Biographical dialectics: The ongoing and creative problem solving required to negotiate the biographical disruption of chronic illness

Victoria Cluley, James O Burton, Niamh Quann, Katherine L Hull, Helen Eborall

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Here we propose the term 'biographical dialectics' as a sister term to 'biographical disruption' to capture the ongoing problem solving that characterises the lives of many people living with life limiting chronic illnesses. The paper is based on the experiences of 35 adults with end-stage kidney disease (ESKD) in receipt of haemodialysis. Photovoice and semi-structured interviews showed that ESKD and the use of haemodialysis was widely agreed to be biographically disruptive. In talking about and showing disruption through photographs the participants' ongoing problem solving was universal across their diverse experiences. 'Biographical disruption' and Hegalian dialectical logic, are drawn on to make sense of these actions and to further understand the personal and disruptive experience of chronic illness. Based on this, 'biographical dialectics' captures the work that is required to account for and manage the enduring and biographical impact of chronic illness that follows the initial disruption of diagnosis and continues as life progresses.

Original languageEnglish
Article number115900
Pages (from-to)115900
JournalSocial Science & Medicine
Volume325
Early online date11 Apr 2023
DOIs
Publication statusPublished - 1 May 2023

Keywords / Materials (for Non-textual outputs)

  • Adult
  • Humans
  • Chronic Disease

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