published_or_final_version / abstract / toc / Clinical Psychology / Master / Master of Social Sciences

Thirty-eight mastectomy patients who reported phantom breasts were compared to 23 women who did not experience these sensations for the purpose of developing a predictive psychological profile of the phantom breast patient. The Adjective Check List, WAIS—short form, Fundamental Interpersonal Relationship Orientation Scale—Behavior, a social-medical questionnaire, and a Body Image Scale were administered. The Body Image Scale was also given to 25 women who had not had breast cancer. Hemispheric dominance was also assessed by means of conjugate lateral eye movements.

Typescript (Photocopy) / Includes two papers co-authored by the author as appendix D. / Bibliography: leaves 397-425 / xvii, 425 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--Dept. of Psychology, University of Adelaide, 1991

Thesis (MTh)--Stellenbosch University, 1993 / ENGLISH ABSTRACT: Seeing that breast cancer is the most common cancer in women and that it has such a high incidence that every woman should be aware of it, time has come for the theology, and especially for pastoral care, to provide some answers on the possible problems that accompany the illness. Treatment of breast cancer almost always include a degree of surgical intervention through which part of or a whole breast, and in extreme cases even the underlying tissue, is being removed. This procedure, to some extent, influences a woman's experience of her physique which in turn has an effect on the intimate space of her marriage. The mastectomy patient may experience that the operation, with all the psychological affects it has, disturbs her inner life rythm and that results in her relationships also being pressurised. The crisis of a mastectomy should be handled as a relationship crisis within a marriage, in which the husband can play an important therapeutic role. The husbands contribution will be greatly effected by: a) His commitment to the relationship and b) The correlation between his male identity, his sexuality and his perceptions of the female physique. Within the crisis of mastectomy, the woman's body-image should not be separated from her faith identity and the quality of her marriage - there exists a dynamic interaction between these three, which means that the handling of the crisis of a mastectomy is directly dependent on the quality if her loving relationship and on the way in which she experiences her faith. The faith factor plays an important role in the handling of the crisis, by creating a distance between the trauma of the loss and the way in which she experiences her identity. Pastoral care can play a vital role in the handling of the crisis of a mastectomy by means of guidance and support, as it proclaims the active presence of God through the marrid body of Jesus Christ. The husband of the mastectomy patient can, in his therapeutic role, be guided to be much more sensitive for the emotional needs of his wife, in regard to aspect of sexuality. This would give her the support she needs and work constructively towards the goal of healing. / AFRIKAANSE OPSOMMING: Aangesien borskanker die algemeenste kanker onder vroue is en dit sulke geweldige afmetings aangeneem het dat elke vrou daarmee moet rekening hou, het dit tyd geword dat die teologie, en met name die pastoraat, ditself ook ten opsigte van die moontlike problematiek wat daarmee saamgaan, moet verantwoord. Die behandeling van borskanker behels in die meerderheid van gevalle 'n mate van chirurgiese ingrepe waardeur 'n deel van of die hele bors, en in ekstreme gevalle ook die onderliggende weefsel, verwyder word. Hierdie prosedure oefen, in 'n mindere of meerdere mate, 'n invloed op die vrou se belewing van haar liggaamlikheid uit wat weer na die intieme band van die huwelik kan deurwerk. Die mastektomiepasiënt kan ervaar dat die operasie, met al die sielkundige effekte wat dit inhou, haar innerlike lewensritme versteur sodat die verhoudinge waarin sy leef ook onder druk geplaas word. Binne die huwelik sou 'n mens dan die krisis van 'n mastektomie as 'n verhoudingskrisis moet hanteer, waarin die eggenoot 'n belangrike terapeutiese funksie kan vervul. Die man se bydrae word egter deurslaggewend bepaal deur: a) Sy verbintenis aan die verhouding en b) Die korrelasie tussen sy manlike identiteit, seksualiteit en die persepsies met betrekking tot die liggaamlikheid van die vrou. Binne die krisis van 'n mastektomie kan die vrou se liggaamsbeeld nie van haar geloofsidentiteit en die kwaliteit van haar huwelik losgemaak word nie - hierdie drie staan in 'n interdinamiese verband en beteken dat die verwerking van die krisis van 'n mastektomie direk van die kwaliteit van die liefdesverhouding en die ervaring van geloof, afhang. In die verwerking van die krisis vervul die geloofsfaktor 'n deurslaggewende rol om afstand tussen die emosionele trauma van die verlies en die ervaring van identiteit te skep. Die pastoraat kan 'n belangrike funksie vervul ten opsigte van begeleiding en ondersteuning in die verwerking van die krisis van 'n mastektomie deurdat dit God se aktiewe betrokkenheid by die situasie, aan die hand van die liggaamlikheid van Jesus Christus, verkondig. As terapeut kan die eggenoot begelei word om, op die gebied van die seksuele, baie sterker op die emosionele behoeftes van die mastektomiepasiënt ingestel te wees, om haar sodoende te ondersteun en in die proses van heling mee te werk.

