The Client's Perspective of Genetic Counseling—A Grounded Theory Study

Previous studies of genetic counseling have mainly focused on outcomes defined by researchers or service providers, and have frequently related to changes in reproductive behavior and/or client knowledge. A longitudinal study of 43 families referred to a clinical genetic service was undertaken to ascertain client needs and expectations of the service, and to identify relevant outcomes from the clients' perspective. Semistructured interviews were conducted with each client, prior to and after genetic counseling. The transcribed interviews were analyzed using grounded theory. The need for certainty emerged as a powerful factor that motivated clients to pursue the genetic referral. The client's lay knowledge of the condition, satisfaction of the need for certainty, and the formation of a personalized relationship between the client and the genetics staff significantly influenced the central outcome, identified as a change in the client's psychological adaptation to the genetic condition in the family.     

Good Ol’ Country Boys Playin’ on the Farm: Online Articulations of Rural Masculinity by Men Who Have Sex with Men

This study seeks to fill existing gaps in the literature about the lives of rurally-situated men who have sex with men (MSM). Much work in this field grapples with identity construction and the unique contexts faced by queer, gay, or MSM in rural areas. This study explores the ways in which this population utilizes Craigslist as a means to articulate and perform rural masculinity. Findings suggest that MSM located within rural topographies often deploy culturally contingent masculine traits specific to rural cultural and geographic locations. The relationship that rural MSM have with the Internet is complex and dialectical in nature. The present study leads the author to conceptualize rural MSM’s relationship to both rurality and same-sex sexual behavior in two primary ways: (1) to queer or fetishize the rural, and similarly, (2) to ‘ruralize’ the queer.     

Moving from “I” to “We”: A Grounded Theory Analysis of Couple Therapy with Liver Patients and Their Partners

Prior research indicates that couples who cope with chronic illness from a relational “we” orientation experience more positive outcomes than couples that cope individually; however, little prior research identifies clinical processes that promote reciprocity or how societal gender processes are involved. This grounded theory analysis of 25 videotaped therapy sessions with six heterosexual couples coping with chronic liver disease (LD) used a feminist-informed relational lens to focus on the clinical processes involved in shifting from an individual to a relational orientation. Findings identified three contextual barriers to attaining a “we orientation”: (a) autonomy discourse, (b) illness-related power, and (c) gendered power. Analysis detailed therapist actions that decreased the impact of barriers to reciprocity and fostered relational coping. Clinical implications attend to complex intersections among gender, caregiving, and contextual barriers to reciprocity.     

What’s Love Got to Do with It? A Qualitative Grounded Theory Content Analysis of Romance Narratives in the PG Era of World Wrestling Entertainment (WWE) Programming

Although numerous studies have examined cultural representations of love and romance in myriad media sources, scarce attention has been paid to such representations in the genre of sports entertainment. As the most popular brand within this genre, World Wrestling Entertainment (WWE) is an important conduit of cultural knowledge in which to investigate narratives about modern romance. Using qualitative grounded theory content analysis methods, the current study examined representations of romance narratives in WWE’s two highest rated programs (Monday Night Raw and Friday Night Smackdown!) over a 6 month period. Fifty-two episodes comprising 105 h of televised programming were analyzed. Data analysis revealed evidence of six central romance narratives (Prince Charming, Dark Romance, Femme Fatale, Gold Digger, Cougar, and Woman Scorned). The meanings of these narratives were frequently contradictory in nature, revealing complex ideas about the nature of heterosexual romance. Many of the romantic relationships presented contained elements of multiple narratives, suggesting conflicting presentations of heterosexual gender relations not just across but also within individual relationships. Implications of these findings through the lens of social learning and schema theories are provided.