The lived experience of spiritual abuse

Over the years there has been considerable research investigating the controversial issues of cult recruitment, “mind control” and post-group difficulties of ex-members from a variety of religious groups. However, the less-well-defined phenomenon of “spiritual abuse” is still under-researched as a specific phenomenon. This is particularly evident in the lack of studies exploring the subjective, internal experience. This study reports on the lived experiences of six individuals who left five different religious groups that were essentially Judeo-Christian in their orientation. An Interpretative Phenomenological Analysis (IPA) revealed six core themes throughout the participant narratives. They consist of “Leadership representing God,” “Spiritual bullying,” “Acceptance via performance,” “Spiritual neglect,” “Manifestation of internal states,” and “Expanding external/internal tension.” These are offered as a foundation to answer the question What can be described as the lived experience of spiritual abuse? The findings suggest that spiritual abuse is a multi-faceted and multi-layered experience that is both process and event, affecting the bio/psycho/social and spiritual domains of an individual.     

Saudi therapists' lived experience of self-awareness

Self-awareness and self-reflection in psychotherapeutic processes have been critical components for effective counselling and psychotherapy. However, little qualitative research in Saudi Arabia has been conducted that aims to explore the therapist's subjective experiences of the self in their professional work. Therefore, the purpose of this phenomenological study was to understand the therapist's self-awareness within psychotherapy, by focusing on the therapist's lived experience of self-awareness and exploring how therapists recognise themselves as an integral component of the therapeutic relationship. Semi-structured interviews were conducted with six experienced and accredited psychologists with at least three years of clinical experience, and the qualitative data were analysed using interpretative phenomenological analysis (IPA). Five superordinate themes emerged from the data; that is, development of the professional self, use of self, self-oriented, supervision and experience. This study provides an understanding of the therapist's self in psychotherapy, as it shows that self-awareness is important for therapists to manage their feelings, thoughts and behaviours in meeting with clients and that it is a valuable resource for a therapist to become aware of and reflect upon the process within oneself. This understanding is integrated into the training programmes in counselling psychology, especially in the areas of self-awareness and personal development.     

The lived experience of alopecia areata: A qualitative study

This study explored experiences of individuals living with alopecia areata (AA) and alopecia universalis (AU) and investigated their accounts of adjusting to, and coping with, such conditions. Whilst previous research has primarily focused on the adverse psychosocial impact of alopecia, this investigation used Interpretive Phenomenological Analysis to provide a more holistic perspective. Biographical interviews were undertaken with 12 participants (7 women; 5 men) diagnosed with alopecia for periods ranging between 2 and 49 years. Results revealed that strategies used by participants evolved over time and that there were clear gender differences. In the early stages, participants did not want to contemplate that their hair loss would be lasting and managed the condition via concealment. Later coping strategies reflected an embodied acceptance with participants managing the effects of AA/AU and becoming more optimistic about living with the condition. Limitations of the study are discussed as well as implications for patient care.     

The lived experience of psychotherapists working with older clients: an heuristic study

This paper presents the results of an heuristic study based on the research question: ‘How do psychotherapists experience working with older clients?’ The question came from the researchers’ experience and interest in working with older clients in general practice. It started from the researchers’ desire to examine more closely feelings and elements present in their own experience in dialogue with seven other practising therapists who had an interest and experience of working with this client group. Qualities and elements identified were: perceptions of old age and ageism; boundaries and settings; changes to practice; culture and experiences; awareness of time; loss; decline and mortality; and parents and children. These are illustrated by material from each of the participants, a composite depiction of the experience, a creative synthesis and examples from the researchers’ experiences.     

A continuing sense of self in the lived experience of dementia

ABSTRACT

Diagnosis with dementia often leads to an overwhelming fear of loss of self, which is assumed in the social discourse about the condition. After my own diagnosis with dementia in 1995, I reflected on this fear from a Christian theological perspective and was nonetheless able to discover a sense of hope. Highlighting what remains in dementia, as seen through the lens of the lived experience, provides a counter-story to the views of outside observers, which have dominated the literature to date. Although people with dementia experience a change in their cognitive sense of self, there are still important aspects of self that remain, which are: a sense of being an embodied self, in relationships with others and with God, and being able to find meaning in the present moment. By demonstrating that people living with dementia have a continuing sense of self, the aim is to prompt improved pastoral care and ministry.     

