“I Was Always This Way…”: Rhetorics of Continuity in Narratives of Conversion

This article is concerned with identifying, comparing, and accounting for the principal rhetorical conventions within Pagan practitioners’ narratives of conversion. Applying key insights from studies on narrative identity and drawing on 15 months of fieldwork and 25 in‐depth interviews with Pagan practitioners, I first outline formal similarities in the content of participants’ narratives, arguing that these narrative conventions together constitute an ideal typical conversion narrative: what I call the rhetoric of continuity. This narrative form depicts the process of conversion as a rediscovery or uncovering of a temporally continuous and essentialized Pagan self. I suggest that while all conversions involve both change and continuity, adherents of different faith traditions vary in the degree to which they stress self‐transformation and/or self‐continuity. I then argue that the rhetoric of continuity reflects and reinforces practitioners’: (1) perspective on the locus and nature of the authentic self; (2) claims to legitimacy and social acceptance; and (3) understanding of the nature of religious truth.     

“Sometimes,I think I might say too much”: Dark Secrets and the Performance of Inflammatory Bowel Disease*

This study examines the dramaturgical embodiment of chronically ill bodies managing “fecal matters” (Weinberg and Williams 2005) in Inflammatory Bowel Disease (IBD) support groups. Data were derived from my reflections as a person with IBD, a year of participant observation, and semi‐structured interviews with support group members. I first uncover the boundaries of the private body (Cahill 2006). Secondly, I focus on the entrenchment of IBD within the stigma of fecal matters. Lastly, I explore the disparate ways that support group members harnessed language to protect their embodied selves from symbolic fecal contamination, from a “soiled self.”     

Conversion to Islam: Narratives of Awakening,Continuity, and Return

Previous research utilizing conversion narratives to understand how and why people convert has been troubled by the “accuracy” of the accounts. This study of Muslim converts in the United States sidesteps this problem by turning the focus away from the causes, motives, and drivers of conversion and placing it instead on the form or structure of their conversion narratives. More specifically, it foregrounds the subjective process of making sense of one's conversion story through the employment of formulaic narrative structures. Findings suggest that when accounting for their conversion to Islam, these respondents employed three different narrative structures: stories of awakening, continuity, and return. Although these stories vary in meaningful ways, each provides a different perspective on how conversion to Islam can be conceptualized and expressed narratively. The discussion centers on the similarities and differences between these stories in order to more fully articulate and distinguish their underlying premises. I conclude by considering how each of these stories are used by converts to convey the authenticity of their Muslim identities.     

Framing the Self

The meaning of a photograph depends on the story we tell about it. In the case of portraits, these narrative frames shape the self we impute to the sitter. The interiority of the portrait subject, the inner character we imagine is revealed in the photograph, is a result of what we know about photographic portraits, about the sitter, about the photographer, and about the context in which the image was made. Likewise in everyday life, the selves we impute to others are infected by similar processes of narrative framing. Who we are known to be depends not only on self‐presentations but on the stories within which those self‐presentations are placed.     

Through a glass darkly: Chronic illness in the therapist

This paper is about doing psychotherapy while suffering from a chronic illness. The purpose is to describe the manner in which ongoing irreversible pain integrates itself into the life of any human being, but specifically that of the therapist. The process of weaving the experience into the life narrative and in turn the therapeutic narrative is explored.     

Continuity of Mental Health Care Across Military Transitions

Multiple deployments, a prominent characteristic of operations Enduring Freedom, Iraqi Freedom, and New Dawn, have been linked to increased risk for various mental health conditions. It is also well known that military transitions, such as a change of duty station or discharge, are an inevitable part of military life. While military transitions can be stressful for any service member or veteran, those with mental health conditions face additional challenges. Transition stress can exacerbate a mental health condition that in turn hinders ability to manage the transition, resulting in a cycle of stress. As a result, those receiving mental health care while transitioning often experience difficulty continuing treatment post-transition. This article describes a unique and innovative transition coaching program designed to address this emerging issue.     

