title: Disruption foreclosed: older women's cancer narratives.
abstract: A challenge has emerged to Bury's (1982) conceptualization of chronic illness as biographical disruption. The idea that certain life circumstances--notably older age or the presence of significant health and social problems--render the experience of chronic illness biographically 'continuous' or 'reinforcing' has gained currency in the social study of chronic illness. This article draws from a qualitative study with women diagnosed with cancer in their 70s or 80s. Respondents' narratives suggest that a long life, especially a life characterized by struggle, does provide a context for the assessment of cancer as non-disruptive. However, the study offers evidence that a long life characterized by sufficiency may also be associated with an assessment of cancer as non-disruptive, and that older age and hardship sometimes render chronic illness especially problematic.Centrally, the article examines respondents' oft-cited commitment to avoid ;dwelling' on illness, highlighting how broad cultural and moral discourses, patterns of social interaction and structures of power combine to foreclose older women's accounts of disruption.
authors.affiliation: McMaster University,, Hamilton, Ontario, Canada. sinding@mcmaster.ca
authors.forename: Chris
authors.initials: C
authors.lastname: Sinding
authors.forename: Jennifer
authors.initials: J
authors.lastname: Wiernikowski
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy; D005260:Female; D005833:Genital Neoplasms, Female / Q000523:psychology* / Q000628:therapy; D005853:Geriatrics; D006801:Humans; D007407:Interviews as Topic; D009864:Ontario; D012923:Social Class