scholarly journals A qualitative study of how self-harm starts and continues among Chinese adolescents

BJPsych Open ◽  
2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Runsen Chen ◽  
Yuanyuan Wang ◽  
Li Liu ◽  
Li Lu ◽  
Amanda Wilson ◽  
...  

Background It is essential to investigate the experiences behind why adolescents start and continue to self-harm in order to develop targeted treatment and prevent future self-harming behaviours. Aims The aims of this study are to understand the motivations for initiating and repeating nonfatal self-harm, the different methods used between first-time and repeated self-harm and the reasons that adolescents do not seek help from health services. Methods Adolescents with repeated nonfatal self-harm experiences were recruited to participate in individual, semi-structured qualitative interviews. The interviews were analysed with interpretative phenomenological analysis. Results We found that nonfatal self-harm among adolescents occurred comparatively early and was often triggered by specific reasons. However, the subsequent nonfatal self-harm could be causeless, with repeated self-harm becoming a maladaptive coping strategy to handle daily pressure and negative emotions. The choice of tools used was related to the ease of accessibility, the life-threatening risk and the size of the scars. Adolescents often concealed their scars on purpose, which made early identification insufficient. Peer influence, such as online chat groups encouraging self-harm by discussing and sharing self-harm pictures, could also lead to increased self-harm. The results also included participants’ opinions on how to stop nonfatal self-harm and their dissatisfaction with the current healthcare services. Conclusions The current study provides important implications both for early identification and interventions for adolescents who engage in repeated nonfatal self-harm, and for individualising treatment planning that benefits them. It is also worthwhile to further investigate how peer influence and social media may affect self-harm in adolescents.

2020 ◽  
Vol 7 (6) ◽  
pp. 1336-1340
Author(s):  
Austin P Ferolino ◽  
Mia Angelica D Camposo ◽  
Karla Christianne L Estaño ◽  
Jessa Marie R Tacbobo

Background: Previous studies have shown that surrogates reported high satisfaction with the surrogacy process and no psychological difficulties as a result of child relinquishment. However, the experiential dimension of child relinquishment is an understudied area. Objective: This study sought to provide a more detailed portrait of gestational surrogates’ child relinquishment experiences and the meanings they give to this experience. Method: Semistructured interviews were conducted with 3 women who experienced commercial gestational surrogacy for the first time. Interview transcripts were transcribed and analyzed using interpretative phenomenological analysis. Results: Three superordinate themes were generated from the transcripts: (1) undertaking an act of altruism, (2) going through a different kind of motherhood, and (3) promoting a positive body image. Conclusion: Such insights can provide essential knowledge for mental health professionals who are interested in the development of psychological support tailored to promote a smooth emotional transfer of the baby from the surrogate to the intended couple.


2021 ◽  
Author(s):  
Gabrielle Heselton ◽  
Gwen R. Rempel ◽  
David B Nicholas

Interview Data<p>There is ample evidence that childhood adversity correlates negatively with physical and mental health outcomes across the lifespan. Resilience results when internal and external protective factors in childhood mitigate the effects of adversity and mental and physical health outcomes are improved. However, the phenomena of childhood adversity and resilience among autistic children are understudied and not well understood. In this study, we engaged members of the autism community to advise on the research question, research design, and analysis. Following the engagement phase, three autistic young women and one nonbinary young adult, aged 19-27, participated in semi-structured interviews via phone, video conference, and online chat;. credibility checking interviews followed data analysis. Through interpretative phenomenological analysis we identified themes related to negative effects of adversity, including <i>social disconnection</i>, <i>mental and emotional well-being</i>, <i>sense of self</i>, and <i>development into young adulthood</i>. Resilience was developed in <i>places of refuge</i> and <i>identity</i>, and was evident in their <i>transitions into young adulthood</i>. These findings provide direction for fostering resilience in children and adolescents on the autism spectrum and planning and implementing mental health supports to autistic individuals across the lifespan. </p>


2021 ◽  
Vol 52 (5) ◽  
pp. 427-448
Author(s):  
Ángela Ordóñez-Carabaño ◽  
María Prieto-Ursúa

The purpose of this research was to study the interviewees’ experience of their reconciliation process and the influence of the Amataba Workshops on their healing process. Semi-structured qualitative interviews were conducted with five pairs ( N = 10) of Tutsi survivors of the Rwandan genocide and their perpetrators, members of the Hutu majority; they had all participated in an intervention to promote reconciliation. The Interpretative Phenomenological Analysis (IPA) method was chosen to study the transcripts. Analysis resulted in nine main relevant categories that should be taken into account while designing a reconciliation-oriented intervention, including truth, listening to each other, justice, repairing the damage, and collaboration on joint projects. The results of this research show how these processes can occur when reconciliation-oriented interventions are facilitated. For some interviewees, these workshops have become a crucial turning point and helped them set aside the hatred and pain.