The lived experience of inequality and migration: Emotions and meaning making among Latvian emigrants

Based on interviews with Latvian emigrants collected between 2008-2014 in England, Ireland and the USA, this paper asks: How do migrants’ perceptions of inequality in their sending and receiving states, and their associated emotional responses, influence their migration experiences and decisions? This paper finds that inequality is significant, not only in a strictly economic sense, but also in terms of the socio-emotional and cultural dimensions that accompany it. Through an examination of migrants' meaning making, I identify four scenarios of what I call the inequality-emotion tie: resentment and anger towards the ruling elite as unjust; exploitation and feelings of humiliation at work; inability to consume and associated feelings of deprivation and inferiority; and perceived inferiority in daily interactions. Through these four scenarios, I find that the inequality that exists in a migrant's home society creates resentment and anger towards ruling elites and employers, as well as creating perceptions and feelings about the self as inferior. Conversely, the inequality that exists in receiving states, where inequality levels are actually comparable, does not have the same effect. In these countries, migrants described positive experiences with associated feelings of recognition, making a return to the home country less appealing.     

The meaning of ‘reconstruction’ within the lived experience of mastectomy for breast cancer

This paper represents a heuristic study of the meaning and essence of ‘reconstruction’ within the lived experience of mastectomy for breast cancer. Open‐ended interviews were conducted with a sample of eight women aged 40 to 58 years, who underwent mastectomy for breast cancer. Four participants had immediate breast reconstruction; two participants had delayed breast reconstruction, and two participants decided not to have the procedure. The study demonstrates that themes of loss/change/reconstruction are inextricably linked to the experience of mastectomy. Loss of a breast was likened to bereavement and in some women caused a loss of part of their identity. The closeness of death altered the awareness the women had of their time left on earth. This awareness brought about change/reconstruction in the majority of the women, in their lives and in their relationships with others. Prior to breast reconstruction there is a place for exploring with women the meaning of ‘normal’ and ‘whole’. Implications for counselling are discussed.     

Adolescent boys with obesity: The lived experiences

This study explored and described the lived experiences of adolescent boys who are obese. Participants were a purposive sample of nine boys between the ages of 13 and 18, six of them currently with obesity and with BMI levels at or above the 95th percentile for weight for height, and three with a history of obesity. Data were collected using in-depth phenomenological interviews, direct observations and field notes. Thematic coding was applied during the analysis process. Four themes emerged from the thematic analysis to characterise the adolescent boys’ experiences of being obese: living an empty life in a full body; vulnerable self-concept and low self-esteem; and being teased and humoured. They reported to cope with lived obesity by actively using motivation such as fear of death to lose weight and passively coping by wearing a mask. Obesity carries significant physical and psychological health risk to children in adolescence.     

A reflection on a humanistic approach to narrative inquiry into the lived experience of women casual academics

Qualitative research is said to add flesh to the bones of quantitative data, and narrative inquiry, more specifically, is described as emotionally comforting, reassuring and validating for participants who share their stories. But little is said of the impact of the flesh, bone and emotions of the narrative inquirer on the qualitative research process. This paper explores a humanistic approach to a narrative inquiry into the lived experience of women casual academics in Australian universities, and exposes the emotional and embodied labour involved in researching others’ stories. Through reflecting in and on her practice as a narrative inquirer, the author discusses how she was affectively and ideologically motivated to investigate the lives of women casual academics and demonstrates how her heart worked in conjunction with her head when ‘handling’ the narrative data. The author finally explores how reflecting on a humanistic approach to narrative research exposes that emotional and cognitive alignment can create research ‘flow’, and that fully embodied engagement with research aligns with ‘slow’ and feminist ‘in-the-making’ scholarship where journey and outcomes emerge and cannot be pre-determined.     

