scholarly journals A qualitative exploration of what works for migrant adolescents in transcultural psychotherapy: perceptions of adolescents, their parents, and their therapists

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Léa Grau ◽  
Emilie Carretier ◽  
Marie-Rose Moro ◽  
Anne Revah-Levy ◽  
Jordan Sibeoni ◽  
...  
Keyword(s):  
Cultural History ◽  
Interpretative Phenomenological Analysis ◽  
Public Health Issue ◽  
What Works ◽  
Transcultural Psychotherapy ◽  
Personal Investment ◽  
Psychotherapy Groups ◽  
The Individual ◽  
Qualitative Exploration ◽  
Migrant Adolescents

Abstract Background Migrant adolescents are at a higher risk than their native-born counterparts of psychiatric disorders, and their care is a public health issue. In France, transcultural psychotherapy is a treatment provided by a group of therapists designed to meet the specific needs of these patients when usual care appears ineffective. The objective of this study was to explore the therapeutic elements at work in transcultural psychotherapy. Methods We conducted a qualitative study crossing the perspectives of adolescents receiving transcultural psychotherapy, their parents, their first-line therapist (FLT), and the transcultural therapists. The families were chosen by purposive sampling. Data were collected during semi-structured individual (for FLTs) and group (families and transcultural therapists) interviews that explored the therapeutic elements involved and effective in transcultural psychotherapy. We used interpretative phenomenological analysis (IPA) to examine the data. In all, 44 participants were questioned: three adolescents (2 girls and 1 boy, all aged 18 to 21 years) and their parents (3 mothers and 1 father), three FLTs (2 child psychiatrists and 1 psychologist), and the 34 therapists participating in the three transcultural psychotherapy groups. Results The analysis uncovered three themes: (1) the perceived effectiveness of the group’s functioning; (2) the recounting of the individual, family, and cultural history to allow for complexity and nuance; and (3) the personal investment by therapists, made possible by the group. Conclusions Our results show some therapeutic elements at work in transcultural psychotherapy that enable it to meet the particular needs of some migrant adolescents that are unmet in standard therapy. Continuing to study transcultural psychotherapy and assess its effectiveness is essential for promoting and optimizing psychiatric care for migrant adolescents.

The Emergence of Subjectivity in the Ancient and Medieval World

2020 ◽  
Author(s):  
Jon Stewart
Keyword(s):  
Cultural History ◽  
Middle Ages ◽  
Philosophical Anthropology ◽  
Cultural Development ◽  
Western Civilization ◽  
Individual Freedom ◽  
Human Beings ◽  
The Family ◽  
The Individual ◽  
Different Cultures

This work represents a combination of different genres: cultural history, philosophical anthropology, and textbook. It follows a handful of different but interrelated themes through more than a dozen texts that were written over a period of several millennia. By means of an analysis of these texts, this work presents a theory about the development of Western Civilization from antiquity to the Middle Ages. The main line of argument traces the various self-conceptions of the different cultures as they developed historically. These self-conceptions reflect different views of what it is to be human. The thesis is that in these we can discern the gradual emergence of what we today call inwardness, subjectivity and individual freedom. As human civilization took its first tenuous steps, it had a very limited conception of the individual. Instead, the dominant principle was that of the wider group: the family, clan or people. Only in the course of history did the idea of what we know as individuality begin to emerge. It took millennia for this idea to be fully recognized and developed. The conception of human beings as having a sphere of inwardness and subjectivity subsequently had a sweeping impact on all aspects of culture, such as philosophy, religion, law, and art. Indeed, this conception largely constitutes what is today referred to as modernity. It is easy to lose sight of the fact that this modern conception of human subjectivity was not simply something given but rather the result of a long process of historical and cultural development.

scholarly journals Influenza vaccination during the coronavirus pandemic: intention to vaccinate among the at-risk population in the Central Catalonia Health Region (VAGCOVID)

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Anna Bonet-Esteve ◽  
Raquel Muñoz-Miralles ◽  
Carla Gonzalez-Claramunt ◽  
Ana M Rufas ◽  
Xavier Pelegrin Cruz ◽  
...  
Keyword(s):  
At Risk ◽  
Influenza Vaccine ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Perceived Risk ◽  
Seasonal Influenza ◽  
Public Health Issue ◽  
Risk Population ◽  
Previous Season ◽  
The Individual

