Narrative and identity in Alzheimer's disease: A case study

In this case study, focus is on how persons with AD use their remaining linguistic and cognitive resources, together with non-verbal aspects of the storytelling event, as resources in communicating and negotiating their identities in everyday encounters. The results of the analysis, focusing on the telling of the stories, indicate that other aspects than the temporal and referential organization of the narratives has become important resources for the teller in establishing and negotiating identity. The telling of temporally discontinuous narratives does not appear to affect or disrupt the teller's experience of some sort of a continuous sense of self and identity but are probably more a problem to persons without this kind of diagnosis. Being afflicted by AD most likely leads persons to try to invent and use alternative communicative recourses in order to sustain factors like their senses of self and identities. For researchers this makes it important to try to base their analysis on the actual organization of the talk and to focus on the functions of various responses and utterances in the interaction.     

Sociological Approaches to Self‐injury

This paper reviews the burgeoning sociological literature on non‐suicidal self‐injury, in which individuals intentionally harm themselves by cutting, burning, scratching, or smashing their body parts. We identify challenges to studying self‐injury, such as conflicting definitions and categorizations. Comparing self‐injury to other behaviors such as suicide, body modification, and self‐mutilation, we assert that non‐suicidal self‐injury deserves its own conceptual category. We explain how a critical sociological approach provides a valuable counterweight to medical and psychological studies of self‐injury. In particular, this paper advances the deviance perspective. Finally, we highlight how technology has allowed self‐injurers to build supportive communities in cyberspace, blurring the line between hidden and public acts. We conclude with suggestions for future directions in the study of self‐injury.     

The Mental Health System and Sense of Self Among Adults with Serious Mental Illness

Abstract

Development of a sense of self is a lifelong process. One's sense of continuity in the context of the demands of multiple role identities contributes to both psychological well-being and opportunities for acceptance into valued social roles. The onset of a mental illness can rupture an emerging sense of self and require intense and painful restructuring of one's beliefs and expectations. This study was a secondary analysis of qualitative data from interviews with twenty people who self-identified as having serious mental illness to explore how well the mental health system addresses the ingredients that promote, create, or restore a valued and adaptive sense of self.     

Adolescents’ Views on Families as Metaphors in Hong Kong: Implications for Pre‐counselling Assessment

This interpretative study aims to offer metaphors that describe family meanings from the adolescent’s perspective by encouraging them to give a metaphor with their own explanation on a self‐administering essay form. This study has three objectives: to explore the family meanings as a metaphor from the Hong Kong adolescent’s perspective; to reveal any common and unique features of these metaphors; and to search for the possibilities of collecting metaphors from adolescents as a pre‐counselling assessment tool. The 12 participants for this study were referred to me for family counselling because of poor self‐esteem, loss of life goals or ineffective relationships with their parents. Based on the 12 metaphors, the following five themes can be discerned: (i) gender role in a family, (ii) Chinese culture in a family, (iii) heat in a family, (iv) security in a family and (v) the family as honey and a loan company. Based on the above five themes, there are some common metaphors (e.g. a warm place, honey, a shelter, a boat shelter, a chick and a hen, a volcano, a fire, an oven and a loan company), trans‐cultural and unique metaphors (e.g. a wet market and ‘Kung Fu’ experts), and those that are culturally specified. Both strengths and limitations of collecting and analysing metaphors were discussed.     

An Examination of Correlates for Adolescent Engagement in Nonsuicidal Self‐Injury,Suicidal Self‐Injury,and Substance Use

Little research has examined potential risk factors for direct versus indirect self‐injury among adolescents. To address this limitation, 541 clinically referred adolescents were assessed using the interRAI Child and Youth Mental Health Assessment. Logistic regression analyses revealed that older females who experienced heightened depressive symptoms and neighborhood violence were at increased risk for direct self‐injury, specifically nonsuicidal and suicidal self‐injury. Additionally, adolescents who experienced higher levels of caregiver distress were at greater risk of suicidal self‐injury. In contrast, older adolescents who experienced heightened aggressive behavior were at increased risk for one form of indirect self‐injury, substance use. Findings suggest that nonsuicidal self‐injury, suicidal self‐injury, and substance use are associated with differential risk factors. Implications for targeted prevention strategies are discussed.     