2021 ◽  
Vol 12 ◽  
Author(s):  
Imogen N. Clark ◽  
Felicity A. Baker ◽  
Jeanette Tamplin ◽  
Young-Eun C. Lee ◽  
Alice Cotton ◽  
...  

BackgroundThe wellbeing of people living with dementia and their family caregivers may be impacted by stigma, changing roles, and limited access to meaningful opportunities as a dyad. Group therapeutic songwriting (TSW) and qualitative interviews have been utilized in music therapy research to promote the voices of people with dementia and family caregivers participating in separate songwriting groups but not together as dyads.ProceduresThis study aimed to explore how ten people with dementia/family caregiver dyads experienced a 6-week group TSW program. Dyads participated in homogenous TSW groups involving 2–4 dyads who were either living together in the community (2 spousal groups) or living separately because the person with dementia resided in a care home (1 family group, 1 spousal group). The TSW program, informed by personhood, couplehood, family centered and group process frameworks, involved creating original lyrics through song parody and song collage. Qualified Music Therapists facilitated sessions and interviewed each dyad separately. Interviews were analyzed using interpretative phenomenological analysis.FindingsFive recurrent group themes were developed, indicating group TSW: (1) was a positive shared experience, benefiting both members of the dyad and motivating further engagement with music; (2) stimulated mental processes and reignited participants’ interests and skills; (3) provided meaningful opportunities for reflection and connection with memories and life experiences; and (4) prompted interaction and collaboration, leading to social connections, empathic relationships and experiences of inclusion. Participants also highlighted how: (5) the facilitated process supported engagement, highlighting abilities and challenging doubts.ConclusionDyads identified group TSW as an opportunity to recognize strengths, voice ideas and opinions, share meaningful experiences, and do “more with music.” Participants valued TSW as a new, creative and stimulating experience that enabled connection with self and others and led to feelings of pride and achievement. Our findings further recognize how therapeutic intention and approach were reflected in participants’ engagement and responses regardless of dementia stage and type, dyad relationship, or musical background. This research may broaden perspectives and expand understanding about how people with dementia and their family caregivers access and engage in music therapy.


Author(s):  
Bettina Callary ◽  
Scott Rathwell ◽  
Bradley Young

Interpretative Phenomenological Analysis (IPA) is a qualitative research methodology used to understand participants’ subjective realities through personal interpretations of their lived experiences and the meanings they attach to these experiences (Smith, 2011). IPA has been used predominantly in health psychology, with rising interest within the field of sport psychology and coaching. This article seeks to describe insights about the processes of IPA by a research team using the methodological approach for the first time. These experiences are shared against the backdrop of research exploring the lived experiences of Masters athletes within the context of coached competitive swim programs. We describe how the multiple facets of IPA influence the refinement of the research question, the planning and implementation of data collection, and data analysis and interpretation. We elaborate on our perceptions of the complexities of IPA and make recommendations for how future research teams might smoothly navigate the rigorous research process to yield rich in-depth data and interpretations.


2020 ◽  
Vol 9 (1) ◽  
pp. 79-93
Author(s):  
Suci Nuranie ◽  
Susi Fitri

Penelitian ini bertujuan untuk mengetahui dan memahami kekerasan emosional yang dialami oleh laki-laki feminin. Penelitian ini menggunakan pendekatan kualitatif dengan metode penelitian studi kasus. Metode pengumpulan data yang digunakan adalah wawancara mendalam. Analisis data yang digunakan adalah Interpretative Phenomenological Analysis (IPA). Responden pada penelitian ini terdiri dari 3 laki-laki feminin dengan karakteristik berbeda, yaitu laki-laki feminin homoseksual, laki-laki feminin heteroseksual, dan transgender. Dari penelitian ini teridentifikasi 6 tema utama yang menunjukan bentuk kekerasan emosional yang diterima oleh ketiga responden, yaitu 1) Serangan verbal dengan sub-tema cemoohan dan labelling, 2) Hubungan sosial dengan sub-tema penolakan, dijauhi, dan provokasi orang lain, 3) Kefemininan responden dengan sub-tema kesadaran kefemininan, dituntut berperilaku maskulin, serangan fisik, dan ancaman, 4) Stigma dan diskriminasi dengan sub-tema diskriminasi, dianggap homoseksual, pembunuhan karakter, dan pelecehan seksual, 5) Kehidupan religius dengan sub-tema dianggap tidak sesuai ajaran agama dan coping, serta 6) Dampak dari perlakuan yang diterima dengan sub-tema sakit hati, kesepian, tidak percaya diri, rendah diri, menyalahkan diri, self-harm, keinginan bunuh diri, dan coping.


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