Bittersweet: a qualitative exploration of mothers’ experiences of raising a single surviving twin

Loss of a child from a multiple birth pregnancy is not uncommon yet the idiographic experience of parents who have lost a single twin from a multiple birth pregnancy is underexplored. This novel study sought to explore the experiences of mothers bereaved after loss of a twin from a multiple birth pregnancy, focusing on the dual challenges of parenting and grieving. Eighteen mothers at least 12 months post loss were recruited from a private UK based Facebook page dedicated to supporting parents after loss from a multiple birth. Eligible mothers completed an independent qualitative open-ended survey to explore maternal experiences of loss. Data were analysed using Thematic Analysis. Findings represented a sense of duality for participants, with mothers experiencing conflict between roles and identities as well as the nature of their loss. Key themes identified include ‘Narrating a story of family and loss’, ‘Finding a place for the twins within the family’ and ‘A changing sense of self’. Findings fit with theoretical conceptualisations of bereavement that acknowledge retaining relationships with the deceased. Practically, suggestions for supporting mothers to identify stock answers to often asked questions about family make up were suggested.     

Mental health disparities impacting Christian Korean Americans: a qualitative examination of pastors’ perspectives

Mental health disparities impacting Korean Americans are multifaceted. Although encouraging developments have been made in the knowledge of mental health prevalence and professional help-seeking behaviours of Asian Americans, Korean Americans continue to experience many challenges and unique needs that require more ethnic- and culture-specific knowledge. Given the prominent role that religion, particularly Christianity, plays in the Korean American context, we conducted exploratory interviews with 10 Korean American pastors regarding their perspectives on mental health issues impacting the Korean American community. Using consensual qualitative research, we found four salient domains: (a) Barriers to seeking mental health services, (b) Challenges that pastors experience, (c) Pastor’s assessment of church’s current climate in approaches to mental health issues, and (d) What is needed. Implications for research and practice in addressing mental health disparities are discussed.     

Is the worldview of qualitative inquiry a proper guide for psychological research?

Qualitative methods are becoming increasingly popular in psychology. Although the distinction between qualitative and quantitative often is stated in terms of methods, the real distinction is between worldviews: that favored by most qualitative methodologists, which emphasizes subjective experience and multiple realities, and that commonly accepted in science. The worldview accepted by most adherents of qualitative inquiry suggests the exclusive use of methods that include verbal reports of lived experience. Qualitative methods serve an important function in psychology, but their use as recommended by their adherents is limited in 2 respects: The adherents use a narrow and unconventional approach to qualitative methods that differs from that normally understood, and they favor use of a restricted range of qualitative methods over other qualitative methods and quantitative methods. If qualitative inquiry is to make a greater contribution to psychology, researchers in that tradition must acquire a better understanding of contemporary science, correct their misunderstandings of the rationale for quantitative methods, and address the apparent limitations of their methods emphasizing reported experience.     

Researching the “therapeutic relationship” in psychoanalysis,counselling psychology and psychotherapy—a qualitative inquiry

This paper reports the methodology of a research project based on and including a review of almost 1000 texts and more than 20 years of learning and supervised practice as clinician and supervisor in the psychotherapeutic professions on the nature of the therapeutic relationship. Following a pilot study by five years, the findings were reported in a 165,000 word document which encompasses poetry, personal experience, many textual extracts of theory or therapeutic dialogue, other research reports, theoretical considerations, clinical reflections, syllabus constructions—a postmodernist assemblage which nonetheless attempts coherence, validity and reliability. The findings have also been tested in the field for example by: (a) providing the framework for at least one four-year psychotherapy training course from which the first students have recently graduated by external assessment and (b) an independent psychotherapy accreditation process by a case study submission. It is argued that clinical practice or supervision should be inseparable from research—Particularly qualitative research in psychology.     

Parents’ experiences of starting and maintaining exercise: A qualitative systematic review

We conducted a systematic review of qualitative studies investigating the experiences of parents in relation to their uptake and maintenance of exercise, focusing on aerobic endurance-type exercise (e.g., running, cycling, swimming). The review aimed to synthesize qualitative findings relating to the motives, barriers, facilitators, emotions, and support of parents, and to suggest applied implications. Electronic bibliographic databases (Web of Knowledge, Google Scholar, Scopus, Academic Search Complete, and PsychArticles) were searched with relevant keywords to identify published peer-reviewed journal articles. Articles were included if they used a qualitative methodology to collect and analyse the data, and if they involved parents (of at least one child up to age 18) engaging in one or more type of aerobic endurance-type exercise from a position of limited fitness and parenthood. Ten studies were included in the final review, which used a narrative synthesis of data. Findings unique to the parent population were identified: parents were motivated to exercise as they believed it made them a better parent; mothers found it difficult overcoming the ‘ethic of care’; both mothers and fathers experienced the emotion of guilt, although its impact differed between parent roles; parenthood was associated with low confidence; and parents reported a lack of social support and self-regulatory capacity. These findings also reflect wider social determinants of health, in their racialized, gendered, and classed nature. To support parents in maintaining exercise uptake, the findings suggest that practitioners should promote reasons for exercise that align with parents’ core values to facilitate autonomous motivation.     

