Guillain-Barré Syndrome (GBS) is an autoimmune syndrome characterized by a severe and rapid onset of paralysis that ascends without warning. It has an unknown aetiology and is generally unknown by most people, including medical professionals. When a person who has had GBS is asked to speak about their experience, they are likely to talk about aspects of it that are personally meaningful. Their account can be likened to a story in that it collates seemingly unconnected facts, episodes of activity and emotional attributions into a sequence that provides knowledge and understanding. A story is a powerful form for expressing suffering and experiences and so is particularly suitable for the study of trauma and illness. The actual process of creating the story, plus its presentational and organisational forms, provides sources for uncovering the identities authors choose to create and present of themselves. Six people who have had GBS were interviewed about their experience, and their stories were analysed using a narrative inquiry to discern the meanings attributed to GBS from the participants’ own understandings and perspectives. The intended focus of the research was holistic and content based. The result of the narrative inquiry was a plot common to all six narratives. Namely, GBS is an inexplicable condition, during which horrendous things happen, but people do recover with time and it is likely their life view will be changed in the process. Four fundamental issues, identity, meaning, making sense and meaningfulness were drawn from the stories and configured into a narrative of the researcher’s making. What the participants chose to speak about became the meanings, or themes, major and minor, of their stories. No event has meaning in itself, however traumatic events can precipitate crises of meaning. When these crises are viewed within the context of other events, and are perceived to add value to life, then they have meaningfulness. In the telling of meanings and meaningfulness, the purpose for storying and the audience to whom the story is directed are the criteria for which the storylines are chosen. Both the story and the storying provide opportunities for the authors to create and offer images of themselves, that are then open to interpretation by an audience. As a traumatic experience, GBS enabled six people to tell their stories. In doing so they were able to make sense of important issues for themselves, and re-examine the way they saw themselves and the world.

Guillain-Barré Syndrome (GBS) is an autoimmune syndrome characterized by a severe and rapid onset of paralysis that ascends without warning. It has an unknown aetiology and is generally unknown by most people, including medical professionals. When a person who has had GBS is asked to speak about their experience, they are likely to talk about aspects of it that are personally meaningful. Their account can be likened to a story in that it collates seemingly unconnected facts, episodes of activity and emotional attributions into a sequence that provides knowledge and understanding. A story is a powerful form for expressing suffering and experiences and so is particularly suitable for the study of trauma and illness. The actual process of creating the story, plus its presentational and organisational forms, provides sources for uncovering the identities authors choose to create and present of themselves. Six people who have had GBS were interviewed about their experience, and their stories were analysed using a narrative inquiry to discern the meanings attributed to GBS from the participants’ own understandings and perspectives. The intended focus of the research was holistic and content based. The result of the narrative inquiry was a plot common to all six narratives. Namely, GBS is an inexplicable condition, during which horrendous things happen, but people do recover with time and it is likely their life view will be changed in the process. Four fundamental issues, identity, meaning, making sense and meaningfulness were drawn from the stories and configured into a narrative of the researcher’s making. What the participants chose to speak about became the meanings, or themes, major and minor, of their stories. No event has meaning in itself, however traumatic events can precipitate crises of meaning. When these crises are viewed within the context of other events, and are perceived to add value to life, then they have meaningfulness. In the telling of meanings and meaningfulness, the purpose for storying and the audience to whom the story is directed are the criteria for which the storylines are chosen. Both the story and the storying provide opportunities for the authors to create and offer images of themselves, that are then open to interpretation by an audience. As a traumatic experience, GBS enabled six people to tell their stories. In doing so they were able to make sense of important issues for themselves, and re-examine the way they saw themselves and the world.

