The provision of skilful psychosocial care to patients suffering from
chronic illnesses starts with an appreciation of what it is like to li
ve with a chronic condition. Definitions of self-esteem may be realign
ed when patients encounter a prolonged problem, and reliance upon prof
essional help. Getting inside the experience of such illness may be ke
y to understanding patient motivation, noncompliance with therapy and
altered patterns of social engagement. Individuals' personal construct
s may usefully then be used to explore the extent to which chronic ill
ness sufferers share common problems and needs.