Recommend a Qualitative Design - Psychology
Examples of Qualitative Designs to choose ONE from. Follow all instructions carefully -Grounded Theory Approaches -Interpretative Phenomenological Analysis -Discourse Analysis Approaches -Narrative Analysis Approaches Take on the role of a clinical psychologist treating clients for depression. You are interested in doing research on effective treatments for a chronic form of depression called dysthymia. In the DSM-5, it is referred to as persistent depressive disorder. Details regarding the disorder can be found in section 300.4(F34.1) of the DSM-5. In your review of the current materials attached, you find that most of the previous research on this disorder has been done using quantitative methods. Identify an aspect of this topic you feel should be studied using qualitative methods. Apply the scientific method to this research issue and develop a specific research question. Compare the characteristics and appropriate uses of various qualitative research designs and choose an appropriate qualitative  design for this research question. Create a feasible research design that includes plans for the sample selection, data collection, and data analysis. Apply ethical principles to your design by explaining how this type of qualitative design may affect the participants in your study and how you will deal with sociocultural issues. REFERENCES TO BE USED American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Frost, N. (2011). Qualitative research methods in psychology. New York, NY: McGraw-Hill.  (This is the textbook references for the four attachments attached. Chapter 2: Grounded Theory Approaches,Chapter 3: Interpretative Phenomenological Analysis, Chapter 4: Discourse Analysis Approaches, Chapter 5: Narrative Analysis Approaches) please use one of these Qualitative design. 16 C H A P T E R 2 Grounded Theory Approaches Sevasti-Melissa Nolas Introduction This chapter is about using grounded theory. It focuses on the development of grounded theory, the underlying assumptions of the approach and the ways it is used in research. The chapter will cover theoretical as well as practical issues relating to the use of grounded theory. The origins of grounded theory lie in the micro-sociological tradition of research and, as such, each section has been written with a view to relating that tradition to research topics in psychology. The chapter begins with a background and history of grounded theory. It continues with a discussion of the ontological and epistemological issues that underpin the grounded theory approach. The chapter provides a detailed description of what one needs to consider and do in carrying out a piece of grounded theory research. Examples and refl ections on practice are given throughout, and ethics considerations are also discussed. History Grounded theory is an approach used to study action and interaction and their meaning. It was developed by Barney G. Glaser and Anselm L. Strauss, two American sociologists working at the University of California, San Francisco, in the 1960s. They developed the approach while studying the way in which health professionals cared for the ill in American hospitals, and especially how they managed the issues of death and dying. Their interest in the topic developed from the observation that discussions of death and dying were at the time absent from the American public sphere. They wanted to explore how that absence affected those contexts in which death and dying occur and so their study explored how a social issue (absence of public discussion on death) impacted on professional practice in a clinical setting. The social issue they identifi ed was the lack of public discussion around death and the process of dying. Awareness of Dying (1965) is now a seminal text, as is The Discovery of Grounded Theory (1967), which Glaser and Strauss wrote to outline the research approach they were using. qualitative research methods - final.pdf 26 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Ontology 17 Glaser and Strauss continued to work together for a number of years before developing separate intellectual trajectories. Glaser’s approach emphasises the emergence of theory from the data without the imposition of the analyst’s conceptual categories onto the data. Glaser’s work emphasises the opportunity grounded theory offers for developing ‘formal theory’ (see, for example, Glaser, 2007). Strauss’s take on grounded theory emphasised the symbolic interactionist roots of the approach, which concentrate on the construction of meaning through everyday interaction. Strauss, with Juliet Corbin (1990), wrote a detailed book on ‘how to do’ grounded theory, Basics of Qualitative Research, which is still widely used. Anselm L. Strauss passed away in 1996 (Bryant & Charmaz, 2007: 5). Barney G. Glaser is still writing and teaching on grounded theory, and runs workshops in a number of cities. Since its early days, grounded theory has been developed by a number of Glaser and Strauss’s students as well as others (Bryant & Charmaz, 2007). It is still a popular approach for studying action and interaction and, although Glaser has always maintained that it is or can be a mixed-method approach, it is frequently used for qualitative research in areas such as nursing, social work, clinical psychology and other helping professions. Ontology The ontological orientation of grounded theory has its roots in early sociological thought, pragmatism and symbolic interactionism (Star, 2007), which draw on European (French) and North American social science at the end of the nineteenth and turn of the twentieth centuries. Grounded theory follows in the path opened by the founder of sociology, Emile Durkheim, in espousing the idea that social facts exist and that the empirical study of these facts constitutes a true scientifi c endeavour (Bryant & Charmaz, 2007: 22). From the pragmatist tradition, we fi nd in grounded theory the idea that our under- standing is built on consequences and not antecedents (Star, 2007: 86). This means that knowledge is created retrospectively. This is in contrast to other philosophical orientations that emphasise the prospective creation of models, which subsequently await verifi cation. Like pragmatism, grounded theory also assumes the existence of an objective reality, but one that is complex and consists of a number of overlapping, complementary as well as contradictory perspectives (Star, 2007: 87); grounded theory also draws our attention to action and interaction as meaningful units of analysis in their own right. Action is created through the relationships between people; it is treated as an ongoing, continuously unfolding social fact (Star, 2007: 90). The way in which grounded theory understands action and interaction has its roots in the symbolic interactionist tradition that emerged out of the Chicago School of micro-sociology. According to symbolic interactionism (Blumer, 1969; Stryker, 1981; Prus, 1996; Rock, 2001; Sandstrom, Martin & Fine, 2003), social reality is intersubjective, it consists of communal life with shared linguistic or symbolic dimensions that is also refl ective of those shared meanings. Refl exivity means that qualitative research methods - final.pdf 27 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 18 Chapter 2 Grounded Theory Approaches people are able to attribute meaning to their being and in doing so develop lines of action. People are also able to take the perspective of the other (Mead, 1934). Activities organise human group life. While we create meaning out of behaviour intersubjectively, it is activities that organise human life. In turn we tend to spend a good deal of time negotiating such activities and building relationships through these activities. We are able to both accept and resists others’ infl uences and, as such, activities are multidimensional, implying cooperation, competition, confl ict and compromise. At the same time, the relationships we form say something about the role and identities we create, as well as how our communities are organized. Symbolic interactionism deals with process by thinking about human lived experi- ences as ‘emergent or ongoing social constructions or productions’ (Prus, 1996: 17). The emphasis in symbolic interactionism on action, interaction and activity has been inherited by grounded theory and has led to the approach being adopted as a preferred method for understanding practice in a number of disciplines and applied settings. Epistemology When thinking about the epistemology underlying grounded theory it is common to categorise the various historical periods of grounded theory as either positivist or constructivist. Certainly, as Bryant and Charmaz (2007: 50) point out, Glaser and Strauss’s initial work (1967) espoused a number of positivist assumptions about the existence of an objective reality that is unmediated by the researcher’s or others’ interpretations of it. Later developments of grounded theory that have taken their inspiration from social constructionism are more amenable to a view of reality that is mediated through language and other forms of symbolic representation (Burr, 1995). However, categorising grounded theory approaches in this way, as either positivist or constructivist, is unhelpful because it risks missing what is most useful and enduring about these approaches (Clarke, 2005; Bryant & Charmaz, 2007). This section looks at key epistemological underpinnings of grounded theory to help to determine the usefulness of each for designing and carrying out grounded theory research. The epistemology of grounded theory is essentially one of resistance to pre- existing knowledge, and of managing the tensions between the empirical phenomena and abstract concepts. Grounded theory’s various legacies play a key role here. In symbolic interactionism, the distinction is made between knowing about a phenomenon and being acquainted with a phenomenon (Downes & Rock, 1982: 37, cited in Van Maanen, 1988: 18). The shift of emphasis from knowledge about something to acquaintance with a phenomenon has resulted in the creation of a small niche within the discipline of sociology, not so much concerned with building broad conceptual models but instead with creating understanding of ‘the vigorous, dense, heterogeneous cultures located just beyond the university gates’ (Van Maanen, 1988: 18–20). Grounded theory embodied this tradition when Glaser and Strauss encouraged their students to challenge the ‘theoretical capitalism’ involved qualitative research methods - final.pdf 28 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Epistemology 19 in the fi ne-tuning of existing theories (Bryant & Charmaz, 2007: 17). The call to leave armchair theorising behind also has implications for how research is conducted, but we will return to this point in the next section, on method. The tension between the empirical and the conceptual is managed through an iterative process of data collection and analysis. Knowledge in grounded theory is arrived at through this process. The approach relies on the analyst moving back and forth between their empirical data and their analysis of it (Bryant & Charmaz, 2007: 1). In this process there are three distinct analytical practices employed towards the creation of knowledge, as described below. Constant comparison Knowledge in grounded theory is derived through a process of constant comparison. Comparison in grounded theory is not used to verify existing theory (see above). Instead it is used to generate and discover new categories and theories by juxtaposing one instance from the data with another (Covan, 2007: 63). Comparing and contrasting instances in this way enables the analyst to look for similarities and differences across the data in order to elucidate the meanings and processes that shape the phenomenon being studied. Similarities can be grouped together into categories. Categories are more abstract than initial codes, and begin to group together codes with similar signifi cance and meaning, as well as grouping common themes and patterns across codes into a single analytical concept (Charmaz, 2006: 186). Categories are then compared with each other to produce theory. Differences, on the other hand, far from presenting a problem to the analyst, are treated as opportunities to extend the analysis in order to account for the role that such differences play in the phenomena under investigation. In fact, Glaser and Strauss (1967) placed a good deal of emphasis on the value of analysing extreme cases that might challenge, and therefore enrich, an emerging theory (Covan, 2007: 63). The process of using extreme cases, or negative cases, to extend the analysis is called theoretical sampling (see page 28). Abduction Reichertz (2007) defi nes abduction as ‘a cognitive logic of discovery’. It is a form of inference used especially for dealing with surprising fi ndings in our data. It directs the analyst to make sense of their data and produce explanations that make surprising fi ndings unsurprising (Reichertz, 2007: 222). Abduction is different to deduction and induction. Deduction subordinates the single case into an already known rule or category, and induction generalises single cases into a rule or category by focusing either on quantitative or qualitative properties of a sample and extending them into a rule or category. Abduction, on the other hand, creates a new rule or category in order to account for a case present in the data that cannot be explained by existing rules or categories (Reichertz, 2007: 218–219). qualitative research methods - final.pdf 29 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 20 Chapter 2 Grounded Theory Approaches There are two strategies involved in abduction, both of which require creating the conditions in order for abductive reasoning to take place (Reichertz, 2007: 221). 