{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:21:49Z","timestamp":1791220909963,"version":"4.1.0"},"reference-count":86,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2010,12,24]],"date-time":"2010-12-24T00:00:00Z","timestamp":1293148800000},"content-version":"vor","delay-in-days":114,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2010,9]]},"abstract":"<jats:p>\n                    <jats:bold>Objectives.<\/jats:bold>\n                    This qualitative study aims at understanding the consequences of body deconstruction through mastectomy on corporality and identity in women with breast cancer.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design.<\/jats:bold>\n                    Nineteen women were contacted through the hospital. All had to undergo mastectomy. Some were offered immediate breast reconstruction, others, because of cancer treatments, had no planned reconstruction. A qualitative reflexive methodological background was chosen.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method.<\/jats:bold>\n                    Women were invited to participate in three semi\u2010structured interviews, one shortly before or after mastectomy, and the other interviews later in their illness courses, after surgery. All interviews were transcribed verbatim. Thematic analysis was performed. The analysis of the first interview of each woman is presented in this article.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results.<\/jats:bold>\n                    Mastectomy provokes a painful experience of body deconstruction. Even when immediate reconstruction is proposed, contrasted feelings and dissonance are expressed when comparing the former healthy body to the present challenged body entity. Body transformations are accompanied with experiences of mutilation, strangeness, and modify the physical, emotional social, symbolic and relational dimensions of the woman's gendered identity. Although the opportunity of breast reconstruction is seen as a possible recovery of a lost physical symmetry and body integrity, grieving the past body and integrating a new corporality leads to a painful identity crisis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion.<\/jats:bold>\n                    With mastectomy, the roots of the woman's identity are challenged, leading to a re\u2010evaluation of her existential values. The consequences of mastectomy transform the woman's corporality and embodiment, and question her identity. Psychological support is discussed in the perspective of our results.\n                  <\/jats:p>","DOI":"10.1348\/135910709x472174","type":"journal-article","created":{"date-parts":[[2009,10,19]],"date-time":"2009-10-19T03:21:17Z","timestamp":1255922477000},"page":"479-510","source":"Crossref","is-referenced-by-count":90,"title":["Mastectomy, body deconstruction, and impact on identity: A qualitative study"],"prefix":"10.1111","volume":"15","author":[{"given":"C.","family":"Piot\u2010Ziegler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.\u2010L.","family":"Sassi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W.","family":"Raffoul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010F.","family":"Delaloye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,12,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.09.6958"},{"key":"e_1_2_6_3_1","volume-title":"The active self in psychotherapy: An integration of therapeutic styles","author":"Andrews J.","year":"1991"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1084"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20010901)92:5<1288::AID-CNCR1450>3.0.CO;2-E"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.750"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7278.76"},{"key":"e_1_2_6_8_1","volume-title":"Introduction \u00e0 l'analyse existentielle [Introduction to existential analysis]","author":"Binswanger L.","year":"1971"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_10_1","first-page":"263","volume-title":"Handbook of qualitative methods in psychology","author":"Brinkmann S.","year":"2008"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1007\/978-0-230-21630-3_8","volume-title":"Critical health psychology","author":"Chamberlain K.","year":"2004"},{"key":"e_1_2_6_12_1","first-page":"361","volume-title":"The body","author":"Chanter T.","year":"1999"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781446279878"},{"key":"e_1_2_6_14_1","first-page":"48","volume-title":"Existential\u2013phenomenological alternatives for psychology","author":"Colaizzi P.F.","year":"1978"},{"key":"e_1_2_6_15_1","first-page":"157","volume-title":"Exploring existential meaning","author":"Coward D.","year":"2000"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0898010105277649"},{"key":"e_1_2_6_17_1","volume-title":"Embodiment and experience: The existential ground of culture and self","author":"Csordas