Biographical Disruption Research Articles

Biographical accounts of the impact of fatigue in young people with sickle cell disease.

Children and young people (CYP) with sickle cell disease (SCD) are a 'missing voice' in the debate on biography and sociology of chronic illness, meaning we know little about the social consequences of the illness for CYP. This paper examines the meaning of fatigue (a common symptom) for adolescents with SCD. Analysing 24 in‐depth interviews with adolescents aged 12–17 years in Ghana, we draw on the distinction proposed by Bury (1988) between 'meanings as significance' and 'meanings as consequence' to examine biographical aspects of fatigue. We argue that concepts of 'biographical disruption' and 'normal illness' do not easily accommodate the experience of CYP with congenital chronic illnesses like SCD, as their sense of (un)disruption and normality/continuity is contextualised relative to normative expectations about what it is to be a young person. At biographical transition points, illness/symptoms present from birth may evolve, shift and become experienced as 'new', 'different', or 'non‐normal'. They may become restrictive rather than continuous or disruptive. These experiences are influenced primarily by normative biographical expectations and the pursuit of identity affirmations. We propose that biographical restriction, biographical enactment, biographical abandonment and biographical reframing are more relevant concepts for understanding the experiences of CYP living with SCD.

‘We're kind of like genetic nomads': Parents' experiences of biographical disruption and uncertainty following in/conclusive results from newborn cystic fibrosis screening

As whole genome sequencing is being considered as a tool to deliver expanded newborn screening (NBS) globally, the range of equivocal results it could produce are gaining increased attention. For cystic fibrosis (CF) screening, the use of next generation sequencing within existing UK NBS programmes would increase the number of uncertain designations returned within results, including that of Cystic Fibrosis Screen Positive Inconclusive Diagnosis (CFSPID). However, the experiences of families already living with this designation have been under-explored. This study uses in-depth interviews to explore the perspectives of sixteen parents who received positive results from CF NBS, with varying degrees of prognostic un/certainty; parents with a child diagnosed with CF (n = 6), CF carrier status (n = 3) and those with the CFSPID designation (n = 7). The biographically disruptive nature of positive NBS results-regardless of immediate relevance to the child-dominated early experiences of positive results across all groups. For those with CF, biographical reparation involved becoming ‘a CF family’, underscoring biological kinship bonds and reinforcing familial identity. For those with uncertain results, biographical re-calibration was more complex. Diagnostic and prognostic uncertainty posed a barrier to entry for both the ‘CF world’ and the ‘healthy kid’ world, leading parents to attempt to minimise its role, either through rejection, or re-interpretation of their child's result. Other parents, however, experienced biographical reparation more dynamically. The concept of ‘genetic nomadism’ captures accounts of oscillation between the two worlds; movements that were responsive to evolving health experiences, as well as social, environmental and temporal factors. Through the concept of genetic nomadism, this paper delineates both the productive, as well as divisive, nature of uncertainty for biographical reparation in the aftermath of NBS, as well as the strategies parents use to harness it, in order to successfully navigate the world with a child with an ambiguous genetic future.

Shifting Narratives of the Self – Students’ Experiences of Chronicity and Multiplicity in the Management of Chronic Illness at University

Drawing on the chronic illness scholarship and identity theories, this article aims to deepen the understanding of the biographical disruptions experienced by undergraduate students living with a long-term health condition. Data are drawn from in-depth interviews with six undergraduate (female) students attending university in England. The analysis highlights the ways chronicity and multiplicity come together to shape students’ health and social identities. The findings reveal three narratives of the Self: the ill Self, the determined Self, and the authentic Self. These distinct, yet interconnected, narratives highlight the complex shifts in the Self as students sought ways to ‘push through’ multiple (academic, health, social) pressures. Maintaining academic and social engagement met with significant challenge, ultimately shaping the emotional and social lives of these students. The article offers a novel contribution to how undergraduate students navigate multiple identities in the face of ongoing illness.

Young onset Parkinson's disease: Biographical disruption as a repetitive process.