1 The fi rst is a ‘self-induced emergency situation’ (Reichertz, 2007: 221). This means that in the face of not knowing what to make of a surprising fi nding, rather than dwelling on the infi nite number of possibilities, the analyst puts pressure on themselves to act by committing to a single meaning. 2 The second strategy is completely antithetical to the fi rst. It involves letting your mind wander without any specifi c goal in mind, or what Pierce (1931–1935), a key writer on abduction, called ‘musement’ (Reichertz, 2007: 221). What these two quite antithetical strategies have in common is tricking the thinking patterns of the conscious mind in order to create ‘an attitude of preparedness to abandon old convictions and to seek new ones’ (Reichertz, 2007: 221). Reflexivity Refl exivity is not often associated with Glaser and Strauss’s original formulation of grounded theory. Yet the impetus behind Awareness of Dying was deeply personal, both men having experienced bereavement in the period preceding the study (Bryant & Charmaz, 2007: 7; Star, 2007: 82). Lempert (2007: 247) notes that grounded theory in its original formulations presumed that the researcher as a research instrument was a ‘neutral knower’. Mruck and Mey (2007: 518) suggest that Glaser’s emphasis on allowing theory to emerge means that there is little room for refl exivity in Glaserean grounded theory, which would impose on that emergence. On the other hand, Strauss and Corbin’s approach, rooted far more in symbolic interactionism, takes the view that the researcher’s biography, and the sociocultural infl uences therein, infl uence the researcher’s theories and interests (Mruck & Mey, 2007: 518). Given developments in qualitative research methods in psychology and the central role that refl exivity has played in those (Willig, 2000) we would encourage a refl exive stance to grounded theory. The approach’s emphasis on action, including that of the researcher(s), indicates that there is ample room for developing a refl exive stance in grounded theory. Indeed, like Mruck and Mey (2007), I have in my own teaching of research methods always put forward the view of research as a continuous process of decision making (Marshall & Rossman, 1989: 23). Accordingly, and at the very least, refl exivity is a way of making the research process less esoteric, and more transparent and accountable to one’s colleagues and the public. It is also a way of developing theoretical sensitivity (another staple of grounded theory) of the context and processes one is researching. For instance, early experiences of action research and my refl ection on the meaning and dynamics of those experiences led me to formulate my own research project that looked at the gaps between formal and informal discourses of action (Nolas, 2009; see Refl ection qualitative research methods - final.pdf 30 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Methods 21 on Practice on page 37 of this chapter). In this regard, refl exivity plays an epistemological role in opening a space for the creation of new knowledge. Methods Grounded theory’s focus is on action and interaction, and it is suitable for answering event-orientated questions such as ‘What is happening?’ (Glaser, 1978, cited in Bryant & Charmaz, 2007: 21). The symbolic interactionist tradition lends itself to exploratory questions of how, while the emphasis on constant comparison provides the tools for the more explanatory questions of why to be answered. In this process in grounded theory everything is considered to be data, though notably, and because of the emphasis on building theory, data is certainly not everything in a research project (Bryant & Charmaz, 2007: 14). This is because the parameters of research design are drawn up according to the action or activity that one is studying. Everything in relation to that action then becomes data. This is quite a different approach to what many psychologists might be used to. In psychology we tend to make strong demarcations between our theories, methods and data. These boundaries are much more blurred in grounded theory, which is often des- cribed as an iterative process of data collection, analysis and further data collec- tion. We will deal with the practicalities of data collection and analysis in the next section. Here we will explore the methods themselves, starting with a discussion of theoretical sensitivity – a starting point, if there is such a thing, in grounded theory. Theoretical sensitivity Grounded theory begins with theoretical sensitivity, which is defi ned as ‘the researcher’s ability to understand subtleties and nuances in the data’ (Singh, 2003: 310). For example, when Singh (2003; 2004) was researching attention defi cit hyperactivity disorder (ADHD) her historical analysis of the ADHD literature and her own immersion in the fi eld through participant observation in a clinical setting and teaching at a primary school had sensitised her to a number of issues relating to the study of ADHD. For instance, she observed that in the clinic setting fathers tended to be less involved in issues relating to their child’s (mainly sons) diagnosis and management of ADHD. She also found that articles that referred to ‘parents‘ and ‘children’ in relation to ADHD very often meant mothers and sons. As such, she decided to sample and interview both mothers and fathers about their experiences of being the parent of a child diagnosed with ADHD. Ethnographic fieldwork Like grounded theory, ethnography is also a boundary-spanning (Tedlock, 2003: 165) activity. It is an approach widely used in sociology and anthropology. With some notable exceptions in social psychology (Jahoda, Lazarsfeld & Zeisel, 1972; qualitative research methods - final.pdf 31 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 22 Chapter 2 Grounded Theory Approaches Thomas & Znaniecki, 1996; Bradbury, 1999), cultural psychology (Cole, 1996) and clinical psychology (Bloor, McKeganey & Fokert, 1988; Gubrium, 1992, both cited in McLeod, 2001), for the most part the ethnographic approach is not widely used in psychological research. Similarly, and as Timmermans and Tavory (2007) point out, while grounded theory has its roots in ethnographic research, over time the link between grounded theory as an approach to both data collection as well as analysis has weakened considerably, making grounded theory ‘fi rst and foremost a systematic qualitative data analysis approach’ (2007: 494). There are two reasons to focus on ethnography when conducting grounded theory research. On the one hand, it is the bedrock of the symbolic interactionist tradition from which one form of grounded theory emerged. It broadens the scope for collecting types of data that are not readily amenable to more common qualitative research methods, such as cultural practices that we engage in with others that do not always form part of our conscious or codifi ed knowledge – knowledge that is communicated through language. These might include such things as the systems of classifi cation that shape our work and everyday lives (Bowker & Star, 1999), how village life is organised around an open psychiatric community keeping the sane and the mad apart (Jodelet, 1991), or the ritual processes in the discourses that surround death in contemporary Britain (Bradbury, 1999). It also provides us with a useful framework of ‘fi eldwork’ for organising a range of data (such as documents, letters, internet postings, news articles) that crop up in the process of and are related to the activities being investigated. As such, there are a number of useful lessons that can be drawn from thinking about data collection methods ethnographically. Participant observation Ethnographic fi eldwork relies on the researcher spending a considerable amount of time in the context in which their research interests reside. This could be an organisation or community, a network of people or any other relevant grouping. The aim of the approach is to achieve an ‘intimate familiarity’ (Prus, 1996) with the subject matter. Ethnographic studies are ‘naturalistic’ (Hammersley & Atkinson, 1995: 3) meaning that the researcher seeks to observe people and their interactions as they occur, in situ. Observation here is in stark contrast to the usual meaning found in psychology; its meaning lies much closer to the everyday activities of noticing, paying attention to and taking note of particular situations or interactions of interest in a purposeful manner. It frequently crosses over into participation of various degrees as researchers apprentice themselves to the routines of others’ lives. Such an approach is in contrast to experimental approaches to psychological research where people are removed from their context and daily activities and their behaviour is manipulated through experimental design. It is also different to interviewing and focus groups, which while allowing participants to use their own language and give meaning to discussion topics still brackets these moments of recounting experience from the rest of daily life. It is also different to clinical uses of observation, such as one-way mirrors, because its aim is not to compare actions qualitative research methods - final.pdf 32 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Methods 23 with, and the extent to which they deviate from, previously established norm. Instead, observation in ethnographic research is a way of collecting contextual information, inclusive of people’s interactions. It is largely unstructured by the researcher and has to follow the rhythm of the situation or context. The researcher is, depending on their prior familiarity with the research context, largely unaware of the social norms but ends up learning about those by purposefully, but quite often inadvertently, disrupting them with their presence. Informal interviews In the ethnographic process, informal interviews abound. They are part and parcel of participant observation. The term ‘informal interview’ refers to unplanned research-relevant or related conversations that might take place and which the researcher records in their fi eldnotes after the event. Such interviews are much closer to conversations and do not necessarily follow a structured or semi-structured format. The interviews are often prompted by the researchers’ questions as they try to fi nd out what is going on and why certain things are being carried out in the way they are. They might also be prompted by individuals in the fi eld wanting to communicate information to the researcher that they think might be relevant to the study. Informal interviews can be individual interviews as well as group interviews. Formal interviews and focus groups Interviewing can be regarded as the formalised method of interpersonal commu- nication used for research. It is ‘essentially a technique or method for establishing or discovering that there are perspectives or viewpoints on events other than those of the person initiating the interview’ (Farr, 1982, in Gaskell, 2000: 38). There are a number of excellent publications on the topic of interviewing (e.g. Kvale, 1996) and, for this reason, I will not go into it in a huge amount of detail here. In outline, inter- views have been described as a ‘purposive conversation’ (Kvale, 1996). The structure and formality of interviews ranges from fully structured with standardised questions, to semi-structured that include a few guide questions but are generally informed by the interviewee, and completely unstructured in which the participant directs the interview in its entirety. Similarly, focus group discussions are often organised around topics but can equally involve structured activities, such as viewing videos or pictures, or sorting through issues relevant to the research, as a way of engaging participants, developing conversation and accessing views on and experiences of the topic under investigation (see Gaskell, 2000). Documents, archives In psychological research we tend not to include documents in our data other than perhaps as protocols for guiding our own action (e.g. research proposals, interview qualitative research methods - final.pdf 33 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:24:32. