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Clinical Psychologist from the Psychosocial Support Department of the National Cancer Society Malaysia Jefferson Ng addresses one of the most vulnerable struggles faced by breast cancer patients - the fear of losing identity after a mastectomy.

Jefferson emphasises that womanhood is not defined by physical attributes but by identity, lived experiences and inner strength.

While acknowledging the psychosocial challenges, especially when family support is lacking, he explains that healing often begins with helping patients rediscover who they are beyond their diagnosis.

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Transcript
00:00Even you have removed part of your breasts or both of your breasts, it doesn't make you less of a woman, right?
00:05Because how you identify yourself, I mean, all those years living as a woman itself would help you to identify yourself as a woman.
00:13But those who have to remove entirely half of their breasts on whichever side,
00:18then they may have this psychosocial body image, you know, distortion.
00:24I mean, so how have you seen in your practice?
00:28Yeah, I mean, when you're asking this question, I have this one client that just pops out of my head
00:32because the first thing that she asked me when I met her was that,
00:37does it make me less of a woman when I have gone through mastectomy?
00:41And that question hurt me so much.
00:45It hurt me because it's like, hey, what made you a woman is not because you have breasts.
00:51I mean, maybe biologically, yes, but even you have removed part of your breasts or both of your breasts,
00:58it doesn't make you less of a woman, right?
01:00Because how you identify yourself, I mean, all those years living as a woman itself would help you to identify yourself as a woman, right?
01:08So, and I keep on thinking what would actually contribute to this question from this client.
01:15And I can imagine that, you know, the client's background, family support may not be there.
01:20And then to make her feel so fearful, you know, to be less of a woman because she has to go through mastectomy.
01:28And so that is the problem that we face sometime in the community where they're still very fearful of what's going to happen to them, their identity.
01:37I understand that when you got diagnosed with cancer, your role would have changed.
01:41I mean, previously, you are a mom, you know, you are able to breastfeed, but then now you can't.
01:46So it's just going to be challenging, but it doesn't mean that you are less of an identity that you already preserved and created for so long.
01:54So in order to work through that, it's to help them to remind that, hey, what have you gone through?
02:00Help them to rediscover themselves again.
02:03If they wish to change their identity, because maybe previously they were a mom and then now it's a cancer patient or previously it's a caregiver.
02:14And then now they have to take on the role as a patient.
02:16So all these are changes that we have to just adjust and make peace with, come to terms with the adjustment.
02:23So it doesn't mean that even you have been forced to go through all these processes in which you're less of a person you are.
02:30You're still the same you, just that, hey, maybe physically you are different, but you are still you.
02:35I know, I have knew you for so long.
02:39Doesn't mean that because of going through some procedure, then you are different now.
02:44So patients have to actually understand as well.
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