Cancer and stigma: experience of patients with chemotherapy-induced alopecia

Patient Educ Couns. 204 Mar;52(3):333-9.
Type:
Commentary
PMID:
14998604
DOI:
10.1016/S0738-3991(03)00040-5
Authors:

Sophia Rosman1

Author Affiliations:

1INSERM U 537-CREGAS, 80, Rue du Général Leclerc, 94276 Le Kremlin Bicêtre Cedex, France.

Abstract
Purpose

Chemotherapy-induced alopecia is one of the most distressing side-effects of chemotherapy. In this article we examine how patients react to hair loss due to chemotherapy; for women in particular, the reaction involves a confrontation with the lethal nature of cancer, whilst for men it is a normal and inevitable consequence of treatment. We then analyse the strategies used to cope with alopecia. One strategy involves camouflaging and hiding; the patients wear wigs in an attempt to partially or completely hide their hair loss. Another strategy is to treat it as commonplace: wearing a wig is played down and banalised. Sometimes this can take the form of provocation, in which case baldness is seen as the symbol of the cancer patient's new identity

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