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 24 Chapter 2 Grounded Theory Approaches topic guides). Yet if you think about psychology and its practices (experiments, surveys, interviews, clinical interventions) as a socio-cultural activity you will fi nd that documents play a central role in that practice. In clinical psychology, for instance, manuals are a very important aspect of practice, especially if one is interested in empirically testing the effi cacy of the therapeutic approach with which one practises. Consider change practices in different types of organisations. These are … 44 C H A P T E R 3 Interpretative Phenomenological Analysis Pnina Shinebourne Introduction This chapter is about interpretative phenomenological analysis (IPA). IPA is an approach to qualitative research that explores in detail personal lived experience to examine how people are making sense of their personal and social world. It tries to understand what the world is like from the point of view of the participants. At the same time, IPA acknowledges that this understanding is always mediated by the context of cultural and socio-historical meanings. Therefore, the process of making sense of experience is inevitably interpretative and the role of the researcher in trying to make sense of the participant’s account is complicated by the researcher’s own conceptions. The fi rst part of this chapter presents the history of IPA, and shows how it has evolved to take its place in psychological research. The theoretical underpinnings of the approach are discussed, and this is followed by a consideration of the epistemological and ontological frameworks IPA employs. A detailed presentation of the stages involved in doing IPA follows, with illustrations taken from a study exploring the experience of women in rehabilitation for their problems of addiction. The chapter concludes with refl ections on using IPA. History of IPA IPA was fi rst used as a distinctive research method in psychology in the mid-1990s. Smith (1996) drew on theoretical ideas from phenomenology (Giorgi, 1995), hermeneutics (Palmer, 1969), and on an engagement with subjective experience and personal accounts (Smith, Harré & Van Langenhove, 1995). IPA is also infl uenced by symbolic interactionism (Eatough & Smith, 2008). Symbolic interactionism pro- vides a theoretical perspective with basic assumptions that people act on the basis of the meanings that things have for them and that meanings emerge in the processes of social interaction between people (Blumer, 1969). Thus, meanings are constructed and modifi ed through an interpretative process that is subject to change and redefi nition (Blumer, 1969). In this way ‘people form new meanings and new ways qualitative research methods - final.pdf 54 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Ontology of IPA 45 to respond and thus are active in shaping their own future through the process of interpreting meaning’ (Benzies & Allen, 2001: 544). By combining insights from phenomenology, hermeneutic philosophy and engagement with subjective experience, IPA proposes a middle way between dif- ferent qualitative methods. In common with phenomenological psychology it offers researchers an avenue to study subjective experiences and the meanings that people attribute to their experience. In common with discursive psychology, IPA accepts that the research process is fundamentally hermeneutic, with both researcher and participants engaging in interpretative activities that are constrained by shared social and cultural discourses. This synthesis of ideas from different perspectives has led to the development of a distinctive qualitative psychological methodology. As Willig (2008) contends, the introduction of IPA into psychology has made phenomenological methodology accessible to those who do not have a philosophical background. In addition, by developing detailed descriptions of the analytic process, those new to IPA are encouraged to use it in their own research (Willig, 2008). Much of the early use of IPA was concerned with health and illness (for a recent review of IPA’s use in health psychology see Brocki & Wearden, 2006). Other key areas for IPA research are sex and sexuality, psychological distress, and issues of life transitions and identity (for overviews of research in these areas see Smith, Flowers & Larkin, 2009). As Smith et al. (2009) point out, issues of identity are intertwined with most of the research in health and illness, sexuality and psychological distress. They contend that, as IPA research often concerns topics of considerable existential signifi cance, it is likely that the participants will link the specifi c topic to their sense of self/identity. Ontology of IPA Although IPA is grounded in the experiential dimension in its concern with a detailed examination of individual lived experience and how people are mak- ing sense of that experience, it ‘endorses social constructionism’s claim that sociocultural and historical processes are central to how we experience and under- stand our lives, including the stories we tell about these lives’ (Eatough & Smith, 2008: 184). In this respect it can be located at a centre-ground position between experiential approaches such as descriptive phenomenology and discursive ap- proaches such as discourse analysis. In the experiential approaches the focus is on participants’ experiences and how they make sense of their experiences. The discursive approaches are focused on language as a social action that is used to construct and create the social world (Reicher, 2000). The different qualitative methods are grounded in different epistemological stances (Henwood, 1996; Willig, 2008). These vary signifi cantly, as ‘they have different philosophical roots, they have different theoretical assumptions and they ask different types of questions’ (Reicher, 2000: 4). However, there is considerable overlap between qualitative methods (Lyons, 2007; Charmaz & Henwood, 2008; qualitative research methods - final.pdf 55 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 46 Chapter 3 Interpretative Phenomenological Analysis Smith et al., 2009) and the distinction between the different approaches can be conceived in terms of a continuum from the experiential to the discursive, and from the empiricist to the constructionist (Lyons, 2007; Willig, 2008). With its focus on content and systematic analysis of a text to identify themes and categories, IPA shares some similarities with grounded theory (Willig, 2008). Through its concern with meaning-making IPA also shares strong intellectual links with narrative analysis (Crossley, 2007; Smith et al., 2009). Eatough and Smith (2006) maintain that ‘IPA shares some common ground with Foucauldian discourse analysis [FDA], which examines how people’s worlds are discursively constructed and how these are implicated in the experiences of the individual’ (2006: 118–119). In this respect IPA can be described as located at the ‘light end of the social constructionist continuum’ (Eatough & Smith, 2006) in relation to discourse analysis. Smith et al. (2009) suggest that ‘while IPA studies provide a detailed experiential account of the person’s involvement in the context, FDA offers a critical analysis of the structure of the context itself and thus touches on the resources available to the individual in making sense of their experience’ (2009: 196). Why do IPA? IPA has been described as ‘an approach to qualitative, experiential and psychological research which has been informed by concepts and debates from three key areas of philosophy of knowledge: phenomenology, hermeneutics and idiography’ (Smith et al., 2009: 11). IPA draws on each of these theoretical approaches to inform its distinctive epistemological framework and research methodology. Phenomenology is both a philosophical approach and a range of research methods concerned with how things appear to us in our experience. Edmund Husserl (1859–1938) initiated modern phenomenology at the beginning of the twentieth century and since then it has become a major philosophical movement that has impacted on many strands of contemporary philosophy (Zahavi, 2008). Other phenomenological philosophers – namely, Heidegger, Sartre and Merleau- Ponty – contributed to the philosophical perspective of a person as embodied, embedded and immersed in the world in a particular historical, social and cultural context (for a comprehensive overview of phenomenology see Moran, 2000). Phenomenology as a research method draws on the phenomenological philosophy initiated by Husserl. Although a number of diverse approaches have been developed, the focus on subjective experience has remained a fundamental principle of all phenomenologically informed research methods, including IPA (for a discussion of various phenomenological approaches in psychology, see Langdridge, 2007). Hermeneutics, the theory of interpretation, constitutes another major theoretical underpinning of IPA. Historically, hermeneutics developed from interpretations of biblical texts but was subsequently established as a philosophical foundation for a more general theory of interpretation. Although phenomenology and herme- neutics were developed as two separate philosophical movements, Heidegger qualitative research methods - final.pdf 56 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Why do IPA? 47 (1962) presented hermeneutics as a prerequisite to phenomenology. According to Heidegger, the meaning of hermeneutic resides in ‘the whole manner in which human existence is interpretative’ (Moran, 2000: 235). Thus, Moran contends that: Phenomenology is seeking after a meaning which is perhaps hidden by the entity’s mode of appearing. In that case the proper model for seeking meaning is the interpretation of a text and for this reason Heidegger links phenomenology with hermeneutics. How things appear or are covered up must be explicitly studied. The things themselves always present themselves in a manner which is at the same time self-concealing. (Moran, 2000: 229) In this view, interpretation is a necessary part of phenomenology because the entity’s mode of appearing may conceal something that is hidden. The task of inter- preting is therefore to engage in the dynamic of conceal/reveal, making manifest what may lie hidden. In Heidegger’s conception, every interpretation is already contextualised in previous experience in a particular context, as according to Heidegger, human existence is fundamentally related to the world: human beings are thrown into a world in a particular historical, social and cultural context (Heidegger, 1962). From this perspective, understanding of events or objects in the world is always mediated and constrained by already existing knowledge: ‘Interpre- tation is grounded in something we have in advance’ (Heidegger, 1962: 191). Heidegger recognises the danger that such preconceptions may present an obstacle to interpretation (Smith et al., 2009) and, therefore, in interpretation priority should be given to the new object rather than to one’s preconceptions. Interpretation is thus envisaged as a dynamic process, an interplay between the interpreter and the object of interpretation. Idiography constitutes the third theoretical underpinning of IPA. An idiographic approach aims for an in-depth focus on the particular and a commitment to detailed fi nely textured analysis of actual life and lived experience (Smith et al., 2009). A commitment to idiography is linked to a rationale for single case studies. Smith (2004) suggests that a detailed analysis of a single case would be justifi ed when one has a particularly rich or compelling case. A detailed single case study offers opportunities to learn a great deal about the particular person and their response to a specifi c situation, as well as to consider connections between different aspects of the person’s account. It is also possible to consider a case study as a part of a larger study involving a number of participants. The individual case can be used as a starting point in the process of analytic induction, affording an opportunity for working from the ground up by drawing together additional cases to move towards more general claims. Perhaps the important point to consider is that the details of a single case also illuminate a dimension of a shared commonality, as ‘the very detail of the individual also brings us closer to signifi cant aspects of a shared humanity’ (Smith, 2004: 43). IPA draws on each of these theoretical approaches to inform its distinctive epistemological framework and research methodology, as described below. qualitative research methods - final.pdf 57 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 48 Chapter 3 Interpretative Phenomenological Analysis ■ IPA is phenomenological in its detailed examination of the personal lived experience of practical engagement with the world and in exploring how participants make sense of their experience. IPA acknowledges that the understanding of an event or an object is always mediated by the context of cultural and socio-historical meanings. The term lived experience is often used ‘to encompass the embodied, socio-culturally and historically situated person who inhabits an intentionally interpreted and meaningfully lived world’ (Eatough & Smith, 2008: 181). In agreement with Heidegger’s views, IPA considers phenomenological inquiry as an interpretative process. In this view, interpretation is necessary because the entity’s mode of appearing may conceal something that is hidden. Consistent with its phenomenological underpinning, IPA is concerned with trying to understand what it is like from the point of view of the participants. At the same time, a detailed IPA analysis can also involve asking critical questions of participants’ accounts. Thus, interpretation can be descriptive and empathic, aiming to produce ‘rich experiential descriptions’, and also critical and questioning ‘in ways which participants might be unwilling or unable to do themselves’ (Eatough & Smith, 2008: 189). ■ IPA is interpretative in recognising the role of the researcher in making sense of the experience of participants. Smith (2004) refers to ‘double hermeneutics: The participant is trying to make sense of their personal and social world; the researcher is trying to make sense of the participant trying to make sense of their personal and social world’ (2004: 40). The researcher’s point of access to participants’ experience is through their accounts, usually obtained through direct contact with participants. The concept of ‘double hermeneutics’ refers also to the researcher’s own involvement through their own preconceptions and ‘prejudices’, which may constitute an obstacle to interpretation (Smith, 2007) unless priority is given to the phenomenon under investigation. Drawing on Ricoeur’s (1970) distinction between two strategies for understanding meaning – namely, a hermeneutics of meaning