T.J.","year":"1994"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.656"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2005.01.628"},{"issue":"38","key":"e_1_2_6_20_1","first-page":"305","article-title":"M\u00e9thode exp\u00e9rimentale\u2010 m\u00e9thode clinique [Experimental methods \u2013 clinical methods]","volume":"14","author":"Droz R.","year":"1976","journal-title":"Revue europ\u00e9enne des sciences sociales, Cahiers Vilfredo Pareto"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/0887044031000080656"},{"key":"e_1_2_6_22_1","volume-title":"Reproductive decision making in young women breast cancer survivors","author":"Everson C.L.","year":"2009"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470776094"},{"key":"e_1_2_6_24_1","volume":"2","author":"Fisher S.","year":"1986","journal-title":"Development and structure of the body image"},{"key":"e_1_2_6_25_1","volume-title":"L'inqui\u00e9tante \u00e9tranget\u00e9 et autres textes [Das Unheimliche und andere Texte]","author":"Freud S.","year":"2001"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105306058851"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.736"},{"key":"e_1_2_6_28_1","volume-title":"Les seins aux fleurs rouges [The breasts with red flowers]","author":"Gros D.","year":"1994"},{"key":"e_1_2_6_29_1","doi-asserted-by":"crossref","DOI":"10.2979\/3270.0","volume-title":"Volatile bodies. Toward a corporeal feminism","author":"Grosz E.","year":"1994"},{"key":"e_1_2_6_30_1","doi-asserted-by":"crossref","first-page":"87","DOI":"10.3917\/edt.pelic.1995.01.0087","volume-title":"Psychologie, cancers et soci\u00e9t\u00e9 [Psychology, cancer and society]","author":"Guenot J.\u2010F","year":"1995"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1173"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.01865.x"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.711"},{"key":"e_1_2_6_34_1","volume-title":"Being and Time","author":"Heidegger M.","year":"1962"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-006-0170-2"},{"issue":"4","key":"e_1_2_6_36_1","first-page":"441","article-title":"Immediate breast reconstruction and psychological adjustment in women who have undergone surgery for breast cancer: A preliminary study","volume":"8","author":"Holly P.","year":"2003","journal-title":"Psychology and Health"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985437.n4"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1053\/ejso.1999.0897"},{"key":"e_1_2_6_39_1","volume-title":"The divided self: An existential study in sanity and madness","author":"Laing R.D.","year":"1960"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2002.00059.x"},{"key":"e_1_2_6_41_1","first-page":"63","volume-title":"Le sein [The breast]","author":"Breton D.","year":"1996"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844777"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.549"},{"key":"e_1_2_6_44_1","volume-title":"Embodiment: Clinical, critical and cultural perspectives on health and illness","author":"MacLachlan M.","year":"2004"},{"key":"e_1_2_6_45_1","volume-title":"Les techniques du corps [Techniques of the body]","author":"Mauss M.","year":"1950"},{"key":"e_1_2_6_46_1","volume-title":"The meaning of anxiety. Reissue 1977","author":"May R.","year":"1970"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1037\/11321-000"},{"key":"e_1_2_6_48_1","volume-title":"Love and will","author":"May R.","year":"1969"},{"key":"e_1_2_6_49_1","volume-title":"Freedom and destiny","author":"May R.","year":"1981"},{"key":"e_1_2_6_50_1","volume-title":"The discovery of being","author":"May R.","year":"1983"},{"key":"e_1_2_6_51_1","volume-title":"Les temps du cancer [The times of cancer]","author":"M\u00e9noret M.","year":"1999"},{"key":"e_1_2_6_52_1","volume-title":"The self: Exploration in personal growth","author":"Moustakas C.E.","year":"1956"},{"issue":"3","key":"e_1_2_6_53_1","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1037\/0278-6133.16.3.284","article-title":"Psychosocial outcomes of breast\u2010conserving surgery versus mastectomy: A meta\u2010analytic review","volume":"16","author":"Moyer A.","year":"1997","journal-title":"Health Psychology"},{"key":"e_1_2_6_54_1","first-page":"341","volume-title":"The body","author":"Oliver K.","year":"1999"},{"key":"e_1_2_6_55_1","doi-asserted-by":"crossref","DOI":"10.56021\/9780801869365","volume-title":"Bathsheba's breast","author":"Olson J.S.","year":"2002"},{"key":"e_1_2_6_56_1","volume-title":"Etudes de psychologie m\u00e9dicale. Vol. II: Geste et action. [Studies in medical psychology. Vol. II: Gesture and action]","author":"Omberdane A.","year":"1944"},{"key":"e_1_2_6_57_1","doi-asserted-by":"publisher","DOI":"10.2325\/jbcs.14.66"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyl065"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1080\/0887044021000020941"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.3917\/cpc.028.0133"},{"key":"e_1_2_6_61_1","first-page":"548","volume-title":"Organ Transplantation: Ethical, legal and psychological aspects","author":"Piot\u2010Ziegler