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Identity and Adherence in a Diabetes Patient: Transformations in Psychotherapy

Tilden, Barbara and Charman, Denise and Sharples, Jenny and Fosbury, Jackie (2005) Identity and Adherence in a Diabetes Patient: Transformations in Psychotherapy. Qualitative Health Research, 15 (3). pp. 312-324. ISSN 1049-7323

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Abstract

The authors present a case study of a 26-year-old woman who developed diabetes in early adolescence and who attended seven CAT sessions. They used phenomenology to analyze therapy transcripts, case notes, and a reflexive journal and extract the major themes. The client's identity had been overshadowed by the development of a 'diabetic identity' that the client rejected. Poor adherence was linked to the rejection. Motivation to manage her diabetes changed during the CAT sessions once her identity was confirmed as being separate from her diabetes. The client was then able to integrate diabetes into her life. Psychological and psychosocial factors are linked in complex ways, both in the personal development of adolescents with diabetes and their transition to adulthood. Understanding the impact of diabetes on identity can enhance the effectiveness of therapeutic interventions with nonadhering clients.

Item Type: Article
Uncontrolled Keywords: diabetes, psychotherapy, identity, type 1, qualitative methods, phenomenology
Subjects: RFCD Classification > 380000 Behavioural and Cognitive Sciences
Faculty/School/Research Centre/Department > School of Social Sciences and Psychology
Depositing User: Mr Angeera Sidaya
Date Deposited: 01 Sep 2006
Last Modified: 23 May 2013 16:38
URI: http://vuir.vu.edu.au/id/eprint/470
DOI: 10.1177/1049732304272965
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Citations in Scopus: 19 - View on Scopus

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