Use of Social Media Among Individuals Who Suffer From Post-Traumatic Stress: A Qualitative Analysis of Narratives
Suffering from post-traumatic stress impacts and restricts the life situation of the individual on several levels, not least regarding social difficulties. Social media on the Internet facilitate new possibilities for interaction and communication. Earlier research has demonstrated that people use social media to seek support and to discuss health-related issues. The current study aimed to describe how individuals suffering from post-traumatic stress use social media to convey authentic narratives of their daily lives, including illness, and further, to analyze the content of this media use. The data comprised YouTube vide...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Salzmann-Erikson, M., Hicdurmaz, D. Tags: General Articles Source Type: research

Normative Social Support in Young Adult Cancer Survivors
Following a cancer diagnosis, young adults (YAs; that is, 18-39) often experience altered social relationships with family, friends, romantic partners, and peers. In light of the social struggles YA patients and survivors report due to cancer’s biographical disruption, we elicited narratives from 30 YA cancer survivors to examine how their normative perceptions of social support functioned to hinder and assist them in coping with the cancer experience. Through thematic narrative analysis of their individual accounts, YA survivors explained why and how they perceived various support attempts from peers and loved ones ...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Iannarino, N. T., Scott, A. M., Shaunfield, S. L. Tags: General Articles Source Type: research

Balancing Methodological Rigor and the Needs of Research Participants: A Debate on Alternative Approaches to Sensitive Research
Despite growing consideration of the needs of research participants in studies related to sensitive issues, discussions of alternative ways to design sensitive research are scarce. Structured as an exchange between two researchers who used different approaches in their studies with childhood sexual abuse survivors, in this article, we seek to advance understanding of methodological and ethical issues in designing sensitive research. The first perspective, which is termed protective, promotes the gradual progression of participants from a treatment phase into a research phase, with the ongoing presence of a researcher and a...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Chan, T. M. S., Teram, E., Shaw, I. Tags: General Methods Source Type: research

Understanding the Life Histories of Pregnant-Involved Young Aboriginal Women With Substance Use Experiences in Three Canadian Cities
This study’s objective was to understand the life experiences of pregnant-involved young Aboriginal women with alcohol and drugs. Semi-structured interviews to gather life histories were conducted with 23 young Aboriginal women who had experiences with pregnancy, and alcohol and drug use. Transcribed interviews were analyzed for themes to describe the social and historical contexts of women’s experiences and their self-representations. The findings detail women’s strategies for survival, inner strength, and capacities for love, healing, and resilience. Themes included the following: intersectional identit...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Shahram, S. Z., Bottorff, J. L., Kurtz, D. L. M., Oelke, N. D., Thomas, V., Spittal, P. M., for the Cedar Project Partnership Tags: Violence Source Type: research

Constructivist Simultaneous Treatment of Borderline Personality Disorder, Trauma, and Addiction Comorbidity: A Qualitative Case Study
This qualitative case study explored one client’s recovery from borderline personality disorder, trauma, and problem gambling. The client attended 18 months of integrative treatment and was followed for 5 years. The study included 106 data points of both client and therapist data. We identified three phases to treatment. First, alliance formation and normalization appeared as mechanisms, and the client experienced dependence. Second, working alliance and countertransference appeared as mechanisms, and the client experienced reduced gambling and suicidal ideation. Third, external controls and increased opportunity app...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Johansen, A. B., Tavakoli, S., Bjelland, I., Lumley, M. Tags: Violence Source Type: research

Trauma-Focused Cognitive Behavior Therapy: Narratives of Children and Adolescents
In this study, the narratives produced by children and adolescents, who developed post-traumatic stress disorder following a natural disaster, and who were treated with a manualized TF-CBT intervention, were examined. The first author developed a coding system utilizing three major concepts (coherence, elaboration, and evaluation) to identify changes in the narratives as they were retold at each therapeutic session. Analysis using this coding system identified that the internal logic of the stories was maintained as the detail diminished, and that the level of evaluation increased. Compression emerged as a major pattern, a...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Westerman, N. K., Cobham, V. E., McDermott, B. Tags: Violence Source Type: research

Making Sense of an Unknown Terrain: How Parents Understand Self-Harm in Young People
This article reports experiences of the parent participants. A cross-case thematic analysis showed that most participants were bewildered by self-harm. The disruption to their worldview brought about by self-harm prompted many to undergo a process of "sense-making"—by ruminative introspection, looking for information, and building a new way of seeing—to understand and come to terms with self-harm. Most participants appeared to have been successful in making sense of self-harm, though not without considerable effort and emotional struggle. Our findings provide grounds for a deeper socio-cultural understanding of...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Hughes, N. D., Locock, L., Simkin, S., Stewart, A., Ferrey, A. E., Gunnell, D., Kapur, N., Hawton, K. Tags: Violence Source Type: research