Young Onset Parkinson's Disease (YOPD) is a complex condition which raises issues of interpretation and understanding of individuals' biographies. While interviewing seventeen people with YOPD from Greece, the issue of biographical disruption emerged. Parkinson's is a neurodegenerative disorder divided in five stages and has no permanent cure; based on this knowledge, individuals reconstruct their past and see their future. Under this perspective, unlike other chronic illnesses, in the case of Parkinson's disease interviewees have designated dimensions of disruption that are experienced due to continuous degeneration and while narrating their stories they designated disruptions even before diagnosis. In this article, biographical disruption is understood as a repetitive process and the latter is perceived as a continuous process caused by neurodegeneration; it never stops and is constructed through multiple dimensions: (a) bodily, (b) daily, (c) in stages and (d) biographical. These dimensions are interrelated and construct, both theoretically and analytically, the concept of disruption in daily life with a neurodegenerative disorder. Through the concept of repetitiveness, the complexity of living with PD is understood and also the need for deconstructing expected social roles.

Imagined futures: Occupation as a means of repair following biographical disruption in the lives of refugees

ABSTRACT The transitions associated with forced migration create extensive disruption to the daily lives of refugees. Such change affects opportunities, expectations, and identity in ways associated with the concepts of occupational and biographical disruption. Biographical disruption reflects the way an individual’s life path is changed by illness, injury, or social circumstances; and occupational disruption focuses on the impact of change on occupational aspects of the individual’s life path. This article explores the findings from a phenomenological study of the lived experiences of 10 refugees from Africa and the Middle East who had sought asylum in the United Kingdom. They were invited to share their experiences through a series of up to three conversational interviews, which were analysed using the Stevick-Colaizzi-Keen method. Findings illustrate the impact of disruption and the potential for occupation to help promote a sense of constancy and biographical repair. Participants highlighted how important occupation was to their experience of biographical disruption. They reflected on how their drive to achieve constancy across their life path encouraged their return to valued, familiar occupations, which provided a means of repair following disruption. This information offers insight into the scope of disruption faced by refugees, and how the major changes in their life path influence and are influenced by occupation. Readers are encouraged to consider how they could help to reduce feelings of disruption and enable refugees to retain a better sense of their imagined future.

Narratives of Stroke Survivors: Between Trauma and Redemption

This study’s aim was to explore how stroke survivors cope with their stroke and its consequences. While the concept of chronic illness dominates the stroke -recovery literature, for some, their stroke is part of an ongoing life story. Bury conceptualized chronic illness as a major disruptive experience, specifically for rheumatoid arthritis patients. The interviews in this article focused on how individuals reconstructed their lives post-injury/stroke. This article seeks to investigate whether stroke survivors also construct their stroke as a biographic disruption. Open-ended interviews were conducted with 33 stroke survivors. It was found that stroke survivors choose hope more than they do grief, often contrary to their physician’s evaluation. Moreover, while the story of the onset was always sad, they chose to turn their backs on the victim role and being sick, and found ways to live with it. For them, it appears that the stroke is part of an ongoing life story more than it is a “biographical disruption.” Most of them were narratives of redemption, rather than contamination. My conclusion is that stroke survivors can choose how to construct a stroke’s onset as well as its consequences.

\u201cThis is hard to cope with\u201d: the lived experience and coping strategies adopted amongst Australian women with pelvic girdle pain in pregnancy

BackgroundWomen with pregnancy-related pelvic girdle pain (PPGP) report diminished ability to perform physical activities and experience higher rates of mood disorders, such as anxiety and depression, than pregnant women without PPGP. Despite these physical and psychological impacts, little is known about the lived experiences of PPGP amongst Australian women and the ways in which they cope. Situated within biographical disruption and social support theories, this study sought to gain a conceptual understanding of the experience and impact of PPGP on daily life, and how women cope with this condition during pregnancy.MethodsA qualitative research design, situated within a phenomenological framework, using individual, semi-structured interviews consisting of open-ended questions was used with a flexible and responsive approach. Purposive sampling of pregnant women attending a single hospital included 20 participants between 14 and 38 weeks gestation, classified with PPGP as per recommended guidelines, with a mean (SD) age of 31.37 (4.16) years. Thematic analysis was performed where interview data was transcribed, coded, grouped into meaningful categories and then constructed into broad themes.ResultsThree themes were identified: 1. a transformed biography; 2. coping strategies; and 3. what women want. The pain experienced created a dramatic change in women’s lives, making the pregnancy difficult to endure. Women utilised social support, such as family, to help them cope with pain, and a self-care approach to maintain a positive mindset and reduce stress. Although a few women received support from healthcare professionals, many reported a lack information on PPGP and limited societal recognition of the condition. Women wanted early education, personalised information and prompt referral to help them cope with PPGP.ConclusionsFindings from this study highlighted the complexity of living with PPGP as women attempted to deal with the unexpected impact on daily life by seeking support from partners and families, while also struggling with societal expectations. Although women with PPGP used a number of coping strategies, they sought greater support from healthcare professionals to effectively manage PPGP. These findings have important implications for the provision of health care to women living with PPGP.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12618001423202.

