A Qualitative Exploration of Relational Ethical Challenges and Practices in Psychedelic Healing

2021 ◽  
pp. 002216782110452
Author(s):  
William Brennan ◽  
Margo A. Jackson ◽  
Katherine MacLean ◽  
Joseph G. Ponterotto

As both 3,4-methylenedioxymethamphetamine (MDMA)- and psilocybin-assisted psychedelic psychotherapy near U.S. Food and Drug Administration (FDA) approval and gain acceptance as efficacious clinical approaches, concerns have been raised about the likelihood of sexual violation of a client and other relational boundary transgressions. In the current study, 23 practitioners who have administered MDMA and psilocybin to clients in underground (i.e., extralegal) healing contexts were interviewed about their experiences navigating multiple relationships, nonsexual touch, and sexual boundary-setting in their work. Of these practitioners, 12 had undergone formal, graduate-level training in psychotherapy, 10 identified as female, and 13 identified as male. A phenomenological research design was used to assess what unique relational challenges they have faced in this work and what practices they have found helpful in doing so. Two sets of themes addressing these two questions were developed from the data. Descriptive themes represent the unique challenges that psychedelic practitioners have encountered in their work, and prescriptive themes are made up of the practices they have found most useful in confronting these challenges. Some themes are unique to psychedelic work (e.g., client nudity, the use of touch, the belief that therapists must continue to have their own psychedelic experiences), while others represent a psychedelic-specific take on standard ethical considerations (e.g., transference, supervision, staying within one’s scope of competence). Discussion of these results includes implications for the training of psychedelic psychotherapists and other regulatory decisions facing the field.

Author(s):  
Christel Marais ◽  
Christo Van Wyk

South Africa is heralded as a global ambassador for the rights of domestic workers. Empowerment, however, remains an elusive concept within the sector. Fear-based disempowerment still characterises the employment relationship, resulting in an absence of an employee voice. The dire need to survive renders this sector silent. This article explores the role that legislative awareness can play in the everyday lives of domestic workers. By means of a post-positive, forwardlooking positive psychological and phenomenological research design the researchers sought to access the voiced experiences of domestic workers within their employment context. Consequently, purposive, respondent-driven selfsampling knowledgeable participants were recruited. In-depth interviewing generated the data. The distinct voice of each participant was noted during an open inductive approach to data analysis. Findings indicated that empowerment was an unknown construct for all participants. They lacked the confidence to engage their employers on employment issues. Nevertheless, domestic workers should embrace ownership and endeavour to empower themselves. This would sanction their right to assert their expectations of employment standards with confidence and use the judicial system to bring about compliant actions. The article concludes with the notion that legislative awareness could result in empowered actions though informed employee voices.


2017 ◽  
Vol 26 (4) ◽  
pp. 1062-1074 ◽  
Author(s):  
Christelle Froneman ◽  
Neltjie C van Wyk ◽  
Ramadimetja S Mogale

Background: When midwives are not treated with respect and their professional competencies are not recognised, their professional dignity is violated. Objective: This study explored and described how the professional dignity of midwives in the selected hospital can be enhanced based on their experiences. Research design: A descriptive phenomenological research design was used with in-depth interviews conducted with 15 purposely selected midwives. Ethical considerations: The Faculty of Health Sciences Research Ethics Committee of the University of Pretoria approved the study. The research was conducted in an academic tertiary hospital with voluntary participants. Findings: To dignify midwives it is essential to enhance the following: ‘to acknowledge the capabilities of midwives’, ‘to appreciate interventions of midwives’, ‘to perceive midwives as equal health team members’, ‘to invest in midwives’, ‘to enhance collegiality’, ‘to be cared for by management’ and ‘to create conducive environments’. Conclusion: The professional dignity of midwives is determined by their own perspectives of the contribution that they make to the optimal care of patients, the respect that they get from others and the support that hospital management gives them. With support and care, midwives’ professional dignity is enhanced. Midwives will strive to render excellent services as well as increasing their commitment.


2016 ◽  
Vol 25 (1) ◽  
pp. 92-110 ◽  
Author(s):  
Marit Helene Hem ◽  
Elisabeth Gjerberg ◽  
Tonje Lossius Husum ◽  
Reidar Pedersen

