Dissertations / Theses on the topic 'Qualitative Interpretative Phenomenological Analysis'
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Jacobs, Emma Anne. "Living with manic experiences : an interpretative phenomenological analysis." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/4541.
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Although psychological research into manic experiences is increasing, it remains an underresearched phenomenon. In particular, there is a dearth of qualitative research exploring these experiences in a clinical sample of people diagnosed with Bipolar Disorder. This study examined six participants’ experiences of mania using Interpretative Phenomenological Analysis. Through semi-structured interviews, the participants provided detailed accounts of how they made sense of and experienced their manic states. Three master themes were described: “A mixed relationship with mania,” “A separate and controlled self”, and “The struggle to be different.” The first master theme explored the participants’ mixed and ambivalent relationship with their manic experiences. These were viewed as both alluring and dangerous, but overall the perceived costs had outweighed the benefits, for all but one of the participants. Most participants described losses in relation to giving up their manic experiences, as well as losses related to the destructive consequences of their episodes. The second master theme examined perceptions of mania as a separate, uncontrollable phenomenon, over which they had little influence. It was hypothesised that these explanations served to relieve these participants from underlying negative emotions, such as guilt, regret, shame and selfstigma. The third master theme described how manic experiences had represented struggles to be different. These included a struggle against society; a struggle to experience a preferred self; and a struggle to access very unique experiences or abilities. A number of issues were discussed in relation to the above themes. These included positive and conflicting appraisals of high moods; loss; entrapment and helplessness; ambivalence; negative moral emotions and a preferred manic identity. A range of therapeutic approaches were suggested as potentially helpful for some of these issues. These included Motivational Interviewing, Narrative, Constructivist and Compassion therapies. Additionally, the findings of the study provided support for existing therapies for Bipolar Disorder; particularly Cognitive-Behavioural Therapy (CBT) and Interpersonal & Social Rhythm Therapy (IPSRT).
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Kint, Esther Lea. "Women’s experiences of pregnancy loss: An interpretative phenomenological analysis." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1723.
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Over the past three decades, research has proliferated on the incidence of grief severity following pregnancy loss, with many research studies citing the existence of ‘complicated’ and ‘unresolved’ grief. It is argued that this emphasis on grief severity has overshadowed other aspects of the bereavement experience that might differ from grief as it has been defined. Understanding the experience of loss in pregnancy instead of categorising it, would allow for new and varied understandings of the meaning women attribute to their experience of losing a baby. Furthermore, paying attention to women’s interpretations and understandings of pregnancy loss provides valuable insight into care that is perceived as meaningful and supportive.
Utilising interpretative phenomenological analysis (IPA), a qualitative research method, the current study explored the experience of pregnancy loss among nineteen bereaved women with a history of miscarriage or stillbirth. The findings revealed that bereaved women struggle with a unique, complex and pervasive bereavement experience, that is largely unacknowledged and misunderstood. Women conveyed a strong desire for others to acknowledge and validate their loss, and to facilitate rather than suppress their grief. In addition, women identified a need to remain connected to their deceased baby, and for others to recognise the profound and enduring nature of their grief. Perceptions of support were identified as a critical catalyst in determining women’s bereavement experiences, and revealed both positive and negative attributions of professional and social support. In particular, women identified a need for increased public awareness of pregnancy loss, more sensitive and empathic care, continued support to facilitate contact with the baby, improved continuity of care to support grieving, and enhanced support in the subsequent pregnancy to assist with anxiety management. The implications of these findings for future research and practice are discussed.
The study provides a context within which women’s experiences can not only be recognised as widespread and rational emotional processes following pregnancy loss, but that those suffering can also receive appropriate, specialised professional support and social acceptance by the wider community.
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Walsh, Maria Bernadette. "Relating to the other in psychosis : an interpretative phenomenological analysis." Thesis, University of Hertfordshire, 2015. http://hdl.handle.net/2299/17003.
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There is little doubt that social and interpersonal processes are key factors in the development and maintenance of, as well as recovery from, psychosis. Many aspects of the social world have been researched in relation to psychotic experiences and much learnt about the impact of early family life, difficulties in social cognition and the importance of social support, rejection and stigma. However, little is understood about the lived experiences of these interpersonal processes from the point of view of those with psychosis themselves. The aim of the following study was to explore how people with psychosis experience other people and make sense of their interpersonal experiences. Semi-structured interviews were conducted with two men and five women experiencing psychosis. Interpretative Phenomenological Analysis (IPA) was used to analyse the verbatim transcripts, from which three master themes emerged. These were: 'Finding a place in society', 'Interpersonal mistrust' and 'Undermined by inner/outer disturbance'. These findings are discussed in relation to the literature on interpersonal processes and psychosis along with the limitations of the current study. Implications and suggestions for future research and clinical practice are also discussed.
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Wilde, David John. "Finding meaning in out-of-body experiences : an interpretative phenomenological analysis." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/finding-meaning-in-outofbody-experiences-an-interpretative-phenomenological-analysis(f7eb8e48-093c-4e55-a917-8103fdd781fd).html.
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History is replete with reports of anomalous experiences. The out-of-body experience (OBE), where the person's self and body are phenomenologically separate, is a relatively common anomalous experience, and has been a topic of scientific psychological research for over a century. OBEs have been reported to occur under a multiplicity of circumstances, however, research has mostly concentrated on OBEs occurring spontaneously, or arising under life-threatening scenarios. Much of this research has focused on either confirming the authenticity of the OBE or determining the underlying processes by which these phenomena may manifest themselves. This research agenda has been largely nomothetic in nature. Yet, traditionally, there exists a third strand of exploration - phenomenological research - which in recent times has been somewhat overlooked in this field of work. In an attempt to redress this shortcoming, I argue for the use of Interpretative Phenomenological Analysis (IPA) as a method of qualitative investigation to address important fundamental research questions posed by the study of OBEs. The aim of this programme of work was to therefore to investigate the lived experience of having an OBE as it occurred in five different circumstances of occurrence, viz., during or near the point of sleep, during meditation, while consuming alcohol or drugs, while feeling physically or psychologically threatened, and as part of a near-death experience. A rationale for including these circumstances and discounting others is provided. To achieve this aim, five studies were conducted. Fifteen participants - three per study - were recruited to take part in recorded, face-to-face, semi-structured interviews. An IPA of the data identified four main clusters of themes across the five studies. One cluster concerned the potential for the OBE to be viewed as an adaptive experience; occurring at times of personal significance and helping individuals cope with difficult life events. A second cluster highlighted the benefits and challenges that experients encountered when sharing their OBEs with other people as part of their sense-making endeavours. A third cluster of themes centred on the embodied nature of the OBE and the attributions and beliefs experients had about the perceived control and mastery they had over their OBEs. Also identified in this theme was the transactive nature of the out-of-body environments themselves, which were seen as meaningful places that facilitated experients' embodied, goal-oriented behaviours. The fourth cluster focused on the abundance of rarely discussed OBE features and the corresponding attribution experients made of some kind of meaning to certain features, many of which were bound to previously held desires and beliefs, and tied in closely with their future anticipations and expectations. The theoretical implications for all of these findings are discussed. By examining in-depth the experience and meaning of these critical life events, IPA research findings can better furnish psychologists and health care professionals with information to further appreciate and understand their clients' OBEs. In turn this may help professionals deal with any potential personality transformations or psycho-spiritual crises that may arise in the wake of an OBE occurrence.
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Jardine, Kirsten Marie. "What meaning does raising a child with autism have for parents? : a qualitative exploration." Thesis, University of Edinburgh, 2008. http://hdl.handle.net/1842/2747.
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Introduction: Children with autism experience difficulties in social interaction and communication which are often manifested behaviourally. The nature of these difficulties means that the task of parenting is often challenging. This study therefore aims to explore which aspects of raising a child with autism are most meaningful for parents. It will also investigate what, if any, are the positive aspects related to the experience of having a child with autism. Method: A qualitative approach was used, with data collection and analysis being guided by the principles of Interpretative Phenomenological Analysis (Smith, 1995). Seven interviews were conducted which yielded approximately 10 hours of data. Interviews were recorded and transcribed to facilitate analysis of the narratives. Results: The meaning of being the parent of a child with autism was conceptualised within four core themes of: autism as a journey, what it means to live with autism; negotiating the social world; and positive aspects of raising a child with autism. Three of these themes contained sub-themes which provided further insight into the participants’ experiences. Being the parent of a child with autism was represented as a complex and dynamic process. Discussion: The results of the research are discussed in the context of relevant literature. Previous findings regarding receiving a diagnosis of autism, coping, acceptance and adaptation are essentially supported by this research. However, these results also acknowledged the significant role of social encounters in the participants’ experiences and the positive aspects of raising a child with autism. The clinical implications of the findings are discussed. Suggestions for future research are also made in response to the current findings and potential imitations of the methodology are considered. Conclusions: The findings from this research indicate that being the parent of a child with autism is characterised by many meaningful experiences, some of which are significant moments in the process of raising a child with autism. For example, the journey to, and receipt of, their child’s diagnosis was identified as a particularly important event in the experiences of the participants. Furthermore, there are complex interactions between the different aspects of these experiences which reflect the ever-changing nature of the challenges of parenting a child with autism.