recollection, of empathic engagement, and a hermeneutics of suspicion, of critical engagement – Smith (2004) has argued that both modes of hermeneutic engagement can contribute to a more complete understanding of the participant’s lived experience. However, ‘within such an analysis the empathic reading is likely to come fi rst and may then be qualifi ed by a more critical and speculative refl ection’ (Smith, 2004: 46). Smith et al. (2009) maintain that IPA occupies a ‘centre-ground position’ whereby it is possible to combine a hermeneutic of empathy with a hermeneutic of questioning ‘so long as it serves to “draw out” or “disclose” the meaning of the experience’ (2009: 36), in contrast to employing a theoretical perspective imported from outside the text. Larkin, Watts and Clifton (2006) contend that the strategies chosen by the analyst ‘may be informed by prior experience and knowledge, psychological theory, or previous research – provided that they can be related back to a phenomenological account’ (2006: 116). qualitative research methods - final.pdf 58 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Why do IPA? 49 ■ IPA is idiographic in its focus on detailed examination of particular instances, either in a single case study or in studies of a small group of cases. In such studies the analytic process begins with the detailed analysis of each case, moving to careful examination of similarities and differences across cases to produce detailed accounts of patterns of meaning and refl ections on shared experience. A single case study offers an opportunity to learn a great deal about a particular person in a specifi c context, as well as focusing on different aspects of a particular account. In addition, through connecting the fi ndings to existing psychological literature, the IPA writer can help the reader to see how the case relates to other relevant research. IPA is particularly suitable for research where the ‘focus is on the uniqueness of a person’s experiences, how experiences are made meaningful and how these meanings manifest themselves within the context of the person both as an individual and in their many cultural roles, for example as an MS or epilepsy sufferer, as a parent, sibling, employee, student, friend, spouse’ (Shaw, 2001: 48). For example, in health psychology, in order to understand the meanings and the signifi cance of a particular condition for a person’s everyday life, the researcher may need to gain access to in-depth accounts of individuals’ experiences. At the same time, studies of several participants also highlight the shared themes and concerns. In addition, the individual case can be used as a starting point in the process of analytic induction, affording an opportunity for theory development from the ground up by drawing together additional cases to move towards more general claims. Examples of suitable research include explorations of questions like: ■ How do people make decisions about taking a genetic test? ■ What is it like to experience anger? ■ What is it like to donate a kidney? ■ What is it like to be the carer for a person with Alzheimer’s? ■ How do couples make the decision to have children? The approach to recruiting participants for an IPA study follows from the theoretical account of the epistemology of IPA. This means that participants are selected purposively. Purposive sampling refers to a method of selecting participants because they have particular features or characteristics that will enable detailed exploration of the phenomena being studied. Because the primary concern of IPA is with a detailed account of individual experience, IPA studies usually benefi t from an intensive focus on a small number of participants. Sample size can vary according to the research question and the quality of the data obtained. In the studies reviewed by Brocki and Wearden (2006) participant numbers vary from one to thirty, although they point out that a consensus towards the use of smaller sample sizes seems to be emerging. As discussed above, IPA also makes a strong case for a single case study, which could be justifi ed when one has a particularly rich or compelling case. Smith qualitative research methods - final.pdf 59 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 50 Chapter 3 Interpretative Phenomenological Analysis et al. (2009) suggest a sample size between three and six for undergraduate or master’s-level IPA projects. IPA researchers usually try to identify a homogeneous sample. With a small number of participants it seems helpful to think in terms of a defi ned group of participants for whom the research questions will be meaningful. Making a decision on the extent of ‘homogeneity’ is guided by the focus of the study. An investigation of a phenomenon that is rare (for example, living with a rare genetic disorder) may in itself defi ne the boundaries of the relevant sample. Alternatively, with less specifi c issues the sample may be drawn from a population with similar demographic or socio-economic status. IPA requires a data collection method that will invite participants to offer rich, detailed, fi rst-person accounts of experiences. Semi-structured, one-to-one interviews have been used most often, as they are particularly useful for in-depth idiographic studies exploring how participants are making sense of experiences. Such interviews enable the researcher and participant to engage in a dialogue, modify questions and follow interesting aspects that come up during the interview (for overviews of quality and concerns over the status and use of interview data see, for example, Atkinson, Coffey & Delamont, 2003; Roulston, 2010). However, other methods suitable for colleting rich verbal accounts have been used – for example, diaries (e.g. Smith, 1999), focus groups (e.g. Flowers, Knussen & Duncan, 2001) and email dialogues (Turner, Barlow & Ilbery, 2002). It is helpful to envisage the interaction during interviews as a conversation, which although guided by the researcher’s pre-prepared questions, opens up a space for participants to provide detailed accounts of experiences guided by their own concerns. During the interview, it may be more fruitful to follow unexpected turns initiated by the participant’s accounts, rather than adhering to the specifi c questions in the original sequence. As Smith et al. (2009) contend, ‘unexpected turns are often the most valuable aspects of interviewing: on the one hand, they tell us something we did not even anticipate needing to know; on the other, because they arise unprompted, they may well be of particular importance to the participant’ (Smith et al., 2009: 58). qualitative research methods - final.pdf 60 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Why do IPA? 51 Arroll, M. & Senior, V. (2008) Individuals’ experience of chronic fatigue syndrome/ myalgic encephalomyelitis: an interpretative phenomenological analysis. Psychology & Health, 23(4), 443–458. Background Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is a condition of unknown aetiology that consists of symptoms such as fatigue, muscle and joint pain, gastric problems and a range of neurological disturbances. Previous qualitative research in the area of CFS/ME has focused on participants’ beliefs about the cause of their illness and symptomatology, but the factors that infl uence how individuals with CFS/ME perceive their symptoms have not been investigated from a phenomenological epistemology. The authors contend that as CFS/ME has a wide-ranging infl uence on individuals’ lives, investigating this condition within the patients’ phenomenological experience will provide depth and detail to our present understanding of CFS/ME. Method Participants The sample consisted of two male and six female participants with ages ranging from 35 to 67. The average length of time the participants had been living with CFS/ME was 21.4 years, although this varied widely from 6 to 53 years. Data collection Semi-structured, one-to-one interviews consisted of a range of open-ended questions, including prompts that allowed further elaboration of the topic under discussion. The interview started with a broad question – ‘Can you please describe to me how you became ill with CFS/ME?’ – and was followed by more specifi c topics: the cause of CFS/ME, the effect on one’s life, the process of diagnosis, and advice that one would give another individual who believed that he/she might be suffering from CFS/ME. The duration of the interviews was between 26 and 90 minutes, with an average interview lasting 40.8 minutes. The interviews were recorded and transcribed verbatim. Analysis The transcripts were analysed using IPA. The analysis followed the staged process described in Smith and Osborn (2003), fi rst for one transcript and then repeating the procedures for each transcript. In the fi nal stage the superordinate themes and sub-themes for the study as a whole were established. Six distinct themes that illustrated the participants’ experience and perception of their symptoms were identifi ed. R e s e a rc h E x a m p le qualitative research methods - final.pdf 61 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:28:23. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 52 Chapter 3 Interpretative Phenomenological Analysis R e s e a rc h E x a m p le Findings The paper illustrates the shared themes but also the particular details of individual participants’ experiences. In the present study, symptomatology and illness course, interference with daily and working life, frequency of symptoms, external information, diagnosis and treatment each played a part in the recognition of individuals’ symptoms as CFS/ME. Although the interviewees stated that fatigue was the predominant symptom of their illness, they listed a range of other symptoms including pain, gastrointestinal problems, cognitive diffi culties and sleep impairments. The narrative is constructed as a journey from the initial experience of bodily sensations, through the disruption these symptoms imposed on individuals’ lives. Trying to make sense of their experiences, participants initially evaluated their symptoms in terms of known diseases. When the known disease provided inadequate explanations of their … 66 C H A P T E R 4 Discourse Analysis Approaches Amanda Holt Introduction This chapter is about approaches to discourse analysis. Discourse analysis is a methodological approach that aims to highlight the ways in which ‘knowledge’ is socially constructed. It aims to expose the implicit values and hidden assumptions that underpin taken-for-granted knowledge – knowledge that legitimises existing institutional practices that may be considered unjust. This chapter begins by briefl y describing the historical and intellectual context of this methodology, and outlines the assumptions about the world and the assumptions about psychological knowledge upon which it is based. The chapter then discusses two distinct theoretical approaches to discourse analysis that are used in psychology: ‘Foucauldian discourse analysis’ and ‘discursive psychology’. The chapter explores the commonalities between these two approaches and considers the ways in which they might be combined. The latter part of this chapter includes detailed descriptions of how to use discourse analysis. Examples throughout the chapter illustrate the differences in the fi ndings reached by each approach. Practical issues such as recruitment and sampling, data production, analytical coding and presenting research are discussed. The chapter concludes with a summary of some common research uses and applications. History (or histories?) It has been suggested that there are at least 57 varieties of discourse analysis (Burman & Parker, 1993). These are encompassed within a number of broad the- oretical traditions that foreground language, such as social semiotics, ethnometho- dology and conversation analysis (Gill, 2000). The method itself transcends subject disciplines: you will fi nd it being frequently used in fi lm, media and cultural studies, languages and literature, politics and law, the visual arts, as well as more traditional social sciences such as sociology and criminology. Therefore, it is impossible to provide a coherent narrative that can outline ‘the history of the method’. qualitative research methods - final.pdf 76 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Ontology of the approach 67 However, within psychology, the 1970s is often pinpointed as the time when many psychological researchers were drawn to the discourse analytic methods that were already established within other subject disciplines. Furthermore, many historical overviews of social psychology (e.g. Burr, 2003; Richards, 2009) suggest this ‘turn to language’ was the outcome of an epistemological ‘crisis’, which resulted in disillusioned social psychologists actively searching for alternative methodologies. This disillusion was mainly fuelled by a dominance of experimental methods within social psychology – methods that, in the endless quest to isolate ‘variables’, tended to ‘bracket off’ the very social processes that social psychologists were interested in. However, in the spirit of this chapter, which is attempting to encourage students to question taken-for-granted assumptions, it is important to remember that this version of history is one of many possible versions. Over time, it has managed to achieve legitimacy as the history of discourse analysis in psychology. But this is not The Truth. It is one truth of many ‘truths’. This is an important point, to which this chapter will return. Ontology of the approach Discourse analysis is underpinned by a constructionist