Countering illegibility: Religion,ethnicity and sexuality in public debates and lived experience in Belgium

In this article, I set out to explore various intersectional social constructions of ethnicity, religion and sexuality. First, I conduct an analysis of recent public controversies in Flanders (Belgium) about women’s and (homo)sexual equality as set against religious authorities and religious-ethnic minorities. It reveals how dominant understandings of ethnicity, sexuality and religion are constructed, reinforced and, if needed, defended. Second, I foreground a critical counter-voice negotiating these what I call ‘ethno-sexular’ boundary constructions. I analyse the lived experiences of Hajar, a volunteer of an antiracist LGBTQI organisation located in Brussels, and argue that because of a dominant ethno-sexular discourse, Hajar’s hybrid identifications and critical voice is made illegible in much of her social environment.     

Dissociation, trauma, and the role of lived experience: toward a new conceptualization of voice hearing

Voice hearing (VH) is often regarded as pathognomic for schizophrenia. The purpose of this article is to review and integrate historical, clinical, epidemiological, and phenomenological evidence in order to suggest that VH may be more appropriately understood as a dissociative rather than a psychotic phenomenon. First, we discuss the lifetime prevalence of VH in the general population, which is estimated to range between 1% and 16% for adult nonclinical populations and 2% and 41% in healthy adolescent samples. Second, we demonstrate how the ubiquity of VH phenomenology, including variables like voice location, content, and frequency, limits its diagnostic and prognostic utility for differentiating psychotic from trauma-spectrum and nonclinical populations. Finally, we report on the empirical associations between VH, measures of dissociation, and trauma particularly (though not exclusively) childhood sexual abuse. There are 2 main conclusions from this review. First, we argue that available evidence suggests that VH experiences, including those in the context of psychotic disorders, can be most appropriately understood as dissociated or disowned components of the self (or self-other relationships) that result from trauma, loss, or other interpersonal stressors. Second, we provide a rationale for clinicians to use psychotherapeutic methods for integrating life events as precipitating and/or maintaining factors for distressing voices. Potential mechanisms for the relationship between trauma, dissociation, VH, and clinical diagnosis are described, including the relevance of literature from the field of attachment in providing a diathesis for dissociation. Suggestions for future research are also discussed.     

The lived experiences of Qatari adolescents attending international secondary school

Many Qatari families are opting to have their children educated at international schools with curricula based upon western thought and educational standards. Exploring the perceptions of Qatari adolescents as they are engaged in this experience provided an opportunity to uncover the phenomenon of Qatari ways of being as related to Western educational thought. A hermeneutic phenomenological approach was used to investigate the lived experience of Qatari adolescents attending gender integrated, international, secondary schools in Qatar. Nineteen participants took part in five gender segregated focus groups. Qatari Culture and Islamic faith were the primary themes that emerged and these interconnected with the sub-themes of family, identity, and respect. The participants shared common traits with Third Culture Kids. At times, school expectations, norms and values conflicted with traditional family values, practices and culture, but participants saw the cross-cultural value in attending international schools.     

Attitudes in the fiber of everyday life: the discourse of racial evaluation and the lived experience of desegregation

This article critically reviews the social-psychological literature on race attitudes, which has assumed that the prejudicial status of any expression is determined by the underlying psychological attitude that motivated it. Variation and inconsistency in individuals' attitudinal expressions and disagreement over how to measure prejudice have bedeviled attitude research. Contemporary theories of racial attitudes (symbolic racism, self-presentation, aversive racism) have responded to this problem by explaining how, when, and why attitudes vary and by proposing research paradigms for isolating prejudiced from nonprejudiced expressions. The authors argue that research in this area may be enhanced by the use of qualitative methods that place fewer constraints on the expression of racial attitudes and variability than quantitative methods do. Using empirical materials from a South African case study, the authors show that a focus on attitudinal discourse and the lived experience of desegregation allow researchers to investigate attitudes as social practices.