Negotiating Illness in Medical Interactions: Narrative Styles of two Children with Leukaemia

The illness narratives presented in this paper were video‐recorded as part of child patient–staff interaction, during more than a year of ethnographic fieldwork at a paediatric oncology centre. The two children tended to ‘do illness’ differently, producing different types of narrative accounts. One of them presented accounts that invoked ‘fight’ metaphors, whereas the other one invoked patient identities. Also, the medical staff deployed different interactional strategies with different children in response to their narrative constructions of themselves and their leukaemia.     

Illness and Autobiographical Work: Dialogue as Narrative Destabilization

Illness is an occasion for autobiography, and memoirs of illness present openings to ethical ways of living. This work describes illness memoirs as performative, creating the self they claim as their origin. The self that is claimed is dialogical, and the tension of this dialogue is to include the voices of others without assimilating these voices to one's own. Physician memoirs, a spiritual autobiography, and a web site are presented as examples of dialogical autobiographical work occasioned by illness.     

Relational Factors Associated With Depressive Symptoms Among Stroke Survivor-Spouse Dyads

Depression following stroke is a major problem for survivors and spouses, but few studies have focused on the experiences of couples. This study investigates associations between perceived relationship quality, communication and coping patterns, interpersonal misunderstandings and expectations, and survivors’ and spouses’ depressive symptoms after controlling for sociodemographic and proximal factors. It also compares the relative strength of these associations between partners to identify shared versus unique correlates of depressive symptoms. This study adds to a thus far underdeveloped literature about the range of factors that affect partners’ psychosocial adjustment to stroke. Implications for practice, research, and theory are discussed.     

From past trauma to post-traumatic growth: The role of self in participants with serious mental illnesses

Studies have shown that people with serious mental illness are more likely to have experienced trauma compared to the general population. This qualitative study employed a grounded theory approach to explore how trauma histories influenced the process of triggering, developing, and recovering from serious mental illness. Findings based on in-depth interviews with 15 participants illustrated the intersection of trauma, serious mental illness, and post-traumatic growth. Experiencing trauma compromised participants’ self-functioning, causing issues such as affect dysregulation, distorted self- and other- concepts and relationship difficulties, meaninglessness, and existential fears, all of which negatively impacted participants’ mental health and behavior. At the same time, participants with serious mental illness were able to achieve post-traumatic growth with the “transformed-self” via self-acceptance, self-exploration, self-worth, and self-fulfillment. Findings of this study have useful implications for trauma-informed care in mental health treatment. Mental health professionals should address clients’ trauma histories to prevent re-traumatization and design trauma-informed programs that use and build clients’ inner resources and strengths to promote post-traumatic growth.     

From Prowar Soldier to Antiwar Activist: Change and Continuity in the Narratives of Political Conversion among Iraq War Veterans

This study examines conversion narratives of Iraq War military veterans who have become antiwar political activists. I examine how antiwar veterans construct and emplot prewar, wartime, and postwar narrative periods to shape and reclaim their moral identities as patriots fighting for a just cause, and how through a communal antiwar story they work to both challenge and reappropriate the rhetorical framework they associate with justifications for the invasion of Iraq. The study draws on in‐depth interviews with forty members of Iraq Veterans Against the War (IVAW). In sum, the research describes how veterans engage with dominant narratives, shape new moral identities, and transition from soldiers to political activists.     

The Unlived Life Is Worth Examining: Nothings and Nobodies behind the Scenes

This paper explores how people talk about the things that have not happened in their lives. I argue that we can perform reverse biographical identity work upon our unmade selves by exploring the meanings of unlived, non-experience. Challenging one's own rehearsed life story is an act of narrative self-transgression, involving negative responsibility assumption. Drawing on my symbolic interactionist theory of “nothing,” I consider how negative social phenomena (no-things, no-bodies, and non-events) are interactively accomplished and retrospectively made sense of in personal accounts. Themes of lost opportunities, silence, invisibility, and emptiness emerge from an analysis of twenty-seven stories. These tales reveal a mixture of emotions: not only sadness, stigma, shame, and regret, but also relief, pride, acceptance, and gratitude. Narratives of nothing are often ambivalent in tone, reflecting the complexity of storied life behind the scenes.     