ontology. As such, it is at odds with, and attempts to challenge, the realism that underpins more mainstream research methods (such as quantitative experimental methods). Such mainstream realist methods tend to be based on the assumption that pre-existing ‘structures’ determine social life. Such structures might be assumed to exist ‘inside our heads’ as more psychological paradigms, such as cognitivism, might suggest. Or they might be assumed to exist ‘out there’ in the world, as more sociological paradigms, such as Marxism, might suggest. In contrast, constructionist methodologies (such as discourse analysis) make no assumptions about the social world, and instead aim to expose and highlight the constructedness of these assumptions. They also aim to question the implications of taking for granted such assumptions. (Hence the term ‘post-structuralism’, a term that is often associated with an intellectual approach that rejects, or challenges, the assumption of ‘pre-existing structures’!) As well as making assumptions about the social world, mainstream realist methods also make assumptions about being a person. That is, they take as their (unquestioned) starting point an essential, rational and boundaried subject (or person). While in our everyday interactions it is perfectly reasonable to draw on common-sense assumptions about the world and the people in it, this does become problematic if we do the same thing in our research and fail to ever question the nature of what it is we are researching. One of the good things about constructionist methodologies is that they won’t let us take for granted alleged ‘truths’ about the world. And, once we start questioning these ‘truths’, and start seeing them as only one of many possible ‘truths’, then we are liberated to consider alternative ways of thinking about (or constructing) the world and the people in it. Constructionists would argue that it is here where research can produce real change – rather than the qualitative research methods - final.pdf 77 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 68 Chapter 4 Discourse Analysis Approaches superfi cial change that more realist research might produce (which, in the process, leaves underlying fundamental ‘truths’ unquestioned and, therefore, still in place). All of this means that one of the defi ning features of discourse analysis is the way in which the questioning of taken-for-granted ‘truths’ is intrinsic to the research question itself. That is, the research question should always aim to be looking to uncover particular assumptions that we make about the world and to consider what the effects of it might be (see the research example box). Given the centrality of constructionism to discourse analysis, the potential for its combination with other analytic methods will inevitably be shaped by the extent to which those methods are also underpinned by constructionist ontologies. For example, traditional grounded theory, such as that developed by Glaser and Strauss (see Chapter 2), assumes a realist ontology in that the knowledge produced is assumed to be grounded in the data that pre-exists the researcher looking at it. However, Charmaz (2006) has developed a grounded theory more in keeping with constructionist principles, with which discourse analysis methods would certainly be compatible. Similarly, the more constructionist approaches to psychoanalysis are also compatible with discourse analysis (for an overview, see Branney, 2007). Nevertheless, in some cases it may be very useful to combine discourse analysis with quantitative methods, if done appropriately. For example, a brief quantitative survey that looks at ‘stop and search’ patterns among different ethnic groups may be a useful precursor to interviewing police offi cers and using discourse analysis to examine the ways in which they account for their seemingly discriminative practices. R e s e a rc h E x a m p le Developing a research question that is underpinned by a constructionist ontology Jane Ussher’s (2003) research focused on women’s experiences of pre-menstrual dysphoric disorder (PMDD), which was classifi ed as a psychiatric disorder in the DSM-IV in 1994. However, her research question did not aim to explore whether menstruation causes PMDD, as realist ontological paradigms (using experimental methods) might dictate. Instead, Ussher aimed to expose this notion as one particular and dominant ‘truth’. Therefore, she developed a research question that asked: ‘What are the effects of this particular hegemonic truth for the women who are the subjects of it?’ (i.e. for women whose experiences are medicalised and consequently constructed as pathological). Ussher also aimed to explore what possibilities for change may be enabled or disenabled by this particular ‘truth’ for the women in question. What this example shows is the way in which Ussher’s decision of whether to investigate this issue through a constructionist lens or through a realist lens is a political one, since each will have ‘effects’ by either maintaining or disrupting the current ‘truth’. qualitative research methods - final.pdf 78 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Epistemology: why do discourse analysis? 69 In relation to Ussher’s (2003) work, then, she wants to look at the ‘effects of’ a ‘medical discourse’ that is dominant enough to shape the way that women understand their experiences. One could also speculate on the assumptions upon which this discourse is founded: the idea of Cartesian dualism (i.e. the mind/body split) and, within this, the idea that there is a causal relationship between biological changes and psychological effects. These are only ideas, yet they have been talked However, within the fi eld of discourse analysis itself, there have been a number of discussions regarding the extent to which different approaches (e.g. Foucauldian discourse analysis and discursive psychology) can be combined. This is something to which this chapter now turns. Epistemology : why do discourse analysis? While realist approaches to social research view language as a means to access ‘The Truth’, constructionist approaches view language as constitutive of truth. This means that it is through language that meanings are negotiated and ‘realities’ are produced. In effect, nothing pre-exists language. Thus, our knowledge about the world is produced through the organisation of language and particular behaviours (or ‘practices’) into particular discursive formations that comprise ‘discourses’. Discourses serve to seemingly provide a coherent and credible ‘truth’. To take an example, ‘cognition’ – and the internal structures on which it is assumed to be based – does not pre-exist language: it is talked into being by the use of words such as ‘operation’, ‘perception’ and ‘higher/lower order processing’. It is also practised into being through the performance of controlled laboratory experiments, through a lecturer’s PowerPoint slide, which shows a fl ow chart with ‘memory’ at the top and the categories of ‘episodic’ and ‘procedural’ underneath, through the writing and publication of journal articles, and so on. That is, the way it is talked about and the way things are done are organised into a specifi c formation which constitutes a ‘cognitive discourse’. Similarly, ‘social class’ – and the external structures on which it is presumed to be based – does not pre-exist language. Question In what ways is a ‘discourse of social class’ talked into being and practised into being? It might help to think about the different ‘agents’ (e.g. social scientists – including university students! – doctors, politicians) and ‘institutions’ – (e.g. research institutes, social services, the police, mass media) that produce and reproduce particular discourses of social class. You might take this exercise a step further and think about which groups are privileged by these discourses and which are disadvantaged (and in what ways). qualitative research methods - final.pdf 79 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 70 Chapter 4 Discourse Analysis Approaches into being to such an extent that they are taken for granted. They are also practised into being by a woman visiting her doctor, or through the institutional practice of classifying PMDD within the DSM-IV. The seemingly coherent and credible ‘truth’ that emerges from this medical discourse is that menstruation causes psychiatric disorders. Such a ‘truth’ will have all sorts of implications for the women who are subject to them, and the medical institutions that gain or lose from them. And the fact that different groups of people gain or lose from the dominance of different discourses means that when we are thinking about discourses, we also have to think about power. So, given the centrality of language to power relations in constructionist ap- proaches, we need a research methodology that similarly foregrounds language and power in social analysis. Discourse analysis does this, and two distinct approaches have emerged within psychology – one that arguably foregrounds power, known as Foucauldian discourse analysis, and one that arguably foregrounds language, known as discursive psychology. It is to these two approaches that we now turn. Foucauldian discourse analysis Foucauldian discourse analysis (FDA) is an approach associated with the work of Ian Parker (1992) and Burman and Parker (1993). It is derived from post-structuralism and, in particular, from the work of Michel Foucault and his conceptions of power (see Foucault, 1975/91; 1976/90; 1991). FDA aims to examine how ‘objects’ (things) and ‘subjects’ (people) are constructed in discourse and to explore what the effects of this might be for people who are subjected to them (hence the term ‘subjects’). One of the key ideas in FDA is the notion of subject positions. This term refers to the possible social locations that either afford or delimit particular ways of being a subject. For example, if you recently experienced a burglary, a particular subject position will have been made available to you: that of ‘victim’. Once this subject position is taken up, a number of ways of being will be opened up to you (such as access to victim support resources or eliciting sympathy from friends), but other ways of being will be closed down (such as sleeping soundly for a few nights!). This is one reason why there has been a movement to rename women who experience sexual violence as ‘survivors’, rather than ‘victims’ – because the ‘discourse of victimhood’ upon which the subject position of ‘victim’ is based enables some very limiting and disempowering ways of being. A further example of this can be found in Ussher’s (2003) work, discussed above: the dominant medical discourse that ‘menstruation causes psychiatric disorders’ offers up very few subject positions to the women who experience bodily changes beyond that of ‘ill, unstable or mad’ (2003: 142). Such a subject position may be reinforced by (and may, in turn, reinforce) particular institutional practices, such as doctors prescribing medication or psychological treatment to such women. Thus, this subject position offers both rights (such as access to particular forms of ‘treatment’) and duties (such as permitting the medical regulation of one’s body). As qualitative research methods - final.pdf 80 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Epistemology: why do discourse analysis? 71 this example illustrates, the subject positions offered may afford multiple and contradictory experiences and practices, and these may need to be negotiated carefully by the subject in question. In order to enable analysis of this process, an FDA approach to data analysis asks the data a number of questions: ■ How do subjects utilise particular discourses that are available to them to construct their experiences? ■ What ‘subject positions’ are made available to subjects within the discourses that are drawn upon? ■ How do subjects negotiate these subject positions? ■ What ways of being do these subject positions enable or delimit? The role of power is particularly explored in this fi nal question: who wins from this discursive process … and who loses? Discursive psychology A second approach within discourse analysis in psychology is commonly referred to as discursive psychology (DP), and is associated with the work of Jonathan Potter and Margaret Wetherell (1987; Wetherell & Potter, 1992). While FDA enables a more macro-level analysis, DP takes analysis to a more micro-level by focusing almost entirely on the immediate interactional setting that produces the data. In this sense, DP is particularly concerned with the ‘action orientation’ of discourse in its recognition that language is a social practice that has a performative function. In many ways, it focuses in on the third of the four questions asked by FDA outlined above (i.e. how do subjects negotiate subject positions, albeit specifi cally in the context of the communicative setting?). Potter and Wetherell’s infl uential Discourse and Social Psychology (1987) takes particular interest in the role of accounts, which they identify as explanations of behaviours that might be ‘unusual, bizarre or in some way reprehensible’ (1987: 74).2 Researchers working in this area (not all would necessarily identify as being ‘discursive psychologists’) have suggested a number of verbal and non-verbal rhetorical devices that may enable excuses and justifi cations in a speaker’s explanation of their actions. These devices are fashioned from the speaker’s culturally available linguistic resources. A summary of some of these devices can be found in Table 4.1. DP also identifi es wider cultural explanatory frameworks that