C.","year":"2008"},{"key":"e_1_2_6_62_1","volume-title":"Exploring existential meaning","author":"Reker G.","year":"2000"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmh.2004.000212"},{"key":"e_1_2_6_64_1","first-page":"3","article-title":"Analyse de l'activit\u00e9 du psychologue en milieu m\u00e9dical: un nouveau pharmakon? [Analysis of the activity of the psychologist in a medical context: A new pharmakon?]","volume":"3","author":"Santiago\u2010Delefosse M.","year":"2002","journal-title":"Pratiques Psychologiques"},{"key":"e_1_2_6_65_1","volume-title":"Psychologie de la sant\u00e9: perspectives qualitatives et cliniques [Health psychology: Qualitative and clinical perspectives]","author":"Santiago\u2010Delefosse M.","year":"2002"},{"key":"e_1_2_6_66_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3406\/bupsy.2004.15295","article-title":"Activit\u00e9 et \u00e9motions. Perspective d\u00e9veloppementale des \u00e9motions comme instruments psychologiques [Activity and emotions. Developmental perspective of emotions as psychological instruments]","volume":"469","author":"Santiago\u2010Delefosse M.","year":"2004","journal-title":"Bulletin de Psychologie"},{"key":"e_1_2_6_67_1","first-page":"69","volume-title":"Eloge de l'alt\u00e9rit\u00e9. D\u00e9fis de soci\u00e9t\u00e9: 12 regards sur la sant\u00e9, la famille et le travail [Praise of otherness. Societal challenges: 12 perspectives on health, family and work]","author":"Sassi M.\u2010L","year":"2005"},{"key":"e_1_2_6_68_1","volume-title":"The image and appearance of the human body","author":"Schilder P.","year":"1950"},{"key":"e_1_2_6_69_1","volume-title":"The interpreted world: An introduction to phenomenological psychology","author":"Spinelli E.","year":"2005"},{"key":"e_1_2_6_70_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.616"},{"key":"e_1_2_6_71_1","volume-title":"Practising reflexivity and health and welfare","author":"Taylor C.","year":"2001"},{"key":"e_1_2_6_72_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2005.00268.x"},{"key":"e_1_2_6_73_1","volume-title":"The courage to be","author":"Tillich P.","year":"1952"},{"key":"e_1_2_6_74_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-011-2630-4"},{"key":"e_1_2_6_75_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-230-21624-2"},{"key":"e_1_2_6_76_1","volume-title":"Dictionary of existential psychotherapy and counselling","author":"Deurzen E.","year":"2005"},{"issue":"1","key":"e_1_2_6_77_1","first-page":"56","article-title":"The survival of the self","volume":"7","author":"Deurzen\u2010Smith E.","year":"1996","journal-title":"Journal of the Society of Existential Analysis"},{"key":"e_1_2_6_78_1","volume-title":"Everyday mysteries: Existential dimensions of psychotherapy","author":"Deurzen\u2010Smith E.","year":"1997"},{"key":"e_1_2_6_79_1","doi-asserted-by":"publisher","DOI":"10.1177\/104973239800800102"},{"key":"e_1_2_6_80_1","first-page":"76","article-title":"Der K\u00f6rper als Problem des psychosomatischen Medizin [The body as a problem for psychosomatic medicine]","volume":"15","author":"Uexk\u00fcll T.","year":"1961","journal-title":"Psyche"},{"key":"e_1_2_6_81_1","first-page":"95","article-title":"Der K\u00f6rperbegriff als Problem der Psychoanalyse und der somatischen Medizin [The concept of the body as a problem for psychoanalysis and somatic medicine]","volume":"30","author":"Uexk\u00fcll T.","year":"1985","journal-title":"Praxis der Psychotherapie und Psychosomatik"},{"key":"e_1_2_6_82_1","volume-title":"Le cycle de la structure [The cycle of the structure]","author":"Weizsaecker V.","year":"1958"},{"key":"e_1_2_6_83_1","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1515\/9781474471770-039","volume-title":"Feminist theory and the body: A reader","author":"Wendel S.","year":"1999"},{"key":"e_1_2_6_84_1","volume-title":"The maturational processes and the facilitating environment","author":"Winnicott D.W.","year":"1965"},{"key":"e_1_2_6_85_1","volume-title":"The therapeutical use of self: Counselling practice, research and supervision","author":"Wosket V.","year":"1999"},{"key":"e_1_2_6_86_1","volume-title":"Existential psychotherapy","author":"Yalom I.","year":"1980"},{"key":"e_1_2_6_87_1","volume-title":"A history of the breast","author":"Yalom M.","year":"1997"}],"container-title":["British Journal of Health Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1348%2F135910709X472174","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1348\/135910709X472174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T11:07:45Z","timestamp":1761736065000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1348\/135910709X472174"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":86,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["10.1348\/135910709X472174"],"URL":"https:\/\/doi.org\/10.1348\/135910709x472174","archive":["Portico"],"relation":{},"ISSN":["1359-107X","2044-8287"],"issn-type":[{"value":"1359-107X","type":"print"},{"value":"2044-8287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,9]]}}}