Supervising counsellors who work with survivors of childhood sexual abuse

This paper draws attention to issues for supervisors who support counsellors working with adult survivors of childhood sexual abuse from the perspective of trauma theory. The author describes the effects of vicarious traumatization and the unconscious dynamics that contribute to this experience. A narrative approach is included as another way of supervisors listening to distressing stories, both those of clients and of their counsellors, and reflects on the value of bearing witness to those stories in supervision and of recognizing them as a source of healing.     

Individuality of Narratives Generated by Individuals: An Investigation Using Four-Panel Comics

In this study, we conducted an empirical research focusing on the generation of stories to obtain a hypothesis on how different the stories that people generate in their daily lives by linking events and situations are. For this purpose, five illustrations that revealed only the first and fourth panels of a four-panel comic were used as stimuli to generate a narrative in which the participants could make a connection between them. A total of 40 stories were obtained from eight participants. As a result, the narrative emerged in a variety of ways, even in events with little personal connection to the participants. This reveals that there are individual differences in the way people generate narratives themselves, despite their relationship with and position on the event. When the stories were typified, none of the participants generated similar stories in all five illustrations. This suggests that, because the combination of stories a person creates about every event is unique, there is only one story about the world, and one about himself/herself.     

Skating through pregnancy and motherhood: A narrative analysis of digital stories of elite figure skating expectant mothers

ObjectivesAlthough research on elite sport and motherhood is growing, more research is needed to understand the narratives that shape their identities and lives. We sought to build on sport psychology research centralizing the media as naturalistic data resources to explore elite athlete mother identity in cultural context. The specific aim was to explore how elite athlete identities are portrayed during pregnancy on Instagram.DesignTwo high profile elite figure skating expectant mothers’ (i.e., Meagan Duhamel and Aljona Savchenko) Instagram posts were the focus of a dialogical narrative analysis (DNA) grounded in relativist narrative inquiry. Two research questions were explored: 1. how do expectant athlete mothers portray themselves in big and small stories, and 2. what are the implications (e.g., psychosocial, behavioural) of identity meanings portrayed in digital stories?ResultsDNA of 122 posts (n = 82 for Duhamel, n = 40 for Savchenko) identified a key big story: (re)configuring ideal pregnancy. Four small stories fed into fluid meanings of ‘ideal pregnancy’ and ways of ‘doing pregnancy’ linked to self-identity portrayals: documenting the growing life, baby bumps on display, Olympic dreams/journeys and living the good life through leisure. Consumerism was shown to thread small stories. These findings show contradictions of motherhood meanings and body ideals (e.g., feminine, athletic) vs realities (e.g., tired, sore), linked to actions (e.g., skating during pregnancy, promoting products or athlete brand), in good mother and biomedical narratives.ConclusionsA big and small story approach grounded in narrative inquiry holds value to learn more about the digital landscape’s role in shaping athlete expectant mother self-identities. Future research exploring social media (e.g., Twitter, Facebook) may expand intertextual understanding of athlete mothers' identities and lives.     

Spirituality,health care,and bioethics

This article explores the relationship of spirituality to health care and bioethics in terms of the need and efforts of people to make sense of their lives in the face of illness, injury, or impending death. Moving beyond earlier associations with specific religious traditions, spirituality has come to designate the way in which people can integrate their experiences with their sense of ultimate meaning and related values. The holistic model of health care also affirms that one should not simply treat a body in pain, but respond to the suffering of the whole person within his or her full life. A narrative emphasis in ethics also maintains that ethical decisions occur within the framework of interacting life-stories, each of which embodies a certain core vision and set of values. In each instance it is the life stories of people, their lived narratives, that provide a common thread. The telling of these stories and the discernment of the lived spirituality they contain may assist persons in the process of achieving understanding, making decisions, and finding purpose in the experience of illness, injury, or disability.Maureen Muldoon, Ph.D., is Associate Professor in the Department of Religious Studies, University of Windsor, Windsor, Ontario, and Norman King, Ph.D., is Professor in the same department.     