are taken for granted as ‘truths’. These are known as ‘interpretive repertoires’ and are similar in 2 That is not to suggest, of course, that accounts cannot be rather more ordinary than this, but the point is that accounts nevertheless involve the negotiation of a subject position that is morally justifi able. The manoeuvres that are made to get to such positions are of particular analytical interest to discursive psychologists (they also tell us much about the moral context of the interaction). qualitative research methods - final.pdf 81 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 72 Chapter 4 Discourse Analysis Approaches fl avour to the notion of ‘discourses’ used in FDA. However, Gill (2009) argues that ‘interpretive repertoires’ are perhaps more fl uid concepts in that they tend to be more specifi c to the context of their use and are in a continual state of fl ux (in contrast, the FDA concepts of a ‘medical discourse’ or a ‘consumer discourse’ are more singularly encompassing and, as such, suggest greater rigidity). The strength of a DP approach is its recognition that accounts will vary according to their situational context. Therefore a focus on the immediate data-producing setting is an important aspect of DP discourse analysis to illustrate how subject positions are not only grounded in wider material and institutional power relations (as an FDA approach would suggest) but are also ‘local, highly situated and occasioned’ (Wetherell, 1998: 401). For example, in an interview setting where a researcher asks a participant about her/his experiences, the participant will draw on a specifi c set of linguistic resources that are tailored to the researcher, the environment, the dialogue, the purpose of the interview, and so on. Table 4.1 Rhetorical devices suggested by researchers interested in discursive analysis Rhetorical device Example and function Reference Active voicing He said ‘ don’t do that …’ Increases facticity of account, establishes objectivity and rhetorical distance from account Hutchby & Woof fi t t (1998) Contrasting discourse I was like this … now I’m like this … Emphasises transition by listing competing descriptions Smith (1978) Disclaimers I’m not being sexist but … Disclaimers anticipate (and reject) potential negative claims Hewit t & Stokes (1975) Extreme case formulation It was ‘phenomenal’ Strengthens claims by taking claims /evaluations to their extremes Pomerantz (1986) Use of passive language I found myself … Precludes possibilities of agency and choice Abell et al. (2000 ) Use of ‘realise’ An interactional resource that suggests authenticity Edwards (1997) Temporal markers Then I … when you … fi rst I … Marks temporal relationships between events (of ten to signal developmental progression) Shiffrin (1987) Vague descriptions Vivid details can easily be undermined: vague descriptions produce just enough material to sustain action without opening to at tack Pot ter (1996) qualitative research methods - final.pdf 82 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Epistemology: why do discourse analysis? 73 In order to enable analysis of this process, a DP approach examines how dis- cursive resources (including the use of rhetorical devices and interpretive repertoires) are used to ‘do things’ in a particular context and to examine their particular effects. In particular, the analytical process involves identifying such discursive resources in a text and looking at how they vary, and how they are consistent across different texts and within the same text (Potter & Wetherell, 1987). Commonalities between Foucauldian discourse analysis and discursive psychology There are clearly commonalities between these two approaches to discourse analysis. Both FDA and DP foreground the role of language in the construction of social reality by ‘de-centring the subject’. They also both emphasise the importance of refl exivity in the research process – that is, as a researcher you need to be ref- lexively aware of how your own cultural, social, political, linguistic and episte- mological location shapes your production of research knowledge. Refl exivity is consistent with an epistemology which recognises that knowledge claims are ‘ideological, political and permeated with values’ (Schwandt, 2000: 198) and the Identifying ‘ interpretive repertoires’ in the sex and relationships articles in a UK women’s magazine In her DP analysis of Glamour magazine sex and relationship advice articles, Gill (2009) identifi es three interpretive repertoires that she claims serve to privilege men and heterosexuality. These are the ‘intimate entrepreneurship’ repertoire, which draws on the idea that a successful relationship (constructed as a ‘goal’) is founded on strategy, planning and tactics (similar emotion-less ‘skills’ to those deemed necessary in the western workplace). The ‘men-ology’ repertoire draws on the importance of studying and learning about ‘what men want’ – in effect, making relationship-building an educational project that requires expertise. The third repertoire is ‘transforming the self’, which draws on notions of self-change, particularly in the fi eld of sexual and bodily ‘confi dence’ and ‘attitudes’. Gill argues that these three interpretive repertoires ‘intermingle and co-exist’ (2009: 361) in the same text and work together to perpetuate not only unequal gender relations (in their promoting the servicing of men) and hetero-normativity (it is always men who are the relationship goal) but also a neoliberal ideology in the way that they impel women to survey and regulate their selves. However, as Gill points out, by each drawing on notions of women’s agency, choice and empowerment, the three interpretive repertoires work together to effectively disguise the rather questionable overall message of Glamour magazine. R e s e a rc h E x a m p le qualitative research methods - final.pdf 83 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:31:16. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 74 Chapter 4 Discourse Analysis Approaches refl exive process involves continual re-examination of initial analyses and an explo- ration of alternative interpretations (Alvesson, 2002). It also means acknowledging that the researcher’s interpretation is a privileged one that silences possible others, and a consideration of the implications of this. However, while many researchers (e.g. Finlay, 2003) suggest that the use of refl exivity in social research turns a potential ‘problem’ (of subjectivity) into an ‘opportunity’, the use of refl exivity is not un- problematic. Its use has often been suggested as a way of hiding the lack of democracy that characterises most kinds of social research – after all, it is the … 92 C H A P T E R 5 Narrative Analysis Approaches Cigdem Esin Introduction This chapter is about using narrative analysis. Like the other approaches described in this book, narrative analysis is an umbrella term that covers a plurality of methods. The narrative analysis approach takes stories as the unit of analysis. The stories are usually gathered from the accounts of participants and each approach focuses on a different feature of the story. Features may be the structure (e.g. Labov, 1972), the content (e.g. Riessman, 1993; Lieblich, Tuval-Mashiach & Zilber, 1998) or the performative function (e.g. Riessman, 1993; Mishler, 1995; Denzin, 2001), for example. The chapter begins by describing the history of narrative analysis. It illustrates its migration from other social science disciplines to psychology. It then describes ontological and epistemological frameworks in which the different methods of narrative analysis can be located. The chapter provides detailed des- criptions of analytical models used in narrative research and discusses the appli- cations of each approach. It provides guidelines for their use and highlights the relevance of the research interview to this approach. Several research examples illustrating use of the different models are included. History of narrative research There are two parallel academic moves in the history of social sciences in which narrative research can be located (Andrews et al., 2004). The fi rst is the humanist tradition within western sociology and psychology. This tradition is person-centred; it treats storytellers and listeners as unifi ed and singular. Researchers with humanist approaches paid attention to individual case studies, biographies and life stories. The second move emerged in connection with the postmodern ontology that emphasises the role of multiple subjectivities in the construction of narratives. Researchers in the second tradition are concerned with meanings produced in narratives, including unconscious ones. They pay attention to social conditions and power relations that shape the narratives (Squire, Andrews & Tamboukou, 2008: 3). qualitative research methods - final.pdf 102 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Ontology 93 Different approaches to narratives and narrative analysis have developed within these two traditions. The focus of narrative analysis was the linguistic structure and content of narratives in the models located in the humanist tradition (e.g. Labov, 1972; Gee, 1991). The focus of analysis has shifted to the act of storytelling and construction of narratives through interaction in the models situated in the postmodern tradition (e.g. Riessman, 1993). The use of narratives and narrative method in research positioned in both fi rst and second moves has spread through a wide a range of social science disciplines over the past three decades. A burgeoning literature on narrative and narrative research practice has been published in various disciplines including sociology, history, anthropology and folklore, and sociology of education. Psychology is one of the disciplines in which the use of narrative methodological tools has gained momentum since the early 1980s. However, the interest in the history of narrative tradition in psychology can be traced back to the developments in studies of personality and life-span development using biography and case studies at the beginning of the twentieth century (Hiles & Cermák, 2008). The foundations for the new fi eld of psychology were established by Theodore Sarbin’s Narrative Psychology: The Storied Nature of Human Conduct, which was published in 1986. In the introduction to this book, Sarbin argued that narrative analysis as a model of contextualism could be used as a method in psychology in understanding human action because narrative analysis considers the meaning of stories as created within specifi c historical contexts. This approach also integrates the effect of time, place of telling and audience into analysis. The fi eld of narrative psychology has been developed with the contribution of multiple theoretical and methodological perspectives on narrative and narrative methods (for examples see Emerson & Frosh, 2004; Hiles & Cermák, 2008). Ontology The assumptions that narrative analysis makes about the nature of social reality lie in the understanding and use of ‘narrative’ within this approach. The defi nition of ‘narrative’ varies depending on the discipline and approach to narratives. What is narrative? Narratives are stories with a clear sequential order, that connect events in a meaningful way for a defi nite audience. Story and narrative are often used interchangeably. Sequence is necessary for narrative. A narrative always responds to the question ‘And then what happened?’ Narratives are powerful forms of giving meaning to experience. Mattingly and Garro argue that ‘narrative mediates between an inner world of thought-feeling and an outer world of observable actions and states of affairs’ (2000: 1). Events do not qualitative research methods - final.pdf 103 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 94 Chapter 5 Narrative Analysis Approaches present themselves as narratives. It is through the experience of an event that it becomes a story. This means that the retelling of an event is always retrospective – the narrator already knows the ending. Narratives are seen as the vehicle through which we talk about our world, lives and selves. Narratives do not simply express some independent, individual reality. Rather they help to construct the reality within relationships between the narrator and their external world. Narratives are produced in social interactions between individuals; they are not privately created (Smith & Sparkes, 2008). Atkinson, Coffrey and Delamont (2003: 117) argue that, although people construct their own lives and those of others through biographical accounts, these accounts do not tell us unmediated personal experience. While personalised over time, stories are drawn from a limited repertoire of available narrative resources. Somers (1994) calls them public narratives. These are ‘narratives attached to cultural and institutional formations larger than the single individual’ (1994: 619). According to Somers (1994), narratives should not be considered ‘natural’ or as springing from the minds of individuals. People likewise are not free to fabricate narratives at will. While producing narratives of their lives, individuals use public narratives available in their culture. These public narratives are also used by people who listen to individual stories. They function as common sources that facilitate the communication between the storytellers and listeners. Narrative analysis, therefore, perceives narratives as creative means of exploring and describing realities, which are arranged and bound in time. While interpreting the individual narratives, analysts take into account the individual and cultural resources people use to construct their narratives, as well as the interpersonal or organisational functions of narratives (Atkinson et al., 2003: 117). Narrative analysis is not applicable to all research topics. If you intend to use narrative analysis in your research, you need to remember that the focus of your analysis will be narratives/ stories. Topics suited to narrative analysis include various aspects of identity, individual experiences of psychological processes, interpersonal and intimate relationships, experiences of body, beauty and health. Example research questions What are generational differences in the experiences of teenage pregnancy? How does masculinity infl uence the success of boys in education? Does gender have a role in the transformation of ethnic identities? How do former drug users construct the self in their narratives of rehabilitation? Source: adapted from the dissertation proposals of fi nal-year Psychosocial Studies students at the University of East London. qualitative research methods - final.pdf 104 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Why do narrative analysis? 