'I used to dream of lupus as some sort of creature': Chronic illness as an internal object

Am J Orthopsychiatry. 2008 Oct;78(4):466-72. doi: 10.1037/a0014392.

Abstract

This study examines the place occupied by chronic illness in the inner lives of 15 women suffering from Systemic Lupus Erythematosus (SLE). A phenomenological analysis of illness narratives demonstrates that sufferers construe their illness as a protagonist or, using an object-relations informed perspective, as an internal object. That is, with time sufferers constituted a mental representation of SLE that in itself has the power to influence the sufferers' affective states and behaviors. An insight into these "illness relations" is conducive to a better understanding of the "lived experience" of SLE for disabled, economically disadvantaged women. Through their experience, the study of risk and resilience in chronic illness may be advanced.

MeSH terms

  • Adaptation, Psychological
  • Chronic Disease*
  • Female
  • Humans
  • Lupus Erythematosus, Systemic / psychology*
  • Male
  • Middle Aged
  • Narration
  • Object Attachment*