The experience of living with visible acne for young adults in emerging adulthood, focusing on bodily experiences and psychosocial issues

CHAPTER FOUR: DATA ANALYSIS AND RESULTS

Introduction

The existing chapter is accountable of explaining research findings through analysing the collected data. The information gathered for the present work is interpreted and discussed below in the dissertation writing service.  In addition, the accumulated findings are evaluated under the light of studies presented by accredited scholars. Moreover, the discussion in this chapter helps in developing in-depth understanding about the research topic. Furthermore, the chapter plays a pivotal role in substantiating the extracted research findings through evaluating them in accordance with the approaches and opinions of past scholars. In order to collect data for this study, author has conducted interviews of 8 participants. From the interview responses, the researcher has identified some themes for this study. These themes are selected with the aim of critically evaluating the research issue, i.e. the experience of living with visible acne for young adults in emerging adulthood, focusing on bodily experience and psychosocial issues.

The researcher has conducted the short interview session with the participants in order to get the information about the personal behaviour of the respondents who are affected with the problem of acne. The first and the foremost theme that is analysed in this topic is the low self confidence that the acne cause to the person. The impairment in his self-motivation is realized and the judgments are being created on the basis of the acne. Therefore, the negative perception and the impression about the person are made that affect the entire personality. The themes selected includes; the emotional difficulties of people living with acne, Visible consequences of acne, Unpleasant experience during social interaction, Coping strategies, the pressure from the media on people with acne and the experience of living with acne for younger adults and for older adults. The researcher tends to prepare the analysis of data as per the themes provided on the topic. The subject matters are the basics to continue with the research and reaching to the possible findings relevant to the topic. This section highlights the generalized impression after the existence of acne and pimples, especially on for the teenagers and the adulthood. To evaluate these themes, some sub-themes are also identified in this research which are briefly explained and analysed below:

Theme # 1: The emotional difficulties of living with acne

The first theme concerns with the emotional difficulties of people living with acne. The theme is evaluated in accordance with two sub-themes that are impaired self (low self-confidence and fear of being judged) and negative perceptions (feeling of unattractiveness, ugly and different).

1.1 Impaired self: lowered self-confidence and fear of being judged.

For the aforementioned subordinate theme, participants were interviewed so that their perception about this aspect can be recorded. The first and the foremost theme that is analysed in this topic is the low self confidence that acne cause to the person. The impairment in the self-motivation is realized and the judgments are being created on the basis of the acne. Therefore, the negative perception and the impression about the person are made that affect the entire personality. The data indicated that emotional difficulties of acne can trigger the sense of low confidence among the people. As per the findings, young people feel emotionally disturbed due to acne because it makes them feel uncomfortable and stressed.

“Yeah well okay…for me, I’m speaking for me because for me once I know it’s slowly going away and I’m making a progress so then I realize then okay yeah. But if I realize it’s not going away then I know well I going to start to feel a little way and I will be kinda down and I’ll be kinda….try to get myself away from people (Mike, interview 8, p.9)”

The issue that impact them (I: most) I mean like I said its dealing with umm…. their Peer pressure, the people around them. Especially when you have friends with clear skin and knowing they can look a certain way and you can’t look the way you want to look.  I think that’s one of the most impacts, because it affects your self-esteem and confidence (I: yeah) (Muniba, interview 2, p.6).”

From the responses, it has been noted that acne can trigger the sense of low-confidence and stress because they find it difficult to interact with people with the acne face. (Mike 116: Muniba 24).  As per the interviews of Muniba, p.6 and Mike, p.9, it has been evaluated that people with acne start losing their confidence because they believe that people will stare at them or because particpants said that people stare at their acne which make them feel little off.  It has been further found that Muniba and Mike feel disturbed when they realize that acne is not going away from their face ((Mike, interview 8, p.9; Mike, p.9).  In contrast, Borovaya, Olisova, Ruzicka and Sárdy (2013) argued that acne is not a dangerous disease because it can be cured through treatment.

