The Impact of Spinal Cord Injury on the Couple Relationship: A Grounded Theory Exploration of the Adjustment Process

Abstract

Couples facing physical disabilities, specifically, a spinal cord injury, face significant marital stressors. Results of recent studies show patterns in the adjustment processes in couples who face this challenge. This grounded theory analysis of both couple and individual interviews with 22 participants identified four specific areas experienced by these couples: challenges in intimacy, negotiating care needs, redefining masculinity, and social disconnection. Findings support and refine current literature on physical disabilities and add to the gap in literature specifically related to spinal cord injuries, shame, and the impact on the marital relationship. Implications highlight a need to address the themes in post-rehabilitation and a particular case is made for the utility of Emotionally Focused Therapy in working through the themes.

Keywords:

• Couple therapy
• emotionally focused therapy
• shame