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Johnston, Sarah Louise. "Women's experiences of vaginismus and its treatment : an interpretative phenomenological analysis." Thesis, University of Leicester, 2013. http://hdl.handle.net/2381/28264.
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Female sexual pain is a common problem affecting women worldwide yet remains a poorly researched area of women’s sexual health. Dyspareunia and vaginismus are two types of sexual pain disorder each having psychological and physical health consequences for women and their partners. Part 1: A literature review of the qualitative research literature exploring women’s experiences of sexual pain disorders and their treatment was conducted adopting a narrative synthesis approach. Searches of psychological and medical electronic databases highlighted the paucity of research exploring women’s experiences of sexual pain disorders. Ten studies met the inclusion criteria for the review. The type of qualitative method and quality varied. Findings highlighted the complexity of women’s experiences of sexual pain. Positive experiences of treatment identified alternative benefits of treatment in addition to the traditional outcome of vaginal penetration and penetration without pain. Existing literature has focussed on dyspareunia, and further research is needed on vaginismus. Part 2: The research study used an Interpretative Phenomenological Analysis (IPA) of women’s experiences of vaginismus. Three women were interviewed about their experiences of vaginismus and the treatment they received. Interview transcripts were analysed using IPA. The findings identified the complexity of experiencing vaginismus, the struggle the women faced when trying to make sense of their vaginismus and the wider impact of these experiences on their identity. The findings highlight the value of psychological therapy with this client group and of the need to raise awareness amongst primary care professionals whom women with vaginismus are likely to consult in the first instance. Part 3: A critical appraisal of the research process is presented with focus on the experience of conducting qualitative research as a trainee clinical psychologist. A discussion of the findings is presented in the context of critical reflections on both the strengths and limitations of the study.
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Buyson, Darwin. "Bilingual clinical psychologists' experiences of conceptualising emotional distress : an interpretative phenomenological analysis." Thesis, University of Hertfordshire, 2010. http://hdl.handle.net/2299/5089.
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Aim: The study aims to explore, in-depth, South Asian bilingual clinical psychologists personal and clinical experiences of conceptualising emotional distress in first and second language. It is hoped that a clearer understanding of these experiences will help emphasise the role of language in the experience of emotional distress, which may be beneficial for working with clients that make sense of emotional distress in multiple languages. An understanding of these processes may also encourage further exploration and critique of the ways in which western psychological models are used to make sense of emotional distress, given many, if not all have been constructed using English language. Method: A qualitative approach was used for this study. Semi-structured interviews were conducted with six South Asian, bilingual clinical psychologists working in NHS services. The resulting data was analysed using interpretative phenomenological analysis (IPA). Results: The analysis highlighted four main themes emerging from participant accounts of conceptualising emotional distress in multiple languages. These were: “Worlds apart in culture and language”, “Oscillating self in language”, Ubiquity of English language and values” and “Challenging and managing difference”. Implications: Whilst much has been written about race and cultural issues in the context of clinical psychology, relatively little attention has been given to the experience and impact of multiple languages on the conceptualisation and experience of emotional distress. A major implication is first language conceptualizations are rarely considered in the development of psychological models of emotional distress, nor are they explicitly considered in the way clinical psychologists are trained and in the majority of current clinical practice guidelines. Participant accounts are dicussed in the wider historical context of psychology, anthropology and sociolinguistics informing further discussions on bilingualism and current psychological practice and theorising.
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Shams, Shirin. "University Counsellors' experiences of working with students who procrastinate : an Interpretative Phenomenological Analysis." Thesis, University of Roehampton, 2017. https://pure.roehampton.ac.uk/portal/en/studentthesis/university-counsellors’-experiences-of-working-with-students-who-procrastinate(f6cac1b9-9706-42c7-96dd-14ed250084e6).html.
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Procrastination as problematic delay is a widely occurring phenomenon in modern society. It is particularly prevalent in academic settings where some students avoid or postpone their work in numerous ways. Over the last three decades, a substantial body of quantitative and some qualitative studies have been conducted, however, to date researchers are still unclear about what causes this problem and how it can be effectively helped. Working with procrastination is therefore considered an important issue for counselling psychologists, many of whom work in university student counselling services. The aim of this research was to conduct an inductive qualitative study to explore how university counsellors understand and work with students who present for help with procrastination. Ten volunteer participants were interviewed who mainly identified themselves as working integratively. An interpretative phenomenological analysis was conducted and the results produced four master themes that highlighted firstly general challenges of working with students who procrastinate in university settings. Secondly, three distinct styles of procrastination were identified from these participants’ accounts as “de-skilled”, “anxious/fearful” and “conflictual”. These indicated a need for tailored therapeutic approaches that seemed to be enabled by an integrative therapeutic stance. Overall, it may be concluded that procrastination as a presenting problem in academia is a heterogeneous phenomenon that requires adaptable therapeutic approaches for individual students’ styles in relation to studying autonomously.
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Cassidy, Elizabeth Emma. "An exploration of the lived experience of progressive cerebellar ataxia : an interpretative phenomenological analysis." Thesis, Brunel University, 2012. http://bura.brunel.ac.uk/handle/2438/7547.
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Background and Purpose: Progressive cerebellar ataxia is a rare neurological condition characterised by uncoordinated movement, and impaired speech articulation. Rehabilitation and physiotherapy in particular, form the cornerstone of healthcare intervention. Little qualitative research has been undertaken to understand the subjective experience of this complex condition. This study explored the experience of progressive cerebellar ataxia, physiotherapy and physiotherapy services from the perspective of people living with this condition. Method: Interpretative Phenomenological Analysis underpinned this inductive qualitative enquiry. Twelve people with a progressive cerebellar ataxia participated in semi-structured interviews. All participants had some experience of physiotherapy. Interviews were transcribed. A case by case idiographic analysis was undertaken followed by a cross case analysis. Findings: Five super-ordinate themes were identified. ‘The embodied experience of progressive cerebellar ataxia’ emphasised the foregrounding of the body, and the disruption of the skilful interaction between body and world. ‘Identity, stigma and disrupted embodiment in public spaces and places’ encapsulated how participants made sense of actual and perceived stigma and discrimination. ‘Lifeworld meets biomedicine: a complex juxtaposition’ described participants’ problematic relationships with healthcare practitioners and their disease-centric world. ‘Wresting control in the face of uncertain and changing forces’ portrayed participants’ attempts to understand and reinterpret their condition on their own terms. ‘Exercise: a multifaceted contributor to managing life with ataxia’ captured the meaning of exercise and physical activity. One over-arching theme, ‘Retaining a homelike way of being-in-the-world’, cautiously indicated that whilst participants described ‘unhomelike’ lifeworlds (uncomfortable and disturbing); they simultaneously held onto, and sometimes realised, the possibility of ‘homecoming’, for example through the generation of new modes of belonging. Conclusion: This study provided a detailed, phenomenological account of the lived experience of progressive cerebellar ataxia. New insights were developed that have the capacity to inform not only physiotherapy practice but also other healthcare disciplines. New avenues for future research were also identified.
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Wade, Jonathon Andrew. "Initial and Long-Term Homeless Shelter Volunteerism: An Interpretative Phenomenological Analysis Study." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3012.
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This interpretative phenomenological analysis (IPA) study was implemented to explore
and describe the initial and long-term motivations of community volunteers within a selected homeless shelter in central Indiana. The settlement house movement of human service delivery was the conceptual framework, which provided guidance and understanding concerning why and how community members provide human services through volunteerism. The research question examined the ways in which long-term volunteers thought about and made sense of their motivations to volunteer initially and over the long term at a homeless shelter. To answer the research question, the IPA methodology was implemented with 6 long-term community volunteers at a selected shelter. This design provided rich qualitative text that was analyzed to develop themes to explain and describe how the 6 study participants made sense of their individual motivations descriptively, emotionally, religiously, and socially. The overarching conclusion was that all 6 participants shared a common theme, which was Evangelical tradition, volunteerism, and social responsibility. This new finding provides a first look at the motivations of community volunteers, previously unknown in academic literature, and indicates a key subgroup of volunteers that may be the focus of future research on assisting community shelters with recruiting and retaining community members for the effort to eradicate homelessness in the United States.
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Coaley, Tanya Elisabeth. "Personal experiences in the early to moderate stages of Alzheimer's disease : an interpretative phenomenological analysis." Thesis, Bangor University, 2001. https://research.bangor.ac.uk/portal/en/theses/personal-experiences-in-the-early-to-moderate-stages-of-alzheimers-disease--an-interpretative-phenomenological-analysis(03a206b1-e29d-460b-b6a7-62bac66b55f0).html.
