Developing the concept of self-reformulation

Abstract

In this article, we argue that the processes that transform the self differ in people who are dying (i.e. self-transcendence), and people who are "facing death" and subsequently recover (i.e. self-reformulation). In this study, we explicate the latter concept. Eighteen participants who were long term survivors, chronically ill or caregivers who had lost a significant other at least six months previously, were interviewed about the course of the illness and in particular about their emergence from suffering. The attributes of self-reformulation identified were an ability to reorder priorities (including maximizing the present, a disregard for material things, an appreciation for one's own abilities and exit from unsatisfying relationships); a need for reciprocity; and a valuing of the experience of suffering. Self-reformulation is considered the goal of rehabilitation and the ultimate state of health. Suggestions for further research are discussed. Key words: Self-transcendent, self-reformulated, concept development, qualitative inquiry