A secondary qualitative analysis exploring the emotional and physical challenges of living with type 2 diabetes

Background: Many feel that their new identity as ‘someone living with diabetes’ does not fit with their biography. Some individuals may be able to re-assess life goals, adapt their identity and adjust to living with type 2 diabetes mellitus (T2DM). For others, the biographical disruption experienced with their condition may negatively affect their emotional well-being and identity. Aim: To conceptualise and explore the emotional challenges experienced living with T2DM, using biographical disruption as analytical references. Design and setting: Secondary qualitative analysis of data collected from 31 semi-structured interviews. Method: Semi-structured interviews were conducted with people with T2DM in England. Data analysis was informed by constant comparative techniques. Results: People with T2DM undergo a cognitive process when their biography suddenly becomes interrupted. Suboptimal T2DM can bring a feeling of loss of control over one’s future, and loss of independence. What used to be perceived as ‘normal’ is now perceived as something that requires regular management, negatively impacting their daily routine and ability to carry out activities that once used to be effortless. Conclusions: Living with T2DM that is socially stigmatised can lead to poor well-being and may disturb one’s life biography. Strategies must take place to bring awareness to healthcare professionals of the impact and disruption that T2DM can have on an individual’s biography, identity and diabetes management.

The Experience of Living with Deep Brain Stimulation: Patients’ Narratives of Young-Onset Parkinson’s Disease

Abstract Young-onset Parkinson’s disease is a complex neurodegenerative disorder that causes a variety of problems in patients’ lives. Although there are drug therapies, some patients proceed to deep brain stimulation surgery, which is the most effective symptomatic treatment. DBS consists of a pacemaker that sends electricity to implanted electrodes in the brain to restore a wide range of bodily, emotional, and social functions, contributing to quality of life. Apart from its medical dimension, DBS raises social scientists’ interest and opens discussion of posthumanism. Critical posthumanism sets the ground for problematizing dualisms and mitigates polarities between human and nonhuman, health and disease. This article explores how patients perceive time, health, and disease and the role of machines in their lives. Patients’ narratives imply that living with DBS causes multiple biographical disruptions. However, it is evaluated positively, as it offers patients the chance to gain control of their lives and creates a safe space in which the self can be perceived even among disruptions; embodied experiences previously interpreted as symptoms, are now perceived through an asymptomatic, but still “diseased,” way of living that recalls the human nature of a machine-directed life.

Lived Experience of Hereditary Chronic Pancreatitis - A Qualitative Interview Study.

Hereditary chronic pancreatitis is a rare condition characterized by intermittent acute episodes of pancreatitis and long-term impairment of pancreatic functions. However, the subjective perspective of individuals affected by hereditary chronic pancreatitis has been little studied. This qualitative study investigates the experience of hereditary chronic pancreatitis patients and their relatives because the awareness of the needs of those affected is an essential component of a patient-centered management of chronic conditions. Semi-structured qualitative interviews were conducted with hereditary chronic pancreatitis patients and their relatives. Data were analysed using qualitative content analysis. The concepts of 'biographical contingency,' 'biographical disruption' and the 'shifting perspectives model' served as theoretical frameworks. A total of 24 participants (17 patients, 7 relatives) were interviewed individually. Four main themes were identified: (1) The unpredictable clinical course of hereditary chronic pancreatitis; (2) hereditary chronic pancreatitis as a devastating experience; (3) hereditary chronic pancreatitis as part of a normal life; and (4) being reduced to hereditary chronic pancreatitis. The 'shifting perspectives model' of chronic illness covers the four dimensions adequately and can serve as a theoretical model to explain hereditary chronic pancreatitis patients' experience. A better understanding of the patients and their families' experience and the shifting character of hereditary chronic pancreatitis can help healthcare professionals to tailor the care to meet the needs of those affected.