Background: To better understand the kinds of ethical challenges that emerge when using coercion in mental healthcare, and the importance of these ethical challenges, this article presents a systematic review of scientific literature. Methods: A systematic search in the databases MEDLINE, PsychInfo, Cinahl, Sociological Abstracts and Web of Knowledge was carried out. The search terms derived from the population, intervention, comparison/setting and outcome. A total of 22 studies were included. Ethical considerations: The review is conducted according to the Vancouver Protocol. Results: There are few studies that study ethical challenges when using coercion in an explicit way. However, promoting the patient’s best interest is the most important justification for coercion. Patient autonomy is a fundamental challenge facing any use of coercion, and some kind of autonomy infringement is a key aspect of the concept of coercion. The concepts of coercion and autonomy and the relations between them are very complex. When coercion is used, a primary ethical challenge is to assess the balance between promoting good (beneficence) and inflicting harm (maleficence). In the included studies, findings explicitly related to justice are few. Some studies focus on moral distress experienced by the healthcare professionals using coercion. Conclusion: There is a lack of literature explicitly addressing ethical challenges related to the use of coercion in mental healthcare. It is essential for healthcare personnel to develop a strong awareness of which ethical challenges they face in connection with the use of coercion, as well as challenges related to justice. How to address ethical challenges in ways that prevent illegitimate paternalism and strengthen beneficent treatment and care and trust in connection with the use of coercion is a ‘clinical must’. By developing a more refined and rich language describing ethical challenges, clinicians may be better equipped to prevent coercion and the accompanying moral distress.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gideon Boadu

PurposeThis conceptual article aims to examine the application of interpretative phenomenology to research on teacher experience. It covers methodological theory and practical interpretative approaches that are pertinent for generating useful insights into an educational issue.Design/methodology/approachDrawing on an illustrative research on secondary teachers' disciplinary and pedagogical reasoning and classroom practices in Ghana, this article explores the author's musings and introspection around carrying out an interpretative phenomenological research and demonstrates how the approach helped to amplify teachers' voices.FindingsThe article demonstrates that the canons of interpretative phenomenology and qualitative research in general, while translatable to practice, need to be regarded as a series of emergent decisions and actions rather than prescriptive set of principles. The article explains that educational researchers must recognise interpretation as the lifeblood of the approach and move beyond the description of essences and explicate participants' experiences of phenomena using workable frames of interpretation.Originality/valueThe article extends the current methodological knowledge base by contributing to international discussions on qualitative research and to an understanding of the applicability of interpretative phenomenological research design to research on teacher reasoning and practice. It also serves as a useful methodological resource for novice researchers.


2004 ◽  
Vol 30 (1) ◽  
Author(s):  
F. Cilliers ◽  
S. Rothmann ◽  
W. H. Struwig

This study explored consultants’ experiences of transference and counter-transference when conducting group relations training from the systems psychodynamic stance. A phenomenological research design was used with semistructured interviews conducted on a purposive sample of 13 organisational development consultants in a financial institution. The data was analysed by means of content analysis. The results showed that consultants have varied receptiveness in terms of receiving projections and managing transference. These differences involve triggers, characteristics and systemic valence. The consultants experienced counter- transference on five different cognitive and emotional levels. Distinguishing between personal and group emotions, receiving projections and managing transference, all contribute to the complexity of organisational consulting. Opsomming Hierdie studie het ondersoek ingestel na konsultante se ervarings van oordrag en teen-oordrag tydens groepverhoudingsopleiding vanuit die sistemiese psigodinamiese posisie. ’n Fenomenologiese navorsingsontwerp is gebruik met semi-gestruktureerde onderhoude gevoer met ’n doelgerigte steekproef van 13 organisasie ontwikkelingskonsultante in ’n finansiële instelling. Die data is ontleed deur middel van inhoudsontleding. Die resultate het aangetoon dat konsultante uiteenlopende ontvanklikheid het wat betref die ontvangs van projeksies en die hantering van oordrag. Hierdie verskille behels snellers, kenmerke en sistemiese valensie. Die konsultante het teen-oordrag ervaar op vyf verskillende kognitiewe and emosionele vlakke. Om onderskeid te tref tussen persoonlike en groep-emosies, die ontvang van projeksies en die hantering van oordrag, dra alles by tot die kompleksiteit van konsultering.


2020 ◽  
Vol 3 ◽  
pp. 137-150
Author(s):  
Bhan Singh Dhami

Face-to-face delivery of education system had been greatly affected due to the outbreak of COVID-19. As an alternative to it, classes were run online wherever there was access to the Internet with technological devices. With this scenario, this study explored the perceptions of semester students about online class at master’s level during COVID-19 pandemic. By using the phenomenological research design of qualitative study, purposive sampling technique was used to collect the views of three students of master’s level studying at third and fourth semesters at an affiliated campus of Tribhuvan University (TU) and a constituent campus under Far Western University (FWU) of Nepal. Semi-structured online interview was conducted to collect the data. The result showed that the students were positive towards online delivery mode due to the need for getting education during COVID-19 pandemic.


