Figure 1.

Process diagram illustrating the development and possible resolution paths of role identity dissonance in the context of paramedic role identity. “I am” refers to the concept of self in relation to an espoused role identity. The role identity, in turn, prescribes a set of beliefs, values, actions, etc. (“Therefore, I”). “Experiences” are events and interactions in enacting the role that have the potential to either reinforce or threaten the stability of the individual’s sense of self in relation to the role that they identify with. Where experiences threaten the stability of the role identity, dissonance can result and may lead to potentially significant distress or prompt a recalibration of the individual’s understanding of their sense of self, the role, or both (with potential paths indicated by dashed lines).