Waiting for a kidney from a deceased donor: an interpretative phenomenological analysis

Demand for kidneys from deceased donors far outstrips supply. Despite this, there appears to be little research that focuses solely on the experience of waiting for a kidney from a deceased donor. This study uses the qualitative methodology interpretative phenomenological analysis to explore the lives of 10 people on the transplant list, with the aims of illuminating the potential psychological challenges those on the list may face during this time, and providing information to help clinicians more fully support such people in the future. Two themes connected to the experience of waiting – adjustment to the uncertainty of waiting and thinking about receiving a kidney from a living donor – are presented here. Participants describe a sense of confusion and uncertainty around life on the list, and discuss their strategies for dealing with this. Novel complexities around the ambiguous challenge of receiving an organ from a deceased donor are revealed. It is recommended that health care teams provide a forum for this patient group to work through these feelings of confusion and ambiguity.     

The intersubjectivity of spiritual experience in the art practice of people with histories of mental distress: a phenomenological study

The therapeutic outcomes gained through engaging with the art making process are well documented. Somewhat less probed are the auxiliary and sometimes enigmatic experiences of art making that impact on the sense of mental wellbeing; experiences which, by their nature, can be difficult to capture. This paper discusses such experiences, described by a group of art makers with histories of mental illness, as being spiritual in nature. A phenomenological approach using Interpretative Phenomenological Analysis (IPA) methodology was used, with Heideggerian concepts of ‘Dasein’ (There-being) and ‘Mitsein’ (With-being) informing an interpretation of the intersubjective. Such experiences were felt to be profound, and were often claimed to be accessible exclusively through an art practice that was sustained over a number of years of regular activity. The paper concludes by pointing out the difficulty in capturing evidence of sustained, non-clinical strategies for wellbeing such as those developed as an inherent part of the experiences reported here, due to their nuanced nature and the reluctance with which they may be narrated.     

Imagining an ‘ideal school’: an approach for reflecting on principals’ educational creed

In this paper, we describe an approach to the study and development of school principals’ school creed. The approach and its underlying method are grounded in the phenomenological tradition, predominantly in the philosophy of Merleau-Ponty. School principals are asked to imagine an ideal school and present it both visually and verbally. We illustrate the potential of this process using one ideal school proposal developed by a high school principal in Israel. The paper concludes with a discussion of the implications of the approach for research, theory and practice.     

Role of Supportive Others in the Forgiveness Process

Forgiveness research is a focus of interpersonal relationships in counseling. This phenomenological study investigated the role of an individual's support systems in forgiveness. The research design included semistructured interviews with 11 participants. Key findings revealed that participants primarily forgave for peace of mind. Several resources used by participants were helpful in forgiveness, but use of friends, family, and therapists showed mixed results. In addition, participants wanted support systems to listen and not to give advice, and support persons need to be objective or be trained in forgiveness therapy. Recommendations for counselors who work with people struggling to forgive are provided.     

Successful Black Men From Absent‐Father Homes and Their Resilient Single Mothers: A Phenomenological Study

The phenomenon of absent fathers is a common occurrence in today's homes that appears to be escalating, especially in Black households across the United States. The purpose of this study was to describe the lived experiences of successful Black men who were raised in absent‐father homes as well as the lived experiences of their resilient single mothers. The authors share themes that captured the participants' experiences and provide recommendations for community counselors, school counselors, and counselor educators. El fenómeno de padres ausentes es una situación común en los hogares actuales que parece estar en crecimiento, especialmente en hogares de familias negras en Estados Unidos. El propósito de este estudio era describir las experiencias vividas por hombres negros exitosos que fueron educados en hogares con padres ausentes, además de las experiencias vividas por sus resilientes madres solteras. Los autores comparten temas que capturaron las experiencias de los participantes y proporcionan recomendaciones para consejeros comunitarios, consejeros en escuelas y capacitadores de consejeros.     

The denial of moral dilemmas as a regulative ideal

The traditional debate about moral dilemmas concerns whether there are circumstances in which an agent is subject to two obligations that cannot both be fulfilled. Realists maintain there are. Irrealists deny this. Here I defend an alternative, methodologically-oriented position wherein the denial of genuine moral dilemmas functions as a regulative ideal for moral deliberation and practice. That is, moral inquiry and deliberation operate on the implicit assumption that there are no genuine moral dilemmas. This view is superior to both realism and irrealism in accounting for moral residue and other crucial phenomenological dimensions of our experience of moral dilemmas.     

生命伦理学的知识场域与现象学问题

生命伦理学还不是一个成熟的学科,研究者还要做许多重要的工作。目前,生命伦理学研究中首要的是对相关知识、基本概念、语词的统一,诸如对生命、医学、疾病、死亡等确立生命伦理语境下的认知,是一项重要的任务。应该挖掘所有人类的理性遗产和文化资源,建立和构建生命伦理学理论框架和体系,从而解决对具体生命伦理问题和现象评价的困难。生命伦理学存在一个多维的知识场域,揭示、解释和勾绘这个场域,对生命伦理学的学科建设具有重要意义。     

医患沟通障碍的现象学诠释及对话调适

相当多的医患冲突不是由医疗技术的原因引起,而是医患沟通不畅造成的。从现象学视域诠释医患关系,分析了医患对于“疾病”意义的不同认识,只有在诠释学语境中建立“你我”对话关系,在倾听中领会,才能在理解中寻找到共享的意义世界。从一个全新的视角构建了医患视域融合的框架,在医患对话实践中,通过“移情”跨越医患视域前见的鸿沟,以达到医患视域的融合。