1.2 Negative perception of self: identifying feelings of unattractive, ugly and different.

The second theme that has been identified from the data is the feeling of unattractiveness and ugly among the respondents. Majority of the participants like Brenda and Stanly believe that due to acne, people constantly stare which triggers the sense of bumpiness. Similarly, Monique believes that she does not feel attractive due to acne which consequently affects her confidence.

I also feel that Umm… I’m unattractive Even though I know that I’m beautiful (Brenda, interview 1, p. 4).”

“Feeing unattractive: I just….sometimes I don’t feel pretty because having all these bumps and these parts and those kinda things in my face but… I do just be.try not to think about it and just let it be” (Monique, interview, 7 p. 12).”

The responses of chosen participants presented above depicts that people feel unattractive even though they are beautiful because of acne on face. The acne can affect the way they interact with others. Likewise, it has been noted that acne is affecting the facial expressions and confidence because it makes others to stare constantly. Particiapnts like Brenda and Moniqu believe that they had bad experience due to acne because it makes people feel that they are not attractive or they are looking ugly.  The reponse of Sean, interview 3, p.6 showed that acne makes people look different because they get scars on their face.


Theme # 2: Visible consequences of acne

The second theme that has been evaluated in the ongoing work is regarded as visible consequences of acne. The dissertation investigates the consequences that people encounter due to acne.  Under this theme, two subthemes are evaluated i.e. physical changes of the skin and scars, skin discoloration, pain and soreness and looking damaged or old. The further interpretation for this issue is given below;

2.1 Physical changes of the skin

Due to acne, physical changes of the skin are encountered by the participants because aggregated data supports this fact. The evaluation of collected information depicts that some participants are afraid of the physical skin changes due to acne.  Acne causes physical changes to the skin. Another theme that is created by acne is the soreness and the damage in the skin accompanied with the fadedness of the skin (Misery 2011). The interview of Sean and Mike further determined that in the teenage, females actually experiment with acne considering them as a part of hormonal changes but throughout the teenage it the daily routine that includes pimples in it. Sometimes, it is genetic process which comes in the life thus making it mandatory to deal with such skin problems. Conversely, the response of Stanly showed that acne leave holes and marks on face which makes them feel ungly as no one likes a face with scars and marks.

“It’s just the appearance. Just the appearance and ummm probably some of the painful effects that it comes with especially if the acne starts from under your skin and just doesn’t come out as a blackhead or white head like it’s kinda painful. That’s pretty much the only problem (Stanley, interview 5, p. 8)”

“What it was?….Like my skin is sensitive right, that when the acne comes up it would leave my pores open wide. You know sometimes… you ever see people like… like they got holes in they face? (Stanly, interview, 6, p.7).”

As per the results, participants are concerned about the physical changes because it is the major consequence that has been faced by the people due to acne. The acne is the source of mental stress because it can cause physical consequences specifically in terms of unattractive or ugly appearance. However, it has been noted that by having a strong level of confidence without hurting his self-esteem one can be able to get over the situation. The physical changes due to acne commonly include the feeling of burning. Correspondingly, it has been evaluated that acne can cause pain for people because when it is under skin, it hurts the upper part of the skin. The responses of Stanle lso showed that acne is painful because it annoys people. Thus, it has been evaluated that changes in the skin or pain is also a major experience that people with acne encounter. Davis (2012) argued that the initial stage of acne is dependent on redness and allergic texture of the skin. The skin doctor should be recommended in order to avoid the further inconvenience with this problem. The prescribed medicines and creams must be applied to get rid of this problem permanently. The registered doctor must be concerned to deal with this sensitive matter and getting the permanent and authentic cure of such issues. The soreness in the skin must not be taken lightly as it can cause more damage to the skin in future. If the redness in the skin is seen that must be firstly taken as serious so that it can be treated in the very initial period.

 


2.2 Scars, skin discoloration, pain and soreness, looking old and damaged face.

The second subtheme is relating to scars, discoloration, and looking aged or damaged. The collected data depicted that for  Mike and Branda, acne is the reason of stress because it makes them look aged or damaged. The acne leaves marks or scars on the skin, which makes people look (Mike,interview 7, p. 2; Branda, interview 4, p.5). Correspondingly, from responses of Stean and Muniba it has been noted that participants are also concerned about the scars and pain they experience due to acne (Stanly, interview 4, p.5; Muniba, interview 6, p.1).