Breast cancer affects one in eight women in the United States. Estimated new breast cancer cases for 2012 in the U.S. are 229,060 women (American Cancer Society, 2012). For all women it is important to be informed regarding all current treatment options. For women in high-risk categories of breast cancer it is even more important. Risk-reducing strategies for women at high-risk of breast cancer include surveillance, chemoprevention, and bilateral prophylactic mastectomy. Prophylactic mastectomy reduces the risk of breast cancer by excision of most breast tissue. Breast cancer among those initially diagnosed as high-risk is 90-94.3% (Hartmann et al., 1999). This procedure entails serious surgeries with numerous physical, social, and emotional ramifications and is not without side effects. The patient has the right to be informed and base her decision-making on the suitability of the procedure for herself. This research describes six (6) woman’s experiences, focusing on the role of transformational learning and self-efficacy, as these women progressed through the stages. Prophylactic mastectomy is radical, irreversible, and costly at the onset. The procedure may preclude a whole lifetime of surgeries, radiation, and chemical treatments. If this treatment is the right fit, and has been fully researched, balanced with options, family history, genetic predisposition, personal concerns, and anxiety levels, along with physician recommendations, a woman should consider pursuing it. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

O diagnóstico de câncer de mama desencadeia mudanças no funcionamento não só da mulher assim diagnosticada, mas também em toda a sua família, afetando, inclusive, as relações afetivas e conjugais. As mulheres submetidas à mastectomia podem apresentar dificuldades durante o retorno às atividades profissionais, aos convívios social e familiar, como também no âmbito do relacionamento sexual. Há um grande impacto na autoestima. A qualidade de vida é acometida e sua avaliação é importante para a detecção dos aspectos que podem interferir no bem estar dessas mulheres. O estudo proposto teve por objetivo analisar a percepção sobre a comunicação e as emoções presentes na conjugalidade por parte de mulheres mastectomizadas bem como sobre a qualidade de vida pós-cirurgia. A pesquisa, de natureza quantitativa, estudou 50 mulheres mastectomizadas, com idades entre 30 a 55 anos, atendidas na enfermaria de um hospital de referência para o câncer de mama, da cidade do Recife. Foram utilizados como instrumentos de coleta de dados o Questionário genérico de Qualidade de Vida da European Organization for Research and Treatment of Câncer Quality of Life (EORTC) QLQ-C30 versão 3.0; o Questionário para avaliar a dinâmica conjugal, e o Questionário de Qualidade de Vida Supplementary Questionnaire Breast Câncer Module QLQ-BR23 versão 1.0. Para a análise estatística, foram utilizados os Softwares SPSS 13.0 para Windows e o Excel 2010. Os resultados foram inicialmente avaliados através de uma análise descritiva, baseada na composição de tabelas de frequência ou gráficos, além do cálculo de algumas medidas descritivas (média, desvio padrão, valores mínimo e máximo de série). Para avaliação de significância estatística para as estimativas realizadas foram utilizados os intervalos de confiança a 95% e o valor de 0,05 para a probabilidade associada aos testes (valor de p). Para verificar a existência de associação entre as variáveis categóricas foram utilizados o: Teste Qui-Quadrado e o Teste Exato de Fisher e, na comparação dos grupos, o Teste de Mann-Whitney (Não Normal). Os resultados apontam para o companheirismo entre os cônjuges, havendo diálogo constante do casal; a maior parte das mulheres era sexualmente ativa e respondeu que a atividade sexual é satisfatória. Também foi observada a presença de comprometimento da autoimagem e dor na maioria das mulheres interferindo na qualidade de vida. Diante desses resultados, considera-se relevante incentivar a prevenção e o diagnóstico precoce da doença; prover um acompanhamento de uma equipe multidisciplinar de saúde, para acolher esses casais, com o intuito de favorecer um melhor enfrentamento da doença.

