
@article{ref1,
title="Qualitative study on decision-making process in &quot;voluntary&quot; withdrawal of driver's  license: Transitions in self-concept, body image, and social relationships due to  aging",
journal="Nippon Koshu Eisei Zasshi",
year="2020",
author="Yano, Masayo and Hashimoto, Hideki",
volume="67",
number="11",
pages="811-818",
abstract="OBJECTIVEs　Although previous studies have discussed the &quot;voluntary&quot; withdrawal of  older drivers' driving license to prevent traffic accidents, there is less evidence  about the experience of giving up driving. The present study investigated the  decision-making process in the &quot;voluntary&quot; withdrawal of the driver's license and  the conceptual meaning of &quot;voluntary&quot; among individuals who have experienced or  shortly plan the event, as well as the transitions in their social relationships,  social interactions, and body image perceptions.<br><br>METHODS　Qualitative research was  undertaken to examine the explanatory research question in City A, Ibaraki  prefecture, Japan. A semi-structured interview was conducted with eight male  participants. They were asked related questions, for example, the meaning of  driving, lifestyle changes, and so on. Data were recorded and transcribed into  transcripts to be analyzed using the grounded theory approach.<br><br>RESULTS　The  qualitative data revealed that when participants perceived their &quot;body&quot; as alienated  from their &quot;self&quot; during driving or daily living, they became confused because they  needed to be conscious of the aroused existence of the &quot;self&quot; that operates their  &quot;body,&quot; which was previously integrated with their &quot;self.&quot; This awareness led the  individuals to the process of &quot;voluntary&quot; withdrawal from driving in coping with  their reflected &quot;self&quot; while they gradually distrusted their &quot;self&quot; regarding their  deteriorating &quot;body.&quot; Some participants lost their &quot;self&quot; and felt that they were  forced to stop driving &quot;voluntarily&quot; when their &quot;self&quot; was determined as belonging  to a risky &quot;body,&quot; whereas others could decide &quot;voluntary&quot; driving cessation and  realize their &quot;self&quot; through social interactions when they &quot;re-evaluated&quot; their  &quot;self&quot; in light of their life stories. Both types of participants had &quot;difficulties&quot;  after driving cessation; however, the latter effectively emphasized the  re-construction of the &quot;self&quot; and &quot;self&quot;-based decision-making process due to  aging.<br><br>CONCLUSION　The decision-making process in the withdrawal of a driver's license  due to aging resembled the process of coping with disabilities. Previous  relationships between &quot;self,&quot; &quot;body,&quot; and society might be affected by age- or  illness-triggered events. Encouraging the re-construction of &quot;self&quot; and its  relationships might alleviate the psychological impact on elderly people facing  &quot;voluntary&quot; retirement from driving.<p /> <p>Language: ja</p>",
language="ja",
issn="0546-1766",
doi="10.11236/jph.67.11_811",
url="http://dx.doi.org/10.11236/jph.67.11_811"
}