“Living with it, the only diff….well it errr well yes. There are difficulties of living with it because you know after a long while when you….let’s say you decide to get rid of it in a way that is not the right way…you might end up with like, sometimes some…like sometimes in my condition, I would like, wherever the bump or wherever the acne was, it would be like a dark spot right there and it would be like all over your face. Imagine your skin is a kinda lightish brown and then you getting this kind of dark black dots on your face from where the acne was then ummmm its starts to make you look a certain way and it give a wrong appearance. So it all goes back to appearance and everything” (Mike,interview 7, p. 2).

Umm …..It’s because I have never got it before and it was……..it looks as if it was an allergic reaction because it was little tiny spots all over my face, and umm… It looks a bit sore. Mm……you know red as well.(I: alrght)” (Branda, interview 4, p.5).

From the responses it has been analyzed that acne can affect participants due to the damaged face and skin discoloration. The participants believe that looking old and damaged face is the main physical consequence that has been experienced by people. The interview sessions has resulted in a great knowledge for the upcoming generation to deal with this everlasting problem till the growing age. It has been noted that discoloration is the major influence that affect the confidence of people with acne. However, Muniba and Mike argued that skin discoloration is the major issue that has been faced by them due to acne. In contrast, the work of Lolis, Bowe and Shalita (2009) indicated that the continuous hormonal changes within the metabolism can also affect the rapid growth of pimples and skin diseases such as acne. However, many of the doctors consider being the matter of genetics and on-going processes in the family. If it is inherited then the other steps are taken for the cure. However, the commonness in this disease is that it can leave scars on face which can lead towards discoloration of skin. Acne often leave scars on skin that makes people look ugly.

Theme # 3: Unpleasant experience during social interaction

Another theme being evaluated is stated as unpleasant experience during social interaction. While assessing this issue, two subthemes were explored that are reactions from the public. Like random comments, advices and suggestions along with long stares and being judgmental. Secondly, reactions from the family in terms of advice and support to deal with the acne is also a subtheme being evaluated. These themes are briefly explained below:

3.1 Reactions from the public: Random comments, advice and suggestions, long stares, name calling and being judgmental

The evaluation of responses deemed that reactions from the public are also an important concern for the people with acne. They often face issues in terms random comments and advices. Actually, they get to face the judgments of others for their acne. Some provide suggestions while some turn out to be extremely judgmental. In addition, the instant comments and advices of the public also demoralize the personal perception in the mind of the person. Sometimes the reaction of the family members also degrades the people thus needing the strategic plan to deal with these issues. In these circumstances the self-image is also avoided and the self-acceptance is rejected which creates more negativity in the mind of acne person.

“And you know like, I would be like…. But it’s not a situation where I’m like…you know like they making fun of it, but it’s like, just like “Sean you have like a zit, you know, you have a pimple.” Just to make me aware”

“Well they would say….they would ask me like how come I breaking out so much and I would tell them well….I would just give them the quick answer….. “It’s the sun”, “It’s too hot” and “I’m sweating a lot” and “maybe I just need to wash my face”. I would just give quick answer to…. to you know, kill the questions so they don’t ask me too much.”

From the responses, it has been noted that participants face troubles due to the suggestions and long stares people do. Most of the times, they have to deal with the suggestions and unwanted advices that can affect their confidence and satisfaction both. Along with this, the participants who were involved in the activity of the interview told that at the very start, they feel that they are odd one out in the society because they are having some severe spots on their face, neck and shoulders (Sean 90: Mike 48). With the support of the literature it has been analyzed that the parents need to inform their children about the concerns of acne when they step in to their teen age, due to the fact that when the teenagers suffers with this problem they are not aware enough about the process of dealing with the mess of acne (Magin, Adams, Heading, Pond and Smith, 2006).

