Marilyn Dodd

Question 1

• refers to theoretical formulations regarding
  coping with uncertainty through the cancer
  illness trajectory

Answer 1

Theory of Illness Trajectory

Question 2

• is a key concept in the Theory of Illness Trajectory

Answer 2

Managing uncertainty

Question 3

• is situated in a biographical context

Answer 3

Life

Question 4

• are rooted in the physical body and are
  formulated based on the perceived capability to
  perform usual or expected activities

Answer 4

Conceptions of self

Question 5

Key elements in the biographical context are as follows:

Answer 5

Identity
Temporality
Body

Question 6

Key elements in the biographical context are as follows:
- The conception of self at a given time that
unifies multiple aspects of self and is situated in the
body

Answer 6

Identity

Question 7

Key elements in the biographical context are as follows:
Biographical time reflected in the
continuous flow of the life course events;
perceptions of the past, present, and possible
future interwoven into the conception of self

Answer 7

Temporality

Question 8

Key elements in the biographical context are as follows:
Activities of life and derived perceptions
based in the body

Answer 8

Body

Question 9

• particularly cancer, disrupts the usual or
  everyday conception of self and is compounded
  by the perceived actions and reactions of others
  in the sociological context of life. resulting in
  states of uncertainty.

Answer 9

Illness

Question 10

Illness Trajectory: States of Uncertainty

Answer 10

• Domain
• Sources of Uncertainty
• Dimensions of Uncertainty

Question 11

Domain

Answer 11

• UNCERTAIN TEMPORALITY
• UNCERTAIN BODY
• UNCERTAIN IDENTITY

Question 12

Domain:
- Taken-for-granted expectations regarding
the flow of life events are disrupted.

Answer 12

UNCERTAIN TEMPORALITY

Question 13

Domain:
- Changes related to illness and treatment
are centered in one’s ability to perform
usual activities involving appearance,
physiological functions, and response to
treatment.

Answer 13

UNCERTAIN BODY

Question 14

Domain:
- Interpretation of self is distorted as the
body fails to perform in usual ways, and
expectations related to the flow of events
(temporality) are altered by disease and
treatment

Answer 14

UNCERTAIN IDENTITY

Question 15

Sources of Uncertainty:

• The self of the past is viewed differently.
  Expectations of the present self are distorted by
  illness and treatment. Anticipation of the future
  self is altered.

Answer 15

Dimensions of Uncertainty:

• Duration: How long
• Pace: How fast
• Frequency: How often the experience (stretched
  out, constrained, or limitless)

Question 16

Sources of Uncertainty:

• Faith in the body is shaken (body failure). The
  conception of the former body (the way it used
  to be) co-mingles with the altered state of the
  body at present and the changed expectations
  for how the body may perform in the future.

Answer 16

Dimensions of Uncertainty:

*What is being done to the body
*Jeopardized body resistance
*Efficacy and risks of treatment
*Disease recurrence

Question 17

Sources of Uncertainty:

• Body failure and difficulty reading the new body
  upset the former conception of self

Answer 17

• -Expected life course is shattered.
• -Evidence gleaned from reading the body is not
  interpretable within the usual frame of
  understanding. Hope is sustained despite
  changing circumstances

Question 18

Types of work are organized around the following four
lines of trajectory work performed by patients and
families:

Answer 18

1. Illness-related work
2. Everyday-life work
3. Biographical work
4. Uncertainty abatement work

Question 19

Types of work are organized around the following four
lines of trajectory work performed by patients and
families:

• Diagnostics, symptom
  management, care regimen, and crisis prevention

Answer 19

Illness-related work

Question 20

Types of work are organized around the following four
lines of trajectory work performed by patients and
families:

• Activities of daily living, keeping a
  household, maintaining an occupation, sustaining
  relationships, and recreation

Answer 20

Everyday-life work

Question 21

Types of work are organized around the following four
lines of trajectory work performed by patients and
families:

The exchange of information,
emotional expressions, and the division of tasks through
interactions within the total organization

Answer 21

Biographical work

Question 22

Types of work are organized around the following four
lines of trajectory work performed by patients and
families:

Activities enacted to
lessen the impact of temporal, body, and identity
uncertainty

Answer 22

Uncertainty abatement work

Question 23

• activities to lessen the effect of the varied states
  of uncertainty induced by undergoing cancer
  chemotherapy.

Answer 23

Uncertainty Abatement Work

Question 24

• resting or changing usual activities

Answer 24

Pacing

Question 25

• Using terminology related to illness and
  treatment

Answer 25

Becoming “professional” patients

Question 26

• Comparing self with persons who are in worse
  condition

Answer 26

Seeking reinforcing comparisons

Question 27

• Looking back to reinterpret symptoms and
  interactions with others in the organization

Answer 27

Engaging in reviews

Question 28

• Looking toward the future to achieve desired
  activities

Answer 28

Setting goals

Question 29

• Masking signs of illness or related emotions

Answer 29

Covering up

Question 30

• Establishing a place where, or people with whom,
  true emotions and feelings could be expressed in
  a supportive atmosphere

Answer 30

Finding a safe place to let down

Question 31

• Selective sharing with individuals deemed to be
  positive supporters

Answer 31

Choosing a supportive network

Question 32

• Asserting the right to determine the course of
  treatment

Answer 32

Taking charge