Sources of “relational homes”: a qualitative study of cancer survivors’ perceptions of emotional support

The aim of this article is to shed light on the different ways in which a group of Danish cancer survivors fulfil their need of emotional support. The study comprised participant observation at a Danish cancer rehabilitation centre, individual semi-structured interviews and focus group interviews with course participants. The analytical process combined the inductive approach of interpretative phenomenological analysis with a deductive theoretical strategy. Key concepts from Robert D. Stolorow's existential-phenomenological trauma theory were used as interpretative framework. Findings suggest that cancer survivors’ perception of emotional support is captured by the theoretical concept a “relational home,” understood here as a supportive and caring environment. A relational home may include different dimensions in various situations and contexts, including an existential and metaphysical dimension in which God/a higher power may provide emotional support similar to that obtained in human relationships.     

Psychological Skills and “the Paras”: The Indirect Effects of Psychological Skills on Endurance

We examined the indirect effects of basic psychological skills (PS) on military endurance through enhanced advanced PS while controlling for fitness. British Army recruits (n = 159) participated in three endurance events for Parachute Regiment selection and completed an adapted Test of Performance Strategies questionnaire (Hardy et al., 2010 Hardy, L., Roberts, R., Thomas, P. R., &; Murphy, S. M. (2010). Test of performance strategies (TOPS): Instrument refinement using confirmatory factor analysis. Psychology of Sport and Exercise, 11, 27–35. doi:10.1016/j.psychsport.2009.04.007[Crossref], [Web of Science ®] , [Google Scholar]). Following confirmatory factor analyses, the multiple mediation regression analyses using PROCESS (Hayes, 2013 Hayes, A.F. (2013). Introduction to mediation, moderation and conditional process analysis: A regression-based approach. New York, NY: Guilford Press. [Google Scholar]) suggested that goal setting, imagery and relaxation all had positive indirect effects on endurance via activation, with goal setting also impacting on endurance via negative thinking. These data provide some support for basic PS influencing endurance via advanced PS.     

Religious conversion among high security hospital patients: a qualitative analysis of patients’ accounts and experiences on changing faith

Research has shown the importance of religion in recovery from mental illness. Previous studies have investigated why individuals change faith during custody in prison, but there has been no research to date on religious conversion in forensic-psychiatric hospitals. The aim of this study was to understand the experience of religious conversion among patients detained in a UK secure hospital. Thirteen patients who had converted their religion were interviewed and the resultant data were analysed using thematic analysis. Three superordinate themes (“reasons for changing faith”, “benefits of having a new faith” and “difficulties with practising a faith”), incorporating eight subordinate themes, emerged. Understanding patients’ reasons for religious conversion is important for the treatment and support not merely of these individuals, but more broadly with patients in forensic-psychiatric care.     

Black students' experiences of “acceptable” racism at a UK university

Our research, conducted with 30 Black students at a predominantly White institution, used mixed qualitative methods to investigate Black students' sense-making of experiences that signalled their non-belonging. All participants experienced both overt and covert racism including the n-word, racist humour, and negative stereotyping; and this occurred in public and intimate spaces. Our reflexive thematic analysis centred on interactional dynamics that can explain how racism on campus is rendered acceptable; and how and why this is consequential for how Black students can act. We found that White students' practices of “acceptable” racism entailed the denial of responsibility and the privileging of White experiences to deflect responsibility. Importantly, these devices signal that the use of racist discourses does not always arise from unconscious bias or naivety. The perceived power dynamics whereby White students decide who belongs and what is acceptable contributed to Black students' inability to act on their own terms.     

Boundaries, Exclusion, and Oppression in “The Psychological Basis of Homophobia: Cultural Construction of a Barrier”

This essay takes up Madureira's exploration (Integrative Psychological and Behavioral Science, 2007, doi:10.1007/s12124-007-9024-9) of the relationship between homophobia and sexism, and more broadly, also examines other domains of prejudice, exclusion, and oppression. I identify important questions raised by Madureira, and suggest some additional concepts and frameworks that yield further insights into these issues. I focus primarily upon gender and sexuality theories, but also examine some additional studies of other constructions of difference and variants of prejudice, scapegoating, and boundarism: namely, racism, religious bigotry, and "witch-cleansing," I show how, despite their apparently disparate ideologies, these latter exclusionary practices are on some levels similar to homophobia and sexism, though these phenomena are neither identical nor exactly analogous. I also explore the uses and limitations of psychological, social and cultural analyses of these diverse forms of oppression, with particular emphasis upon homophobia and sexism.     