3.2 Reactions from the family: Advise and support to deal with the acne

The subtheme also evaluates the reactions of the family in which advises and support for acne is provided. People with acne commonly complain about the unwanted as well as disturbing involvement of people. It has been further noted that some participants always complain about the advices and issues they face against acne.

“Yeah, Ummm I was working at Publix. I was working at Publix as a part time job while going to school. Then a lady came up to me. I forgot her name but she was a nurse so she came up to me and she was like “You know, I have a remedy that you could do, to like not get rid of the acne but break it down a bit”. You know at first I was just like “Damn, like she tryna tell me I’m ugly or something? (Stanly, interview 5, p.6).”

“Umm…. Yeah I mean everybody has their own opinion of what they think causes it, or how to prevent it. Like some people, you get random people saying oh maybe you need to stop eating butter, eating sweet stuff and that’s what is causing it. When they do not really even know the reason.(I: yeah) or you get  some people ooh you need to use certain  products like aloe Vera or something like that,  so everybody have their own opinions on what to try and what not try (Muniba, Interview, 8, p. 7).”

As per the responses, participants believe that they get to face advises and suggestions that are not required. Society simply does not accept the acne and acne scars because sufferers get to listen comments, suggestions and unwanted advices. However, if people become confident and do not feel ashamed or depressed, then no one can let them down (Stanly, interview 5, p.6; Muniba, Interview, 8, p. 7). As per the literature presented by Davis (2012) people with should become strong and need to have firm believed on themselves that they can fight against the acne. As now technology is increasing rapidly so there have been a number of way through which a person control his acne. The pimples and their existence must be discussed with the friends and family to get the suggestions regarding acne. Moreover, the use of same medicines and ointments can also be beneficial for the patient to eradicate this problem frequently.  Making it accessible patient can also avoid the problem for the future purposes. The better advices can lead to the permanent removal of this disease. If the friends or the family members have also experienced the same problem they can be the source of greater guidance for the patient. This can also highlight the genetic and inherited disease so it can be in some other manner


Theme # 4: Coping strategies

Another theme that has been studied in this dissertation is regarded as coping strategies. Many participants were investigated about the coping strategies that are employed for acne. The theme is investigated with regard to four subordinate themes which includes; acceptance of self, avoidance, brushing off and minimizing effects of the acne.  These subthemes are further evaluated and assessed below:

4.1 Acceptance of self

The findings aggregated from the participants depict that self-acceptance is a major factor that triggers the sense of uncertainty among people. Acne affects the self-acceptance among people because it causes them to face confidence and appearance issues. They agreed that they cannot accept themselves due to the acne scars and damaged look. 

“I think now like, I think I accept it now after getting information from a dermatologist…you know….I accept it now so. I still… you know, the confidence level is not there as fully because I still you know… Like especially when I go out somewhere, I still feel like people watch me…..like watch my acne (Stanly, interview, 5 p. 45).”

Well as I said at first it used to kind of bother me but then after a while I realize that everybody goes through this. It also depends on the temperature or the type of environment you’re in so is like you can’t….you can’t really be too bad about it so I just learn to live with it.: Because I realized that I can’t really get rid of it per say, like I just have to just let it be ummm part of my life. After a while it will go and it will come back if it. If it comes back I deal with it, if it don’t come back…I don’t deal with it….I just leave it alone. Well obviously for me due to the environment and everything I’m in it goes and comes (Mike, interview, 8, p.3).”

The findings deemed that acne is the factor that can make most of the participants feel issues in accepting themselves. At the end of the interview, it has been analyzed that the patients of acne acknowledged this fact that they should be accepted by the society as it is curable with the treatments (Stanly, interview, 5 p. 45; (Mike, interview, 8, p.3). Considering that in mind, now the group of doctors are constantly working accordingly in order to provide proper treatments to their people, so would be able to get rid of this acne in the least possible time.

