Psychological Problems Derived from Mastectomy: A Qualitative Study
Identifieur interne : 004C15 ( Main/Curation ); précédent : 004C14; suivant : 004C16Psychological Problems Derived from Mastectomy: A Qualitative Study
Auteurs : José Manuel García Arroyo [Espagne] ; María Luisa Domínguez L Pez [Espagne]Source :
- International Journal of Surgical Oncology [ 2090-1402 ] ; 2011.
Abstract
Advances in treatment of breast cancer have not avoided using mastectomy in all cases, and when this happens, we are dealing with a woman who is suffering from psychological problems. In order to study this issue we have carried out a research with the collaboration of The Andalusian Association of Women with Mastectomies (AMAMA) in Seville, which provided us with a sample of 46 mastectomized women. The objective of this study is to analyze in depth the psychological reaction of women to mastectomy through its different stages from diagnosis to surgical treatment. We chose a cualitative method so as to explore the subjective components of psicologycal respons. As a result, we found in studied women: (a) The “fracture” of the “corporal imaginary” related to the disappearance of a valuable organ, linked to the feeling of loss of personal attractiveness, low self-esteem and avoidance of social relationships. (b) The problem with “femininity” has been linked to the issue of “desirability”, something innate in the “feminine position”. (c) Many of them keep in mind the idea of mutilation, as a “hole” which is impossible to integrate. (d) Finally, we demonstrate how certain features of personality made them especially vulnerable to the explained phenomena.
Url:
DOI: 10.1155/2011/132461
PubMed: 22312492
PubMed Central: 3265278
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Psychological Problems Derived from Mastectomy: A Qualitative Study</title><author><name sortKey="Arroyo, Jose Manuel Garcia" sort="Arroyo, Jose Manuel Garcia" uniqKey="Arroyo J" first="José Manuel García" last="Arroyo">José Manuel García Arroyo</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Psychiatry, Faculty of Medicine, University of Seville, 41004 Seville, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Psychiatry, Faculty of Medicine, University of Seville, 41004 Seville</wicri:regionArea><wicri:noRegion>41004 Seville</wicri:noRegion></affiliation></author><author><name sortKey="L Pez, Maria Luisa Dominguez" sort="L Pez, Maria Luisa Dominguez" uniqKey="L Pez M" first="María Luisa Domínguez" last="L Pez">María Luisa Domínguez L Pez</name><affiliation wicri:level="1"><nlm:aff id="I2">Mental Health Center, 21700 La Palma del Condado, Huelva, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Mental Health Center, 21700 La Palma del Condado, Huelva</wicri:regionArea><wicri:noRegion>Huelva</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22312492</idno><idno type="pmc">3265278</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265278</idno><idno type="RBID">PMC:3265278</idno><idno type="doi">10.1155/2011/132461</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">003F81</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003F81</idno><idno type="wicri:Area/Pmc/Curation">003F80</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003F80</idno><idno type="wicri:Area/Pmc/Checkpoint">002D85</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002D85</idno><idno type="wicri:Area/Ncbi/Merge">004A66</idno><idno type="wicri:Area/Ncbi/Curation">004A66</idno><idno type="wicri:Area/Ncbi/Checkpoint">004A66</idno><idno type="wicri:doubleKey">2090-1402:2011:Arroyo J:psychological:problems:derived</idno><idno type="wicri:Area/Main/Merge">004C48</idno><idno type="wicri:Area/Main/Curation">004C15</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Psychological Problems Derived from Mastectomy: A Qualitative Study</title><author><name sortKey="Arroyo, Jose Manuel Garcia" sort="Arroyo, Jose Manuel Garcia" uniqKey="Arroyo J" first="José Manuel García" last="Arroyo">José Manuel García Arroyo</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Psychiatry, Faculty of Medicine, University of Seville, 41004 Seville, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Psychiatry, Faculty of Medicine, University of Seville, 41004 Seville</wicri:regionArea><wicri:noRegion>41004 Seville</wicri:noRegion></affiliation></author><author><name sortKey="L Pez, Maria Luisa Dominguez" sort="L Pez, Maria Luisa Dominguez" uniqKey="L Pez M" first="María Luisa Domínguez" last="L Pez">María Luisa Domínguez L Pez</name><affiliation wicri:level="1"><nlm:aff id="I2">Mental Health Center, 21700 La Palma del Condado, Huelva, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Mental Health Center, 21700 La Palma del Condado, Huelva</wicri:regionArea><wicri:noRegion>Huelva</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Surgical Oncology</title><idno type="ISSN">2090-1402</idno><idno type="eISSN">2090-1410</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Advances in treatment of breast cancer have not avoided using
mastectomy in all cases, and when this happens, we are dealing
with a woman who is suffering from psychological problems. In
order to study this issue we have carried out a research with the
collaboration of The Andalusian Association of Women with
Mastectomies (AMAMA) in Seville, which provided us with a sample
of 46 mastectomized women. The objective of this study is to
analyze in depth the psychological reaction of women to mastectomy
through its different stages from diagnosis to surgical treatment.
We chose a cualitative method so as to explore the subjective
components of psicologycal respons. As a result, we found in
studied women: (a) The “fracture” of the
“corporal imaginary” related to the disappearance of a
valuable organ, linked to the feeling of loss of personal
attractiveness, low self-esteem and avoidance of social
relationships. (b) The problem with “femininity” has
been linked to the issue of “desirability”, something innate in
the “feminine position”. (c) Many of them keep in mind
the idea of mutilation, as a “hole” which is impossible to
integrate. (d) Finally, we demonstrate how certain features of
personality made them especially vulnerable to the explained
phenomena.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Tabar, L" uniqKey="Tabar L">L Tabár</name></author><author><name sortKey="Gad, A" uniqKey="Gad A">A Gad</name></author><author><name sortKey="Holmberg, Lh" uniqKey="Holmberg L">LH Holmberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Malata, Cm" uniqKey="Malata C">CM Malata</name></author><author><name sortKey="Mcintosh, Sa" uniqKey="Mcintosh S">SA McIntosh</name></author><author><name sortKey="Purushotham, Ad" uniqKey="Purushotham A">AD Purushotham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brandberg, Y" uniqKey="Brandberg Y">Y Brandberg</name></author><author><name sortKey="Maim, M" uniqKey="Maim M">M Maim</name></author><author><name sortKey="Blomqvist, L" uniqKey="Blomqvist L">L Blomqvist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schain, Ws" 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