The Phenomenology of Early Psychosis Elicited in an Occupational Therapy Expressive Evaluation

Expressive assessments facilitate sharing, and the therapeutic understanding of youth. The experiences of nine young adults seeking help for psychosis were explored with an arts-based, occupational therapy expressive evaluation. The study used participant-observation methods. Data analysis drew on hermeneutic phenomenology. The findings illustrate the challenges these participants have in feeling connected to a shared world of doing, and in locating themselves within the temporal flow of time. Of significance was the potential to read the unfolding of creation in clay media as an acted narrative to tap into “constellations of meaning.” Implications for clinical practice and professional reasoning are highlighted.     

Words that touch2

In this paper the author examines her own use of language as a psychoanalyst and asks: what is the best way to help analysands to find the words to express not only what they are thinking but also what they are feeling and experiencing? In common with other psychoanalysts, the author has observed that each of us simultaneously utilises both advanced psychic mechanisms that are accessible to symbolism and more archaic ones, which are less so. However, she draws a distinction between people who are able to tolerate the perception of their own heterogeneity, even if it is sometimes a source of suffering, and those whom she terms ‘heterogeneous patients’. Patients in the latter category, whose lack of internal cohesion causes them anxiety, are afraid of losing their sense of identity. The author asks how we can understand their language and how we should speak to them. She uses several clinical examples to demonstrate that ‘heterogeneous patients’ need to be touched with a language that does not confine itself to imparting thoughts verbally but also conveys feelings and the sensations that accompany those feelings. It is also an ‘incarnated’ language because the words pronounced by the analyst can awaken, or reawaken, bodily fantasies in the patient. These words may enable him to find an emotional meaning in forgotten sensory or bodily experiences, which may then become a starting point for his work of thinking and of symbolisation.     

Editorial Introduction to the Special Issue: Using Story Completion Methods in Qualitative Research

ABSTRACT

What is story completion? How come I’ve never heard of it? Can it be useful for me as a qualitative researcher? A relatively unknown method for qualitative data collection, story completion has a long history of use in psychotherapy practice and (quantitative) developmental psychology research. We believe it has untapped, exciting potential as a qualitative technique in and beyond psychology, offering something quite different to many of the popular methods (e.g., interviews, focus groups). In this article, an introduction to an exciting Special Issue that discusses and demonstrates the potential of story completion, we provide a brief history of the development of story completion as a qualitative technique and an overview of design, sampling, and data analysis in story completion research. We finish by highlighting potential pitfalls of story completion, alongside a discussion of the possibilities it offers, and briefly introduce the empirical papers in the Special Issue.     

How can a heterosexual man remove his body hair and retain his masculinity? Mapping stories of male body hair depilation

ABSTRACT

This study explores the gendered body hair removal norm and the meanings of male body hair by examining young people’s sense-making around male body hair removal. The novel technique of story completion was used to collect data from 102 psychology undergraduates. They were presented with a story “stem” featuring a young man (David) deciding to start body hair removal and asked to complete the stem. David was most often portrayed as a young heterosexual man who was excessively hairy, in the “wrong” places, was often subject to teasing and bullying, and was concerned about his diminished sexual capital. Hair removal did not always end “happily ever after” for David. While in some stories he “got the girl,” he was punished for his vanity and foolishness in others. These different endings arguably reflect currently ambivalent meanings around male body hair depilation. The production of a hairless, or less hairy, male body is both desirable and a potential threat to masculinity. The data spoke strongly to the power of social norms surrounding body hair practices and suggest that story completion provides a useful tool in interrogating the discourses that sustain these norms.