4.2 Avoidance/withdrawal

Avoidance is another subtheme that can affect the way people interact with each other. Another interview has elaborated that people with acne are avoided by society. Correspondingly, they also avoid going to parties and gatherings with acne face.  It has been noted that the affected part of the face that experiences the acne leave marks and scars that make people look unattractive. Due to this factor, they avoid going to the parties and events. Basically, the oily part on the nose and cheeks are mostly affected by acne which requires a special treatment with the dermatologist.

“Well, living out here now, I don’t go nowhere at all. It’s just me… you know I don’t go nowhere …just me and Cj, it’s like cause I don’t do the friend thing and then I dont want nobody to be you now looking at me especially when it’s time for the break out…when I have my breakouts and so forth (Monique, interview 3, p.12).

“Have you ever avoided any situation because of your acne?”

“Umm…Yeah I have but I can’t remember what it was. But I have done. (I: ok) (Shanon, interview 3, 14).”

From the responses, it has been noted that avoidance is mainly attained due to acne. People often complain about this factor which can consequently influence the way they interact with others. The adequate treatment of such skin diseases should be taken to remove the further problems of the skin.  The analysis depicted that acne motivates people to avoid acne which consequently affect their social life (Monique, interview 3, p.12; Shanon, interview 3, 14).


4.3 Brush it off

The third subtheme under this issue is regarded as brush it off. The individuals who were involved in the activity of conducting interview said that it is true that people do have a misconception about acne. Some of them thought that is the problem due to the poor hygiene factor or some may thought that it is due to the infection. However, majority of them believe in brushing off the acne discussion among friends and family. It had been said that people cannot cure the acne but they control the acne. However, through brushing it off, people can avoid the discussion about acne.

“You mean to distract me from thinking about my acne? (I: yes exactly yeah)Umm….umm…..sometimes i have done sometime classes, umm…especially for acne no.  I don’t think that much about acne generally umm…but when I think about it I just umm…I don’t know I try to distract myself doing other things(I: yeah) umm….from it (I: yeah) umm…you know I focus on how to deal with it rather than let it bring me down. (I: ok (Stanly, interview, 4, p. 45)”

“Umm, just have more confidence in yourself. Once people see you have confidence in yourself then they would respect you, you know they won’t try to pick on you or anything like that. I think that’s with me. I have confidence in myself and I respect people and a lot of people respect me too you know (Martha, interview 6, p.12)

From the findings, it has been detected that there are number of misconception about acne but people needs to have a complete awareness about acne and reason behind the cause of acne. The people who participated in the interview said that acne lasts a bad societal perception; thereby, it should be avoided and cured quickly. The person who faced this problem some time feels shy to face the society and some falls in the highly depress condition (Stanly, interview, 4, p. 45; Martha, interview 6, p.12).

4.4 Minimizing effect of the acne

The next interview with Muniba has showed a positive relevancy dealing with acne. The patient herself went to doctor without influencing her self-confidence and self-motivation. The matter of considering it as a part of life can also help in coping up with this problem. If the patient make it a source of encourage and concern the best dermatologist, this can be the right way to deal with it. On contrary, getting in depression and taking so much stress can cause it to be more dangerous for health. The public can make the perception regarding the daily eating habits and suggesting the best diet plan which also creates a stressful atmosphere. So, to avoid such suggestions and stressful advices the patient should himself or herself take care of the diet plan. Davis (2012) has elaborated the diet plan for the acne patients in order to remove the problem of acne. The acne is a problem that requires less oily things in the diet keeping it light for the betterment of skin. The people consider it to be the tensed and the stressed advice dealing with such problem. The light and the balanced amount of diet and meal must take to cope up with the problem in addition to the ointments and skin medications recommended by the dermatologist.

“No because they…. well I guess they understand everybody gets it and they never really made anything big about it. They would just be like “how your face breaking out so much?” or “how come your face looking so?”, “how come you getting all these bumps on your face?…you drinking water?”. It’s like they was more concerned (Sean, interview 6, p.12).”