What has become of the Indignados? The biographical consequences of participation in the 15M movement in Madrid (2011–19)

ABSTRACT This article examines the biographical consequences of participation in 15 M by following the trajectories, from May 2011 to November 2019, of individuals who took part in the movement in Madrid. Based on a field study combining observations and repeat interviews, this follow-up of the trajectories of forty Indignados (22 in the period 2013–15 and 18 to 2019) reveals considerable biographical impacts on both representations and individual practices in the political, personal and professional spheres. These impacts were particularly salient among those who had experienced biographical disruptions, whether in relation to political socialization or a drop in social status, and those who had mobilized in an intense and lasting way. However, 15 M had also had a profound influence on the biographies of those with an activist background and those who had been less involved in the movement. This microsociological approach gives us a better understanding of the biographical trajectories of the Indignados and provides an account of the transformations in collective action in Madrid over the past ten years. The main legacy of 15 M is therefore that it created a new generation of activists who are now involved in a multitude of activist microspheres and institutional settings.

Experiences of transitioning between settings of care from the perspectives of patients with advanced illness receiving specialist palliative care and their family caregivers: A qualitative interview study

Background: Transitions between care settings (hospice, hospital and community) can be challenging for patients and family caregivers and are often an under-researched area of health care, including palliative care. Aim: To explore the experience of transitions between care settings for those receiving specialist palliative care. Design: Qualitative study using thematic analysis. Setting/participants: Semi-structured interviews were conducted with adult patients (n = 15) and family caregivers (n = 11) receiving specialist palliative care, who had undergone at least two transitions. Results: Four themes were identified. (1) Uncertainty about the new care setting. Most participants reported that lack of information about the new setting of care, and difficulties with access and availability of care in the new setting, added to feelings of uncertainty. (2) Biographical disruption. The transition to the new setting often resulted in changes to sense of independence and identity, and maintaining normality was a way to cope with this. (3) Importance of continuity of care. Continuity of care had an impact on feelings of safety in the new setting and influenced decisions about the transition. (4) Need for emotional and practical support. Most participants expressed a greater need for emotional and practical support, when transitioning to a new setting. Conclusions: Findings provide insights into how clinicians might better negotiate transitions for these patients and family caregivers, as well as improve patient outcomes. The complexity and diversity of transition experiences, particularly among patients and families from different ethnicities and cultural backgrounds, need to be further explored in future research.

Multimorbidity and its effect on perceived burden, capacity and the ability to self-manage in a low-income rural primary care population: A qualitative study.

Multimorbidity is increasing in prevalence, especially in low-income settings. Despite this, chronic conditions are often managed in isolation, potentially leading to burden-capacity imbalance and reduced treatment adherence. We aimed to explore, in a low-income population with common comorbidities, how the specific demands of multimorbidity affect burden and capacity as defined by the Cumulative Complexity Model. Qualitative interviews with thirteen rural community health centre patients in Victoria, Australia. Participants were aged between 47-72 years and reported 3-10 chronic conditions. We asked about perceived capacity and burden in managing health. The Theory of Patient Capacity was used to analyse capacity and Normalisation Process Theory to analyse burden. All data specifically associated with the experience of multimorbidity was extracted from each burden and capacity domain. The capacity domains of biography, resource mobilisation and work realisation were important in relation to multimorbidity. Conditions causing functional impairment (e.g. chronic pain, depression) interacted with physical, psychological and financial capacity, leading to biographical disruption and an inability to realise treatment and life work. Despite this, few people had a treatment plan for these conditions. Participants reported that multimorbidity affected all burden domains. Coherence and appraisal were especially challenging due to condition interactions, with clinicians providing little guidance. The capacity and burden deficits highlighted by participants were not associated with any specific diagnosis, but were due to condition interactions, coupled with the lack of health provider support to navigate interactions. Physical, psychological and financial capacities were inseparable, but rarely addressed or understood holistically. Understanding and managing condition and treatment interactions was a key burden task for patients but was often difficult, isolating and overwhelming. This suggests that clinicians should become more aware of linkages between conditions, and include generic, synergistic or cross-disciplinary approaches, to build capacity, reduce burden and encourage integrated chronic condition management.

