Understanding Perspective Transformation among Recently Diagnosed Cancer Patients in Western India

Abstract

Accumulating evidence indicates that some patients perceive positive life changes in the aftermath of serious illness. Construed as perspective transformation or posttraumatic growth, these health outcomes have received increasing attention from investigators. However, little is known about these outcomes in cultural settings outside of Western developed societies or the basic processes that contribute to positive changes. The current study examined communicative dimensions and cultural representations of perspective transformation among cancer patients receiving active treatment in Western India. Specific dimensions of perspective transformation, processes of change, and associated features were explored using narrative data. Individuals high in perspective transformation described changes in life review, life satisfaction, forgiveness, spirituality, and altruism. Among the factors associated with perceived growth was purposeful reflection and efforts to make sense of illness, to find benefits, and to use social support. Results provide an initial picture of perspective transformation among Indian cancer patients and point the way toward further research.