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  • Interpreting the TL through rural stroke survivors_final

    Rights statement: This is the author’s version of a work that was accepted for publication in Journal of Rural Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Rural Studies, 51, 2017 DOI: 10.1016/j.jrurstud.2016.06.004

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Interpreting therapeutic landscape experiences through rural stroke survivors’ biographies of disruption and flow

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Interpreting therapeutic landscape experiences through rural stroke survivors’ biographies of disruption and flow. / Meijering, Louise; Lettinga, Ant T.; Nanninga, Christa S. et al.

In: Journal of Rural Studies, Vol. 51, 30.04.2017, p. 275-283.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

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Meijering L, Lettinga AT, Nanninga CS, Milligan C. Interpreting therapeutic landscape experiences through rural stroke survivors’ biographies of disruption and flow. Journal of Rural Studies. 2017 Apr 30;51:275-283. Epub 2016 Jun 11. doi: 10.1016/j.jrurstud.2016.06.004

Author

Meijering, Louise ; Lettinga, Ant T. ; Nanninga, Christa S. et al. / Interpreting therapeutic landscape experiences through rural stroke survivors’ biographies of disruption and flow. In: Journal of Rural Studies. 2017 ; Vol. 51. pp. 275-283.

Bibtex

@article{2eba347d0c9143338c1d3c4dc0abeb18,
title = "Interpreting therapeutic landscape experiences through rural stroke survivors{\textquoteright} biographies of disruption and flow",
abstract = "This article utilizes the concepts of biographical disruption and biographical flow to expand understandings of how a therapeutic engagement with the rural landscape may change over time for individual stroke survivors. In doing so, it explores how the rural landscape can be experienced as both a therapeutic and a non-therapeutic landscape. The paper draws on in-depth interviews with nineteen stroke survivors living in rural areas in the Northern Netherlands. Because of the cognitively and physically disabling changes that can occur as a result of stroke, interviewees{\textquoteright} stories revealed complex and often contradictory experiences of the rural, post-stroke, that varied significantly from their pre-stroke experiences. Our findings demonstrate that the rural holds potential to function as a therapeutic landscape for stroke survivors, especially through its enabling natural and social characteristics. However, the different physical, social, natural, and healthcare aspects of the rural can also disrupt stroke survivors{\textquoteright} individual biographies and their sense of self. The privileging of place in these biographies may provide important insights that can help improve the practice of stroke care. It also leads us to conclude that the concepts of biographical flow and disruption, though useful, need to take into account the influence of the wider (spatial) context. We thus coin the terms bio-geo-graphical flow and bio-geo-graphical disruption, and suggest that these may more accurately reflect the spatio-temporal disruptions and flows experienced by stroke survivors in the post-stroke period.",
keywords = "Therapeutic landscape, Stroke survivors, Biographical disruption and biographical flow, Qualitative methods, Rural areas, The Netherlands",
author = "Louise Meijering and Lettinga, {Ant T.} and Nanninga, {Christa S.} and Christine Milligan",
note = "This is the author{\textquoteright}s version of a work that was accepted for publication in Journal of Rural Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Rural Studies, 51, 2017 DOI: 10.1016/j.jrurstud.2016.06.004",
year = "2017",
month = apr,
day = "30",
doi = "10.1016/j.jrurstud.2016.06.004",
language = "English",
volume = "51",
pages = "275--283",
journal = "Journal of Rural Studies",
issn = "0743-0167",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Interpreting therapeutic landscape experiences through rural stroke survivors’ biographies of disruption and flow

AU - Meijering, Louise

AU - Lettinga, Ant T.

AU - Nanninga, Christa S.

AU - Milligan, Christine

N1 - This is the author’s version of a work that was accepted for publication in Journal of Rural Studies. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Rural Studies, 51, 2017 DOI: 10.1016/j.jrurstud.2016.06.004

PY - 2017/4/30

Y1 - 2017/4/30

N2 - This article utilizes the concepts of biographical disruption and biographical flow to expand understandings of how a therapeutic engagement with the rural landscape may change over time for individual stroke survivors. In doing so, it explores how the rural landscape can be experienced as both a therapeutic and a non-therapeutic landscape. The paper draws on in-depth interviews with nineteen stroke survivors living in rural areas in the Northern Netherlands. Because of the cognitively and physically disabling changes that can occur as a result of stroke, interviewees’ stories revealed complex and often contradictory experiences of the rural, post-stroke, that varied significantly from their pre-stroke experiences. Our findings demonstrate that the rural holds potential to function as a therapeutic landscape for stroke survivors, especially through its enabling natural and social characteristics. However, the different physical, social, natural, and healthcare aspects of the rural can also disrupt stroke survivors’ individual biographies and their sense of self. The privileging of place in these biographies may provide important insights that can help improve the practice of stroke care. It also leads us to conclude that the concepts of biographical flow and disruption, though useful, need to take into account the influence of the wider (spatial) context. We thus coin the terms bio-geo-graphical flow and bio-geo-graphical disruption, and suggest that these may more accurately reflect the spatio-temporal disruptions and flows experienced by stroke survivors in the post-stroke period.

AB - This article utilizes the concepts of biographical disruption and biographical flow to expand understandings of how a therapeutic engagement with the rural landscape may change over time for individual stroke survivors. In doing so, it explores how the rural landscape can be experienced as both a therapeutic and a non-therapeutic landscape. The paper draws on in-depth interviews with nineteen stroke survivors living in rural areas in the Northern Netherlands. Because of the cognitively and physically disabling changes that can occur as a result of stroke, interviewees’ stories revealed complex and often contradictory experiences of the rural, post-stroke, that varied significantly from their pre-stroke experiences. Our findings demonstrate that the rural holds potential to function as a therapeutic landscape for stroke survivors, especially through its enabling natural and social characteristics. However, the different physical, social, natural, and healthcare aspects of the rural can also disrupt stroke survivors’ individual biographies and their sense of self. The privileging of place in these biographies may provide important insights that can help improve the practice of stroke care. It also leads us to conclude that the concepts of biographical flow and disruption, though useful, need to take into account the influence of the wider (spatial) context. We thus coin the terms bio-geo-graphical flow and bio-geo-graphical disruption, and suggest that these may more accurately reflect the spatio-temporal disruptions and flows experienced by stroke survivors in the post-stroke period.

KW - Therapeutic landscape

KW - Stroke survivors

KW - Biographical disruption and biographical flow

KW - Qualitative methods

KW - Rural areas

KW - The Netherlands

U2 - 10.1016/j.jrurstud.2016.06.004

DO - 10.1016/j.jrurstud.2016.06.004

M3 - Journal article

VL - 51

SP - 275

EP - 283

JO - Journal of Rural Studies

JF - Journal of Rural Studies

SN - 0743-0167

ER -