Made available in DSpace on 2017-06-01T18:08:59Z (GMT). No. of bitstreams: 1 teresa_cristina_costa_vieira.pdf: 864984 bytes, checksum: 08abd28424eb88975f3bd19b5dcf1b06 (MD5) Previous issue date: 2016-01-11 / The diagnosis of breast cancer triggers changes in functioning not only of women so diagnosed, but also in your entire family, affecting even the emotional relationships and marriage. Women undergoing mastectomy may have difficulties during the return to professional activities, the social and family gatherings, as also within the sexual relationship. There is a great impact on self-esteem. The quality of life is affected and their evaluation is important for the detection of aspects that may interfere with the well-being of these women. The proposed study aimed to analyze the perception on the communication and emotions present in conjugality by women mastectomizadas as well as on the quality of life after surgery. The research of quantitative nature studied 50 mastectomizadas women, aged 30 to 55 years, served in the infirmary of a referral hospital for breast cancer, in the city of Recife. Were used as data collection instruments the Generic questionnaire of quality of life of the European Organization for Research and Treatment of Cancer Quality of Life (EORTC) QLQ-C30 version 3.0; the questionnaire to assess marital dynamics, and the Quality of life questionnaire Supplementary Questionnaire QLQ-BR23 Breast Cancer Module version 1.0. For statistical analysis, we used the software SPSS 13.0 for Windows and Excel 2010. The results were initially assessed through a descriptive analysis, based on composition of frequency tables or graphics, in addition to the calculation of some descriptive measures (average, standard deviation, minimum and maximum values of the series). To evaluate statistical significance for the assessments were used the 95% confidence intervals and the value of 0.05 for the probability associated with the tests (p value). To verify the existence of association between categorical variables were used: Chi-square and Fisher's exact test and, comparison of the groups, the Mann-Whitney Test (not Normal). The results point to the companionship between the spouses, and there is constant dialogue of the couple; most of the women were sexually active and replied that sexual activity is satisfactory. It was also observed the presence of impairment of self-image in most women and pain interfering with quality of life. On those results, it is considered relevant to encourage prevention and early diagnosis of disease; provide a follow up of a multidisciplinary team of health, to accommodate those couples, in order to encourage a better fight disease. / O diagnóstico de câncer de mama desencadeia mudanças no funcionamento não só da mulher assim diagnosticada, mas também em toda a sua família, afetando, inclusive, as relações afetivas e conjugais. As mulheres submetidas à mastectomia podem apresentar dificuldades durante o retorno às atividades profissionais, aos convívios social e familiar, como também no âmbito do relacionamento sexual. Há um grande impacto na autoestima. A qualidade de vida é acometida e sua avaliação é importante para a detecção dos aspectos que podem interferir no bem estar dessas mulheres. O estudo proposto teve por objetivo analisar a percepção sobre a comunicação e as emoções presentes na conjugalidade por parte de mulheres mastectomizadas bem como sobre a qualidade de vida pós-cirurgia. A pesquisa, de natureza quantitativa, estudou 50 mulheres mastectomizadas, com idades entre 30 a 55 anos, atendidas na enfermaria de um hospital de referência para o câncer de mama, da cidade do Recife. Foram utilizados como instrumentos de coleta de dados o Questionário genérico de Qualidade de Vida da European Organization for Research and Treatment of Câncer Quality of Life (EORTC) QLQ-C30 versão 3.0; o Questionário para avaliar a dinâmica conjugal, e o Questionário de Qualidade de Vida Supplementary Questionnaire Breast Câncer Module QLQ-BR23 versão 1.0. Para a análise estatística, foram utilizados os Softwares SPSS 13.0 para Windows e o Excel 2010. Os resultados foram inicialmente avaliados através de uma análise descritiva, baseada na composição de tabelas de frequência ou gráficos, além do cálculo de algumas medidas descritivas (média, desvio padrão, valores mínimo e máximo de série). Para avaliação de significância estatística para as estimativas realizadas foram utilizados os intervalos de confiança a 95% e o valor de 0,05 para a probabilidade associada aos testes (valor de p). Para verificar a existência de associação entre as variáveis categóricas foram utilizados o: Teste Qui-Quadrado e o Teste Exato de Fisher e, na comparação dos grupos, o Teste de Mann-Whitney (Não Normal). Os resultados apontam para o companheirismo entre os cônjuges, havendo diálogo constante do casal; a maior parte das mulheres era sexualmente ativa e respondeu que a atividade sexual é satisfatória. Também foi observada a presença de comprometimento da autoimagem e dor na maioria das mulheres interferindo na qualidade de vida. Diante desses resultados, considera-se relevante incentivar a prevenção e o diagnóstico precoce da doença; prover um acompanhamento de uma equipe multidisciplinar de saúde, para acolher esses casais, com o intuito de favorecer um melhor enfrentamento da doença.