Author(s):  
Soner Polöat ◽  
Gizem Günçavdı ◽  
Yılmazer Yılmaz

Within the fact that there are members of different generations in organizations nowadays, intergenerational learning in organizations has become more and more important. Some managers are observed to confuse about how to lead intergenerational learning environments in their organizations which makes important to conduct a research on this problem. Thus, this study was conducted and it aimed to understand the intergenerational learning process and how to lead it in a production facility in Turkey. The study group includes 61 people who are employees, team leaders, department directors, field directors and instructors. The study was carried out in the phenomenological research design. The data were gathered through interviews and analysed with content analysis. The results brought out six main themes, which are which are creating zone, acting according to generational differences, increasing motivation, supporting personal development, recording and managing “know-how”, and creating intergenerational respect and understanding.


2020 ◽  
Vol 5 (1) ◽  
pp. 24-29
Author(s):  
Eko Prasetyo Utomo

The purpose of this research is to find out the King Ho Ping ritual procession and character values ​​in the King Ho Ping ritual as a source of social studies learning. This research uses a qualitative approach with a phenomenological research design. This research is located in the Hok Swie Bio temple in Bojonegoro Regency. The results showed that the King Ho Ping ritual began with a shadow puppet show continued with musical performances and Liong and Barongsai attractions. The climax of the ritual is to pray three times and the end of the ringing signal as a sign of the procession of the gunungan battle begins. Sub character values ​​that arise are 1) respecting differences in religion and belief; 2) firm stand; 3) cooperation between followers of religion; 4) appreciation of the nation's own culture 5) maintain the nation's cultural richness; 5) respect for diversity, ethnicity, religion and culture; 6) please help; 7) anti-discrimination; 8) lifelong pursuit; and 9) responsibilities. Marketer values ​​in the King Ho Ping ritual can be integrated in social studies learning materials in a thematic integrated social studies learning design based on topics, namely the integration of social life with the integration of geography, history, sociology, and economics. Tujuan dalam penelitian ini yaitu untuk mengetahui  prosesi ritual King Ho Ping dan nilai-nilai karakter dalam ritual King Ho Ping sebagai sumber belajar IPS. Penelitian ini menggunakan pendekatan kualitatif dengan desain penelitian fenomenologi. Penelitian ini berlokasi di kelenteng Hok Swie Bio Kabupaten Bojonegoro. Hasil penelitian menunjukkan bahwa ritual King Ho Ping dimulai dengan acara pergelaran wayang kulit dilanjutkan dengan karawitan dan atraksi Liong serta Barongsai. Puncak ritual dilakukan sembahyang sebanyak tiga kali putaran dan diakhir bunyi gendering sebagai tanda prosesi rebutan gunungan dimulai. Sub nilai-nilai karakter yang muncul yaitu 1) menghargai perbedaan agama dan kepercayaan; 2) teguh pendirian; 3) kerja sama antar pemeluk agama; 4) apresiasi budaya bangsa sendiri 5) menjaga kekayaan budaya bangsa; 5) menghormati keragaman, suku, agama dan budaya; 6) tolong menolong; 7) anti diskriminasi; 8) pembejaran sepanjang hayat; dan 9) tanggung jawab. Nilai-nilai karketer dalam ritual King Ho Ping dapat diintegrasikan dalam materi pembelajaran IPS dalam desain pembelajaran IPS terpadu tematik berdasarkan topik yaitu integrasi kehidupan sosial dengan keterpaduan geografi, sejarah, sosiologi, dan ekonomi.


Author(s):  
Mateja Peter

This chapter concentrates on Mateja Peter's experiences of doing embedded research in Darfur, Sudan. It analyzes the distances between researcher and research participants that are created through physical access restrictions to the field, which may arise from the dangers of an active conflict. It also illustrates how practical considerations of accessing sites of conflict are entangled with ethical considerations for scholarly work and for interventions. The chapter highlights how a combination of practical and ethical constraints impacts what can be said about places that are studied. It also provides a narrative of Peter's fieldwork in Darfur, laying out the context and practical considerations, as well as the ethical challenges of the research.


2020 ◽  
Vol 28 (2) ◽  
pp. 159-167 ◽  
Author(s):  
Brittany Stahnke ◽  
Amy Blackstone ◽  
Heather Howard

The purpose of this study was to gain a deeper understanding of the overall life satisfaction of older adult women who have not had children. We explore the following questions: (1) What is the overall sense of life satisfaction of childfree women over 65 years of age? (2) What is the lived experience of being a childfree woman in U.S. society? and (3) How does being childfree inform women’s overall life satisfaction? Using a phenomenological research design to analyze data from interviews with 14 childfree women over the age of 65, we found that nearly all participants report a high life satisfaction and many report a strong sense of resiliency, though they also report an awareness of the stigma associated with their status as nonmothers. Implications for both theory and practice are considered.


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