Meanings of Touch and Forgiveness: A Hermeneutic Phenomenological Inquiry

The author examines personal meanings ascribed to the experience of touch in the context of forgiveness. Data from in‐depth interviews with 6 self‐reported Christians were analyzed to determine themes in the meanings participants assigned to a forgiving touch.     

An Emergent Theory of Altruism and Self‐Interest

Beliefs about altruism and self‐interest of 25 participants were examined through a grounded theory methodology. Altruism was defined as the promotion of needs of others and self‐interest as the promotion of needs of self. Data sources included interviews, focus group, journal analysis, artifacts, and a measure of altruism. The relationship between altruism and self‐interest emerged and was composed of 12 themes. Themes described a dynamic theory that was systemic, values oriented, and interactional.     

Self‐determination among adolescents with physical disabilities in Zimbabwean inclusive‐community setting: an exploratory study

The purpose of this study was to explore self‐determination among adolescents with physical disabilities living in inclusive‐community settings of Makonde Urban, Zimbabwe. An inclusive community is one that aims to remove exclusionary practices within the community and promote community systems that accept all people irrespective of their difference. Inclusive communities on their own are not uniquely designed for people with disabilities, but they have been adopted by most developing countries as a basic strategy to influence and enhance self‐determination among people with disabilities. A constructivist‐lived experience perspective underpinned this research, in which multiple case studies were used to interact with the participants on inclusion and self‐determination in adolescents with physical disabilities. Fourteen participants, 9 males and 5 females, were purposively sampled. Data were collected through face‐to‐face interviews and transcribed verbatim. Three themes emerged from the inductive thematic analysis of data sources. It was found that participants were having low levels of self‐determination in choosing inclusive‐community activities to participate at home, at school, and in their communities. The findings of this study have the potential for the inclusive communities' policy makers and researchers to better understand the level of self‐determination in choosing inclusive‐community activities to participate among adolescents with physical disabilities in inclusive‐community settings.     

What’s in a name? A psychoanalytic exploration of self and identity in transgender individuals who were assigned female at birth

This study explores the development of self and gender identity within the lived experience of transgender individuals who were assigned female at birth and now identify as male or male spectrum. A psychoanalytically informed interview technique was employed here, involving six participants, aged 20–37 for 3–4 one-hour interviews. Alongside close attention to the content and the manner of representation of self and other across interviews, the analysis was also informed by counter-transference processes. Three core themes emerged from the data: ‘What’s in a Name?’; ‘Rejected, Bullied, Ignored and Forgotten’; and ‘I’m a Boy (not a Girl)’. Recollections of traumatic experiences and the use of laughter were other notable details that appeared across participants. Links are made between the emerging themes and concepts of incongruent mirroring and the development of a false self. Directions for further research and clinical implications for working with transgender clients in a psychotherapeutic context are also outlined.     

Writing ourselves into being: writing as spiritual self‐care for adolescent girls. Part Two

This paper, the second of two parts, reports the claims of a participatory qualitative research project that explores the inner self‐awareness and self‐presentation of adolescent girls based on excerpts from their own adolescent writings. The participants selected material from their own diaries and poetry written between 1969 and 1999 (ages 11–17) that spoke to their adolescent spiritual concerns. The research team addressed questions of audience, voice, intention in writing and the role writing played in maintaining an inner life and sense of self. The persistent themes that arose were creating solitude, transforming to calm, preserving sensitivity, nurturing voice, and connecting beyond the self, while the central identified theme was care of self. Part One set out context and process and then addressed the first two themes. Part Two explores the remaining themes and some implications for care work with adolescent girls.     

Sacred Practices and Family Processes in a Jewish Context: Shabbat as the Weekly Family Ritual Par Excellence

The present article provides a deep and more focused look at the utility, meaning, processes, and power involved in a specific, family‐level, sacred practice or ritual from Judaism: Shabbat (Sabbath). Content analysis of in‐depth interviews with 30 diverse, marriage‐based Jewish families living in the United States (N = 77 individuals) yielded three emergent themes: (a) “Shabbat brings us closer together”; (b) How Shabbat brings the family together; and (c) The Power of Blessing the Children. These themes will be discussed respectively, along with related verbatim data from participants’ in‐depth qualitative interviews.     

Writing ourselves into being: writing as spiritual self‐care for adolescent girls. Part One

This paper, the first of two parts, reports the claims of a participatory qualitative research project that explores the inner self‐awareness and self‐presentation of adolescent girls based on excerpts from their own adolescent writings. The participants selected material from their own diaries and poetry written between 1969–1999 (ages 11–17) that spoke to their adolescent spiritual concerns. The research team addressed questions of audience, voice, intention in writing and the role writing played in maintaining an inner life and sense of self. The persistent themes that arose were creating solitude, transforming to calm, preserving sensitivity, nurturing voice and connecting beyond the self, while the central identified theme was care of self. This first paper sets out context and process then addresses the first two themes. Part Two, to be published in a later edition of this journal, will explore the remaining themes and some implications for care work with adolescent girls.     