Abstract Background Influenza is a major public health issue, with the primary preventive measure being an annual influenza vaccination. Nevertheless, vaccination coverage among the at-risk population is low. Our understanding of the behaviour of the influenza virus during the SARS-CoV-2 coronavirus pandemic is limited, meaning influenza vaccination is still recommended for individuals at risk for severe complications due to influenza infection. The aim of the study is to determine the intention to vaccinate against seasonal influenza among the at-risk population in the 2020-21 campaign during the SARS-CoV-2 pandemic and to analyse the factors which influence such intention. Methods Cross-sectional telephone survey of adults (aged over 18) with risk factors in central Catalonia where the need for the Seasonal Influenza Vaccine (SIV) was recommended. Results A total of 434 participants responded to the survey, 43.3% of whom intended to be vaccinated against influenza for the 2020-2021 influenza season, 40.8% had no intention to be vaccinated and 15.9% were uncertain or did not express their opinion. The intention to get vaccinated against influenza is associated with having dependents, the individual’s perception of the risk of being infected with influenza and the perceived risk of transmission to dependents. It is also associated with age, whether the individual had received influenza vaccine the previous season or any other season before. The best predictors of the intention to vaccinate are the individual’s perception of the risk of catching influenza and whether the individual had been vaccinated in the previous season. Conclusions Intention to vaccinate can be a good predictor of individual behaviour in relation to vaccination. During the current SARS-CoV-2 pandemic many individuals are hesitant to influenza vaccination. In order to improve influenza vaccination coverage in people included in risk groups, it is necessary to promote educational actions, especially among those who express doubts.

scholarly journals Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training

2021 ◽  
pp. 1-15
Author(s):  
Lucy Taylor ◽  
Cathy Creswell ◽  
Samantha Pearcey ◽  
Emma Brooks ◽  
Eleanor Leigh ◽  
...  
Keyword(s):  
Mental Health ◽  
Anxiety Disorder ◽  
Social Anxiety ◽  
Young People ◽  
Health Services ◽  
Qualitative Analysis ◽  
Social Anxiety Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Qualitative Exploration

Abstract Background: Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents. Aims: The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS). Method: We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment. Results: Three cross-cutting themes were identified: (i) endorsing the treatment; (ii) finding therapy to be collaborative and active; challenging but helpful; and (iii) navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings. Conclusions: The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

Exploring how educational leaders in England experience and promote their own well-being

2021 ◽  
pp. 089202062110038
Author(s):  
Lucy Lindley
Keyword(s):  
Interpretative Phenomenological Analysis ◽  
Subjective Experience ◽  
Personal Autonomy ◽  
Personal Responsibility ◽  
Educational Leaders ◽  
Well Being ◽  
Phenomenological Analysis ◽  
Structured Interviews ◽  
What Works

This study aimed to explore how educational leaders in England experience and promote their own well-being. To address this, five semi-structured interviews were carried out with educational leaders who expressed that they had personally experienced high levels of well-being. Using Interpretative Phenomenological Analysis (IPA), four themes were identified, which highlighted that well-being is a subjective experience (‘there’s no blueprint’); that high levels of well-being are commonly described as feeling balanced (‘maintain a balance’); that well-being is perceived as a personal responsibility (‘you’ve got to find ways to manage that’); and that participants were leading by example in relation to well-being (‘be a well-being supermodel’). Overall, this study emphasised that there is no one-size-fits-all approach to well-being, so educational leaders (and their colleagues) should be given space and personal autonomy to work out what works for them.

History: changing the forms or forming the changes?

2005 ◽  
Vol 13 (1) ◽  
pp. 47-66 ◽  
Author(s):  
SVEND ERIK LARSEN
Keyword(s):  
Cultural History ◽  
18Th Century ◽  
Point Of View ◽  
Future Planning ◽  
Long Period ◽  
Close Analysis ◽  
Vitruvian Man ◽  
Human Responsibility ◽  
The Individual ◽  
Individual Human

Change in European cultural history has, for a long period, been discussed through two interrelated notions, that of science and that of history. This paper traces the various stages of this discussion from Antiquity to the present day from the point of view of history. Two reoccurring and paradigmatic characters of mythological descent, Odysseus and Prometheus, illustrate how history as a realm for human responsibility and future planning has established itself as a specific European construct, with the 18th century as its final breakthrough in practical and ideological terms. A close analysis of Leonardo da Vinci's drawing the Vitruvian Man, in statu nascendi, shows how the individual human being carrying the obligations and the promises of this history, is envisioned. The final remarks underline the importance of scientific knowledge in the concrete shaping of this responsibility and a plea for an increased cooperation across the disciplines.

scholarly journals Should Interpretative Phenomenological Analysis (IPA) be Used With Focus Groups? Navigating the Bumpy Road of “Iterative Loops,” Idiographic Journeys, and “Phenomenological Bridges”

2020 ◽  
Vol 19 ◽  
pp. 160940692092160 ◽  
Author(s):  
Beverly Love ◽  
Arlene Vetere ◽  
Paul Davis
Keyword(s):  
Focus Groups ◽  
Group Dynamics ◽  
Lived Experiences ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Group Data ◽  
Focus Group Data ◽  
Thematic Approach ◽  
The Individual ◽  
Individual Voice

