Experiences of psychosocial adjustment within 18 months of amputation: an interpretative phenomenological analysis.

Abstract

To explore participants' experiences of psychosocial adjustment within 18-months following amputation in a manner that can inform further research and clinical practice. Transcript data from eight semi-structured interviews were analysed using Interpretative Phenomenological Analysis. Three super-ordinate themes emerged from the analysis: (1) pre-amputation decision-making process and control, (2) renegotiation of self-identity and the struggle to accept a new 'disabled' identity, and (3) adjustment as a social process. This research furthers understanding of pre-acute, acute and post-acute adjustment processes from the insider-perspective of individuals who have experienced amputation. A picture emerged in which individuals adjusted to amputation and its sequelae through a process of renegotiation of self-identity that was mediated through a wide range of decisional, informational and social factors. Suggestions for clinical practice and further research are discussed.