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Previous research has focused on measuring awareness in dementia with few attempts to define or clarify this concept, nor explore its meaning to the individual. The present study is preceded by a review of the concepts of insight and awareness, and the different approaches to understanding these drawn from the psychological, neurological and psychiatric literatures. The strengths and limitations of the different and models are discussed and the case for further research in this area is presented. This is followed by a research study that explores the experiences of seven people in the early to moderate stages of dementia. Interpretative phenomenological analysis illuminates some of the psychological factors that contribute to awareness and how these factors impact upon selfconcept. It is suggested that clinicians and services need to pay greater attention to the phenomenological experiences of individuals with dementia. Four superordinate themes emerged which were labelled 1. Relationship with memory 2. Relationship with professionals 3. Emotional experience of memory loss 4. Coping and maximising resources. Each category compares and contrasts individual experiences and suggests that insight may be a complex concept that would be better understood by taking into account the psychological processes that contribute to individual awareness, and their subsequent impact on self-concept. The research paper is followed by a critical review that outlines the strengths and weaknesses of this study, as well as the process issues that arose during the course of the research and the clinical implications.
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Buchan, Catherine. "An interpretative phenomenological analysis investigation into men's experience of psychological change without psychotherapy." Thesis, University of Wolverhampton, 2013. http://hdl.handle.net/2436/297382.
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Diamond, Rowan. "A qualitative exploration of seeking psychological support in the police service : an interpretative phenomenological analysis." Thesis, University of Oxford, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437401.
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Briggs, David John. "A qualitative study using Interpretative Phenomenological Analysis to explore Chartered Counselling Psychologists' experiences of supervision." Thesis, University of Wolverhampton, 2010. http://hdl.handle.net/2436/132953.
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This thesis comprises three main sections: a literature review, research report and a critical appraisal of the research process. The literature review is generic across a number of health professions and begins by placing supervision within its historical context followed by an attempt to clarify our current understanding of supervision. The literature relating to effective supervision is presented, with the supervisory working alliance being identified as potentially one of the most important common factors in the change process of supervision (Ellis, 1991). A review of supervision models suggests that they provide a structure for understanding the roles, relationships, responsibilities and processes integral to the practice of supervision. The review attempts to clarify the current state of supervision training, highlighting the lack of attention that has been paid to the process by which individuals learn to become effective supervisees and supervisors. It is concluded that there is a need for further research in the area of training for both supervisees and supervisors. The research report comprises a qualitative study using interpretative phenomenological analysis to explore the supervision experiences of six Chartered Counselling Psychologists. The thematic content that emerged indicated a lack of preparation for the role of supervisee and a lack of formal training for the supervisory role. The findings revealed that the participants relied upon self-directed learning, their previous experience and their therapeutic skills to inform their supervisory practice. The findings also highlighted the critical role of the supervisory relationship for both supervisee and supervisor in managing the anxieties generated by this lack of preparation and training as well as in supporting the learning and development of all involved in the relationship. The final section is the researcher’s critical appraisal of the research process.
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Da, Silva Joanne. "Men’s perceptions and lived experiences of romantic relationships : a qualitative approach using interpretative phenomenological analysis." Thesis, University of East London, 2012. http://roar.uel.ac.uk/1519/.
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This study is aimed at exploring in detail men’s perceptions and lived experiences of romantic relationships. According to Relate’s (2009, 2010) statistics, in the United Kingdom there is a rise in the number of male clients who present themselves for relationship counselling. There is consequently growing interest among counselling psychologists to understand romantic relationships from a male perspective. Critical realist epistemology underpins this study and is in accord with counselling psychology - both place emphasis upon uncovering subjective truths. A review of the literature on men and romantic relationships suggests that this subject has been predominantly studied from a ‘natural science’, positivist and quantitative framework. From a critical realist position, a gap in the literature appears to be that men’s subjective experiences and personal perceptions of romantic relationships have not been fully identified and understood in their own terms. This is addressed in this study. Using a qualitative approach seven heterosexual men were interviewed. The participants were predominantly white, British, university educated and employed professionals, aged 30-39, with experience of a romantic relationship. Semi-structured interviews were conducted, transcribed, and analysed using Interpretative Phenomenological Analysis. The findings suggest that for these seven participants, romantic relationships were understood and experienced firstly in terms of why such relationships were established and the factors that contributed to the initial encounters. Secondly, participants identified several elements which they felt were significant in sustaining their relationships. Finally, participants noted a number of salient factors that contributed to the breakdown and/or ending of their romantic relationships. The findings that emerged from the study emphasise that this particular sample of men made sense of their romantic relationships in complex, iii specific, and varied ways. The implication of this for practice is that it reminds counselling psychologists that their engagement with clients should be collaborative, whilst emphasising and respecting their subjective experiences, feelings and meanings in their own terms – fundamental components of counselling psychology philosophy. The intricate, subjective and diverse ways in which the participants made sense of their romantic relationships have provided new and richer insights into this area and make a distinctive contribution to counselling psychology and relationship theory.
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Papadopoulou, Constantina. "Making sense of acute leukaemia : an interpretative phenomenological analysis of the experiences of patients and family caregivers." Thesis, University of Dundee, 2014. https://discovery.dundee.ac.uk/en/studentTheses/942fa3ef-db44-4899-a550-5f5059f4ec92.
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Background and objectives: Living with acute leukaemia can challenge patients’ physical, emotional and psychological well-being and functioning, but can be a greatly challenging experience for their families, too. Such a life-changing experience can potentially initiate or accelerate a meaning-making process that may be prolonged and demanding. Yet, there is a dearth of empirical evidence with regard to how adult patients with acute leukaemia or their family carers make sense of their illness-related experiences, and, as a consequence, clinicians still lack the knowledge necessary to tailor support to this specific population. Therefore, this qualitative study aimed to explore the processes, through which patients and family caregivers construct their meanings of acute leukaemia. Design and methods: An exploratory design was employed using serial, in-depth interviews, guided by Smith’s Interpretative Phenomenological Analysis approach. Ten adult (>18 years of age) patients with acute leukaemia and eight patient-nominated family caregivers were recruited during a 14-month period from two clinical NHS sites in Scotland. Two serial interviews were conducted with each participant, two to four weeks apart, within the first year of diagnosis or post-relapse. In total, thirty-six interviews were analysed. Results: Findings deriving from patient interviews indicated that acute leukaemia creates a state of imbalance to the person, which may initiate a search for a new equilibrium. Patients’ journeys towards making sense of their illness may involve three inter-changeable processes: decay, transformation and growth. As patients learned of their diagnosis and their treatment commenced, a sense of decay dominated their lives. ‘Feeling like being a prisoner’ and ‘living with an impaired self’ were two common emergent themes. Running in parallel, signs of transformation started to become more evident as time elapsed. Within the third making-sense process, that is to say growth, themes such as strengthened family bonds, and reprioritising values were among the most prominent. Carers’ accounts of their indirect cancer experience revealed that family members made sense of their acute leukaemia-related situation as a state of limbo that was conceptualised as a maze. After being thrust into limbo, the invisible nature of acute leukaemia created difficulties for carers to conceptualise it; however, they experienced its impact on their lives quite hastily. In order to navigate limbo, carers had to learn to steer through their social world and the unfamiliar hospital environment and eventually manage to transcend limbo by employing various coping strategies, by facilitating the cancer journey of their loved ones, and finally, by reconciling with the patient’s illness. Conclusions and future implications: Findings of this contextually and methodologically novel study highlight the complex nature of sense-making for both patients and family caregivers experiencing acute leukaemia. Additional research is warranted to further uncover the various ways in which meaning is initially constructed, negotiated, re-visited and reformed as patients and/or family carers go through the different phases of living with the illness. In any case, clinicians can rely on the findings of the present study in order to provide on-going support and guidance so that patients and carers visualise the ‘invisible’ acute leukaemia and make sense of their illness-related situation in ways that favour their short- and long-term psychosocial adjustment.
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DiPietro, Ellette K. "Unforgiving Pain: A Qualitative Exploration of Chronic Pain and Self-Forgiveness." Antioch University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1503616087896433.
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Odusanya, Shamarel Olubunmi Elizabeth. "The experience of qualified BME clinical psychologists : an interpretative phenomenological and repertory grid analysis." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/17471.
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Aim: Knowledge of the experience of qualified BME clinical psychologists in clinical practice is currently lacking in the research literature. The aim of the current study was to explore the lived experience of qualified BME clinical psychologists currently employed in the National Health Service (NHS). By investigating this under-researched topic, the study hopes to shed light on the impact on clinicians' personal and professional identity of practicing within a profession that lacks cultural diversity. It is hoped that the results of this study will contribute to ongoing efforts to diversify the profession, improve our knowledge of the experience of BME groups in the helping profession and also challenge current misconceptions concerning the BME experience. Method: A mixed method qualitative approach was employed for this study. Repertory grids and semi-structured interviews were conducted with six female qualified BME clinical psychologists who are currently working in the NHS. They had been qualified between three and sixteen years. Their repertory grids were analysed using Idiogrid and their accounts were analysed using Interpretative Phenomenological Analysis (IPA). Results: Four master themes emerged from the analysis and were supported by the findings from the repertory grids showing that BME clinical psychologists feel that they stand out as different on account of their ethnic difference. The analytic procedure also highlighted how participants have to find a way to negotiate their cultural and professional values whilst also sitting with the uncertainty of their experiences in the profession. The final theme relates to the privilege that participants held in making it as a clinical psychologist. Implications: Initiatives to increase cultural competency and sensitivity need to be addressed by the profession. Efforts to increase ethnic diversity should be followed through to ensure practitioners are not left on the fringes of the profession on account of their minority ethnicity.
