Positive meaning in amputation and thoughts about the amputated limb

The majority of research conducted on the aftermath of amputation understandably concerns itself with its most distressing aspects. This research aimed to explore whether and how people think about their amputated limb, and whether and if they considered anything good had emerged from their amputation. One hundred and four (104) people completed the Trinity Amputation and Prosthesis Experience Scales (TAPES) and two openended questions. The majority of participants were young and had traumatic amputations. Fiftysix percent (56%) of people thought about their amputated limb. People with bilateral or a transfemoral amputation were more likely to think about their amputated limb than people with a transtibial amputation. Fortyeight percent (48%) considered that something good had happened as a result of the amputation. Furthermore, finding positive meaning was significantly associated with more favourable physical capabilities and health ratings, lower levels of Athletic Activity Restriction and higher levels of Adjustment to Limitation. Future research and clinical implications are discussed.

[1]  M Maclachlan,et al.  Adjustment to an Artificial Limb: A Qualitative Perspective , 2001, Journal of health psychology.

[2]  Malcolm MacLachlan,et al.  Development and psychometric evaluation of the Trinity Amputation and Prosthesis Experience Scales (TAPES). , 2000 .

[3]  H. Livneh,et al.  Psychosocial adaptation to amputation: the role of sociodemographic variables, disability-related factors and coping strategies. , 1999, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[4]  R. Hanspal,et al.  Body image and patients with amputations: does the prosthesis maintain the balance? , 1998, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[5]  E. Lindeman,et al.  Daily functioning of the lower extremity amputee: an overview of the literature , 1997, Clinical rehabilitation.

[6]  C. Knussen,et al.  Rehabilitation outcome in long term amputees , 1995 .

[7]  A. Jain,et al.  Dundee revisited — 25 years of a total amputee service , 1993, Prosthetics and orthotics international.

[8]  P. Renström,et al.  Function after through-knee compared with below-knee and above-knee amputation , 1992, Prosthetics and orthotics international.

[9]  R. Schulz,et al.  Social discomfort and depression in a sample of adults with leg amputations. , 1992, Archives of physical medicine and rehabilitation.

[10]  S. E. Taylor,et al.  Social comparison activity under threat: downward evaluation and upward contacts. , 1989, Psychological review.

[11]  S. Lippmann,et al.  Psychiatric consultation for acute amputees. Report of a ten-year experience. , 1987 .

[12]  V. Kristiansen,et al.  Function after lower limb amputation. , 1986, Acta orthopaedica Scandinavica.

[13]  D. Gupta,et al.  A Psychiatric Study of Amputees , 1982, British Journal of Psychiatry.

[14]  C. M. Parkes,et al.  Psycho-social Transitions: Comparison between Reactions to Loss of a Limb and Loss of a Spouse , 1975, British Journal of Psychiatry.

[15]  C. M. Parkes,et al.  Components of the reaction to loss of a lamb, spouse or home. , 1972, Journal of psychosomatic research.

[16]  L. Festinger A Theory of Social Comparison Processes , 1954 .

[17]  M. Maclachlan,et al.  Psychological adjustment and coping in adults with prosthetic limbs. , 1999, Behavioral medicine.

[18]  R Kent,et al.  Effectiveness of rehabilitation following amputation. , 1999, Clinical rehabilitation.

[19]  Dana S. Dunn,et al.  Well-being following amputation: Salutary effects of positive meaning, optimism, and control. , 1996 .

[20]  B. Rybarczyk,et al.  Body image, perceived social stigma, and the prediction of psychosocial adjustment to leg amputation. , 1995 .

[21]  M I Khan,et al.  Phantom pain. , 1993, Orthopedics.

[22]  H. Alaranta,et al.  Predictive factors of functional ability after lower-limb amputation. , 1991, Annales chirurgiae et gynaecologiae.

[23]  Beatrice A. Wright,et al.  Physical disability - a psychosocial approach, 2nd ed. , 1983 .

[24]  M. Rosenberg,et al.  Social Psychology of the Self Concept , 1982 .

[25]  Frieda Brim Wallin,et al.  The predictive factors. , 1941 .