A ‘new life’ story or ‘delaying the inevitable’? Exploring older people's narratives during exercise uptake

ObjectivesThe purpose of this study was to examine narratives of ageing in a clinical population embarking on a physical activity/exercise programme, exploring if and how their narratives changed throughout their experiences.DesignThe study employed a longitudinal narrative approach.MethodParticipants were six sedentary individuals aged between 78 and 89 years who were enrolled on an exercise programme for older adults. During the course of the 32-week programme participants took part in multiple interviews focused on their attitudes towards physical activity and their physical self-perceptions and identity. A structural narrative analysis was used to focus on the progression of the plot outlined in each participant's story.ResultsOur results suggested the emergence of two comparative narratives, with each demonstrated in the stories told by three participants. The first narrative is one of decelerated decline, in which the exercise programme is assimilated or fitted into the existing life narrative, but little is made of the personal meaning of being active. In the second narrative, participation in exercise prompted participants to re-story their ageing narratives, changing from initially accepting the decline they associated with an ageing body, to the prospect of gaining some control. While this increased sense of control may intuitively seem positive, participants initially described a number of existential challenges and dilemmas as well as their resolution of these.ConclusionParticipants' emergent stories highlighted that while older adults may perceive exercise positively, their existing narratives of decline may be resistant to change. Where changes do occur, it is important for health professionals to recognize the associated difficulties with gaining increased responsibility for health.     

Innovation Through Tradition: Rediscovering the “Humanist” in the Medical Humanities

Throughout its fifty-year history, the role of the medical humanist and even the name “medical humanities” has remained raw, dynamic and contested. What do we mean when we call ourselves “humanists” and our practice “medical humanities?” To address these questions, we turn to the concept of origin narratives. After explaining the value of these stories, we focus on one particularly rich origin narrative of the medical humanities by telling the story of how a group of educators, ethicists, and scholars struggling to define their relatively new field rediscovered the studia humanitatis, a Renaissance curriculum for learning and teaching. Our origin narrative is composed of two intertwined stories—the history of the studia humanitatis itself and the story of the scholars who rediscovered it. We argue that as an origin narrative the studia humanitatis grounds the medical humanities as both an engaged moral practice and pedagogical project. In the latter part of the paper, we use this origin narrative to show how medical humanists working in translational science can use their understanding of their historical roots to do meaningful work in the world.     

Using a Narrative Metaphor: Implications for Theory and Clinical Practice

The evolution of family therapy from a cybernetic metaphor to a narrative metaphor has led us to think differently about therapy, about clients, and about ourselves as therapists. In this article we pursue how this different way of thinking has informed a theoretical understanding of a narrative therapy approach and consequently has opened space for different ways of working clinically. We begin by tracing the evolution to narrative; we consider the implications of social constructionism and its political effects; and we complete the discussion by focusing on narrative theory. We then show how the clinical work follows logically and is coherent with the theoretical considerations. We describe, and illustrate with clinical examples, an innovative approach to working with couples and families with adolescents. In this work we pay attention to the larger cultural stories, including gender constructions, and to personal stories that persons have created to make meaning out of their experience as they interact with one another in a reciprocal meaning-making process. Interventions focus on externalizing the problem narrative that is influencing the client(s), mapping the effects of the problem pattern and/or the totalizing view persons might have of others, and creating space for client(s) to notice preferred actions and intentions. Finally, we close the loop by asking questions of ourselves and others about the effects of working from a narrative metaphor.     

Living,resisting, and playing the part of athlete: Narrative tensions in elite sport

ObjectivesTo explore: (i) How elite and professional sport culture might steer individuals towards particular stories, identities, and actions; (ii) How athletes navigate or respond to these cultural pressures.DesignCross-sectional qualitative methodology.MethodNarrative interviews and focus groups with 21 elite and professional athletes followed by a narrative analysis of structure and form.ResultsAthletes demonstrated one of three processes. Individuals who live the part of athlete story their life and act in ways that conform to a culturally dominant performance narrative. Here, identity is foreclosed, relationships sacrificed in the pursuit of success, and long-term wellbeing threatened. Over time, alternative narrative types may provoke moral reflection on their story and actions. Individuals who resist the part of athlete sustain a life story and identity that deviates from the performance narrative, drawing on alternative narrative types. Their resistance is typically overt as they publicly demonstrate actions that align with their multidimensional story. Individuals who play the part of athlete modify their story and actions depending on sociocultural context. These individuals covertly maintain a multidimensional life story, but silence this story when powerful others require performance stories.ConclusionsAlthough some elite/professional athletes' life stories revolve around performance outcomes, this is not a prerequisite for excellence. Other athletes achieve excellence while sustaining a multidimensional life story and identity. To do so, they navigate a culture that expects a performance focus, through overt resistance or covertly manipulating their public stories and actions.     