“It’s just normal to me, but I do not have you know acne….that serious anymore (Mike, interview, 38 p. 12). ”

The cause that the skin doctor has analyzed is by the excessive use of makeup and skin creams that has ruined the texture of the skin. The strict restrictions from the doctor on the usage of such unrecognized creams and makeup items can destroy the skin and cause the pimples to grow (Sean, interview 6, p.12; Mike, interview, 38 p. 12). As per the depiction of Magin, Adams, Heading, Pond and Smith (2006) the skin diseases are caused by the use of undesirable items by the person. The visible pimples can have the ugly effect on face to which can only be reduced by the proper medications and treatment and taking of the right diet plan. Many of the dermatologists recommend the citrus fruits for the cure of this acne problem. This can affect the skin disease in a positive manner and the removal can be possible in the limited time. The doctors encourage the less oily items to eat in order to cope up with the problem. Uslu, Şendur, Uslu, Şavk, Karaman and Eskin (2008) argued that to control the acne one should concern with dermatologist. Now there have been a number of way through which can cure acne. Some of them thought that acne is a permanent factor and can never be removed from the face but according to some dermatologist they said that acne stops after the age of 25.


Theme # 5: The pressure from the media on people with acne

The fifth theme being evaluated in this research is regarded as pressure from the media on people with the acne. To assess this theme, subthemes that are selected are the role of media, presentation of flawless skin and air brushing. These themes are further discussed below:

5.1 The role of the media

Other themes that the researcher deals with are the pressure from the media on the people from the acne. The media and the showbiz require the perfection of the face which causes a great trouble for the people to deal with it. Another theme that was created by the researcher is about the younger age and the older adults being experiencing this as a matter of their personality.

“Yeah, especially if someone is always on camera and then they zoom in on your skin. (chuckles) And then all people seeing like “oh my God, like he got acne or she got acne” you know it affects you. Even though you don’t wanna think about it, it would mess with you mentally. I’m not saying you’re gonna go crazy or whatever but you know, like I said the confidence…. You would lack a lot of confidence (Monique, interview, 38 p. 18) ”

“Yeah I think there is because with all these ummm commercials they have and people say oh when you use this and you use that it’s gonna make your skin smooth. It gonna take out the black spots, it gonna do this. People gonna wanna be like what they see on TV and expect “hey if I get this, it’s gonna work.” You see what I’m saying? (Sean, interview 7, p. 67)”

From the responses, it has been assess that people often complain about the participation of media in increasing the pressure on people with acne. The emphasis on the face and appearance is the basic need that pressurizes people for their personality and physical look (Monique, interview, 38 p. 18; Sean, interview 7, p. 67).

5.2 Portraying of flawless skins

The second subtheme under this segment is regarded as; portraying flawless skin. The responses of the chosen participants deemed that media portrays the flawless skin which consequently expands the pressureon the people with acne. They become more in spotlight and others keep suggesting and recommending them.

Interview with Brenda has depicted that in the earlier stage the acne has created the black and the tiny spots on the skin thus affecting the entire area of the skin. It was diagnosed as the allergic reaction on the skin later it was found the acne has started to occur on the face.

5.3 Air brushing

The theme also investigates about the air brushing which is another element that influence the way people deal with their acne. The responses demonstrate that brushing off the issues can help in integrating acne related issues.

“Well yes, yes. It have other people that have given me ummm like suggestions who I never really went and talk with. Is just that they saw my face how it looking and they came and tell me well “why you don’t try to use this?” or “here’s something that you could use (Mike, interview 4, p. 14)”.

Furthermore, another interview with the patient named Shannon has told the basic feeling and the attitude when the acnes starts. The patient has experienced the acne in a large amount and in a nonstop manner. This makes the behavior to be aggressive and rude as it gives a scary look to the face. The personal experience of the patient was embarrassing and discouraging for the people who meet the patient. The tensed and the ugly look has made the face furious and horrible in the earlier stage. But all the problems were coped up by the concern of the good dermatologist who has prescribed the required medicines and the diet plan that encouraged the patient. This treatment has given a freshen look to the patient thus eradicating all the marks on the skin and making it more glowing than before (Mike, interview 4, p. 14).