A place for mobility in metaphors of youth transitions

ABSTRACT

Metaphors are central in the study of youth; in fact, it has been argued that ‘youth’ itself could be considered a metaphor. In a recent assessment of transition-related metaphors, Cuervo and Wyn [2014. “Reflections on the Use of Spatial and Relational Metaphors in Youth Studies.” Journal of Youth Studies 17 (7): 901–915.] have noted that such metaphors as ‘niches’, ‘pathways’, ‘trajectories’ and ‘navigations’, often contain an element of movement. However, it is still under-debated how we can systemically incorporate mobility into the study of young people to capture the precarity characterising their lives (a), but also heuristically link to metaphors used to describe the changing shape of careers of young people (b). Indeed, scholarship on ‘boundaryless careers’ and ‘peripatetic careers’ appear to have developed separately from the youth-related literature, albeit dealing in part with similar issues. Departing from Furlong’s work on metaphors in youth studies, this article interrogates potential for intertwining research lines within the growing debate on mobility in youth transitions. The article develops at a conceptual level; however it takes on Furlong’s legacy in the sense of contributing to a youth research agenda which is attentive to both the creation of new imaginative categories for the study of current conditions of youth, and the challenges that emerge in discursively positioning youth in society.     

Delusional themes of penetration and loss of boundaries and their relation to early sexual trauma in psychotic disorder

This paper explores how the psychotic experience of the penetration of destructive objects and a loss of boundaries appears in the delusions experienced by a woman who reported early sexual trauma. Through a close analysis of these psychotic experiences, this research seeks to illustrate how a psychotic personality organization, coupled with repeated early attacks on the integrity and boundaries of the self, can create a pervasive sense of being relentlessly pursued and penetrated by destructive objects. These delusions may serve multiple functions, as will be discussed. It is suggested that working through these experiences within the therapeutic relationship involves a gradual process of separating the inner from the outer, the destructive from the benevolent, so that a less fragmented, more integrated sense of self can emerge.     

Dealing with the 'Void': traumatic brain injury as a story

Traumatic brain injury (TBI) is considered to drastically affect the individual's sense of self. To discover how people with TBI understand themselves, in-depth interviews with four individuals with TBI were conducted. Their narratives suggest that they feel they are carrying a 'void' in their understandings of their past and present. Individuals tend to fill the 'void' in their long-term memory with stories about the accident and recovery. The concept of 'void' is also useful in understanding how TBI survivors view the causal relationship between the accident, the brain injury and their present difficulties. This relationship can be another 'void' that threatens their sense of agency. The findings suggest that the experience of TBI appears as meanings in their self-narratives rather than as objective truth. Rehabilitation professionals should consider how their client interprets his or her TBI and self in everyday life when they work with this population.     

Facilitating Social Growth: Collaboration Between School and Therapist

A case is presented which illustrates how a youngster makes use of a long therapeutic relationship to move from isolated, withdrawn behavior in elementary school to participation in an after school drama group in middle school. The material reflects the close collaboration of the therapist with the child's teachers and the gradual strengthening of the youngster's sense of self within this matrix. The case is discussed in the frame of self psychology.     

Toward a grounded theory of lesbians' recovery from addiction

This article presents the results of a qualitative study on lesbians' recovery from addiction. The study involved semi-structured interviews with 20 lesbians in recovery from addiction and was analyzed using grounded theory method. The central theme that emerged was self-acceptance, both as a lesbian and as a recovering alcoholic/addict, with considerable interaction between the two. Categories that contributed to this theme were learning to recover, relationships with other people, and relationship with something bigger than self. The discussion addresses how this information can be used to assist lesbians trying to recover from addiction.     

“That's What Makes a Woman”: Infertility and Coping with a Failed Life Course Transition

Becoming a parent remains a key marker for the transition into adulthood, especially for many women. Infertility thwarts this transition. In this research, we investigate one aspect of the gendered nature of adult development within the life course. Specifically, this study examines interview data from 40 infertile women in order to explore how this group of women cope with what they perceive to be a failed life course transition and how it affects their sense of self. We find that this failed life course transition altered these women's relationships with others. Further, this change had a corresponding effect on their self. These women's inability to do gender by being mothers challenges their sense of themselves as normal adult women. Using West and Zimmerman's concept of doing gender, we argue that infertility can be experienced as a failed life course transition among women who desire children. We also demonstrate how this failed transition has a distinctly gendered component.     

Going to the Crackhouse: Critical Space as a Form of Resistance in Total Institutions and Everyday Life

This article explores the extent to which organizational identity claims and the formal organization of social control influence how actors in a total institution conceptualize their “real” selves. The setting for this case study is Project Rehabilitate Women, a drug treatment program serving incarcerated female offenders. Using Goffman's analysis of the total institution as a guide, I explore the importance of “secondary adjustments” for self-definition. This analysis will show that the capacity of residents to distance themselves from the label of “addict” is contingent on the formal structure of social control. I will argue that, in the absence of traditional distancing strategies, residents construct “critical space” as an alternative means to subvert institutional control mechanisms and to creatively acquire the resources necessary to articulate definitions of self that are distinct from staff constructions. It is clear that resistance, whether temporary or sustained, successful or failed, is central to how subordinates maintain their sense of self in an environment committed to radical self-transformation.     