95 Approaches in narrative analysis differ on the core questions of ‘why’ and ‘how’ the stories under investigation are constructed and told. ‘What’ is told in stories is also important in the analysis. As I will describe in the following paragraphs, understanding the differences between epistemological approaches is the fi rst step in narrative analysis as this will guide the narrative analyst in choosing the relevant questions to ask the data. There are two key epistemological approaches to narrative analysis: the naturalist and the constructivist approaches (Gubrium & Holstein, 1997). ‘Naturalist’ approaches use rich descriptions of people in their natural habitats. For example, this approach is applicable to research that aims to explore interpersonal relations in specifi c conditions (e.g. trauma cases). ‘Constructivist’ approaches focus on how a sense of social order is created through talk and interaction. These are useful to consider how identities are constructed in various psychosocial contexts (e.g. in education, in families), for example. Why do narrative analysis? Epistemology Narrative analysis does not only function as a method through which researchers explore how people remember, structure and story their experiences. It is also a process that can lead researchers to understanding the complexities of human selves, lives and relations. This means it is useful to illuminate both the individual experiences and social processes that shape these experiences. Narrative analysis provides the analyst with useful tools to integrate the individual details and complexity in the construction of stories rather than analysing these stories under predetermined categories (Andrews et al., 2004). Narrative research enables researchers to see multiple and sometimes contra- dictory layers of meaning, to reconstruct meanings through linking these layers, and to explore and understand more about individual and social processes. By working with narratives, researchers investigate multiple aspects in the construction and function of stories. Questions to explore the multiple functions of stories (Riessman, 1993 ; Squire et al., 2008 ) How are stories structured? Who produces stories? By what means (e.g. discursive, performative) are stories constructed? What are the socio-historical contexts in which stories are produced and consumed? How do stories work in these specifi c socio-historical contexts? How are stories silenced and/or contested? qualitative research methods - final.pdf 105 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 96 Chapter 5 Narrative Analysis Approaches Both naturalist and constructivist approaches are primarily concerned with people’s lives and experiences. However, ‘while the naturalist view is that the social world is in some sense “out there”, an external reality available to be observed and described by the researcher, the constructivist view is that the social world is constantly “in the making” ‘ (Elliott, 2005: 18). Therefore, understanding the production of the social world, which shapes narratives, is central in the constructivist approach. The naturalistic and constructivist approaches ask different questions in the process of understanding narratives. Table 5.1 lists the questions that each approach asks while analysing narratives. Table 5.1 Questions asked by the two approaches Naturalist approach : focuses on ‘what’ questions Constructivist approach : focuses on ‘how’ questions What happened? How do story tellers make sense of their experiences? What experiences have people had? How do story tellers talk about their experiences? What did people do at that particular time? What does it mean to story tellers? How do story tellers position themselves while telling stories about their lives? How are multiple stories told in the research context? How does interpersonal and /or social interaction shape the construction of stories? The discursive positioning of storytellers and listeners is important in the constructivist approach. Davies and Harre (1990: 46) argue that it is through discursive practices that people position themselves. According to them, storytellers draw upon both cultural and personal resources in constructing the present moment in telling their stories. Narratives are constructed within a special conversation that includes both their cultural resources and the interaction between the people who are producing these narratives. A subject position incorporates both a conceptual repertoire and a location. Having once taken up a particular position as one’s own, a person inevitably sees the world from that position, and in terms of the particular images, metaphors, storylines and concepts that are made relevant within the particular discursive practice in which they are positioned (Davies & Harre, 1990: 46). ‘Positioning’ and ‘subject position’, in contrast, permit individuals to think of themselves as a choosing subject, locating themselves in conversations according to those narrative forms with which they are familiar, and bringing to those narratives their own subjective histories through which they have learnt metaphors, characters and plot (Davies & Harre, 1990: 51). In narrative analysis, it is important to identify the positions from which storytellers construct their stories because these positions are keys to understanding how various elements are put together in response to the available cultural resources and interpersonal interactions. Mishler (1995) draws a framework for understanding the variety of approaches in narrative analysis. He offers a typology based on three aspects of narratives: qualitative research methods - final.pdf 106 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . How to do narrative analysis 97 representation, structure and contextual features. In this typology, Mishler (1995) argues that some of the approaches focus on how the narrative represents the order of actual event/episode. These approaches particularly aim to explore the tension between the actual temporal order of events and the order in which these events are retold. Other approaches may be more interested in the structure or form of the narrative. These approaches aim to understand how a story is put together. The third category of approaches focus on the cultural, social, psychological and interactional contexts in which narratives are produced, told and consumed. While providing this typology for narrative analysis, Mishler (1995) emphasises his concern that there is no single ‘best’ way to analyse narratives, that narrative researchers need to pursue their own approaches while being open to explore what they may learn from other approaches. The following section discusses how to do narrative analysis. It aims to provide descriptions of some ways in which narrative research is conducted, and describes commonly used analytical models. These models are shaped by the epistemologi- cal approaches to narratives summarised in Mishler’s (1995) typology. ‘Narratives do not speak for themselves or have unanalysed merit; they require interpretation when used as data in social research’. (Riessman, 2005: 2) How to do narrative analysis Narrative analysis considers how the narrator, the leading character of the told story, makes meaning of her/his life and/or experiences while telling their story. The analyst makes a systematic interpretation of these meaning-making processes by considering various aspects of the story being told. Narrative analysis considers the structure, content and context of narratives. While it is possible to analyse only one of these aspects, applications of narrative analysis often integrate all of them. This is because it is important to understand the narrative process through which meaning is created and mediated as whole. For example, when narrative analysts choose to analyse the content of narratives, they describe the structure and context as well, because the ways, time and context in which stories are told shape their content. As we have seen, narrative analysis refers to a family of methods. Each technique interprets texts that have in common a storied form (Riessman, 2008: 11). Models of narrative analysis offer different focuses and questions to analysts. Each model is shaped by different yet connected theoretical discussions. Table 5.2 illustrates some narrative analysis models. Depending on the research questions and collected data, multiple models can be combined so as to capture multiple layers in the construction of narratives (e.g. Frost, 2009b). It should be noted that there are no strict guidelines that dictate to narrative researchers how to apply these analytical models. Depending on the interpretation of the model and specifi c research context, researchers apply each model in varied ways. qualitative research methods - final.pdf 107 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 98 Chapter 5 Narrative Analysis Approaches The following sections will fi rst briefl y discuss the data-gathering and preparation processes in narrative research. Then they will summarise some of the main analytical models and basic guidelines that can help narrative analysts to constitute their own analytical path in working with narratives. Sampling and recruitment In common with other qualitative research approaches, sampling criteria are set by the researcher. The characteristics of research participants should be relevant to the research questions and aims. The number of participants in narrative research practice varies depending on the research topic. For example, for their research on young athletes’ perceptions of self-ageing, Phoenix and Sparkes (2008) set the criteria as age and involvement in team or individual sports, and selected 22 people. It should be noted that narrative methods are not appropriate for research conducted with a large number of respondents. The construction of rich, detailed narratives within the research context is the key to a good narrative analysis. Therefore, the number of participants is not a major concern. Narrative researchers often tend to interview each participant multiple times so as to capture the changes in the meaning-making processes in narratives. For example, in some oral history Table 5.2 Modes of narrative analysis Models of narrative analysis Focus of analysis Structural model (Labov, 1972) The structure of stories The ways in which in which stories are told Thematic model (Riessman, 2008) The content of stories The themes around which stories are told Interactional /performative model (Riessman, 1993; Mishler, 1995; Denzin, 2001) The contextual features that shape the construction of narratives How the meaning is collaboratively created through interaction between story tellers and listeners Problem-based question Consider yourself a narrative researcher who plans research to explore experiences of divorce among middle-aged men in London. What will be your criteria for the selection of participants? How many participants will you recruit for this research? What is the best way to approach possible participants? qualitative research methods - final.pdf 108 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . Gathering data : narrative inter viewing 99 projects, narrative researchers work with fi ve participants. They conduct multiple interviews with these participants over fi ve years. Decisions about sampling and recruitment are not limited to setting criteria about how research participants will be selected. The initial contacts and con- versations about participation in research before the actual interview also need care. Possible participants may be approached either by researchers themselves or through gatekeepers. At this initial stage, it is explained clearly to potential participants, who are interested in being part of the research, what the research is about, what method(s) will be used to collect and analyse data, and how they are expected to contribute to answer the research question(s). Ethics Ethical considerations need extra care in narrative research in which the research process itself is integrated into the analysis. Similar to other social science research practice, researchers should follow the ethical guidelines of the university and places where they recruit participants and conduct research. Confi dentiality statements and information sheets should include detailed information about research questions and aims as well as the rights of participants. You need to get approval from the ethics board of your university before you start interviewing participants. The