“My body is a cage”: A qualitative investigation into the self-discrepancy experiences of young women with metastatic cancer

Abstract

ObjectivesThe current study investigated self-discrepancy experiences of young women with metastatic cancer.MethodsSemistructured interviews were conducted. Data were analyzed through interpretative phenomenological analysis.FindingsEight female patients with metastatic cancer aged between 27 and 38 years formed the sample. Three superordinate themes emerged: (1) compulsory changes in self-concept with ambivalent evaluations; (2) new ideals not on the agenda of a healthy young woman; and (3) so-called ‘minimalist’ expectations from others.DiscussionFindings indicated that diagnosis and treatment of metastatic cancer impose unique developmental challenges for young adult women. Advanced cancer disrupted the tasks and responsibilities of young adulthood, resulting in frustration, grief, isolation, and overcompensation. These findings suggest that a developmental perspective is crucial when working with self-discrepancy experiences of young women with metastatic cancer.