Qualitative analysis of the process of restoring social esteem by the women with multiple sclerosis

Abstract

The present study has been conducted with the purpose of analyzing the process of restoring the social esteem of the women with multiple sclerosis (MS) in the Iranian society through the approach of grounded theory. To this end, a number of 10 women with MS who had referred to Sina Hospital and Iranian MS Society were selected through theoretical sampling. The data collection was conducted through semi-structured interview, on-field note taking, investigating the documents, and memoing. Based on analyzing data, six processes emerged which, according to the order of occurrence, are: (1) seeking and finding treatment, (2) change of the perceived social esteem, (3) struggle to preserve or regain possessions, (4) seeking support and sponsorship, (5) attempt to achieve a desirable consistency, and ultimately, (6) restoring social esteem. The results obtained from this study indicated that though a considerable number of the cases feel changes in their social esteem due to rejection, being abandoned by their spouses, emergence of a co-wife, feeling of burden, financial shortages, and divorce, depending on interventional and contextual conditions including belief in spirituality and supernatural, patient and society’s awareness of the nature of the disease, and the extent of social support, they have experienced varied circumstances. Ultimately, a central level titled “repeated and recurring adjustment of goals” was proposed to reflect the process of restoring the social esteem of the women with MS in Iran.