Living with breast cancer: the experiences and meaning-making among women in Southern Thailand
Corresponding Author
P. Liamputtong PhD
Professor
Department of Public Health, School of Psychology and Public Health, College of Science Health and Engineering, La Trobe University, Bundoora, Vic., Australia
Correspondence address: Pranee Liamputtong, Department of Public Health, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Vic. 3086, Australia (e-mail: [email protected]).Search for more papers by this authorD. Suwankhong PhD
Lecturer
School of Public Health, Thaksin University, Phatthalung, Thailand
Search for more papers by this authorCorresponding Author
P. Liamputtong PhD
Professor
Department of Public Health, School of Psychology and Public Health, College of Science Health and Engineering, La Trobe University, Bundoora, Vic., Australia
Correspondence address: Pranee Liamputtong, Department of Public Health, School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Vic. 3086, Australia (e-mail: [email protected]).Search for more papers by this authorD. Suwankhong PhD
Lecturer
School of Public Health, Thaksin University, Phatthalung, Thailand
Search for more papers by this authorAbstract
We conducted in-depth interviews with 20 women living with breast cancer and invited them to take part in a drawing method. In this paper, we discuss the lived experiences and meaning-making of breast cancer among women in southern Thailand. Our data revealed that the diagnosis of breast cancer generated numerous emotional responses. However, after the initial shock, most women started to accept their reality. The acceptance of their breast cancer played an essential role in the meaning-making discourse because it assisted the women to be able to sustain the equilibrium of their emotional well-being. Meaning-making and the Buddhist belief about bad karma was a prominent theme. The belief that adversities in life were the result of bad deeds that one had committed to others in the past not only helped the women to accept their fate but also to deal with their life situations better. Our findings suggest that these women act in their own agencies to counteract any negativity they might encounter from their breast cancer trajectory. It provides a theoretical understanding about the ways Thai women deal with their breast cancer which can be adopted as a means to provide culturally sensitive care for women with breast cancer in Thailand and elsewhere.
References
- Al-Azri M., Al-Awisi H. & Al-Moundhri M. (2009) Coping with a diagnosis of breast cancer: literature review and implications for developing countries. Breast Journal 15, 615–622.
- Arevian M., Noureddine S. & Abboud S. (2011) Belief related to breast cancer and breast cancer screening among Lebanese Armenian women. Health Care for Women International 32, 972–989.
- Banning M. & Tanzeem T. (2014) Living with advanced breast cancer: perceptions of Pakistani women on life expectations and fears. Cancer Nursing 37, E12–E18.
- Blow A.J., Swiecicki P., Haan P., Osuch J.R., Symonds L.L., Smith S.S., Walsh K. & Boivin M.J. (2011) The emotional journey of women experiencing a breast abnormality. Qualitative Health Research 21, 1316–1334.
- Bower J.E., Meyerowitz B.E., Desmond K.A., Bernaards C.A., Rowland J.H. & Ganz P.A. (2005) Perceptions of positive meaning and vulnerability following breast cancer: predictors and outcomes among long-term breast cancer survivors. Annals of Behavioral Medicine 29, 236–245.
- Braun V. & Clarke V. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77–101.
10.1191/1478088706qp063oa Google Scholar
- Breitbart W., Gibson C., Poppito S.R. & Berg A. (2004) Psychotherapeutic interventions at the end of life: a focus on meaning and spirituality. Canadian Journal of Psychiatry 49, 366–372.
- Bryman A. (2012) Social Research Methods, 4th edn. Oxford University Press, Oxford, UK.
- Campbell R. & Wasco S.M. (2000) Feminist approaches to social sciences: epistemological and methodological tenets. American Journal of Commun-ity Psychology 28, 773–791.
- Cebeci F., Yangın H.C. & Tekeli A. (2012) Life experiences of women with breast cancer in south western Turkey: a qualitative study. European Journal of Oncology Nursing 16, 406–412.
- Ching S.S.Y., Martinson I.M. & Wong T.K.S. (2009) Reframing: psychological adjustment of Chinese women at the beginning of the breast cancer experience. Qualitative Health Research 19, 339–351.
- Ching S.S.Y., Martinson I.M. & Wong T.K.S. (2012) Meaning making: psychological adjustment to breast cancer by Chinese women. Qualitative Health Research 22, 250–262.
- Davey M.P., Niño A., Kissil K. & Ingram M. (2012) African American parents’ experiences navigating breast cancer while caring for their children. Qualitative Health Research 22, 1260–1270.
- Doumit M.A., El Saghir N., Abu-Saad Huijer H., Kelley J.H. & Nassar N. (2010) Living with breast cancer: a Lebanese experience. European Journal of Oncology Nursing 14, 42–48.
- Drageset S., Lindstrøm T.C. & Underlid K. (2010) Coping with breast cancer: between diagnosis and surgery. Journal of Advanced Nursing 66, 149–158.
- Drageset S., Lindstrøm T.C., Giske T. & Underlid K. (2011) Being in suspense: women's experiences awaiting breast cancer surgery. Journal of Advanced Nursing 67, 1941–1951.
- Elmir R., Jackson D., Beale B. & Schmied V. (2010) Against all odds: Australian women's experiences of recovery from breast cancer. Journal of Clinical Nursing 19, 2531–2538.