Evaluation of a Combined Cognitive Behavioural Therapy and Interpersonal Process Group in the Psychotherapy Training of Clinical Psychologists

It is now widely acknowledged that both content and process elements of psychotherapy play a part in client treatment outcomes. Despite this, there are pressures on Australian clinical psychology training programs to teach evidence‐based approaches in a relatively short time frame. Producing clinical psychology graduates who have an adequate level of competence in evidence‐based practice and meeting the demands of professional accreditation requirements can mean that less time is available to teach the process elements of psychotherapy. The aim of this study was to conduct a preliminary evaluation of a clinical psychology psychotherapy training program that combines an interpersonal process group with a cognitive behavioural therapy training model that incorporates self‐reflection and self‐practice. Eleven participants who participated in the training in 2008 completed the Counseling Self‐Estimate Inventory at pre‐ and post‐training. Significant improvements on the majority of the subscales of this inventory were found. A separate sample of nine trainees and clinical psychology registrars who also previously completed the program attended individual interviews in 2010 aimed at gaining their perspective regarding various aspects of the program. Self‐practice of cognitive behavioural therapy techniques was found to be important in the identification and management of trainees’ own core beliefs, and to their appreciation of how challenging this process may be for clients. The interpersonal process group was described by participants as enhancing their competency as psychotherapists. Common themes included the experience of anxiety and a high level of emotion, and understanding how this experience might be similar for clients; increased self‐awareness; and increased competence in process issues. Many participants believed the process and content components of training were equally important to their development as psychotherapists.     

“I Am My Own Gender”: Resilience Strategies of Trans Youth

Nineteen trans youth participated in a phenomenological study of their resilience strategies for navigating stressors in their lives. The authors identified 5 supports and 6 threats to participants’ resilience. The 5 themes of resilience were: (a) ability to self‐define and theorize one's gender, (b) proactive agency and access to supportive educational systems, (c) connection to a trans‐affirming community, (d) reframing of mental health challenges, and (e) navigation of relationships with family and friends. The 6 major threats to participants’ resilience were: (a) experiences of adultism, (b) health care access challenges, (c) emotional and social isolation, (d) employment discrimination, (e) limited access to financial resources, and (f) gender policing.     

Understanding how engagement in a self‐managed shelter contributes to empowerment

Participant empowerment is a foundational goal of self‐organised homeless care. We aim to understand how a self‐organised setting contributes to participants' empowerment. The data we analysed (56 interviews, both open and semi‐structured) were generated in a longitudinal participatory case study into Je Eigen Stek (Your own place, JES), a low‐cost shelter for people experiencing homelessness in the Netherlands. JES participants experienced the freedom of choice and influence on their living environment. JES' fluid structure allowed participants to adapt the program to their desires and needs, though participants were sometimes negative about having to live together. Most participants preferred JES over regular shelters. Unlike empowerment literature, participants mostly emphasised freedom of choice over capacity development. JES offered opportunities for social and organisational engagement, through which participants developed roles, skills and self‐image. However, a limited number of participants developed leadership roles through self‐management. Literature suggests setting aspects to be either enabling or entrapping. We found some aspects (e.g., size, freedom of choice) could be entrapping or enabling, depending on personal factors. Our analysis revealed individual freedom of choice, balancing freedom of choice with support, offering opportunities for engagement and maintaining fluidity in program management as core aspects of how JES contributed to participants' empowerment.     

Self‐esteem,stigma and community participation amongst people with learning difficulties living in the community

A cross‐sectional study examined the relationship between self‐esteem, community participation, age, perceived stigma and social support amongst a sample of 50 people with mild to moderate learning difficulties attending two day centres. Respondent‐paced, structured interviews following ethical and assessment guidelines were used to gather data. Retest interviews were conducted with 20% of the sample 3 months subsequently and only those measures with good test–retest reliability were used to test hypotheses. The results showed fairly high levels of community participation and self‐esteem. Self‐esteem was negatively correlated with stigma and a sub‐group with high concerns regarding meeting strangers was identified. In accordance with studies of non‐disabled samples, self‐esteem was positively associated with age. Social support was comparable to, or higher than, that observed in non‐disabled samples. High social support was observed for staff going out with respondents and for practical help from liked persons and friends. Community participation appeared to be related to higher self‐esteem in older participants but lower self‐esteem in younger participants. Implications for future research and practice are discussed. Copyright © 2002 John Wiley & Sons, Ltd.     

