Preliminary Findings from a Qualitative Study of Trauma Survivors in Treatment: Changes in Personal Narratives

2013 ◽  
Vol 22 (3) ◽  
pp. 262-281 ◽  
Author(s):  
Diya Kallivayalil ◽  
Jocelyn Levitan ◽  
Nicola Brown ◽  
Mary R. Harvey
Author(s):  
W. Kinnaird ◽  
A. Stewart-Lord

Abstract Aim: Sexual dysfunction is a common side effect of external beam radiotherapy (EBRT) and androgen deprivation therapy (ADT) to treat prostate cancer. Men are likely to experience erectile dysfunction, low libido, ejaculatory problems and penile shortening. This qualitative study explored men’s perceptions of sexual dysfunction, including factors such as self-perception, relationships and information and support needs. Methods: Semi-structured interviews were carried out with n = 8 men living 18–30 months after EBRT ± ADT. The interviews were transcribed and thematic analysis was carried out. Results: All men experienced sexual dysfunction following treatment. The main themes arising were: (i) priorities—sexual issues were not a priority when making treatment decisions, (ii) information and support—men described a lack of information and support about sexual dysfunction and (iii) impact—sexual dysfunction impacted on their self-perception and relationships. Findings: Men undergoing EBRT/ADT for prostate cancer may be affected by post-treatment changes in sexual function in a range of ways. This study suggests that they would benefit from early and wide-ranging information and support on sexual dysfunction, even if they do not consider it as a priority. Candid discussions about self-perception and relationships, as well as physical changes, may equip them to cope with post-treatment changes.


2016 ◽  
Vol 16 (2) ◽  
pp. 166-188 ◽  
Author(s):  
Sarah L Jirek

A substantial body of theoretical work on meaning-making processes postulates that assisting clients in reconstructing their personal narratives in the aftermath of trauma helps survivors to integrate the traumatic experience into their identities and life stories. However, the relationship between trauma survivors’ (re-)construction of a coherent life narrative and their development of post-traumatic growth (PTG) has rarely been explored. In this study, I conducted life story interviews with 46 university students with trauma histories to examine: (1) How, and to what degree, trauma survivors (re-)construct a coherent life narrative; and (2) If and how this process is connected to the development of PTG. I found that survivors who were able to articulate a coherent story about their lives experienced more PTG, and I identified key characteristics of three stages of post-trauma change. I also found that trauma-related therapy, writing, informal conversations, and self-reflection played important roles in the narrative reconstruction process. I argue that some narratives are easier to reconstruct than others because not all narratives are equally valued in society. The presence or absence of narratives in the discursive environment, the reception these stories receive within society, and the access that individuals have to these narratives are influenced by the historical moment, social norms, politics, power, privilege, and individuals’ social locations. To promote empowerment and social justice, social workers should help trauma survivors to reconstruct their life stories, create spaces for the less-welcomed narratives, and engage in mezzo- and macro-level efforts to address social problems and inequalities.


2019 ◽  
Vol 46 (3) ◽  
pp. 212-219 ◽  
Author(s):  
Dalya Al-Moghrabi ◽  
Fiorella Beatriz Colonio Salazar ◽  
Ama Johal ◽  
Padhraig S Fleming

Objective: To explore factors influencing adherence to vacuum-formed retainer wear over a minimum period of four years. Design: A qualitative study based on a randomised controlled trial assessing the effectiveness of orthodontic retainers. Setting: Institute of Dentistry, Queen Mary University of London. Participants: Fifteen participants wearing vacuum-formed retainers for at least four years. Methods: One-to-one semi-structured interviews were undertaken on a criterion-based purposive sample of participants wearing vacuum-formed retainers. The interviews were audio-recorded, transcribed verbatim and analysed using Framework Methodology. Results: High self-reported levels of adherence in the early stages of retention were linked to a desire to maintain orthodontic outcomes and the negative perception of potential post-treatment changes. However, adherence typically reduced over time due to a combination of factors including the negative impact of retainers on quality of life and pragmatic issues related to retainer wear. Network support was found to be important in the short and long term, with instances of self-directed wear and negative beliefs concerning the importance of retainer wear and predisposition to post-treatment changes. Lack of follow-up appointments and immaturity of participants prompted independent decisions to cease retainer wear. Conclusions: Six key influencers of prolonged adherence with vacuum-formed retainer wear were identified. Future strategies to improve adherence should account for these while also being responsive to time elapsed since debond and patient age.


