Booming clangs and whispering ghosts: Attending to the reflexive echoes in IPA research

ABSTRACT

In this article, we propose reflexivity can be revealed through a deliberate adjunct to the interpretative phenomenological analysis (IPA) process. This adjunct, which we refer to as “echoes,” is a mixture of the participant’s and researcher’s words and experiences resonating with each other during the research process. We argue that explicitly recognising echoes gives a heightened sensitivity to both the researcher’s own place and being in the research, and to the other in relation to the researcher. Exploring the echoes enables the researcher to work with, rather than dismiss, his or her own presuppositions and exposes greater phenomenological sensibility toward the research subject and is-ness of that phenomenon. The purpose of this article is to outline how attending to echoes is a strategy for IPA researchers to promote and overtly journal reflexivity as central within their research practices. To exemplify how echoes can be used, practical examples from a doctoral research project are given to demonstrate how resonance can explicate reflexivity in the IPA process.     

Involving Police Departments in Early Awareness of Concussion Symptoms during Domestic Violence Calls

ABSTRACT

Police officers around the world respond to and investigate calls regarding domestic violence (DV) daily. Police departments operate with standard protocols, particularly when engaging in investigations that involve allegations of strangulation or sexual assault. Operating under advisement of the Maricopa County Attorney’s Office, the Mesa Police Department (Mesa, AZ) has established protocols for detecting, recording, and prosecuting DV cases that involve strangulation and sexual assault. Allegations of strangulation (defined as impeded breathing) or sexual assault prompt officers to offer a forensic nursing exam (FNE) combined with strangulation treatment by forensic nurses at the Mesa Family Advocacy Center. Recognizing the potential for head injury to the assault victim in all DV situations, including intimate partner violence (IPV), the police department has added concussion-awareness training, as well as a point-of-incident investigative tool for its officers to record neurological function of the victim. Officers were instructed to use the ConQVerge device to measure and record the Near Point of Convergence (NPC) as a test of neurological impairment in suspected head injuries. In this article, we discuss the challenges and opportunities for assisting victims of DV strangulation and sexual assault (including non-DV sexual assault) with on-site assessment and consent for further medical assessment and treatment. Additionally, rates of domestic assault victims that report a crime, but decline to follow through with forensic medical tests, are reported for the first time. Lessons learned from the project that inform strategic operations in this space are offered to other agencies prior to the implementation of similar procedures.     

Comparative Analysis of Suicide,Accidental, and Undetermined Cause of Death Classification

Suicide determination is not standardized across medical examiners, and many suspected suicides are later classified as accidental or undetermined. The present study investigated patterns between these three groups using a medical examiner database and 633 structured interviews with next of kin. There were similarities across all three classification groups, including rates of mental illness and psychiatric symptoms. Those classified suicide were more likely to be male, to have died in a violent fashion, and have a stronger family history of suicide. Chronic pain was very common across all three groups, but significantly higher in the accidental and undetermined groups.