- France E.F., Hunt K., Dow C. & Wyke S. (2013) Do men's and women's accounts of surviving a stroke conform to Frank's narrative genres? Qualitative Health Research 23, 1649–1659.
- Fu M.R., Axelrod D. & Haber J. (2008) Breast cancer-related lymphedema: information, symptoms, and risk reduction behaviors. Journal of Nursing Scholarship 40, 341–348.
- Greenstein M. & Breitbart W. (2000) Cancer and the experience of meaning: a group psychotherapy program for people with cancer. American Journal of Psychotherapy 54, 486–500.
- Guillemin M. (2004) Understanding illness: using drawings as a research method. Qualitative Health Research 14, 272–289.
- Guillemin M. & Westall C.A. (2008) Gaining insight into women's knowing of postnatal depression using drawings. In: Knowing Differently: Arts-based and Collaborative Research Methods (eds P. Liamputtong & J. Rumbold), pp. 121–139. Nova Science Publishers, New York, NY, USA.
- Jim H.S., Richardson S.A., Golden-Kreutz D.M. & Andersen B.L. (2006) Strategies used in coping with a cancer diagnosis predict meaning in life for survivors. Health Psychology 25, 753–761.
- Kelly D. & White K. (2011) Surviving cancer: a new reality and a new challenge. European Journal of Oncology Nursing 15, 199–200.
- Kenne Sarenmalm E.K., Thorén-Jönsson A.L., Gaston-Johansson F. & Öhlén J. (2009) Making sense of living under the shadow of death: adjusting to a recurrent breast cancer illness. Qualitative Health Research 19, 1116–1130.
- Kernan W.D. & Lepore S.J. (2009) Searching for and making meaning after breast cancer: prevalence, patterns, and negative affect. Social Science and Medicine 68, 1176–1182.
- Kirkman M., Winship I., Stern C., Neil S., Mann G.B. & Fisher J.R.W. (2014) Women's reflections on fertility and motherhood after breast cancer and its treatment. European Journal of Cancer Care 23, 502–513.
- Klunklin A. & Greenwood J. (2005) Buddhism, the status of women and the spread of HIV/AIDS in Thailand. Health Care for Women International 26, 46–61.
- Kobotani T. & Engstrom D. (2005) The roles of Buddhist temples in the treatment of HIV/AIDS in Thailand. Journal of Sociology and Social Welfare, 6, XXXII, 5–21.
- Landmark B.T., Strandmark M. & Wahl A.K. (2001) Living with newly diagnosed breast cancer–the meaning of existential issues. A qualitative study of 10 women with newly diagnosed breast cancer, based on grounded theory. Cancer Nursing 24, 220–226.
- Liamputtong P. (2007a) Researching the Vulnerable: A Guide to Sensitive Research Methods. Sage Publications, London, UK.
10.4135/9781849209861 Google Scholar
- Liamputtong P. (2007b) The Journey of Becoming a Mother Amongst Women in Northern Thailand. Lexington Books, Lanham, MD, USA.
- Liamputtong P., Haritavorn N. & Kiatying-Angsulee N. (2012) Living positively: the experiences of Thai women in central Thailand. Qualitative Health Research 22, 441–451.
- Liamputtong P. (2013) Qualitative Research Methods, 4th edition. Oxford University Press, Melbourne, Australia.
- Liamputtong P, Suwankhong D (in press) Biographical disruption, chaos and despair: emotional experiences of women with breast cancer in Southern Thailand. Sociology of Health and Illness.
- Lopez-Class M., Perret-Gentil M., Kreling B., Caicedo L., Mandelblatt J. & Graves K.D. (2011) Quality of life among immigrant Latina breast cancer survivors: realities of culture and enhancing cancer care. Journal of Cancer Education 26, 724–733.
- Nizamli F., Anoosheh M. & Mohammadi E. (2011) Experiences of Syrian women with breast cancer regarding chemotherapy: a qualitative study. Nursing and Health Sciences 13, 481–487.
- Padgett D.K. (2012) Qualitative and Mixed Methods in Public Health. Sage, Thousand Oaks, CA, USA.
10.4135/9781483384511 Google Scholar
- Park C. (2007) Religiousness/spirituality and health: a meaning systems perspective. Journal of Behavioral Medicine 30, 319–328.
- Park C.L. & Folkman S. (1997) Meaning in the context of stress and coping. Review of General Psychology 1, 115–144.
10.1037/1089-2680.1.2.115 Google Scholar
- Plattner I.E. & Meiring N. (2006) Living with HIV: the psychological relevance of meaning making. AIDS Care 18, 241–245.
- Ross R., Sawatphanit W. & Suwansujarid T. (2007) Finding peace (kwam sa-ngob jai): a Buddhist way to live with HIV. Journal of Holistic Nursing 25, 228–235.
- Shaha M., Cox C.L., Talman K. & Kelly D. (2008) Uncertainty in breast, prostate, and colorectal cancer: implications for supportive care. Journal of Nursing Scholarship 40, 60–67.
- Swinton J., Bain V., Ingram S. & Heys S.D. (2011) Moving inwards, moving outwards, moving upwards: the role of spirituality during the early stages of breast cancer. European Journal of Cancer Care 20, 640–652.
- Vahabi M. (2010) Iranian women's perception and beliefs about breast cancer. Health Care for Women International 31, 817–830.