Chapter one presents a systematic literature review and thematic synthesis of
qualitative studies on the experiences of intimacy, romantic relationships, and dating following limb loss. Thematic synthesis led to the identification of four themes: 1) the self as undesirable, 2) the management of undesirability, 3) support: a double-edged sword, and 4) diverse experiences of intimacy. It was concluded that limb loss appeared to present a number of challenges in relation to intimacy, romantic relationships, and dating. Recommendations for clinical practice were provided, including offering psychological therapies to those who are struggling to cope, referring or signposting individuals with limb loss to peer-support groups, and involving spouses or main carers in the rehabilitation process.

Chapter two details an empirical study on the experiences of intimacy, romantic
relationships, and dating following limb loss. Data were gathered from online sources (Reddit and The Amputee Discussion and Support Forum) and reflexively thematically analysed, leading to the development of two themes: 1) feelings of undesirability and 2) defying expectations. Taken together, these themes highlighted the variable impact of limb loss on intimacy, romantic relationships, and dating. Whilst some posters experienced challenges, others felt that limb loss was unimportant or positive in relation to their romantic and sexual
lives. Recommendations for clinical practice were provided, such as avoiding assumptions that limb loss is an inherently negative experience.

Chapter three documents a critical appraisal of the systematic literature review and empirical paper. Both papers are summarised and clinical implications arising from their similarities and differences are presented. A reflective account concerning the process of completing the thesis is detailed, particularly in relation to the use of pre-existing data.

Finally, chapter four provides the ethics application and approval email for the
empirical study. The associated research proposal is appended.