Exploring Thematic Nightmare Content and Associated Self‐Harm Risk

Nightmares have been shown to be robust predictors of self‐harm risk, beyond depressive symptoms and hopelessness at times. However, few studies have investigated associations between nightmare content and increased self‐harm risk. This study explored associations of thematic nightmare content with history of self‐harm, and risk of self‐harm phenomena the morning following a nightmare. A mixed‐method diary study was performed. Prospective nightmare reports were obtained from 72 participants. A total of 47 nightmare reports met inclusion criteria and were analyzed for themes using inductive thematic analysis. Chi‐square and bootstrap Pearson's correlation tests were performed to assess the associations between nightmare themes and self‐harm history, and risk of self‐harm phenomena following a nightmare. “ Powerlessness to Change Behavior” was associated with a history of self‐harm engagement, whereas “Financial Hardship” indicated reduced risk. Themes were not significantly associated with increased risk of self‐harm phenomena following a nightmare. Content may be of use in detecting lifetime history of self‐harm engagement, particularly in populations where disclosure is seen as taboo. However, nightmare symptom severity remains a better indicator of risk. Evidence for the utility of nightmare content in assessing immediate self‐harm risk is presently lacking. Replication with increased power is recommended.     

Preference assessment training via self‐instruction: A replication and extension

We examined the effects of a self‐instructional and feedback package on participants’ implementation of a paired‐stimulus preference assessment. Specifically, in Experiment 1, we used a multiple baseline design across participants to replicate and extend the results of Graff and Karsten (2012) by evaluating the effectiveness of their self‐instructional manual. A majority of the participants (i.e., 5 of 7 undergraduate students and 4 of 5 in‐home behavior technicians) achieved mastery with the self‐instructional package. The remaining participants met the mastery criterion after brief modeling and feedback sessions. In Experiment 2, we identified the most effective component of the feedback condition from Experiment 1 when a self‐instructional package was not sufficient. Brief feedback sessions in which participants received a list of the targeted responses plus information regarding accuracy of emitted responses was sufficient for 5 of 6 participants to achieve mastery.     

The Dynamics of Creative Teaching

The following is a qualitative portrait of a creative teacher and her teaching process. Over a period of six months, five interviews were conducted with the teacher before, during, and following a university course in teacher education on instructing diverse learners. Additional interviews were conducted with six students at the beginning and end of the course and with the teacher's husband following the course. Additional data sets include classroom observations revealed in field notes, personal memos, and course materials. The overarching themes represented constructs involving intense and thorough course preparation, teacher‐student connections, and reflective teaching. Sub‐themes guiding the process of creative teaching emerged including constraints placed on preparation and reflective teaching, an awareness of self and students within the process of preparation and connection, feedback from colleagues and students guiding the connection and reflective teaching, and the values and goals formed from personal history and philosophy of life shaping all three major themes. This case study of creative teaching possesses characteristics resembling creative acts in other domains (e.g., art, literature, physics, economics) and presents a model for the education of future teachers.     

A Burden to Others: A Common Source of Distress for the Terminally Ill

Recent research into the desire for death among people with terminal illness has begun to recognize the importance of “feeling oneself a burden to others” as a factor in suicidal behaviour. In this study, 69 patients with advanced cancer underwent semi‐structured interviews. The sense of self‐perceived burden was found to be a common experience, reported by 39.1% of participants as a minimal or mild concern and by 38% as a moderate to extreme concern. The sense of burden showed a low correlation with physical symptoms (r = 0.02–0.24) and higher correlations with psychological problems (r = 0.35–0.39) and existential issues (r = 0.45–0.49). Comparisons of participants with high or low levels of self‐perceived burden showed the importance of this factor for overall quality of life. In summary, self‐perceived burden is an important but underestimated dimension of social cognition in the medically ill.     

Heroes on the Hill: A qualitative study of the psychosocial benefits of an intercultural arts programme for youth in Northern Ireland

The current study investigates the psychosocial benefits of a cross‐community, intercultural dance programme for youth in Northern Ireland. Psychological theories, including contact theory and the ecology of childhood development, underpin the study, and results are discussed in relation to the programme's aims. The present study used qualitative, inductive methods; data consisted of interviews before and after the programme with facilitators (n = 2) and 10 (n = 10) programme participants (11–15 years old) of diverse races and nationalities. Latent themes were identified using thematic analysis. Findings reveal that participants have complex senses of identity. Worryingly, they also reported many instances of bullying, relating both to themselves and others. Results reveal three main psychosocial benefits of the programme, all of which promote positive mental health in adolescents. The benefits are increased self‐confidence, the formation of new cross‐community friendships, and improved intercultural awareness and pride. It is argued that the programme is an exemplar of how the arts can promote peace as well as resilience in the face of adversity. Recommendations for future research are included.