Pursuing Authenticity From Process to Outcome in a Community-Based Participatory Research Study of Intimate Partner Violence and HIV Vulnerability in North Karnataka, India
This article describes the community-based methodology for a qualitative study to explore intimate partner violence and HIV/AIDS among women in sex work, or female sex workers, and their male partners in Karnataka, South India. Developed through collaborative processes, the study methodology followed an interpretive approach to qualitative inquiry, with three key components including long-term partnerships, knowledge exchange, and orientation toward action. We then discuss lessons learned on how to pursue authenticity in terms of truly collaborative processes with inherent value that also contribute to, rather than hinder,...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Blanchard, A. K., Sangha, C. A. T. M., Nair, S. G., Thalinja, R., Srikantamurthy, H. S., Ramanaik, S., Javalkar, P., Pillai, P., Isac, S., Collumbien, M., Heise, L., Bhattacharjee, P., Bruce, S. G. Tags: Violence Source Type: research

Structural Violence in Health Care: Lived Experience of Street-Based Female Commercial Sex Workers in Kathmandu
Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers’ lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural viole...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Basnyat, I. Tags: Violence Source Type: research

Negotiating Violence in the Context of Transphobia and Criminalization: The Experiences of Trans Sex Workers in Vancouver, Canada
A growing body of international evidence suggests that sex workers face a disproportionate burden of violence, with significant variations across social, cultural, and economic contexts. Research on trans sex workers has documented high incidents of violence; however, investigations into the relationships between violence and social-structural contexts are limited. Therefore, the objective of this study was to qualitatively examine how social-structural contexts shape trans sex workers’ experiences of violence. In-depth semistructured interviews were conducted with 33 trans sex workers in Vancouver, Canada, between J...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Lyons, T., Krüsi, A., Pierre, L., Kerr, T., Small, W., Shannon, K. Tags: Violence Source Type: research

The Outcomes and Impact of a Post-Earthquake Rehabilitation Program in China: A Qualitative Study
This study evaluated the outcomes and impact of a post-earthquake rehabilitation program in Sichuan, China. A case-study approach was adopted to conduct an in-depth examination of the program. The results show that the program effectively enhanced the functional outcomes of earthquake survivors. However, the empowerment of earthquake survivors with disabilities requires further consideration, and the local community’s ownership of the program must also be addressed. A combination of institution- and community-based approaches was advocated in developing the post-earthquake rehabilitation program to enhance its impact...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Chung, E. Y.-h. Tags: Violence Source Type: research

What Happened Next: Interviews With Mothers After a Finding of Child Maltreatment in the Household
Child Protective Services (CPS) identifies over 700,000 victims of child maltreatment in the United States annually. Research shows that risk factors for these children may persist despite CPS intervention. Mothers have unique and often untapped perspectives on the experiences and consequences of CPS intervention that may inform future practice. We explored these perspectives through interviews with 24 mothers after a first-time CPS finding of maltreatment not resulting in out-of-home placement. Male partners were primary perpetrators in 21 cases, with mothers or sitters identified as perpetrators in remaining cases. Data ...
Source: Qualitative Health Research - December 11, 2016 Category: Global & Universal Authors: Campbell, K. A., Olson, L. M., Keenan, H. T., Morrow, S. L. Tags: Violence Source Type: research

Psychosocial Intervention Use in Long-Stay Dementia Care: A Classic Grounded Theory
The objective of this study was to develop a substantive grounded theory of staff psychosocial intervention use with residents with dementia in long-stay care. "Becoming a person again" emerged as the core category accounting for staffs’ psychosocial intervention use within long-stay care. Interview data were collected from participants in nine Irish long-stay settings: 14 residents with dementia, 19 staff nurses, one clinical facilitator, seven nurse managers, 21 nursing assistants, and five relatives. Constant comparative method guided the data collection and analysis. The researcher’s theoretical memos, base...
Source: Qualitative Health Research - October 31, 2016 Category: Global & Universal Authors: Hunter, A., Keady, J., Casey, D., Grealish, A., Murphy, K. Tags: General: Articles Source Type: research

Experiences of Obsessive-Compulsive Disorder: Activity, State, and Object Episodes
This article provides insights into experiences of OCD through a qualitative, thematic analysis performed on a set of interviews with people with OCD. Four themes were found as central in the participants’ descriptions of OCD episodes: (a) space, (b) the body, (c) objects, and (d) interactions. The findings also show that episodes of OCD can be grouped into three broad categories: (a) activity episodes, which revolve around everyday tasks; (b) state episodes, which are concerned with the self and identity; and (c) object episodes, which are concerned with the effects of objects on the self. The relationship of this t...
Source: Qualitative Health Research - October 31, 2016 Category: Global & Universal Authors: Knapton, O. Tags: General: Articles Source Type: research

Family Communication About the Donor Conception: A Multi-Perspective Qualitative Study With Lesbian Parents and Their Children
This study focuses on the process of parent–child communication about the donor conception on a within-family level. Six families, including 7 children and 12 parents, were interviewed about their family communication with regard to donor conception. A dyadic interview analysis revealed that family members managed the space taken up by the topic of donor conception in their daily conversations. Within these conversations, they also took care of each other and of their family relationships. In addition, children had an active position in the co-construction of the donor conception narrative. Linking these findings to ...
Source: Qualitative Health Research - October 31, 2016 Category: Global & Universal Authors: Van Parys, H., Provoost, V., Wyverkens, E., De Sutter, P., Pennings, G., Buysse, A. Tags: General: Articles Source Type: research