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Oliver, Tracy. "Mapping the Hidden: An Interpretative Phenomenological Analysis of Multigenerational Family Secrets." NSUWorks, 2015. http://nsuworks.nova.edu/shss_dft_etd/11.
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Family secrets can be a driving force, whether explicitly or implicitly, for many seeking therapy. Despite this, there is little qualitative research examining how individuals experience and make sense of their family secrets. Through this study the researcher examined the phenomenon of family secrets amongst five individuals from different families. Qualitative research using Interpretative Phenomenological Analysis (IPA) along with a Bowen Family Systems Theory approach was used to explore multigenerational family secrets. Purposive sampling was used to select that participants and data was collected through semi-structured interviews. A genogram was also drafted to identify multigenerational relationships and the history of family secrets.
By exploring and mapping the functions of multigenerational family secrets, the researcher examined in detail how participants make sense of their lived experience with holding a family secret. Through semi-structured interviews, the researcher was able to extract the meanings found within keeping a secret and the functions that secrets serve within families. Six superordinate themes were identified: what’s in a secret, living with a secret, finding meaning, anxiety and differentiation, multigenerational transmission process, and functions of family secrets. The data collected and analysis reflecting the experiences shared by the five participants add to the existing literature on the phenomenon of keeping family secrets and details the implications for the emotional system and marriage and family therapy. By mapping the hidden, a new conversation on the taboos of family secrets can lead to new hope for individuals and generations to come.
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Folland, Caroline H. "Working with psychological trauma : an interpretative phenomenological analysis of trauma-focused CBT and EMDR." Thesis, University of Derby, 2017. http://hdl.handle.net/10545/621586.
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Purpose: The Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria for post-traumatic stress disorder (PTSD), acknowledged repeated or extreme indirect exposure to aversive details of traumatic event(s) in the course of professional duties, can lead to symptoms of PTSD. This has led to discussions around impact and prevalence of vicarious trauma in psychological therapists treating trauma clients. This study considers how therapists delivering trauma-focused cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR) make sense of their experiences and protect themselves from any negative effects of the work. Furthermore, it considers if there is a distinction in therapist experience between the two modalities. Methodology/Method: An Interpretative Phenomenological Analysis (IPA) was conducted to explore how trauma-focused CBT and EMDR therapists engaged in trauma work, interpreted and made sense of their experiences; with a view to identifying any protective practice that informed clinical practice and helped ameliorate vicarious trauma. Recorded, semi-structured interviews were conducted with CBT and EMDR therapists (N=11). Before analysis, interviews were transcribed verbatim and sent to individual participants for validation of their authenticity. Data was analysed using descriptive, linguistic and conceptual comments to identify an initial seventy nine emergent themes. When refined, four master themes of ‘Nature of Trauma’, ‘Participant sense of self and managing the process of hearing trauma narrative’, ‘Participant experience of delivering the trauma models’ and ‘Protecting and sustaining the participant sense of self’ were identified to answer the research question and are discussed herein. Findings: This study forms part of the growing body of evidence towards understanding therapist vicarious traumatisation. It both supports and challenges findings of previous studies. It also introduces new concepts in relation to the vicarious trauma phenomenon. Whilst there are clear limitations associated with making generalisations from an IPA study, the findings from the study suggest EMDR may be a protective factor against the negative effects of hearing repeated trauma narrative. Furthermore, certain strategies such as time management, comprehensive trauma training and specific trauma supervision, may also reduce the negative effects of hearing trauma narrative. Finally, regardless of the difficulties faced, therapists enjoy their trauma work and feel a great sense of professional satisfaction. Implications/Recommendations: Indications from the findings of the study are that therapists working within primary care in particular, are becoming increasingly pressurised by cuts to funding within mental health services. Recommendations are that those components of trauma work which promote therapist wellbeing should be supported. In particular, realistic timeframes within which to work, good quality training and supervisors, ideally external to the workplace, who can provide trauma-specific supervision.
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Hassim, Junaid. "Becoming and being a lay volunteer counsellor : an interpretative phenomenological analysis (IPA) study." Diss., University of Pretoria, 2009. http://hdl.handle.net/2263/26469.
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This study embarked on exploring the experience of becoming and being a lay volunteer counsellor from a psychological perspective. Six participants were interviewed using Interpretative Phenomenological Analysis (IPA) as the research method. Race and gender are divided equally amongst Black, Caucasian, male, and female participants. Numerous dimensions relating to the lived experience of lay volunteer counsellors are investigated in the present literature, suggesting that the experience of becoming and being a lay volunteer counsellor is multifaceted. The subjective experience of each of the participants was explored, with the optimism that this exploration would expound on the multilateralism of these facets. Although specific experiences remain exclusive to each participant, the intersecting and co-creation of meanings culminated in the cultivation of themes common to the participants. These themes are examined against the literature, critically appraising supportive and distinct suggestions. As is evident from the results, participants have a profound appreciation of the stimuli which influence their experiences of lay volunteer counselling, but also of the circumstances surrounding the origins of their sense of volunteerism. Even though some of the literature addressed themes relevant to the participants’ experiences, a small number of themes could not be juxtaposed against available literature. Based on the narratives of the participants, as well as data in the literature, volunteers constitute a reasonable component of the service sector and assist a sizeable population. Therefore, the value of the lay volunteer counselling population should be recognised in order to develop further training and support programmes for this subpopulation. As it appears, recognising the essence of this value begins with appreciating the experience of becoming and being a lay volunteer counsellor. CopyrightDissertation (MA)--University of Pretoria, 2009.
Psychology
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Agboaye, Oluwemimo. "How do psychological therapists develop their working knowledge of dissociative features : an Interpretative Phenomenological Analysis." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/620574.
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Whiteley, Anna. "Understanding and experiencing ageing : the perspectives of older people with intellectual disabilities." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/25491.
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Background: This thesis contains two elements: the first is a systematic review examining some of the determinants of quality of life for people with intellectual disability. Understanding these determinants can drive improvement at both individual and societal level. Yet there are a number of quality of life measures which might confound findings between studies. This systematic review sought to identify factors that influence quality of life using self-report on one measure developed for use with people with intellectual disability, the ‘Quality of Life Questionnaire’ (Schalock & Keith 1993). The second element is an empirical study that aims to explore the lived experience of aging for older adults with intellectual disability. There are noted differences between people with and without disability as they grow older, for example in terms of health and social opportunity. Previous studies have not consistently sought the experience of the people with intellectual disability themselves, or have used participants not traditionally considered older adults. This study aims to address gaps and further our knowledge in the lived experience of getting older for older adults with intellectual disability. Method: Within the systematic review a systematic search of relevant studies to 20th January 2015 was completed using a specified inclusion criteria, yielding 13 peerreviewed journal articles. These were scored on 11-point purpose-designed quality criteria. For the empirical study semi-structured interviews were completed with ten participants with intellectual disability (age range 60 – 74 years, five female) regarding their understanding of getting older and their experience of ageing. Nine transcribed interviews were analysed using interpretative phenomenological analysis. Results: The systematic review found that living in a semi-independent environment or an urban setting, being employed, being involved in domestic and community activities, receiving social support and possessing social skills and self-determination were factors that improved quality of life for people with intellectual disability. Three major themes emerged from the empirical study data when participants discussed getting older: ‘Not changed by ageing’, ‘Thinking about the ageing process’ and ‘What happens when getting older’. Participants tended to feel that they were still the same due to continuation of the same activities and social support. They demonstrated confusion in the ageing process, considering the process ‘inevitable’ but insignificant, although also recognising some changes associated with the process. They discussed their views about what they considered happens when people get older, which tended to be stereotypical and often negative. However they also reflected on their own experiences and how they had changed. Discussion: The methodological quality of the studies reviewed was found to be generally low due to a range of factors including study design, measurement of intellectual disability and reporting of sample demographics and results and therefore conclusions should be treated with caution. This highlights a need for further research with people with intellectual disability of a higher methodological quality. The empirical study is discussed in reference to previous research and gerontological theories of ageing. The study highlighted that staff or family did not broadly discuss ageing with participants and their views often changed over the course of the interviews from more physical and negative aspects to how ageing impacted them. This research demonstrated older adults with intellectual disability do have opinions on ageing. Further exploration with people with intellectual disability on this topic is to be encouraged in the future to develop a more balanced view.
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Heer, Kuljit. "The experiences of older Black African women living with HIV in the UK : an IPA study." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/17464.
