title: Self-investigation to explore the impact of juvenile arthritis on adolescent life: a case-study.
abstract: OBJECTIVE
  To gain insight into the personal experience and feelings of an adolescent with a chronic disease.
  
  
  METHODS
  We report on the application of the self-confrontation method (SCM), illustrated by a case-example of an adolescent with juvenile idiopathic arthritis.
  
  
  RESULTS
  Although taken at face value she was not impeded by the arthritis, through self-assessment with the SCM this adolescent acknowledged and addressed the emotional struggle to keep the arthritis secret and to constantly test the physical limits of her body. After the process of self-reflection, the adolescent showed a better integration of her arthritis experiences into her life story.
  
  
  CONCLUSIONS
  With the SCM the adolescent could explore her own functioning and well-being on a manifest, as well as on an emotional and motivational level.
  
  
  CONCLUSIONS
  In future research, by studying the self-investigations of a group of adolescents with chronic diseases, common risk factors for the development of a stable identity during adolescence might be identified. In clinical care, the SCM promotes self-knowledge, allowing for an intrinsic motivation to deal with the emotional impact of the disease.
authors.affiliation: Department of Pediatric Psychology, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands. C.E.Fuchs@umcutrecht.nl
authors.forename: Coralie E
authors.initials: CE
authors.lastname: Fuchs
authors.forename: Gerben
authors.initials: G
authors.lastname: Sinnema
authors.forename: Stefan M
authors.initials: SM
authors.lastname: van Geelen
authors.forename: Hubert J M
authors.initials: HJ
authors.lastname: Hermans
authors.forename: Wietse
authors.initials: W
authors.lastname: Kuis
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D001171:Arthritis, Juvenile / Q000517:prevention & control / Q000523:psychology*; D001294:Attitude to Health; D017281:Cost of Illness; D004644:Emotions; D005260:Female; D005610:Freedom; D006240:Happiness; D006801:Humans; D007398:Interpersonal Relations; D009042:Motivation; D033262:Narration; D010549:Personal Satisfaction; D000297:Psychology, Adolescent; D011788:Quality of Life / Q000523:psychology; D012649:Self Concept; D012647:Self-Assessment; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D035502:Trust