On the Existential Aspects of Desistance from Crime

This article seeks to introduce several core insights of existential thought and existential sociology to study why people desist from crime (stop offending). By investigating the internal processes associated with desistance, existential sociology can contribute to our theoretical understanding of this phenomenon. The article demonstrates the usefulness of this approach by presenting a case study of one ex‐offender who has successfully desisted. The study demonstrates that gaining employment and rebuilding familial relationships were important factors in the process of creating a new sense of self. In addition, successful desistance entails developing a sense of what the future may hold for the individual and a sense of how this future can be realized. The implications of these findings for both theory and practice are discussed.     

Modeling processes in recovery from mental illness: relationships between symptoms, life satisfaction, and self-concept

For persons with severe mental illness, controlling symptoms, regaining a positive sense of self, dealing with stigma and discrimination, and trying to lead a productive and satisfying life is increasingly referred to as the ongoing process of recovery. Drawing on psychiatric-medical and stress-social support models, and theories of self-concept and stigma, this study examines social-psychological processes in recovery from mental illness. Using longitudinal questionnaire data from 610 persons in self-help groups and outpatient treatment, 1 estimate a series of models of the relationships between key elements identified as part of the recovery process: symptoms, self-concept, and life satisfaction. The results show that these elements affect each other in a reciprocal manner. Moreover, findings indicate a key role for self-esteem, which mediates the effect of life satisfaction on symptoms. The study suggests a general framework for examining processes involved in recovery from mental illness.     

Development and Validation of the Marital Metaphor Questionnaire (MMQ‐10) for Urban Chinese Women

Metaphors have long been applied to marital counseling and couple therapy. This pioneering study measures marital conceptualization through metaphors. It reports the validation of the Marital Metaphor Questionnaire (MMQ‐10), designed to measure the marriage conceptualization of Chinese women through marital metaphors. The MMQ‐10 was found to have favorable psychometric properties including reliable internal consistency, a good discriminative prediction of marriage at risk and moderate correlation with a Chinese indigenous multidimensional marital satisfaction inventory. Factor analysis reveals that the MMQ‐10 is composed of three dimensions: conjugal relationship, marital anguish, and marital conviction. The MMQ‐10 appears to be suitable for the use with Chinese women in premarital or marital counseling sessions. The present researchers hope that this study may support the use of metaphors in future research and clinical practice in other nations and cultures.     

The treatment of Jenni L.: A case of Anorexia Nervosa

The symptom of Anorexia Nervosa is a dramatic statement of the adolescent's need for an internal structure to regulate her sense of self. She was unable to develop this structure during infancy due to the need for the infant to meet her mother's narcissistic needs. Therefore, the infant was not able to internalize the mirroring function (of the mother) which would have allowed her to acquire her own empathetic structure to regulate her self worth. Consequently, empathy must be utilized in the treatment relationship to facilitate the formation of a compensatory structure of the self which will, in turn, promote recovery from Anorexia.Ms Reilly graduated in 1986 from Boston College, Graduate School, Social Work.     

Metapher als Intervention

The main means trainers and consultants have is language. What they can reach very much depends on the choice of the “appropriate words”. So to find them – what to say and how to say it – plays a key role for the quality of interventions. In contrast to other possible conceptions we understand intervention as the establishment of a self-reflective distance of a system towards itself. So the main purpose of an intervention is to bring a system to a better understanding of itself and the situation the system is in. This concept of intervention is a precondition for the self-steering abilities of systems. The concept is culturally limited, for self-steering to some extent always means questioning the ruling principles and authorities. The article investigates the consciousness raising power of metaphors. It discusses the use of the rhetoric figure of the metaphor and connects this to general considerations concerning the anthropologic function of language. Giving things names contains pretty much emotionality, has a magical component and follows a mimetic principle. The allegedly rational terms themselves turn out to be metaphors, their semantic field is wider than one might expect which can be shown by the recourse to the etymology. The value of using metaphors for describing situations lies in their openness to collective emotions and in the widening of horizons. The article underlines the importance of a sense of language as part of the professional skills.     

‘Listen: This Really Happened’: Making Sense of Social Work Through Story‐telling

The use of guided critical reflection and analysis is increasingly popular in the education and training of social workers, especially when students embark on their practice learning opportunities. This paper explores the use of structured story‐telling in tutorials as a way of helping students make sense of social work practice. By focusing on a narrative shared with a tutor group, the argument will be made that tutorials are important places to ‘monitor’ the self (and others) in social contexts, and are helpful places for students to identify their personal values and how these might link with their future professional selves.