written consent of participants should be secured. As narrative research focuses on stories about people’s lives and selves, confi - dentiality is of particular importance. Participants should be assured that personal identifi ers will be removed or changed from the written data and presentations of analysis. Sharing transcripts, analysis and publications with research participants is common practice in narrative research. It is part of the conversation between researchers and participants in the co-construction of narratives. Researchers have obligations and responsibilities in considering the effects of the research both on the participants and wider communities. Narrative research is no exception. Critical and systematic refl exivity about all layers of the research process, and the revelation of power relations between researchers and participants in analysis and presentations are part of these responsibilities. Gathering data : narrative interviewing Narrative researchers from various disciplines analyse narratives that are elicited from a wide range of sources. However, interviews are central to much research in social sciences. Over the past two decades, there has been a proliferation of discussions about the variety of approaches to interviewing methods and how to analyse interviews (see Elliott, 2005: 18). The link between in-depth interviewing and narratives has been part of these discussions. Similar to semi-structured interviews, narrative interviewing uses open, non-leading questions. Narrative interviews give priority to the elicitation of participants’ stories with minimum intervention from interviewers. qualitative research methods - final.pdf 109 14/06/2011 14:07 Frost, N. (2011). Ebook : Qualitative research methods in psychology: combining core approaches. ProQuest Ebook Central <a onclick=window.open(http://ebookcentral.proquest.com,_blank) href=http://ebookcentral.proquest.com target=_blank style=cursor: pointer;>http://ebookcentral.proquest.com</a> Created from ashford-ebooks on 2021-08-19 17:32:55. C o p yr ig h t © 2 0 1 1 . M cG ra w -H ill E d u ca tio n . A ll ri g h ts r e se rv e d . 100 Chapter 5 Narrative Analysis Approaches In his book Research Interviewing: Context and Narrative (1986), Mishler (1986: 54–55) argues that interviews go beyond participants’ responses to interviewers’ questions within research contexts. Rather, the interview might be defi ned as a game, which is constituted over a complex interaction of responses. This accumula- tive process turns into collaborative meaning-making rather than simply imposing or receiving the interviewer’s framework of meanings. Therefore, interviewing and the analysis of interviews require ‘close attentiveness to what interviewers and respondents say to each other, and how they say it’ (1986: 76). Interviews that view the interviewing as a participatory site in which meaning is co-produced by participants and interviewers are defi ned as ‘narrative interviews’ (Mishler, 1986). Questions to be asked Developing an interview schedule is one of the fi rst steps in narrative interviewing. Although narratives can emerge in every kind of conversation, even in answers to yes/no questions, certain open-ended questions are more suitable to receive narrative responses. The narrative interview can begin with an open invitation: ‘Tell me about your life …’ or ‘Tell me what happened … and then what happened.’ This particular phrasing is less restrictive than a question such as ‘When did this event happen?’ Narrative interviews can involve more topic-orientated, open-ended questions such as ‘How did you decide to go for further education?’ or ‘Tell me about your relationship with your parents.’ As Elliott (2005: 28–29) discusses, unlike the common expectation that narratives emerge in the context of interviews naturally, there are situations when researchers fail to get narratives from respondents. This is usually caused by problems with the effectiveness of questions. These should be simple and straightforward. Listening to participants’ responses is the key in narrative interviewing. Sometimes even a very open-ended question may not help to produce narratives; events may be summarised and given little signifi cance. Further questions that aim to encourage the participant to unpack the layers of the story should be asked in interviews. Interview interaction Emerson and Frosh (2004: 26) argue that the power between the interviewer and participants should be balanced well in interview practice. While interviewing places the interviewer in a powerful position to ask …
CATEGORIES
Economics Nursing Applied Sciences Psychology Science Management Computer Science Human Resource Management Accounting Information Systems English Anatomy Operations Management Sociology Literature Education Business & Finance Marketing Engineering Statistics Biology Political Science Reading History Financial markets Philosophy Mathematics Law Criminal Architecture and Design Government Social Science World history Chemistry Humanities Business Finance Writing Programming Telecommunications Engineering Geography Physics Spanish ach e. Embedded Entrepreneurship f. Three Social Entrepreneurship Models g. Social-Founder Identity h. Micros-enterprise Development Outcomes Subset 2. Indigenous Entrepreneurship Approaches (Outside of Canada) a. Indigenous Australian Entrepreneurs Exami Calculus (people influence of  others) processes that you perceived occurs in this specific Institution Select one of the forms of stratification highlighted (focus on inter the intersectionalities  of these three) to reflect and analyze the potential ways these ( American history Pharmacology Ancient history . Also Numerical analysis Environmental science Electrical Engineering Precalculus Physiology Civil Engineering Electronic Engineering ness Horizons Algebra Geology Physical chemistry nt When considering both O lassrooms Civil Probability ions Identify a specific consumer product that you or your family have used for quite some time. This might be a branded smartphone (if you have used several versions over the years) or the court to consider in its deliberations. Locard’s exchange principle argues that during the commission of a crime Chemical Engineering Ecology aragraphs (meaning 25 sentences or more). Your assignment may be more than 5 paragraphs but not less. INSTRUCTIONS:  To access the FNU Online Library for journals and articles you can go the FNU library link here:  https://www.fnu.edu/library/ In order to n that draws upon the theoretical reading to explain and contextualize the design choices. Be sure to directly quote or paraphrase the reading ce to the vaccine. Your campaign must educate and inform the audience on the benefits but also create for safe and open dialogue. A key metric of your campaign will be the direct increase in numbers.  Key outcomes: The approach that you take must be clear Mechanical Engineering Organic chemistry Geometry nment Topic You will need to pick one topic for your project (5 pts) Literature search You will need to perform a literature search for your topic Geophysics you been involved with a company doing a redesign of business processes Communication on Customer Relations. Discuss how two-way communication on social media channels impacts businesses both positively and negatively. Provide any personal examples from your experience od pressure and hypertension via a community-wide intervention that targets the problem across the lifespan (i.e. includes all ages). Develop a community-wide intervention to reduce elevated blood pressure and hypertension in the State of Alabama that in in body of the report Conclusions References (8 References Minimum) *** Words count = 2000 words. *** In-Text Citations and References using Harvard style. *** In Task section I’ve chose (Economic issues in overseas contracting)" Electromagnetism w or quality improvement; it was just all part of good nursing care.  The goal for quality improvement is to monitor patient outcomes using statistics for comparison to standards of care for different diseases e a 1 to 2 slide Microsoft PowerPoint presentation on the different models of case management.  Include speaker notes... .....Describe three different models of case management. visual representations of information. They can include numbers SSAY ame workbook for all 3 milestones. You do not need to download a new copy for Milestones 2 or 3. When you submit Milestone 3 pages): Provide a description of an existing intervention in Canada making the appropriate buying decisions in an ethical and professional manner. Topic: Purchasing and Technology You read about blockchain ledger technology. Now do some additional research out on the Internet and share your URL with the rest of the class be aware of which features their competitors are opting to include so the product development teams can design similar or enhanced features to attract more of the market. The more unique low (The Top Health Industry Trends to Watch in 2015) to assist you with this discussion.         https://youtu.be/fRym_jyuBc0 Next year the $2.8 trillion U.S. healthcare industry will   finally begin to look and feel more like the rest of the business wo evidence-based primary care curriculum. Throughout your nurse practitioner program Vignette Understanding Gender Fluidity Providing Inclusive Quality Care Affirming Clinical Encounters Conclusion References Nurse Practitioner Knowledge Mechanics and word limit is unit as a guide only. The assessment may be re-attempted on two further occasions (maximum three attempts in total). All assessments must be resubmitted 3 days within receiving your unsatisfactory grade. You must clearly indicate “Re-su Trigonometry Article writing Other 5. June 29 After the components sending to the manufacturing house 1. In 1972 the Furman v. Georgia case resulted in a decision that would put action into motion. Furman was originally sentenced to death because of a murder he committed in Georgia but the court debated whether or not this was a violation of his 8th amend One of the first conflicts that would need to be investigated would be whether the human service professional followed the responsibility to client ethical standard.  While developing a relationship with client it is important to clarify that if danger or Ethical behavior is a critical topic in the workplace because the impact of it can make or break a business No matter which type of health care organization With a direct sale During the pandemic Computers are being used to monitor the spread of outbreaks in different areas of the world and with this record 3. Furman v. Georgia is a U.S Supreme Court case that resolves around the Eighth Amendments ban on cruel and unsual punishment in death penalty cases. The Furman v. Georgia case was based on Furman being convicted of murder in Georgia. Furman was caught i One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015).  Making sure we do not disclose information without consent ev 4. Identify two examples of real world problems that you have observed in your personal Summary & Evaluation: Reference & 188. Academic Search Ultimate Ethics We can mention at least one example of how the violation of ethical standards can be prevented. Many organizations promote ethical self-regulation by creating moral codes to help direct their business activities *DDB is used for the first three years For example The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case 4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972) With covid coming into place In my opinion with Not necessarily all home buyers are the same! When you choose to work with we buy ugly houses Baltimore & nationwide USA The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be · By Day 1 of this week While you must form your answers to the questions below from our assigned reading material CliftonLarsonAllen LLP (2013) 5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda Urien The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle From a similar but larger point of view 4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open When seeking to identify a patient’s health condition After viewing the you tube videos on prayer Your paper must be at least two pages in length (not counting the title and reference pages) The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough Data collection Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an I would start off with Linda on repeating her options for the child and going over what she is feeling with each option.  I would want to find out what she is afraid of.  I would avoid asking her any “why” questions because I want her to be in the here an Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych Identify the type of research used in a chosen study Compose a 1 Optics effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte I think knowing more about you will allow you to be able to choose the right resources Be 4 pages in length soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test g One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti 3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family A Health in All Policies approach Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum Chen Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change Read Reflections on Cultural Humility Read A Basic Guide to ABCD Community Organizing Use the bolded black section and sub-section titles below to organize your paper. For each section Losinski forwarded the article on a priority basis to Mary Scott Losinksi wanted details on use of the ED at CGH. He asked the administrative resident