2005 ◽  
Vol 15 (2) ◽  
pp. 405-420
Author(s):  
Chaya Possick

This article presents part of the findings of a qualitative study conducted from January-July 2003, of the experiences of women in “multi-problem families” who live in a “high-risk” settlement on the West Bank. The impetus for the project was a dilemma that arose among social workers who were providing services to West Bank communities during this period. The article presents a narrative analysis of three of the interviews in order to illustrate a process of corroboration and subversion of master narratives in the construction of personal narratives.


2009 ◽  
Vol 19 (4) ◽  
pp. 406-444 ◽  
Author(s):  
Cynthia Gerstl-Pepin ◽  
Judith A. Aiken

The purpose of this article is to learn from active educational leaders engaged in the practice of democratic, ethical leadership. In this article, we share findings of a qualitative study that used narrative inquiry to examine the stories of eight educational leaders. We discuss three themes arising from the participants’ narratives that define ethical, democratic leadership: understanding ethical sensitivities and personal narratives; actions that leaders engage in to support their democratic, ethical beliefs; and balancing ethical, democratic responsibility and standardized accountability. From these themes, we offer suggestions to expand leadership preparation, research, and practice.


Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.


2019 ◽  
Vol 4 (5) ◽  
pp. 1148-1161
Author(s):  
Camilo Maldonado ◽  
Alejandro Ashe ◽  
Kerri Bubar ◽  
Jessica Chapman

Background American educational legislation suggests culturally competent speech and language services should be provided in a child's native language, but the number of multilingual speech-language pathologists (SLPs) is negligible. Consequently, many monolingual English-speaking practitioners are being tasked with providing services to these populations. This requires that SLPs are educated about cultural and linguistic diversity as well as the legislation that concerns service provision to non-English or limited English proficiency speakers. Purpose This qualitative study explored the experiences of monolingual, American, English-speaking SLPs and clinical fellows who have worked with immigrant and refugee families within a preschool context. It investigated what training SLPs received to serve this population and what knowledge these SLPs possessed with regard to federal legislation governing the provision of services to culturally and linguistically diverse (CLD) communities. Method Ten American clinicians with experience treating CLD children of refugee and immigrant families in the context of preschool service provision participated in the study. Semistructured interviews were utilized to better understand the type of training clinicians received prior to and during their service delivery for CLD populations. Additionally, questions were asked to explore the degree to which practitioners understood federal mandates for ethical and effective service provision. The data collected from these interviews were coded and analyzed using the principles of grounded theory. Findings The results of this study revealed that there was a general sense of unpreparedness when working with CLD clients. This lack of training also attributed to a deficiency of knowledge surrounding legislation governing service provision to CLD populations.


2008 ◽  
Vol 11 (2) ◽  
pp. 76-82 ◽  
Author(s):  
Sarah M. Ginsberg

Abstract This qualitative study examined student perceptions regarding a hybrid classroom format in which part of their learning took place in a traditional classroom and part of their learning occurred in an online platform. Pre-course and post-course anonymous essays suggest that students may be open to learning in this context; however, they have specific concerns as well. Students raised issues regarding faculty communication patterns, learning styles, and the value of clear connections between online and traditional learning experiences. Student concerns and feedback need to be addressed through the course design and by the instructor in order for them to have a positive learning experience in a hybrid format course.


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