Knowledge generation and former carers: reflections and ways forward

While their increasing number is achieving some academic and public recognition, former carers occupy a liminal status, are often hidden, and experience a range of negative legacies related to caring. Existing research on former carers is limited in both quantity and quality, and former caring tends to be viewed as an end stage of the overall caring trajectory. A number of theories and concepts employed to enrich the wider carers field have the potential to extend understanding about the needs, situations and lived experiences of former carers and to generate new knowledge about former caring as a process and a transition. These include feminist perspectives, lifecourse analysis, the ethic of care, the emotiospatial hermeneutic, emotional labour, social liminality, hybridity, biographical disruption and social identity. The article aims to open up debate about former carers and act as a platform for taking forward developments in research.

Experiences of inpatient rehabilitation from the perspective of persons with acquired brain injury

Background Perspectives of individuals with acquired brain injury (ABI) regarding inpatient rehabilitation experiences can inform patient-centered care; however, these voices are under-represented in the literature. Purpose To explore the experiences, needs, and preferences of patients from an ABI inpatient rehabilitation program in Ontario. Methods Using an interpretive description approach, we interviewed 12 participants and analyzed the transcripts inductively to generate themes. Findings We identified three major themes: (1) Life Rerouted – participants felt their lives diverted due to ABI, with rehabilitation seen as a way to return to pre-injury life, (2) Autonomy within Rehab highlighted the perceived importance of personal autonomy in decision-making within rehabilitation, and (3) Life (and Recovery) Go On reflected an ongoing recovery process after discharge – leading to mixed emotions. An overall message, “re-establishing personal identity is important to the recovery process,” reflected theories of biographical disruption and relational autonomy. Implications Our findings provide a patient perspective for clinicians and administrators to consider. We found that ABI was significantly disruptive to personal identity – resulting in tensions in autonomy while attempting to reclaim a sense of identity. We suggest counseling services and strategies supporting post-injury adjustment, along with ways for rehabilitation professionals to enhance patient autonomy where possible. Implications for rehabilitation Sustaining an ABI can significantly disrupt personal identity and sense of autonomy – especially as persons occupy the role of “patient” while in inpatient rehabilitation. Psychological support is recommended to address the impacts of ABI on patients’ sense of identity, as well as on family members. Strategies of support might include, providing formal psychotherapy, as well as creating opportunities for patients and family members to discuss the changes they are experiencing, and to establish their personal narratives (e.g., through writing or art) or peer mentorship programs between discharged and current patients. Clinicians can enhance patient autonomy by increasing opportunities for communication with patients about choice; educating patients and family members on the rehabilitation team’s decision-making process, and other methods that increase communication and provide consistent up-to-date information to patients and their family members.

Disrupted mothering in Iranian mothers with breast cancer: a hybrid concept analysis

BackgroundDefining the disrupted mothering would contribute to developing strategies to support mothers with breast cancer. The aim of this study was to analyze the concept of mothering disruption using a hybrid model.MethodsThe Hybrid method for concept analysis was implemented consisting of three phases: theoretical, fieldwork, and final analysis. In the theoretical phase, the literature was searched using electronic databases including PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, CINAHL, Wiley, Ovid, Magiran, and SID from 2000 to 2020. Any quantitative or qualitative studies published in English or Persian, which were focused on mothering disruption in mothers with breast cancer were included in the study. In the phase of fieldwork, 20 mothers were interviewed to explore the aspects of mothering disruption. The interviews were transcribed and analyzed with conventional content analysis. In the final phase, an overall analysis of the two previous phases was performed.ResultsIn the theoretical phase, the following attributes were determined: “disturbance in maternal identity and roles”, “maternal insensitivity and unresponsiveness: disconnection physically and psychologically”, “the career disruption process” and “biographical disruption”. The fieldwork phase explored three themes including “the unbalance between multiple roles”, “role failure”, and “reduced maternal sensitivity”. The final synthesis yielded that the main integrated elements of mothering disruption are “disease as threating maternal role and identity”, “inability to interpret and respond to child behaviors and needs”, and “support for transitioning from being patient toward maternal competency”.ConclusionWith a deeper understanding of the term ‘disrupted mothering’ or ‘mothering disruption’, healthcare providers will have a foundation to improve cancer care, deliver effective communication and help such mothers cross this disruption and achieve restoration of their mothering role. Future research is needed to validate this concept and explore connections with health outcomes.

When biographical disruption meets HIV exceptionalism: Reshaping illness identities in the shadow of criminalization.