Interpretative phenomenological analysis (IPA) is a qualitative thematic approach developed within psychology underpinned by an idiographic philosophy, thereby focusing on the subjective lived experiences of individuals. However, it has been used in focus groups of which some have been critical because of the difficulties of extrapolating the individual voice which is more embedded within the group dynamics and the added complexity of multiple hermeneutics occurring. Some have adapted IPA for use with focus groups, while others provide scant regard to these philosophical tensions. This raises the question whether IPA should be used with focus group data. To address these concerns, this article will set out a step-by-step guide of how IPA was adapted for use with focus groups involving drug using offenders (including illustrative examples with participants’ quotes). A rationale of why it was important to use both focus groups and an IPA approach will be covered including the value, merits, and challenges this presented. An overview of how participants’ idiographic accounts of their drug use, relapse, and recovery were developed will be provided. This article will conclude with a suggested way forward to satisfy the theoretical tensions and address the question raised in the title.

scholarly journals “We Thought We Were Alone”: The Subjective Experience of the Siblings of Anorexic Adolescent Patients

2021 ◽  
Vol 12 ◽  
Author(s):  
Angelo Persico ◽  
Salome Grandclerc ◽  
Catherine Giraud ◽  
Marie Rose Moro ◽  
Corinne Blanchet
Keyword(s):  
Support Group ◽  
Interpretative Phenomenological Analysis ◽  
Subjective Experience ◽  
Emotional Experience ◽  
Active Role ◽  
Structured Interview ◽  
Interview Guide ◽  
Family Based ◽  
The Individual ◽  
Sibling Group

Objective: The siblings of patients suffering from Anorexia Nervosa (AN) are potentially affected by a disturbed emotional experience that often remains undetected. In order to bring them a psychological support, the Maison de Solenn proposed a support group program for these siblings. The current research explores their mental representations of AN and their emotional experience in the support group named “sibling group.”Method: This exploratory study is based on a phenomenological and inductive qualitative method. Four girls and three boys aged between 6 and 19 participating in the “sibling group” were included in a one-time focus group session using a semi-structured interview guide. The thematic data analysis was performed by applying the methods of interpretative phenomenological analysis.Results: Themes that emerged from the interview fall into four categories: AN explained by siblings; the individual emotional experience of siblings; the family experience of siblings and the experience inside the “sibling group.”Discussion: According to our participants, the “sibling group” thus functions as a good compromise between keeping an active role in the anorexic patient's care and taking a step back to avoid being eaten up by the illness. Sibling-group participants retrieved a sense of belonging, which is normally one of the functions of being a sibling. It is important to note that the “sibling group” is part of the comprehensive (or global) family-based approach included in an institutional multidisciplinary integrative care framework.

Poetics of Disgust: To Eat and Die in Andrei Belyi's Petersburg

Slavic Review ◽  
2009 ◽  
Vol 68 (2) ◽  
pp. 284-307
Author(s):  
Olga Matich
Keyword(s):  
Cultural History ◽  
Visual Arts ◽  
Cultural Norms ◽  
Moral Response ◽  
Spatial Terms ◽  
Modernist Novel ◽  
The Individual ◽  
Experimental Novel ◽  
History And Theory

The article examines the aversive emotion of disgust and its deployment in the visual arts and in the premier Russian modernist novel, Andrei Belyi's Petersburg, which has not been considered in regard to its affective poetics before. Based on recent studies of the emotions in cultural history and theory, it explores the philosophical, psychological, and aesthetic aspects of disgust as a response to something viscerally and/or morally repugnant. The emotion, induced by the experience seen or imagined close up, provokes the observer's recoil as defined by cultural norms. As such, disgust is performative in spatial terms. Olga Matich argues that movement away from the loathsome image or idea affords the possibility of making the experience cognitively readable or legible, that disgust creates a space in which the individual negotiates her emotional as well as moral response. Yet she claims that aesthetically—and in certain instances ethically—disgust, which is always about the boundaries of the permissible, is also liberating: it offers society, its artists, and their consumers the opportunity to transgress established norms. Through extensive close readings of Petersburg, Matich shows that Belyi's experimental novel does precisely that, challenging the reader not to avert her readerly gaze from that which is unsettling and to appreciate, even to delight in, his shocking metamorphic image-making. She calls Petersburg a modernist exemplar of baroque aesthetics, characterized by excessive affect and grotesque representation, especially of the corpse, invoking the transience of life and dissolution of form.

Who Do You Think You Are?

2020 ◽  
pp. 51-57
Author(s):  
Nicolas Bommarito
Keyword(s):  
The Self ◽  
What Works ◽  
Special Challenge ◽  
Self Knowledge ◽  
The Individual ◽  
The Mind ◽  
Tools And Methods

This chapter explores self-knowledge, which is critical for solving the practical problems involved in getting through life. An awareness of your own quirks, character, and preferences is important for figuring out what works for you. However, self-knowledge is also tricky because it is especially elusive. People commonly learn about themselves only indirectly; often it is only by reading the reactions of others that people can see how harsh, kind, or annoying they are. It is also because when trying to know the self, the thing the individual is trying to see is the very thing that does the looking. Buddhism offers many evocative images to illustrate this special challenge: Just as a knife cannot cut itself, the mind cannot be directed toward itself. This makes knowing the self, especially in a deep way, an especially difficult task. Knowing the self thus requires special kinds of tools and methods. The chapter then considers the concept of Buddha Nature.

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