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Re-purposing my self: a grounded theory study of young adults’ experiences of living with haemorrhagic stroke.

Murphy, Michelle (2019) Re-purposing my self: a grounded theory study of young adults’ experiences of living with haemorrhagic stroke. Doctor of Psychotherapy thesis, Dublin City University.

Abstract
Stroke is typically associated with the elderly population but can occur at any age. Worldwide, the absolute numbers of stroke are on the rise, with a notable increase in strokes among young adults. Despite its prevalence, there is a paucity of research specific to the experiences of young adult haemorrhagic stroke survivors. Typically, research has focused on older adults or on the experiences of those who have suffered an ischaemic stroke. Other research does not differentiate between stroke subtypes, despite the fact that risk factors and clinical recoveries differ between ischaemic and haemorrhagic stroke. This study, therefore, aimed to gain a theoretical and a practical understanding of how haemorrhagic stroke impacts the lives of young adult stroke survivors who are living in the community. This study used a qualitative approach to address this issue and a Classic Grounded Theory methodology was adopted. Six semi-structured, one-to-one interviews were conducted with young adult haemorrhagic stroke survivors, who were recruited on a volunteer basis. Interviews focused on the experiences of the participants following their stroke. The findings from these interview accounts suggest that the sudden impact of stroke had a profound effect on young adult survivors’ sense of self and on their future life-orientation. Without exception, these young adults engaged in a dynamic, non-linear re-purposing process that spans three phases, namely:- 1) reeling from the shock, 2) living cautiously and 3) reshaping life, enabling them to fit in their world as a stroke survivor. The re-purposing process identified from the data, highlighted some key struggles that the participants experienced while living with haemorrhagic stroke. These key struggles represent areas that psychotherapists might usefully address at different stages in the recovery process. Accessible psychotherapy as part of a wider psychosocial rehabilatiation process, informed by this theoretical framework, could, potentially, assist with the re-purposing process and support the needs of young adult stroke survivors and their families at differing times during their stroke recovery. These study findings, albeit based on a relatively small sample, add new insights into our understanding of the needs and concerns of young adult haemorrhagic stroke survivors. This, combined with the theoretical framework proposed here, has implications for future psychotherapy practice, research and policy – some of which implications are identified.
Metadata
Item Type:Thesis (Doctor of Psychotherapy)
Date of Award:March 2019
Refereed:No
Supervisor(s):Gordon, Evelyn and Burke, Teresa
Uncontrolled Keywords:psychotherapy
Subjects:UNSPECIFIED
DCU Faculties and Centres:DCU Faculties and Schools > Faculty of Science and Health > School of Nursing and Human Sciences
Use License:This item is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 License. View License
ID Code:22836
Deposited On:03 Apr 2019 11:32 by Evelyn Gordon . Last Modified 10 Apr 2019 13:02
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