Remaking Self After Domestic Violence: Mongolian and Australian Women's Narratives of Recovery

My feminist, narrative research comprises a cross‐cultural narrative analysis of 11 Mongolian and 11 Australian women's stories of survival, recovery and remaking of self, following intimate partner violence. With a major focus on narrative identity, the research process involved me as researcher, as well as the participants themselves, bearing witness to and reflecting on their stories. While similarities between the Mongolian and Australian stories stood out above differences, there was some evidence that the Mongolian women had moved further away from the violence and its effects than their Australian counterparts. Perhaps the cohesive nature of the Mongolian women's family supports strengthened their narrative identities, enabling their greater resilience.     

One Woman's Experience of Living with Chronic Pain

ABSTRACT

Emphasis within chronic pain literature is placed upon lost productivity of patients, escalating health care costs, and denunciation of compensation/disability claims, with exiguous recognition of the personal costs of chronic pain. Sufferers, particularly women, are vulnerable to being pathologized and labeled through the psychologizing of their pain and subsequently silenced in the pursuit of health care services. By means of an illness narrative, this article illustrates the invaluable contribution the chronic pain sufferer can make towards the understanding of her pain. Social work, as a health profession, will be challenged to listen to women's stories and to empower sufferers in the proclamation of their own voices, in an efficient movement towards participatory service delivery.     

Using Social Media to Change the Narrative Around Chronic Illness

Chronic illness is a prevalent issue for many individuals. Various theoretical approaches have been employed in the psychotherapeutic treatment of chronic illness and the effects it has on the individual with the illness. These approaches frequently overlook the strengths of the person living with the illness as well as fail to address aspects of modern life such as social media use of the client and the influence it holds for those living with a chronic illness. This paper proposes the application of narrative therapy and social media use as a narrative therapeutic technique when treating those who suffer from chronic illness. A clinical vignette is used to illustrate possible applications of therapeutic techniques in conjunction with therapist-directed social media use. Implications for clinical practice and limitations are discussed.     

A Boy’s Journey and the Journey to Freedom*

The journey to freedom is a literary genre that involves a realization of oppression, a decision to leave, a journey that is both physical and moral, a wilderness experience, a self‐reinvention, and, most importantly, a first person testimonial to the reality of oppression.     

The Influence of Child Sexual Abuse on the Self from Adult Narrative Perspectives

The impact of child sexual abuse on the adult self is not yet clearly understood. We explored adult perspectives through the use of narrative interviews (N = 30). Three key themes or views of self were identified in all narratives to varying degrees: the worthless self, the self as unknown, and the potential/developing self. Ambivalence and tension were present in all narratives. Individuals were challenged to integrate the sexual abuse experience in a constructive way and develop a more coherent perception of the self. The narrative method highlighted the dynamic nature of peoples’ experiences at the same time recognizing that the narratives themselves are in progress. Reactions to disclosure, social support, and interpersonal connections are crucial at every turn.     

A Self-Psychological Perspective on Chronic Illness

It is becoming increasingly common to encounter patients seeking psychotherapy for symptoms resulting from chronic illness. Regardless of the specific diagnosis, chronic illness is a phenomenon with deep implications for disruption of self-states and narcissistic injuries. Working with chronically ill patients presents many challenges to the patient and the therapist, ranging from acute grief and loss to a reworking of unresolved developmental issues. This paper explores the use of a self-psychological perspective in the treatment of chronic and terminal illness. Approaching treatment from a self-psychological perspective, psychoanalytic psychotherapy can be successfully utilized in conjunction with supportive therapy.