A Narrative Approach to Supporting Students Diagnosed With Learning Disabilities

Students diagnosed with learning disabilities experience many challenges that school counselors may address through narrative therapy. Narrative therapy is a postmodern, social constructionist approach based on the theoretical construct that individuals create their notions of truth and meaning of life through interpretive stories. This article identifies potential challenges students diagnosed with learning disabilities encounter, provides an orientation to narrative therapy, and offers a case example illustrating the application of narrative therapy with this client population.     

Narrative Processing: Building Consumer Connections to Brands

This article proposes that narrative processing creates or enhances self‐brand connections (SBC) because people generally interpret the meaning of their experiences by fitting them into a story. Similarly, in response to an ad that tells a story, narrative processing may create a link between a brand and the self when consumers attempt to map incoming narrative information onto stories in memory. Our approach rests on the notion that a brand becomes more meaningful the more closely it is linked to the self. We conceptualize this linkage at an aggregate level in terms of SBCs, that is, the extent to which consumers have incorporated the brand into their self‐concepts. The results of an experiment show that narrative processing in response to a narratively structured ad is positively related to SBCs, which in turn have a positive relation with brand attitudes and behavioral intentions.     

Narrative aspects of a doctor-patient encounter

In this essay I want to examine the ways that doctors communicate with their patients, in particular the stories that doctors tell their patients. I contend that the kinds of stories that physicians tell patients have a direct bearing on the nature of their relationship as a whole. Specifically, I shall argue that physicians who tell their patients the most complete stories possible about their illnesses, acknowledging uncertainties wherever they exist (to the extent that this is possible), show the greatest amount of respect for their patients as persons. This quest for completeness must be supplemented by an attempt on the part of the physician to explore the patient's understanding and beliefs so as to formulate not only a more complete narrative, but also to formulate one that better serves the needs of the patient.     

Victims' Stories: A Call to Care

In her book Victims' Stories and the Advancement of Human Rights, Diana Meyers offers a careful analysis of victims' stories as a narrative genre, and she argues that stories in this genre function as a call to care: they both depict a moral void and issue a moral demand, thereby fostering the development of a culture of human rights. This article, while finding Meyers's articulation of this idea compelling, questions Meyers's account of how victims' stories do their moral work. Whereas Meyers argues that victims' stories are complete narratives, characterized by a distinctive form of closure, it suggests that the moral power of victims' stories may lie in part in their open‐endedness or lack of closure. In telling their stories, victims engage their audiences in a new moral relationship and implicitly give them a role to play in bringing about the moral (and narrative) closure they seek.     

叙事传输的说服机制

叙事传输是人们沉浸在故事情景中的独特心理过程,也是故事信息特有的说服机制.叙事传输会使决策者产生与现实世界脱离的感觉,体验到强烈的情绪,然后对故事产生认同,改变态度.本文在界定叙事加工、叙事传输等理论概念基础上,重点比较叙事传输与分析加工的差异,认为两者在信息内容组织、作用途径、判断逻辑、认知努力及问题距离上都有区别.进一步研究叙事传输与分析加工、自我控制、情景决策等理论领域的关系具有重要价值.     

Narrative Sexual Identity Therapy

Sexual identity therapy is an alternative to the two polarized positions of sexual reorientation therapy and gay-integrative therapy for clients who present with sexual identity concerns. This alternative model focuses on sexual identity—the private and public acts of identifying and communicating one's sexual preferences—and how the decision to do so is informed by dominant stories about what sexual attractions mean to a client. As one expression of sexual identity therapy, this paper presents narrative sexual identity therapy, an approach that utilizes a narrative therapeutic approach and techniques to facilitate exploration of dominant narratives and counter-narratives that speak to sexual identity with the goal of achieving a synthesis that reflects felt congruence of clients' beliefs/values and behavior/identity.     