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Due to the improved availability of highly active antiretroviral therapy (HAART) life expectancy amongst people living with HIV has drastically increased. Older people, aged 50 and over now make up the fastest growing group of individuals living with HIV in the UK. Despite this little is known about their experiences of ageing with HIV. In addition, further still is known about older Black African women living with HIV in the UK, despite the complexity of their social and political context. This was, therefore, the first study to explore the lived experiences of this underrepresented group of women. The thesis adopted a phenomenological approach to examining how the intersections of older black African women's identities shaped their experiences of living with HIV in the UK. In addition, it explored the ways in which they coped with the devastating impact HIV appeared to have on their lives. Using interviews with seven women and interpretative phenomenological analysis, the results revealed three master themes. These were 'Spoilt Identities', 'A present without light and a future without hope' and 'Escaping the labyrinth of distress and uncertainty'. A detailed account of these master themes is provided. The findings are discussed in relation to existing literature, implications for clinical practice, methodological limitations and suggestions for future research.
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Holt, Natasha Genevieve. "The experiences of older homeless people living in hostel accommodation : a qualitative study using interpretative phenomenological analysis." Thesis, University of Birmingham, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435352.
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Larsson, Ellinor. "Communication Through Translation : An Interpretative Phenomenological Analysis of Mental Health Professionals' Experiences of Working With Interpreters." Thesis, Linköpings universitet, Institutionen för beteendevetenskap och lärande, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-176250.
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The current study explores the experiences of mental health care professionals in Sweden who conduct therapy with the assistance of an interpreter. Seven participants took part in semi-structured interviews that were analyzed using interpretative phenomenological analysis (Smith, 1996). Three main themes emerged from the analysis of the interview transcripts: (1) communication and translation - highlighting the communicative challenges and benefits that arise when using an interpreter, (2) the interpreter as a person and as a professional - describing the variation of interpreters in terms of behavior, personality, roles, and professionalism, and their impact on psychological treatment, and (3) dynamics and relations - featuring the interpreter’s impact on the dynamics and the process of building a patient-therapist alliance. The results show that all participants find it difficult to determine the accuracy of the translation, and several techniques used by the clinician to ensure a correct translation were pointed out. Moreover, findings highlight the essentiality of non-verbal cues and body language in communication and that the role and the behavior, in addition to several personal factors of the interpreter has an impact on the patient-therapist alliance and therapy dynamics. In addition, the study illuminates the patient’s impact on the interpreter as many interpreters themselves have been through traumatic experiences, which in turn may affect the therapeutic process. The findings of the current study show how important it is for clinicians, mental health services, and interpreting services to take the interpreters’ impact on the clinician, the patient, and the therapeutic outcome into account. The study aims to contribute to a better understanding of clinicians’ experiences of working with interpreters to improve the use of - and collaboration with - interpreters and thereby raise the standard of psychological treatment for refugees and asylum seekers.
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Pettle, Sharon A. "Secrets about biological parentage : experiences of concealment and revelation : a qualitative study." Thesis, n.p, 1999. http://ethos.bl.uk/.
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Hickey, John. "Flying by the seat of your pants and magic behind doors : an interpretative phenomenological analysis of difficult decision making in clinical practice." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/5522.
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Introduction The process of decision making has been widely studied within different academic paradigms. Many theories and models have been developed from this research activity. However, there is a lack of in-depth research on individuals’ experience of decision making. The present research explores this topic with Clinical Psychologists. This group of professionals are trained to be expert in a specific discipline, which emphasises the need for making informed judgements and for justifying decisions. Objectives To provide an in-depth account of how Clinical Psychologists experience decision making in the context of clinical practice. To relate the analysis to theories and models of decision making and to research on factors thought to influence judgement and decision making. Method Semi-structured interviews were conducted with seven Clinical Psychologists. These were transcribed and analysed using Interpretative Phenomenological Analysis (IPA) methodology. Outcomes Elements of the decision making environment such as managing one’s conflicting beliefs and difficult emotions, responding to uncertainty and changeable scenarios and normative versus unique elements of one’s practice were elucidated in the analyses. The contribution of this work to research in decision making and the development of clinical practice are discussed.
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Scott, Lesley. "Fear of Hypoglycaemia in parents of young children with type one diabetes : a qualitative study using Interpretative Phenomenological Analysis." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3604/.
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Background: Diabetes mellitus type 1 (DM1) is the most common form of diabetes in children. Strict glycaemic control can increase the risk of hypoglycaemia, which is characterised by a number of unpleasant and often frightening symptoms. Fear of Hypoglycaemia (FOH) is thought to contribute to psychological distress and diabetes management, however little is known about parents’ experiences of FOH. The aim of this study was to explore parents’ experience of FOH and its impact on their engagement with intensive insulin therapy. Methods: This qualitative study was conducted and analysed utilising an Interpretative Phenomenological Analysis (IPA) approach. Purposive, volunteer sampling was used. Semi-structured interviews were conducted with 4 parents in the hospital setting. These were transcribed and analysed. Results: The results of this study suggest that FOH is a very salient topic for parents of children with DM1. Four super-ordinate themes emerged: parents’ internal experience, coping, family unit and school. FOH appears to be characterised by a range of emotional and psychological symptoms. Parents attempt to manage the condition and their experiences through a combination of emotion-focused and problem-focused coping strategies. The systemic challenges of diabetes and FOH were highlighted by parents’ worries about their child’s safety when under the care of others and the burden that this places on them.
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Dickson, Sarah Louise. "A qualitative exploration of psychological flexibility and adjustment experiences in type 2 diabetes." Thesis, University of Exeter, 2016. http://hdl.handle.net/10871/24095.
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Objectives: To explore how adjustment to type 2 diabetes mellitus (T2DM) can be understood using psychological (in)flexibility, the theoretical model underlying acceptance and commitment therapy (ACT). The specific research questions are: (a) what are participant experiences of adjustment and coping in T2DM? and (b) how can participant experiences be understood in terms of the processes underlying the model of psychological (in)flexibility? Design: This interview study utilised a cross-case qualitative methodology. Methods: Semi-structured interviews were conducted with 11 purposively recruited individuals with a diagnosis of T2DM. Interview transcripts were subjected to an interpretative phenomenological analysis (IPA) methodology. Results: Three primary themes were identified from the IPA: (a) ‘Eating myself into diabetes’: Managing the self in relation to perceived diabetes stigma; (b) My other illness is the real problem: diabetes minimised in the context of co-morbid diagnoses; and (c) Knowledge reduces attachment to the patient-role self-story. Conclusion The interpretation of the qualitative data generated suggests that adjustment to a diagnosis of T2DM is a complex process incorporating intra-individual and systemic factors. Whilst psychological flexibility may be a useful model for understanding and supporting adjustment, interventions are required that also address wider systemic issues such as the integration of care, health-related stigma and relationships with health professionals.
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Walter, Eric. "Teachers’ Experiences of School-Wide Positive Behavior Interventions and Supports: A Qualitative Study." Antioch University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1587666061242924.
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Blosser, Beverly. "Meanings Parents Attribute to an Answer from Whole Exome Sequencing Research." University of Cincinnati / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1406809942.
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Mackey, Ellen Alice. "An interpretative phenomenological analysis of the experiences of fathers of adults diagnosed with Asperger's Syndrome or high functioning autism." Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17188.
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Existing research has started to explore the experiences of the people around children and adults diagnosed with Asperger's Syndrome (AS) and High Functioning Autism (HFA). However, there are very few studies looking at the experiences of fathers, and there are less studies in relation to adults rather than children. This study aims to take an in depth look at the experiences of these fathers in order to start building our knowledge of the experiences of being the father of someone with a diagnosis of AS or HFA. Four fathers of sons and three fathers of daughters with a diagnosis of AS or HFA were interviewed using a semi-structured interview. The experiences of the fathers were explored qualitatively, using Interpretative Phenomenological Analysis. Analysis of the transcripts brought out four superordinate themes for the seven fathers. The first theme: 'The changing role but constant responsibility of being a "Father"' described the fathers' perceptions of their roles and responsibilities towards their child as they have grown up and into the future. The second theme: 'The importance of knowledge and understanding' described the importance the fathers placed on developing their understanding of their child and the need for other people to understand them and their child. The third theme: 'The intense emotional impact' came from the fathers' descriptions of the positive and negative emotional reactions to the challenges their children and families have faced. The final theme: 'The importance of good support' includes the fathers' good and bad experiences of support services and support from family and friends. The results of the analysis are discussed in relation to the existing literature and in terms of what they mean for the clinical practice of people working with fathers of children and adults with AS or HFA. The strengths and limitations of the study are also discussed.
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Konstantinou, Georgia. "A qualitative exploration of how trainee counselling psychologists, with prior 'core' therapeutic training, experience and make sense of their current training in counselling psychology." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/a-qualitative-exploration-of-how-trainee-counselling-psychologists-with-prior-core-therapeutic-training-experience-and-make-sense-of-their-current-training-in-counselling-psychology(f9b95945-572e-4e86-b357-7c39daddcd27).html.