“Weathering the storm:” Mothers’ and fathers’ experiences of parenting a preterm infant

Parenting preterm infants is a unique experience distinct from parenting full-term infants, characterized by a delayed transition to parenthood and limited caregiving opportunities. This study explored mothers’ and fathers’ lived experiences of parenting during infancy in the context of preterm birth. Semistructured qualitative interviews were conducted with 13 parents (6 fathers, 7 mothers) of preterm infants. Data were analyzed using interpretative phenomenological analysis. Four superordinate themes emerged: (a) An unnatural disaster: The traumatic nature of preterm birth, (b) The immediate aftermath: Disconnected and displaced, (c) Breaking the ice: Moving from frozen to melted, and (d) Aftershocks: Transitioning home. Both parents experienced preterm birth as traumatic. Similarities and differences in mothers’ and fathers’ experiences were identified. Preterm birth posed challenges for nurturant and social caregiving and resulted in anxiety, hypervigilance, and overprotective parenting behavior. The results highlight the need for trauma-informed care and further research developing and testing empirically based interventions.     

“I believe…”: A qualitative study of older adults

Beliefs. Believing. Both are tested by different life experiences. This qualitative study of 15 older adults used a grounded theology methodology to develop a model of what influences the views of a range of Christian and agnostic subjects. The study identified two sources in life learning and spiritual learning that influence agnostic, more liberal, or conservative beliefs. This emergent model is contrasted with the approach of leading theologian Graham Ward.     

The “religiosity gap” in a clinical setting: experiences of mental health care consumers and professionals

ABSTRACT

In Western countries, professionals in mental health care (“professionals”) tend to be less religious than “consumers”. This qualitative study explores the meaning of this “religiosity gap” for professionals and consumers in mental health care. Both a regular, secular and a Christian clinic in the Netherlands participated in this study. Content analysis was applied to 35 consumer interviews and 18 interviews with professionals. Consumers reported negative experiences (e.g., perceived disrespect and a lack of confidence) and/or negative expectations (e.g., misunderstanding and misinterpretation) related to a religiosity gap. They also mentioned advantages of a “religiosity match”, like safety and confidence and appreciated professionals’ religious/spiritual self-disclosure. Professionals in secular care setting tended to avoid religion and spirituality. In both clinics, they tended to neutralise religious/spiritual differences and be reticent in self-disclosure. Professionals are recommended to recognise the relevance of a religiosity gap and to consider different strategies in approaching religion/spirituality.     

Framework analysis: a worked example of a study exploring young people’s experiences of depression

Framework analysis is an approach to qualitative research that is increasingly used across multiple disciplines, including psychology, social policy, and nursing research. The stages of framework analysis have been described in published work, but the literature is lacking in articles describing how to conduct it in practice, particularly in the field of psychology, where researchers may be working as part of a team. Having used framework analysis on a study exploring adolescents’ experiences of depression, we faced various challenges along the way and learned from experience how to use this approach to qualitative analysis. In this reflective article, we describe a worked example of using framework, which we hope will assist other researchers in deciding if this approach is suitable for their own research, and will provide guidance on how one might go about conducting framework analysis when working as part of a research team. We conclude that framework is a valuable contribution to qualitative methods in psychology, offering a pragmatic, flexible and rigorous approach to data analysis.     

Exploring families’ experiences of health: contributions to a model of family health

Child health and developmental outcomes are influenced by the health of the family and the context created. Research suggests symptoms of poor family health (e.g. suboptimal family interactions, parenting stress) yet there is limited understanding of the factors which contribute to robust family health which may unveil opportunities for targeted intervention and family health promotion. The present study examined families’ experiences of family health and factors contributing to family health. We performed a qualitative study using constructivist grounded theory methods to guide our understanding of family health for families with typically developing children aged 5–18. Interviews were conducted in family homes and all members were invited to participate. Data from interviews were transcribed, coded, thematically analyzed, and verified with select families. Ten families, including 10 mothers, 8 fathers, and 15 children participated in the study. Participants described family health as a process of balance, living purposefully, and sharing experiences together in alignment with family identity. Mediating family health were processes of awareness and reflection, and adapting, adjusting, and changing in response to family life including external stress factors. Results highlight the possibility for healthcare practitioners to facilitate families’ self-reflection and awareness about their health in order to mediate family health development.