Journal
QUALITATIVE HEALTH RESEARCH
Volume 21, Issue 9, Pages 1165-1181Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1049732311405686
Keywords
adolescents / youth; burn injury, burns; narrative inquiry; resilience; self
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The results of this exploratory study reflect a shift from public health studies that aim to examine the risk and prevalence of burn injury, toward eliciting survivors' subjective meaning-making processes beyond the injury event. We drew on a narrative framework to explore how young survivors' experiences of burn injury led to reconstructions of self and shifts in thinking about others and the world. Although participants' narratives revealed elements of heightened self-awareness, need for acceptance, and desire for recognition, these stood alongside counter narratives denoting positive, transformative, and resilient aspects of healing that reflected a rebirth of the self, life having purpose, and psychospiritual growth. A multidimensional and relational framework for resilience acknowledges the deficient, but also recognizes the pathways to growth, healing, meaning, and purpose. This shift toward person-centered meanings has value in informing interventions beyond the immediate wound care, toward the survivors' lifelong (re)negotiation of identity, appearance, psychological adjustment, and social reintegration.
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