This research involved an examination of Beck's congruency hypothesis (1983). There were three studies, each examining an assumption that underpins the congruency hypothesis. There were two groups of participants: 61 remitted depressives and 61 university student controls, who were followed for a 1-year period. The first study stemmed from Blatt's theory that interpersonal and achievement-oriented personality styles are independent and enduring, arising from different early childhood experiences. It investigated individuals' perceptions of the parenting style they had experienced in the first 16 years of their life and how these related to their current personality style. Overall, an achievement-oriented personality style (self-criticism) was predicted by maternal protectiveness in the university student sample and by a lack of maternal warmth in the clinical sample. No relationship between perceptions of early parenting and an interpersonal personality (dependency) was found. The second study comprised two parts. The first examined the stability of personality over the 1-year examination period. This was seen as an important test. For personality to be a vulnerability factor or diathesis in terms of the congruency hypothesis, it must be stable over time. The second part of this study investigated whether any significant changes in personality over time were predicted by recent negative life events that had been experienced. The results showed that all of the personality constructs investigated (sociotropy, autonomy (solitude, independence), dependency, self-criticism) were stable over the 6-month period. However, during the 12-month period, there was a significant decrease in mean scores on sociotropy for the university students group and a significant decrease in mean scores on sociotropy and dependency for the remitted depressives group. For the remitted depressives group, change in dependency was predicted by stress resulting from negative life events as rated by an independent research team (objective stress) but not by participants' own ratings of the stressfulness of these events (subjective stress). In research testing the congruency hypothesis, life events are routinely classified as being either sociotropic or autonomous. The third study investigated the validity of this practice. The results of this study demonstrated only partial support for the a priori procedure for classifying events in this way. Across samples (university students and remitted depressives) and measures (self-reported and interview measures of life events), participants did not consistently rate events as sociotropic or autonomous in line with their own personality styles. Throughout the research, many of the methodological shortfalls that were identified as being present in prior research on the congruency hypothesis were addressed. Notably, comparisons were made between the different samples (student versus clinical) and measures (self-report versus interview) used. The results of the current research differed depending on the choice of sample and the type of measures used. For example, in some instances, significant results were found only when the stressfulness of an event was rated by the research team (objective stress) rather than by the participants themselves (subjective stress). However, it is subjective stress that is most commonly used in previous research on the congruency hypothesis. This choice could well contribute to the many non-significant results found in this area of study. These and other methodological issues are taken into account, examined, discussed, and recommendations for future research are made.

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When people migrate to a new country, they experience changes in many areas of life. Migrants are faced with the challenges of making sense of as well as dealing with these changes in life. This research is interested in understanding the experiences of Chinese migrants in New Zealand as well as exploring how to conduct 'psychological intervention‘ work with recent Chinese migrants to deal with the challenges associated with migration. This research consists of two parts. The first part is concerned with developing a better understanding of the way Chinese migrants make sense of their experiences after migrating to New Zealand. In this part, focus groups were held and a discursive approach was used to analyze participants' accounts. Findings from this part show that negotiating meanings for "migration" and "fitting in" is the central process for Chinese migrants to make sense of their migratory experiences in New Zealand. In this meaning-making process, Chinese cultural meanings provide useful discursive resources for Chinese migrants to draw upon to better understand their experiences of migrating from China to New Zealand. Chinese sayings, such as "fish or bear‘s paw", "loss are accompanied by gain", "life is about negotiating loss and gain", are used by Chinese migrants in ways that allow them more flexibility in constructing their experiences in New Zealand. More importantly, adopting a dialectical sense-making embedded in traditional Chinese cultural knowledge is helpful for participants to transfer their discursive constructions from negative to positive aspects of their migration experiences. The second part of this research involves exploration and application of a culturally appropriate 'psychological intervention‘ with recent Chinese migrants in transition from living in China to living in New Zealand. This part draws upon the findings from the first part of the research. In the second part, two groups of participants were invited to attend a three-session group intervention. Useful discursive constructions around flexible meanings of "migration" and "fitting in" found in the first part of the research were introduced to participants. A discursive analytical approach was used to observe how participants take up these introduced meanings and to examine the discursive changes throughout the three group sessions. The second part of the research illustrates that participants took up the introduced meanings of "migration" and "fitting in" as a flexible process, and use these to further co-construct helpful meanings to negotiate their 'problematic‘ experiences. In all, this research articulates the importance of cultural meanings and cultural ways of making sense of migratory experiences by Chinese migrants. It also shows the importance of building a shared experience, making use of Chinese cultural meanings, and taking a social constructionist approach in psychological intervention work with Chinese migrants. The implications of this research are discussed in terms of further research on migrants' experiences and how to conduct 'psychological interventions' with Chinese migrants.