Theme # 6: The experience of living with acne for younger adults and for older adults

The last theme of this exploration includes the experience of living with acne for younger adults and for the older adults. The theme is assessed in accordance with the influence of peer pressure and emphasize on appearance. The brief view of this issue is presented below;

6.1 The influence of peer pressure

The peer pressure can also affect the motivation and confidence of people having acne. The interviewee answer indicated that his early experience of facing acne was very worst, this made her attitude very annoyed. But with time to time experience the interviewee realized that it was not a good way to feel irritated and allow others to make fun of them. Firstly she started to find out the problems and interpreted the reason behind the acne. She found of that it is due to of her oily skin problem then she researched to find solution to the problem. This shows that she basically built up her confident for facing the problem without thinking of people’s perception about her. Although her experience was very bad but gradually after some times of realizing the situation she started to research the way to get control over it.

“Okay umm like this lady was telling me…she said that ummm have I ever tried like to…when I wake up morning to wash with alcohol. I take a cotton swab and like right after I finish bathe, thing it with alcohol and wipe it all over my face and do that every morning and every night before I go to sleep. And I started to try that….at first it wasn’t really working per say, but then after a while like it started to work but then you know after a time you have to change because your skin might get accustom to it and so. So I had to change (Mike, interview 1, p, 45)”.

It has been elaborated that appearance is not the only thing to be considered while attracting with others in a society. Having a clear and neat skin doesn’t mean having a soft and polite heart. Having a perfect skin is one of the important factors but it doesn’t mean that life stops here. But on the other hand it obviously not good to ignore the acne, once should try to control it by getting concern with dermatologist and seeks solutions. Secondly it could be control by having a deep cleansing and massage or once can also control acne by using different herbal herbs like mint and Aloe Vera therapy. It has been initiated by the answer of interviewee that impact can be good or bad but it is all about how once feels about it. If a person become shy or feel arrogant over the situation and his hesitation for facing the society would increase so this will surely last the bad impact over his mind (Mike, interview 1, p, 45).

6.2 Emphasis on appearance

The last subtheme is relating to emphasize on appearance. The interview showed that people with young age face difficulties in terms of their appearance.

 “Because usually if I see somebody or I realize somebody is …. I won’t really study them but I am sure that they would maybe turn to me and they might ask me well “I see you have a lot of bumps on your face” or “You breaking out” you know, “Have you ever tried this?”, “Have you ever tried that?”, “What you doing to try and help it or get rid of it?”. Most of the times that what happens (Mike, interview 2, p, 45).  

It has been observed in the interviews that majority of the patients did not understand at the start that their skin is getting affected by acne, the patients at first thought that they are having some allergic problem (Mike, interview 2, p, 45). Furthermore, it is affirmed in the light of the study presented by Walsh, Efthimiou and Dréno (2016), acne is one of the major concern that need to be resolve by the majority of the people, they need to understand that acne itself is a foremost problem faced by almost everyone at some stage of their life and it need a proper treatment by the dermatologists. Most of the time acne begins in the upper area of follicle; this is the place where sebaceous glands discharge their sebum another layer of that oily substance keeps skin from being dry out (Katsambas, Cunliffe and Zouboulis, 2014). Some signs are there which indicates that a person is suffering from acne those signs might involve like white heads and the black heads are start appearing on different parts of the body specially on the face, chest, neck, back and the shoulders. From the detailed analysis of the interviews which were conducted in order to get the responses of the patients of acne, the researcher has come to know that there is generally a specific age in the majority of the people where people start getting the issue of acne, and that time comes between the ages of 12-17 years. Along with that, interviews gave an absolute impression about the side effects that those patients face due to acne problem.

4.5 Chapter Summary

The comprehensive review of the overall chapter depicts that during the procedure of interview. IT has been found that the researcher has asked participates about the acne. These themes are; the emotional difficulties of people living with acne, Visible consequences of acne, Unpleasant experience during social interaction, Coping strategies, the pressure from the media on people with acne and the experience of living with acne for younger adults and for older adults. It is the widely spreader disease among the teenagers so it is very important for the society to accept the people who becomes the victims of the acne, so they would not feel left out in that phase of life where they have the problem of acne.

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