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Background: Therapeutic training is considered as the beginning of therapists' professional development. Research exploring the experiences of therapeutic training, particularly the experiences of trainee counselling psychologists is scarce. Additionally, research exploring the experiences of therapists integrating a new model of therapy is also limited; this is a surprising fact given the growing development of the integration movement in the therapeutic world. Aims: The present study explores how trainee counselling psychologists, with a prior training in a 'core' therapeutic model, experience and make sense of their current training in counselling psychology. As a secondary aim, this study explores how these trainees experienced integrating a new model of therapy in their practice and the process of integration within the context of counselling psychology training. Participants: Six trainee counselling psychologists from three different training courses based in the UK, who had all been previously trained in a single school model (primarily person-centred) participated in the study. Method: The present study is an Interpretative Phenomenological Analysis (IPA) study. Data were collected through single, semi-structured, in-depth interviews during which participants were invited to reflect on their experiences of training. Findings: The five super-ordinate themes that were identified in the participants' narratives are: 'Desires, Expectations and Needs from counselling psychology training', 'The turbulence of counselling psychology training', 'The Questioning I', 'The Changing Self' and the 'Finding Peace'. Each of these themes described different components of these trainees' experience of counselling psychology training and reveal that it is a challenging experience on both an emotional and an intellectual level. Discussion: The identified findings of the present study deconstruct, illuminate and are illuminated by existing theoretical and empirical literature. These findings shed light on the cyclical process of professional development within the context of professional training in counselling psychology in the UK.
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Viardot, Claire. "Incarner l'écriture : anorexie et adolescence : recherche qualitative dans un groupe d'écriture thérapeutique." Thesis, Sorbonne Paris Cité, 2018. https://wo.app.u-paris.fr/cgi-bin/WebObjects/TheseWeb.woa/wa/show?t=2061&f=14753.
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Ce travail de thèse s'intéresse à l'écriture thérapeutique adolescente dans son lien avec la compréhension de l'anorexie mentale. La dynamique psychique activée par l'écriture permet de construire activement des liens entre deux pôles, le corps et l'inconscient, soutenant ainsi les processus de narrativité interne et externe des patientes. La difficulté d'être au monde des patientes anorexiques interroge leur capacité à mettre en mots leur vécu et leurs souffrances. Un groupe d'écriture thérapeutique hebdomadaire existe depuis dix ans au sein de la Maison de Solenn. Il s'agit d'un espace médiatisé qui permet l'élaboration et la symbolisation psychique aux patientes anorexiques les invitant à écrire à propos de leurs émotions et vécus les plus profonds vis-à-vis des moments de vie compliqués qu'elles traversent, ont vécu ou s'imaginent vivre. Notre objectif de recherche est l'étude qualitative des processus thérapeutiques qui s'opèrent au fil des séances d'écriture. Les analyses suivent la méthode de l'IPA -Interpretative Phonomenological Analysis. L'échantillon compte 311 productions écrites provenant de 12 patientes. Nos analyses longitudinales et transversales ont permis de dégager 75 macro catégories regroupées en 8 thèmes, eux-mêmes divisés en 2 macro thèmes. La discussion des résultats met en évidence une dynamique écrite de réactivation du processus de séparation-individuation qui se construit de manière singulière chez les patientes anorexiques. La réactivation de la temporalité intra et extra psychique est aussi mise en jeu et propose à la patiente anorexique de retrouver sa place dans sa vie intime et dans le monde qui l'entoure. De plus, on observe que l'écriture du corps et des sensations permet le traitement des émotions afin que les patientes puissent réapprendre à s'emparer de ces dernières. Nous soulignons également la création d'une « seconde peau écriture » qui permet de consolider et autoriser l'accès aux émotions, ainsi qu'une quête de rythmicité et de sensations apaisantes à travers l'activité d'écrire. Enfin, nous théorisons le processus de « ressuage-alliage » qui apparait dans les écrits des patientes anorexiquesThis thesis focuses on therapeutic writing during adolescence and its link with the understanding of anorexia nervosa. Writing activates psychological dynamics that allows an active building of links between the body and the unconscious, supporting the patients' internal and external narrative processes. The difficulty of anorexic patients to confront and experience the world questions their ability to put into words their past and their sufferings. A weekly writing therapy group has been held in Maison de Solenn for over 10 years. It is a mediatized space which encourages anorexic patients' psychological development and symbolization by inviting them to write about their deepest emotions and experiences regarding difficult life events they are going through, went through or imagine going through. The aim of our research is the qualitative study of the therapeutic processes which happens during the writing sessions. The analyses follow the Interpretative Phenomenological Analysis (IPA) method. The sample is constituted of 311 written productions coming from 12 patients. Our longitudinal and transversal analyses allowed us to identify 75 macro categories organized in 8 themes, themselves divided in 2 macro themes. The analysis of these results highlights the reactivation of the separation-individuation process during the writing process, which emerges in a remarkable way among anorexic patients. The reactivation of the intra and extra psychological temporality is also at stake and offers to anorexic patients the opportunity to regain their rightful place in their intimacy and in the world around them. Furthermore, we observed that writing about their bodies and sensations? allows to process emotions so that patients may learn again how to grasp onto them. In addition, we underlined the creation of a 'writing second skin' which allows the consolidation and the access to emotions, as well as the quest to rhythmicity and calming feelings through writing. Finally, we theorized the 'bleeding-alloy' process, which appears in the written productions of anorexic patients
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Turner, Katie. "A retrospective study of young carers' experiences of supporting a parent with psychosis." Thesis, University of Hertfordshire, 2016. http://hdl.handle.net/2299/17359.
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There are a considerable number of children who fulfil a young carer role for a parent, sibling or relative. Research into the experiences of young carers is growing, and has explored the areas of supporting parents and siblings with physical and mental health difficulties. Although research into the experience of adult carers of individuals with psychosis-related difficulties is well established, the experience of young carers supporting a parent with a psychosis-related difficulty are yet to be studied. The aim of this study was to gain a richer understanding of the lived experience of young carers supporting a parent with a psychosis-related difficulty from a retrospective position. Semi-structured interviews were conducted with seven adults who were young carers for a parent with a psychosis-related difficulty. The interview transcripts were split into two parts and analysed using Interpretative Phenomenological Analysis. Part one explored the experience of caring at the time, with two themes emerging from participant's accounts: 'Feeling isolated and alone' and 'Caring was taking the parent role'. Part two explored the integration of the experience into the current self, with two themes emerging: 'Understanding the experience is an ongoing struggle' and 'Making sense of the person I have become'. The findings are discussed in light of the current research literature and show both areas of agreement and unique insights into the experiences of this particular group. Clinical implications in light of the findings and future research suggestions are also considered.
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Wood, Caitlin. "Translating gender: Exploring the effect of communicative barriers on trans identity." OpenSIUC, 2015. https://opensiuc.lib.siu.edu/theses/1762.
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Despite the recent attention to the LGBT community in the mainstream media as well as psychological research, few resources have been channeled toward the “T” in this acronym. The trans community, and gender diversity in general, have been an afterthought in research claiming to study gender and sexuality. Research on sexual minorities has been assumed to capture the experiences of this population, despite its quite distinct needs and experiences, as well as alarmingly high rates of violence and suicide. This project is a qualitative analysis of the processes and strategies trans and gender non-conforming individuals use to communicate their identity to others, and how they address barriers they face in their everyday lives. Participation was open to all trans or gender non-conforming individuals. Five individuals who identified as trans or genderqueer volunteered to participate in individual semi-structured interviews about their experiences in communicating their gender identity to others. All participants were White university students at a local mid-sized university in a rural Midwestern setting. Interviews were analyzed using Interpretative Phenomenological Analysis (IPA), using the process outlined by Smith and Osborn (2008). Six themes in total were pulled from the data: (1) Gender identity, (2) Barriers to communication, (3) Strategic responses, (4) Individual impacts, (5) Community politics, and (6) Coping. These results emphasized the complexity and irreducibility of trans individuals’ daily lives, demonstrating simultaneously the tremendous harm of transphobic discrimination and the strength and insight of these individuals into their own experiences. Findings supported the use of the Minority Stress Model (Meyer, 1995) in the trans population and further underscored the need for continued research on all trans individuals’ experiences, especially those who identify as non-binary, trans people of color, and trans women.
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Stephens, Joanne. "Meeting the needs of children with autism and their parents during out of hospital interactions with paramedics." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/122961/1/Joanne_Stephens_Thesis.pdf.
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This study explored the needs of children with autism and their parents during out-of-hospital interactions with paramedics. Paramedics and parents of children with autism provided rich accounts of their interactions and experiences through semi-structured interviews. The study concluded that paramedics are meeting the emergency health needs of the children on the spectrum and are willing to link children and their families to the other services they need. Parents value the development of individualised emergency care plans and can offer expertise about their child's needs. The development of systems navigation, health literacy and advocacy skills was vital for both families and their care providers.
