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“So, are you back to work yet?” Re-conceptualizing ‘work’ and ‘return to work’ in the context of primary bone cancer
Social Science & Medicine, 12/18/08

Parsons JA et al. – Findings suggest that the answer to the routine “back to work yet?” question is highly complex as pts have been ‘working’ throughout illness; this re-conceptualization of ‘work’ and ‘return to work’ in context of osteosarcoma has implications for clinical and return-to-work practices.

Methods

Study of relationship between experiences of osteosarcoma illness and of vocation using qualitative narrative methodology
In-depth audiotaped interviews with 14 osteosarcoma survivors (8 men, 6 women)
Analysis of interview transcripts for story typology and thematic content via constant comparison

Results

Respondents reported engaging in 3 types of ‘work’ precipitated by illness crisis: illness work, identity work, and vocational work
Illness work: all-consuming, forcing discontinuation of vocational work for considerable periods
Identity work: transformative process, pts become 'other' than the pre-illness identity
Identity work resulted in reentry to vocational sphere with a different sense of identity
Pts reported clinicians' expectations at surgical follow up for simple ‘yes/no’ answers to the routine “back to work yet?” question

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