.udResults: Data analysis revealed that 9 super-ordinate themes represented participants‟udexperience of adjustment to AHL. Findings indicated that AHL resulted in participantsudexperiencing identity loss and changes in the dynamics of their relationships. Participantsudsuggested that acceptance was a difficult but vital process that reduced psychological distress.udAcceptance was hypothesised to be a multi-dimensional continuum along which participantsudmoved back and forth. Identity negotiation appeared to be an important psychologicaludprocess associated with acceptance. Participants believed that there was a “right” way toud“adjust” but none felt their experiences matched this ideal. Consequently, it appeared thatudthere was a discrepancy in the way participants and the researcher understood the concept ofud“adjustment.”udDiscussion: The findings suggested that psychological “adjustment” to AHL was a complexuddual-directional process. Participant narratives appeared to be consistent with the recurrentudmodel of acceptance and adjustment proposed by Newsome and Kendall (1996). It wasudsuggested that findings regarding participants‟ perceptions of “adjustment” had importantudimplications for clinical practice and these were described. It was recommended that futureudqualitative research should attempt to explore individuals‟ assumptions regardingud“adjustment” in more detail.
机译:目的:越来越多的证据表明,患有获得性听力损失 ud(AHL)的人会遭受更大的心理困扰。然而,目前尚缺乏研究对AHL的心理适应进行研究。可用的 udmodel假定对AHL的心理调整是一个顺序过程。 AHL的个人大数以及有关其他残疾的证据表明,心理大适应是一个更为复杂的过程。因此,本研究旨在探讨个人对AHL的心理适应过程的经验。此外,还探讨了个人对适应性概念的理解。方法:对成年后中度,重度或深度听力丧失的个体进行了十次半结构化访谈。结果:数据分析表明,有9个上级主题代表参与者对AHL调整的经验。研究结果表明,AHL导致参与者失去了身份认同并改变了他们的关系动态。参与者表示接受是一个困难但至关重要的过程,可以减轻心理困扰。 ud假设接受是多维的连续体,参与者在此过程中来回移动。身份协商似乎是与接受相关的重要心理过程。参加者认为,有一种“正确”的方式来“调整”,但没有人认为自己的经历符合这一理想。因此,看来参与者之间的差异与研究人员对“调整”概念的理解存在差异。讨论:研究结果表明,对AHL的心理“调整”是一个复杂的,双向的过程。参加者的叙述似乎与Newsome和Kendall(1996)提出的接受和调整的循环 udmodel一致。有人建议,有关参与者对“调整”的看法的发现对于临床实践具有重要的意义,并对此进行了描述。建议未来的定性研究应尝试更详细地探讨个人关于 u“调整”的假设。

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