title: Coming to terms with advanced breast cancer: black women's narratives from eastern North Carolina.
abstract: This paper analyzes in-depth interviews with 26 black women who entered the medical system in rural North Carolina with advanced breast disease. In these narratives, women draw on multiple sources of knowledge in order to come to terms with the diagnosis of breast cancer--a biomedically-defined disease that they often refuse to acknowledge or accept. The analysis demonstrates how women relate the meaning of their individual episodes of illness to one or more of the following sources of knowledge: an indigenous model of health emphasizing balance in the blood, popular American notions about cancer, and particular biomedical conceptions about breast disease and its treatment. These narratives provide an important window into the processes involved when individuals attempt to adapt personal experience to pre-existing cultural models, modify such models in the light of new information, and confront conflicts in their own interpretations of the meaning of a single episode of illness.
authors.affiliation: Department of Sociology and Anthropology, East Carolina University, Greenville 27858.
authors.forename: H F
authors.initials: HF
authors.lastname: Mathews
authors.forename: D R
authors.initials: DR
authors.lastname: Lannin
authors.forename: J P
authors.initials: JP
authors.lastname: Mitchell
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D000368:Aged; D000369:Aged, 80 and over; D000739:Anecdotes as Topic; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000208:ethnology / Q000523:psychology*; D003469:Culture; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009657:North Carolina; D010342:Patient Acceptance of Health Care; D012424:Rural Population