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Qualitative Health Research
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*Disabilities
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Turning Points and Protective Processes in the Lives of People With Chronic Disabilities

Gillian King

Tamzin Cathers

Elizabeth Brown

Jacqueline A. Specht

Colleen Willoughby

Janice Miller Polgar

Elizabeth Mackinnon

Linda K. Smith

Lisa Havens

In this qualitative study, the authors examined the nature of resilience in people with chronic disabilities. Fifteen people with disabilities identified the factors that helped or hindered them at major turning points, and the triggers and resolutions to these turning points. Turning points were emotionally compelling experiences and realizations that involved meaning acquired through the routes of belonging, doing, or understanding the self or the world. The major protective factors were social support, traits such as perseverance and determination, and spiritual beliefs. Three new protective processes were identified: replacing a loss with a gain (transcending), recognizing new things about oneself (self-understanding), and making decisions about relinquishing something in life (accommodating). These protective factors, processes, and ways in which people with disabilities draw sense and meaning in life have important implications for service delivery.

Key Words: risk • resilience • protective factors • protective processes • turning points • disability

Qualitative Health Research, Vol. 13, No. 2, 184-206 (2003)
DOI: 10.1177/1049732302239598
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