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Sedumedi, Tumisang Precious. "I killed my child(ren) : a qualitative study exploring the phenomenon of paternal filicide in the South African context." Thesis, University of Hertfordshire, 2018. http://hdl.handle.net/2299/20191.
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The present research investigated paternal filicide in South Africa. It aimed to understand the factors underlying fathers killing their child/children. Study one explored paternal filicidal offenders' processes of construction, construing of events leading to the filicide, and meanings of their lived experience of killing their child/children. Study two examined the filicidal offenders' extended families' construction processes, construing of events before the killing, lived experience and construing of filicide, and construing of the filicidal offenders' construing of the filicide. Four paternal filicidal offenders and nine family members of the offenders who had different backgrounds (i.e., age, racial, ethnicity, cultural, educational, occupational, and the nature of the filicide) were purposively sampled and recruited into the research. Personal construct theory (Kelly, 1955) underpinned this research. A semi-structured individual interview which was structured according to the Experience Cycle Methodology (ECM) interview proforma (Oades & Viney, 2012), Perceive Element Grid (PEG) (Procter, 2002), and the ABC model (Tschudi, 1977), were administered to the filicidal and family participants. Data was analysed using Interpretative Phenomenological Analysis (Smith, Flowers, & Larkin, 2009) and personal construct analytic methods (diagnostic construct analysis, PEG, ECM, and the ABC model). The analysed themes suggest that filicide might co-occur with familicide and attempted suicide by the offender in some instances. While in many filicidal cases intimate/marital problems might be contributing factors, in a few cases filicide might be accidental in which it might not be precipitated by intimate/marital discord. Most filicidal offenders who tend to only construe their partners/wives and intimate/marital relationships in terms of positive construct poles might slot rattle when encountering invalidations of constructions. The encountered problems might trigger threat, anxiety, in which the problems are experienced as unconstruable, and anger which might lead to hostility. The filicidal offenders might lack constructions to deal with the issues which might result in unaddressed problems which might lead to a sense of being overwhelmed and feelings of hopelessness. The filicidal offenders might broaden or delimit their perceptual field or fluctuate between constriction and dilation to construe and cope with the situation. They might exceed their inhibition ability which might result in the avoided issues and inhibited feelings exploding in violence. The extended family members might not intervene in the couples' problems, if intervening might be possible, because of an unawareness of issues as a result of submergence and constriction in which they avoid construing the couples' problems, limit their views to issues, and minimise the seriousness of the construed problems. Psychological support, personal construct family therapy and Employee Assistance Program, might help the filicidal offenders cope with their intimate/marital problems, and therefore might prevent filicide. Considering the implications of the filicide on the offenders' identities, relations, and relationships, and also the relationships of their families, intervention programs such as Restorative Justice and sport might help the offenders re-establish their sense of self, find commonality and sociality while rebuilding the damaged relationships.
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Pateraki, Eleni. "Interaction between asthma and anxiety : a systematic review of cognitive-behavioural therapies and a qualitative exploration of young people's experiences." Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/20958.
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Aims: There is a well-established link between asthma and anxiety, leading to exacerbations for both conditions. National guidelines and policy documents recommend the provision of psychological interventions for this comorbidity, although evidence for their effectiveness is inconclusive. This thesis had two objectives: a) to evaluate cognitive-behavioural therapy (CBT) interventions for reducing anxiety in adults and/or children with asthma, given that CBT has a stronger evidence base for relevant respiratory and mental health conditions, b) to explore the lived experience of the interplay between childhood asthma and anxiety directly from the affected population in order to identify specific thinking and behaviour patterns that may maintain this comorbidity. Method: The first journal article outlined a systematic review. Three major electronic databases and manual searches were used to find relevant published and unpublished research. Trials meeting inclusion criteria, primarily utilising validated anxiety measures and employing both cognitive and behavioural techniques, were evaluated using adapted quality criteria. The second empirical article implemented interpretative phenomenological analysis (IPA) to explore the mechanisms maintaining the interplay between asthma and anxiety as experienced by 11 young people (aged 11-15) living with the comorbidity. Results: Fourteen trials met the inclusion criteria for the systematic review. The reviewed trials showed reasonable preliminary support for the effectiveness of CBT for anxiety in individuals with asthma across the age range. The favourable results were largely maintained long-term. The empirical article revealed three super-ordinate themes: i) ‘the influence of asthma’ by inhibiting valued activities or developmental tasks, triggering catastrophic thinking and leading to a generalisation of asthma coping strategies to managing anxiety; ii) ‘the influence of anxiety’ by affecting appropriate medication use and triggering hyperventilation-induced asthma exacerbations; and iii) ‘the interaction between asthma and anxiety’ by forming an unhelpful positive feedback loop and triggering symptom confusion. Conclusions: The systematic review discussed the moderate overall study quality and called for more methodologically robust research, examining CBT models tailored to this population and utilising clinically representative samples. The empirical article pointed to possible maintaining mechanisms identified, which lend themselves to a cognitive-behavioural framework, potentially including mindfulness-based interventions, and may be used to tailor psychological treatments.
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Weldon, Sarah Elizabeth. "Qualitative exploration of cognition in intimate partner violence offenders and intimate partner violence sex offenders research portfolio." Thesis, University of Edinburgh, 2013. http://hdl.handle.net/1842/9761.
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Aims: Recently, empirical literature exploring cognitive characteristics of intimate partner violence offenders has received considerable attention with both theory and practice historically focusing on victims of the abuse. Qualitative exploration has proposed implicit theories (ITs), that is distinct sets of schemas that offenders hold in relation to themselves, the world and others. In relation to cognition in intimate partner violence offenders, this thesis had two aims: to systematically analyse qualitative literature exploring cognition in intimate partner violence offenders and to implement interpretative phenomenological analysis to explore cognition in intimate partner violence sex offenders. Methods: Aims are addressed separately in two journal articles. A systematic review of qualitative literature exploring cognition in intimate partner violence offenders is presented in journal article 1. Journal article 2 utilises interpretative phenomenological analysis to explore cognition in 11 intimate partner sex offenders. Results: In relation to journal article 1, systematic searches of bibliographic databases in addition to hand-searches of various articles in the domain of intimate partner violence were conducted to identify eight empirical papers qualitatively exploring cognition in intimate partner violence offenders. Synthesis of the papers resulted in 10 themes being extrapolated thought to be representative of cognition in intimate partner violence males: “violence is normal”; “policing partner”; “women are provoking” “need for control”; “grievance/revenge”; “external factors responsible”; “rejection/abandonment”; “minimisation/denial”; “entitlement” and “remorse”. Journal article two utilised interpretative phenomenological analysis of 11 transcripts of IPV offenders. This revealed five superordinate and 14 subthemes which are proposed as implicit theories present in this specific offender group. These are: “violence is acceptable”; “grievance/revenge”; “dangerous world”; “need for control”; “real man”; “entitlement/women are objects”; “male sex drive/policing partner”; “women are provoking”; “rejection/abandonment”; “women are supportive”; “uncontrollability”; “nature of harm”; “the new me” and “I‟m not like them”. Conclusions: Cognitions identified from the systematic review are discussed in addition to limitations of the synthesis and clinical and empirical utility. The implicit theories identified in journal article 2 are discussed in relation to other offending behaviour groups in addition to their clinical implications in the development of effective interventions and risk assessment tools.
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Binns, Carole L. "The lived experiences of designing modules at one UK university: a qualitative account of academic practice." Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/15086.
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This thesis explores the relatively under-researched experiences of module design of academics employed within one UK university. In all, 96 people responded to an initial e-questionnaire survey, and 23 of these participated in follow-up semi-structured interviews. The qualitative data collected from both sources is the main focus of discussion.
The thesis contextualises the research by presenting a brief description of the university of study and a sense of the social and political context of higher education in the few years preceding the onset of the project. Following this, there is a review of the existing literature around module and curriculum design. A separate chapter outlines the mixed methods employed to collect the data and the form of Interpretative Phenomenological Analysis (IPA) used to theme the qualitative data provided by the survey and interviews. The findings supported previous studies, but there was some contradictory data concerning assessment design, the value of the institutional approval procedures, and the usefulness of involving students in the design process.
This study found that, as a result of the effect of institutional processes and documents on design, the consequence of changing student profiles (particularly around assessment), and the obligation staff feel to their students (despite their expressed lack of available time and resources), module design (and redesign) is more situation-informed than evidence-informed. It concludes that module designers employ a realistic and pragmatic approach to the process, even when their views, attitudes, and consciences around the rights and wrongs of the design process are sometimes questioned.The full text was made available at the end of the embargo, 26th Oct 2020
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Binns, Carole Lucille. "The lived experiences of designing modules at one UK university : a qualitative account of academic practice." Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/15086.