Drawing on interviews with civil society actors in the AIDS Service Organization (ASO) sector in Canada, this article explores how these actors contribute to shaping the illness identities of people living with HIV/AIDS in the shadow of efforts to criminalize exposure to HIV. While the biographically disruptive qualities associated with an HIV diagnosis have been addressed in the medical sociology literature, we turn our attention to the key role played by ASOs as interlocutors in this process. Paying specific attention to the intersection of processes of medicalization and criminalization, we ask how they are re-stigmatizing a condition that has shifted in the public consciousness from its earlier association with deviance and moral culpability. One important implication of our findings concerns the need to take greater account of how the illness identity and experience can be shaped by a 'biography of telling', of a renewed pressure to disclose intimate details of one's health status as a way to perform responsible practices of citizenship.

Structural and intersectional biographical disruption: The case of HIV disclosure among a sample of black gay and bisexual men

HIV disclosure has been considered key to prevention and privileged as a “healthy” behavior for people living with HIV. Although research has documented potential negative outcomes of disclosure, we know little about its potential of these consequences to disrupt one's biography, or the intersectional and structural inequities that shape disclosure/nondisclosure and its outcomes. Exploring HIV disclosure as a discrete, measurable event cannot account for the experience of the self in illness, and how disclosure can fundamentally shift everyday reality and social relationships. To fill this gap, I employed the framework of structural intersectionality, and the medical sociology theory of biographical disruption to explore HIV disclosure among a sample of Black gay and bisexual men living with HIV in the Deep South. Between June 2019 and June 2020, I conducted in-depth qualitative interviews with 30 Black gay and bisexual men living with HIV in the Baton Rouge, Louisiana metropolitan area. Interviews were recorded and transcribed verbatim and analyzed using a grounded theory approach. Disruptions as a result of HIV disclosure included: assaults on self; disturbance to social and familial networks; and socioeconomic impacts. Further, findings illustrate that disruptions were not discrete events, but evolved over time, and that the nature of disruption was constituted by previous traumatic disruptions, social and structural contexts, and men's social location at the intersections of race, class, sexuality, HIV-status, and geography. I highlight that consequences of HIV disclosure among a sample of Black gay and bisexual men, were shaped by their unique social location and the persistence of intersecting structural inequities. Future research should account for preceding and cumulative experiences, how intersecting inequities constitute disclosure experiences, and that disclosure is a complex process occurring in the context of ongoing social relations.

Frailty as biographical disruption

Biographical disruption positions the onset of chronic illness as a major life disruption in which changes to body, self and resources occur (Sociology of Health & Illness, 4, 1982, 167-182). The concept has been used widely in medical sociology. It has also been subject to critique and development by numerous scholars. In this paper, we build on recent developments of the concept, particularly those taking a phenomenological approach, to argue that it can also help in understanding other disruptive health-related experiences across the life course, in this case the onset of frailty. We draw on the findings of 30 situated interviews with frail older people, relating their experiences of frailty to the concept of biographical disruption. We show that frailty shares many similarities with the experience of chronic illness. Using the lens of biographical disruption to understand frailty also offers insights relevant to recent debates around both concepts, and on the continued relevance of the idea of biographical disruption given changing experiences of health and illness, including the circumstances in which biographical disruption is more and less likely to be experienced. Finally, we reflect on the potentials and limitations of applying the concept to a health-related condition that cannot be categorised as a disease.

Autobiographical Meaning Making Protects the Sense of Self-Continuity Past Forced Migration.

Forced migration changes people’s lives and their sense of self-continuity fundamentally. One memory-based mechanism to protect the sense of self-continuity and psychological well-being is autobiographical meaning making, enabling individuals to explain change in personality and life by connecting personal experiences and other distant parts of life to the self and its development. Aiming to replicate and extend prior research, the current study investigated whether autobiographical meaning making has the potential to support the sense of self-continuity in refugees. We therefore collected life narratives from 31 refugees that were coded for autobiographical reasoning, self-event connections, and global narrative coherence. In line with prior research, results suggest that autobiographical meaning making relates to a higher sense of self-continuity and less psychological distress. Yet, if refugees experienced many continuing postdisplacement stressors in addition to their forced displacement, autobiographical meaning making was associated with higher self-discontinuity and greater psychological distress, especially with trauma-related symptoms such as memory intrusion and hyperarousal. Altogether, results indicate that autobiographical meaning making helps to compensate the effects of extreme biographical disruptions on the sense of self-continuity, as long as the stress caused by the biographical change is not overwhelming or too protracted.