Toward a narrative conceptualization of stereotypes: contextualizing perceptions of public housing residents

Expansion of policies aimed at empowering disenfranchised groups, for example, resident/tenant participation in public housing, have been greeted with a great deal of enthusiasm. However, negative beliefs about the intelligence, ability, and morality of these groups, may interfere with the implementation of these policies. A greater understanding of social perceptions may lead to interventions that diminish interference. Traditional stereotyping research methods rely on trait conceptualizations that have been criticized as inadequate to fully describe social perceptions. This study examines the utility of a narrative approach to studying stereotypes about public housing residents. A group of college students (authors) wrote stories about a public housing resident and described the resident using trait objectives. Two readers, one given the story and the other the trait list, predicted how the author responded on various public housing belief and attitude instruments. Results indicate that stories and traits convey unique information not expressed by the other and offer preliminary support for the added usefulness, especially contextual information, of a narrative framework for studying stereotypes. The relevance of a narrative approach for understanding how stereotypes may undermine empowerment-based policies, in this case tenant participation in public housing, will also be explored. Copyright © 2000 John Wiley & Sons, Ltd.     

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.     

Living with a pituitary tumour: A narrative analysis

This study aimed to synthesise the illness narratives of individuals living with a pituitary tumour. Eight adults with a pituitary tumour were recruited from an endocrinology service in the north-west of England. A narrative methodology was adopted which investigated elements of the individual narratives such as metaphor and structure but which also aimed to produce a joint account of experience in this particular illness context by extracting themes across the stories; these are presented as part of a chronological narrative. However, the resulting group story was also analysed in terms of different types of narrative plots. The group narrative started from the recognition of symptoms and then diagnosis though treatment to post-treatment and future plans. In terms of narrative plots, one notable element of the joint narrative was the flow between the culturally dominant restitution narrative, where participants focused on treatment and recovery and the chaos narrative when recovery did not seem possible. The findings contain many elements consistent with previous research; however, the use of a celebrity figure to communicate about the illness experience and a perception that objects or individuals should not be taken at face value emerged as more novel findings.     

Exploring outcomes through narrative: the long-term impacts of Better Beginnings, Better Futures on the turning point stories of youth at ages 18-19

This study examined the long-term effects of the Better Beginnings, Better Futures project, a community-based early childhood development program, on 18–19 year-old youths’ narratives about turning points in their lives. The sample consisted of youth who participated in Better Beginnings from ages 4–8 (n = 62) and youth from a comparison community who did not participate in Better Beginnings (n = 34). Controlling for covariates, significant differences favoring youth from the Better Beginnings sites were found on several dimensions of the turning point stories: ending resolution, personal growth, meaning-making, coherence, and affect transformation. Effect sizes ranged from .45 to .76 for these outcome dimensions, indicating moderate to large effects. Also, turning point story dimensions were found to be significantly correlated with two standardized measures of well-being: youths’ self-esteem and community involvement. Youths’ self-esteem was directly related to story ending resolution, personal growth, and meaning making, and youths’ community involvement was directly related to story specificity, meaning making, and coherence. Family functioning was also examined in relation to these narrative dimensions but was not found to be significantly related to them. The findings suggest the utility of a narrative approach for the evaluation of the long-term outcomes of early childhood development programs.     

Stability of Repeated Work-Related Life Stories

The issue of stability of the narrative self, meaning to what extent an individual's story about a certain stretch of life stays the same over time, was examined by comparing working life stories concerning the same period but narrated 10 years apart. Twenty middle-aged individuals were interviewed in 1999 and in 2009. The analysis of the interview data was based on the parallel use of narrative analysis and the analysis of cultural distinctions. The results indicate that the core of the work-related narrative identities that were expressed in the first interviews also emerged in the second interviews. In our view, this lends support to the idea that people have a stable way of making sense of their past—that is, a continuous “inner narrative.”     

Parent–child career construction: A narrative study from a gender perspective

Nine families composed of mother and father, one son and one daughter were involved in this study to examine the role played by parents on children's career development from a gender perspective. In particular, this paper addresses the questions of how the parent–child dyad constructs stories about the child's career and the role played in it by the parent, and how same-sex dyads versus opposite-sex shape these stories. The narrative method was used as it lends itself to capturing family members storytelling about children's career. A narrative interview was administered to thirty-six participants with the data being analyzed using the adaptation of a tried-and-tested narrative analysis procedure. The findings show the importance of same-sex dyads in constructing career stories, plotted around themes of father–son educational and occupational transmission and mother–daughter alliance in facilitating girls' self-making. The study shows how storytelling helps family members to accommodate disruptions experienced during career transitions and to motivate choices that make vocational identity more stable. Implications for practice and future research are discussed.