Full textAbstract:
This thesis explores the relatively under-researched experiences of module design of academics employed within one UK university. In all, 96 people responded to an initial e-questionnaire survey, and 23 of these participated in follow-up semi-structured interviews. The qualitative data collected from both sources is the main focus of discussion. The thesis contextualises the research by presenting a brief description of the university of study and a sense of the social and political context of higher education in the few years preceding the onset of the project. Following this, there is a review of the existing literature around module and curriculum design. A separate chapter outlines the mixed methods employed to collect the data and the form of Interpretative Phenomenological Analysis (IPA) used to theme the qualitative data provided by the survey and interviews. The findings supported previous studies, but there was some contradictory data concerning assessment design, the value of the institutional approval procedures, and the usefulness of involving students in the design process. This study found that, as a result of the effect of institutional processes and documents on design, the consequence of changing student profiles (particularly around assessment), and the obligation staff feel to their students (despite their expressed lack of available time and resources), module design (and redesign) is more situation-informed than evidence-informed. It concludes that module designers employ a realistic and pragmatic approach to the process, even when their views, attitudes, and consciences around the rights and wrongs of the design process are sometimes questioned.
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Palmer, Helen. "Working with self harm : a qualitative study using interpretative phenomenological analysis to explore the experiences, understanding and attitudes of community mental health professionals." Thesis, University of Oxford, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.437395.
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Varnell, Catherine Jessica. "Siblings' experiences of having a brother or sister with an eating disorder : a qualitative exploration." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/14222.
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Background: Family members of people with eating disorders are often involved in caregiving. To better understand the impact on them, outcomes such as burden, distress, and less frequently quality of life (QoL) are taken into consideration. Despite advancements in the knowledge base surrounding the experiences of adult and parental caregivers of individuals with eating disorders, particularly Anorexia Nervosa, there is a scarcity of qualitative exploration from the sibling perspective, particularly that of adolescent siblings. Objectives: The systematic review aimed to identify research and synthesise findings relating to informal caregivers’ quantitative ratings of quality of life in the context of eating disorders. The primary study aimed to explore in detail the lived experience of adolescent siblings with a brother or sister with Bulimia Nervosa or Eating-Disorder-Not-Otherwise-Specified. Method: Applying a priori inclusion and exclusion criteria to papers identified from a combination of systematic searches of electronic databases and hand searches of other pertinent literature, revealed eight studies to be included for review. Within the qualitative study, eight semi-structured interviews were carried out with siblings (aged 12-19-years) who had a brother or sister with an eating disorder. An interpretative phenomenological analysis approach was utilised to analyse interview data. Results: The review highlighted low ratings for aspects of quality of life for informal caregivers of individuals with eating disorders, and some emerging comparative and subgroup differences. Three super-ordinate themes emerged from the qualitative exploration: Sibling Identity, The Vulnerable Social ‘Self’, and Intra- and Inter-Personal Coping. Discussion: Overall the findings provide particular insight into the quality life of informal caregivers and the unique experiences, feelings and various roles of adolescent siblings of people with eating disorders. Implications regarding caregiver support and the needs of siblings specifically are considered. Strengths and limitations, as well as future research possibilities are outlined for both the systematic review and empirical study.
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Matusek, Jill Anne. "Former Client Perspectives on Perceived Choice, Control, and Coercion in Eating Disorder Treatment." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1301781198.
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Allen, Daniel. "Changing relationships with the self and others : an interpretative phenomenological analysis of a Traveller and Gypsy life in public care." Thesis, De Montfort University, 2013. http://hdl.handle.net/2086/8249.
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Background: The implementation of the Care Matters: Transforming the Lives of Children and Young People in Care Green Paper (Department for Education and Skills, (DfES) 2006) and the subsequent Care Matters: Time for Change White Paper (DfES, 2007), witnessed the consolidation of a universal ambition to improve the opportunities for all children living in care. Arguably, the most important recommendation in this pursuit is reflected in the need to provide people who have lived in care as children with independent support, which enables them to discuss their experiences, and suggest ways in which the care system might be improved. However, whilst this recommendation has been implemented with a diverse range of care leavers, the impact of the experience of living in care and the associated disadvantage experienced by Travellers and Gypsies remains under researched, understated, and unacknowledged (Cemlyn et al., 2009). Methodology: Guided by the philosophical assumptions of interpretative phenomenological analysis (IPA), this study represents and constructs the experience of living in public care by focusing on the voices 10 Travellers and Gypsies who lived in care as children. Testimonies were collected through a wide variety of methods that included face-to-face interviews, focus groups, telephone interviews, blogs, emails, letters, song lyrics, and poems. Findings: Following a considered application of IPA, six main themes emerged from the analysis. These were social intervention; an emotional rollercoaster of separation, transition, and reincorporation; a war against becoming settled; leaving care and the changing relationship with the self and others; inclusion and strength; and, messages for children living in care. In line with the tenets of phenomenology, these findings are presented in such a way to as to invite the reader to move away from their own personal understanding of the world in order to enter the ‘lifeworld’ (Husserl, 1970, 1982) of Travellers and Gypsies who lived in care as children. However, to assist in this sense making activity, this study also provides a discrete interpretation of the findings before developing this knowledge to form a more detailed theoretical construct entitled ‘the model of reflective self-concepts’. Taken together with the testimonies of each person who took part in the study, the thesis enables an understanding of how the experience of living in care is inextricably linked to a process of social and psychological acculturation. By staying close to the experiences provided, it reveals how a process of change is determined, more often than not, by a sense of personal resilience directly related towards a Traveller or Gypsy self-concept. In attempt to move towards service improvement, this thesis offers a series of recommendations and conclusions which aim to support social workers and carers empower Traveller and Gypsy children to develop a secure Traveller and Gypsy self-concept thus enabling them experience improved outcomes including those opportunities set out in Care Matters social policy agenda (DfES, 2006; 2007).
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McIntyre, Anne Elizabeth. "The experience of falling of older people with dementia and their carers." Thesis, Brunel University, 2012. http://bura.brunel.ac.uk/handle/2438/7247.
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Falling by older people is of significant global concern as the population ages, because of subsequent injury, disability, admission to long-term care and mortality. Older people experiencing dementia are twice as likely to fall with more severe consequences. Unsurprisingly, carer-burden increases when a care-recipient falls. Older people are rarely asked about their falls experiences and those with dementia less so. The studies presented in this thesis explore the experiences of falling of older people with dementia and memory problems, and their carers. The studies were informed by contextualism and the primary study used interpretative phenomenological analysis to explore the experiences of nine older people with dementia and their 10 carers, using one-to-one and joint interviews, and three focus groups with nine older people experiencing memory problems and 12 carers from a branch of the Alzheimer’s society. Analysis of the data considered the falls experience itself and the perceived consequences of falls within two higher level themes: ‘Falling as a malevolent force’ as two themes - ‘Going back to the experience’, ‘Reactions, responses and coming to terms with events’, and ‘Falling as the manifestation of dementia’ as two themes - ‘Self, identity and falling’, ‘The caring relationship’. The secondary study elaborated upon primary study data using an inductive interpretative approach unaligned to any tradition. Older people recently diagnosed with dementia and carers from another Alzheimer’s Society branch participated in two focus groups. Participants discussed stimulus cards with quotations from primary study participants. Thematic analysis suggested four major themes: Making sense of falls, The personal and social significance of falling, Falling, self and identity and Struggling to care. The findings demonstrate how falling and dementia are enmeshed and embodied experiences for participants. Spouse-carers’ discussion of their own falls emphasise the need for joint assessment and intervention to reduce carerburden and preserve couplehood.
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Scott, Jacqui. "Experiences of coping in young unaccompanied refugees in the UK." Thesis, University of Hertfordshire, 2017. http://hdl.handle.net/2299/20193.
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Research with refugees tends to be dominated by mainstream medical and trauma models. However, development of resilience theories and research on coping increasingly find that such constructs can open up currently limited understandings of the refugee experience. This research took a culturally relativist approach to explore experiences of coping in young unaccompanied refugees in the UK. Following extensive consultation, five young refugees were recruited, who were living independently or semi-independently having arrived in the UK without their family, at the age of 15 or 16. Interpretative Phenomenological Analysis was used to explore experiences and understanding of 'coping', whilst acknowledging the relative contributions of their own and my own cultural frameworks and the limitations of language; three participants made use of having an interpreter present. The accounts are presented idiographically, under three major themes that were apparent on multiple levels of the refugees' lives, from the individual to the cultural: 'Adaptation in the context of hardship and loss', 'Beliefs and worldview in shaping a new life', and 'Building strength and self-reliance'. These findings contribute to research finding resilience in refugee lives, whilst not to the detriment of incredible loss and pain. The research attests to the significance of cultural frameworks in refugee coping, with religion playing a key role. The themes are discussed in relation to existing literature and relevant texts, with implications for further research and clinical practice. The role of professionals as allies of refugees is suggested, in promoting socially inclusive practices that involves work both in the clinic and on community and social levels.
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Evans, Shelly D. "Perceptions of health-related quality of life (HRQoL) experienced by older ethnic Somalis aging transculturally in the U.S.: An Interpretative Phenomenological Analysis." Kent State University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1628200027072086.
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