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Irregular pagination: Page numbers 572 to 582 & 755 missing, 754 is not numbered / This thesis explores the stories of four Maori counsellors who are employed in Western style organisations. Two 'readings' of participants' narratives are provided. The 'readings' are constructed from two distinct discursive frames, identified as ENGLISH-Maori and MAORI-English. It is proposed that participants' conceptions of self and other are constructed through narratives based in a MAORI-English discursive frame, and that their models of counselling are developed within this discursive frame. It is further proposed that meanings made within this discursive frame are not readily available to 'others' whose constructions of self and other are based in an ENGLISH-Maori or Western discursive frame. This mismatch leads to misunderstandings which impact negatively on the credibility and status of Maori counsellors and Maori models of counselling when viewed from the perspective of Western models of counselling theory, practice and organisation. It is also posited in this thesis that a form of 'sub-textual' communication exists within which Maori meanings are made and conveyed in the English language

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Psychosis typically emerges after a heterogeneous range of premonitory symptoms. This has been labelled the ‘pre-psychotic period’ (PPP). Emotional disturbances are prominent features of this state and have shown to be risk factors for psychosis. The present study had two interrelated aims: to explore in-depth the experiential nature of the emotional changes that occur during the PPP; and to examine whether there are similarities between these pre-psychotic emotional changes and the concept of delusional atmosphere. Twelve men experiencing first-episode psychosis with delusional thought content were recruited for the study. Information regarding their emotional experiences during the PPP was gathered using a semi-structured interview format. Corroborating information about observable changes in the men’s behaviour during the PPP was also gathered from a family member or friend of theirs who had close contact with them during this time. The data was analysed using interpretative phenomenological analysis. A variety of strong emotional changes were reported during the PPP, including depression, anxiety, anger, and guilt, as well as love and happiness. Negative emotions were prominent during this time, but positive emotions were also found to be a feature of this state for some people. Overall, the PPP was characterised by an increase in distress over time. Features of delusional atmosphere that were evident during the PPP included: experiences of derealisation and the environment feeling different; anxiety and confusion and a drive to find and explanation for the changes that were being experienced; and a sense of apprehension that something significant was about to happen. The relevance of these findings to researchers and clinicians working in this area is discussed.

The 'model minority' label given to Chinese populations in New Zealand and other Western countries have made it difficult to truly comprehend the difficulties faced by some Chinese ethnic minorities. Despite comparable rates and types of mental health problems to their European counterparts, identifiable barriers have led to Chinese ethnic minorities underutilising mental health services. The present study investigated the mental health service utilisation in native- and foreign-born Chinese youth in New Zealand, paying particular attention to barriers to service utilisation and viable solutions for these difficulties. It consisted of three individual projects and explored the views of Chinese community and mental health professionals and Chinese university students, comparing their perspectives to university students of other ethnicities. Findings showed that despite a willingness to seek help from their family and mental health professionals (e.g., psychologists, school counsellors), respondents identified a myriad of obstacles to the help seeking of Chinese youth. These included physical barriers (e.g., financial and transport constraints), personal barriers (e.g., stigma, problems accepting their difficulties), service barriers (e.g., paucity of knowledge regarding mental health problems and available services) and family barriers (e.g., obstruction from family members). Family and service barriers distinguished the difficulties faced by Chinese in comparison to European youth, particularly with regards to the adherence of professionals to stereotypes of Chinese youth, a unique finding of this study. In order to reduce such barriers, the Chinese university students and professionals advocated for greater education regarding mental health problems and services in the Chinese community, education for Chinese parents regarding adolescent issues, an increase in the number of practicing Chinese professionals that is coupled with improved cross-cultural training for non-Chinese professionals, as well as individual assessment and treatment approaches with Chinese youth and their families. / Whole document restricted, but available by request, use the feedback form to request access.