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Breast Cancer: Daughters Tell Their Stories. Julianne S.
Oktay. Binghamton, NY: Haworth Press, 2005, 446 pages.
ISBN: 0-7890-1451-3 $59.95 hardback; ISBN: 0-7890-
1452-1 $34.95 paperback. Despite the progress made in the diagnosis and treatment of breast cancer, the impact of this life-transforming disease is likely to continue among approximately 8.9 million cancer survivors. This number does not account for the millions of daughters who survive their mother's illness (or death) and are at risk. They are at risk for parent loss; they are at risk for developing the disease; they are at risk because few services are available to help them through the phases of the illness and the impact it may have on their own development; and they are at risk because few researchers have focused on their experiences, and they may remain invisible to health professionals. The intention of this book is to give voice to the experiences of these women. Oktay describes in great detail her qualitative study of breast cancer "survivors," the daughters of younger mothers diagnosed with breast cancer. These are the daughters, Oktay tells us, who will be most adversely affected and for whom there are few resources and services. The focus on daughters of women diagnosed with breast cancer legitimizes and validates the arena of mixed emotions and behaviors experienced by daughters who may otherwise feel isolated and alone in their experiences. We are given the opportunity to bear witness to the lives of daughters younger than age 10, in early adolescence, in late adolescence, and in young adulthood. This developmental perspective enables practitioners to anticipate the issues daughters and mothers have at particular life cycle stages. Including daughters' responses at particular phases of illness provides another level of complexity to the life changes that may occur. Oktay details a grounded theory approach to create a theoretical model that relies on the lived experience of daughters through their individual development as well as the phases of the illness. These include the period before the illness, the period during the illness and treatment, the period following a fatal outcome (although daughters of mothers who survived as well as those who died are included), and the long-term impact. Each chapter is devoted to daughters in a common age category. Themes common to the age group and period of illness are identified. Oktay provides interview guides and case studies, as well as recommendations for future work. Students of grounded theory research as well as those interested in the psychosocial aspects of physical illness will profit by reading this book. It is equally as useful for practitioners who may create programs and tailor interventions for daughters as it is for researchers who seek to use qualitative measures to understand their reactions over the course of the illness. Grounded theory research provides an opportunity to learn from patients and consumers of medical procedures and social services. Oktay has contributed an extraordinary work
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