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Practical wisdom gained from journeying with HIV : narrative therapeutic researchStiglingh, Danelle January 2016 (has links)
Stories about HIV are everywhere. They are told (i.e. constructed), heard (i.e. taken in) and then re-told (i.e. shared). It is when we start asking questions about such stories, that new story "versions" become available; to be told, heard and possibly retold. Given the methodological boundaries connected to HIV research, few research studies are able to utilize the research context to venture beyond the mere collection (i.e. hearing) and re-telling (i.e. sharing) of story experiences. As a result, the hidden, alternative story "versions" which are "awakened" during the research process, may remain untold.
Over the course of 4 months, the researcher utilized the existing dialogical space of the therapy context, as a practical platform for researching the dominant, as well as the "absent but implicit" meaning of HIV. Through ongoing dialogical interaction, this research journey set out, to not only hear the dominant stories told about HIV, but also to explore the hidden, preferred alternative story "versions". An adolescent girl living with HIV acquired through mother-to-child transmission, collaborated with the researcher to engage in this journey of therapeutic co-research. With this narrative report, I invite you to become an audience member to this unfolding journey. Throughout this report, I used the word "journey" as a guiding metaphor, situating the act of meaning making as a collaborative ongoing process of co-research, rather than a collection of facts. This research report is a narrative in itself and is subdivided into three parts. Part I includes all chapters written before my journey with the adolescent as co-researcher; part II includes all aspects related to our journey as co-researchers; and part III involves the time period after our journey as co-researchers.
In part I, chapter 1, I introduce you to my way of speaking (i.e. narrative language), grounded in my way of seeing (i.e. social constructionist paradigm). In chapter 2, I shared with you my own narrative in making sense of HIV through personal reflective journal entries. By doing so, I acknowledge that I, researcher and therapist also tell stories about HIV through my statements, questions and everyday actions and interactions. In chapter 3, I reviewed academic literature in an attempt to research how adolescent HIV is "authored" (narrated) to the public by various academic discourses. In chapter 4, I reviewed narrative research studies of illness stories, relevant to adolescent HIV. Hereafter I stated my research question, justification, aim, and objectives. In chapter 5, I provide an overview of the research process, as was undertaken for the purpose this journey. In part II, I introduce you to "Gabby" (pseudonym), my co-researcher and co-author of this narrative report. Gabby regularly received ART at the paediatric out-patient unit at Kalafong Tertiary Provincial Hospital at the time of our interaction. In chapter 6, I describe the project phase (chapter6), alongside Gabby's participation. The project phase was situated within a narrative social constructionist frame. It consisted of two sub-phases as a means to transform the therapeutic context to one of therapeutic co-research. The first sub-phase stretched over the course of 3 months as Gabby participated in the Collaborative Storybook Development (CSD) project. The CSD project was based on the narrative therapeutic work of Freedman and Combs (1996) on story construction and development. Each session was video recorded for the purpose of co-reflective discussion during the second sub-phase. Focussed co-reflection sessions formed the second sub-phase, which took place once a week and stretched across an additional 1 month period. The aim of this sub-phase was to collaboratively review how storytelling was employed to make sense of HIV throughout the CSD project. Over the course of four months, the project phase allowed for in-depth co-research into the meaning of HIV.
Part III documents the time period following our journey as co-researchers. Chapter 7 is a reintegration (telling) of the new knowledge and practical wisdom constructed during the project phase. Such "telling" is done in the form of a storybook. Chapter 8 sheds some light on the narrative practice of reincorporation (sharing). This involved the sharing of new knowledge with audiences outside of the co-research dyad. In chapter 9, I discussed the ethical considerations undertaken in this research. This is followed by a discussion on the shortcomings and limitations of this journey. Based on the practical wisdom gained from this journey, recommendations are made for future endeavours. / Mini Dissertation (MA)--University of Pretoria, 2016. / Psychology / MA / Unrestricted
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A narrative of crystal methamphetamine: a case study of a young personâs experience of factors that leads to crystal methamphetamine use within a high-risk area in Cape TownJantjies, Janine Chernay January 2010 (has links)
<p>Recent research has indicated a significant increase in the crystal methamphetamine abuse in the Western Cape. The study aimed to provide an understanding of the interaction of the social and historical contexts in relation to the life experiences and perceptions of a young person residing in the Cape Flats. Primarily the study aimed to explore the factors that influenced the participant to use crystal methamphetamine. It adopted a social constructionist epistemological perspective and employed Bronfenbrenner&rsquo / s ecological systems theory as the theoretical framework. The subsystems of the ecological systems theory include the individual who is influenced by the microsystem, the mesosystem, the exosystem, the macrosystem and the chronosystem. This was a qualitative research study that  / employed an intensive case study. Data was obtained through series intensive semi-structured interviews that were approximately 40 - 70 minutes in duration. The participant is a coloured female, aged 28 years from a high-risk community in the Cape Flats. Prior to the interview process, relevant permission was obtained from the participant, which allowed the interviews to be conducted and recorded. The data was then analysed using a narrative analysis. The themes that emerged from the research findings include: childhood trauma / sexual abuse during childhood / social milieu and norms / adolescent delinquency / the cycle of abuse / understanding crystal methamphetamine use and the consequences of crystal methamphetamine use. Findings with regard to the individual factors included psychological well-being, depression and negative affectivity, feelings of hopelessness, suicidal ideations, loneliness, past abuse of legal substances, adolescence, delinquency and childhood sexual abuse. The influential factors that emerged within the microsystem were lack of family support, dysfunctional family dynamics, childhood abandonment, uninvolved parents, several custodial parents, childhood disequilibrium, parental modelling and family drug use. Further findings within the microsystem included peer influence viz. direct persuasion of drug use, peer exposure of drugs, experimentation, delinquent behaviour, gang-related involvement and peer group acceptance. The mesosystemic findings included, lack of emotional support or attachments, social support, lack of structure as well as relocating to numerous schools and homes. Findings located in the exosystem were the availability and accessibility of drugs in all the communities in which the participant lived. Findings in the macrosystem included the social environment of the individual, including the social norms of the community and the home setting as well as the norm of violence, crime and gangsterism. The information and knowledge accumulated would optimistically contribute to addressing the paucity of qualitative literature and present knowledge to  / improve intervention and prevention strategies.</p>
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A narrative of crystal methamphetamine: a case study of a young personâs experience of factors that leads to crystal methamphetamine use within a high-risk area in Cape TownJantjies, Janine Chernay January 2010 (has links)
<p>Recent research has indicated a significant increase in the crystal methamphetamine abuse in the Western Cape. The study aimed to provide an understanding of the interaction of the social and historical contexts in relation to the life experiences and perceptions of a young person residing in the Cape Flats. Primarily the study aimed to explore the factors that influenced the participant to use crystal methamphetamine. It adopted a social constructionist epistemological perspective and employed Bronfenbrenner&rsquo / s ecological systems theory as the theoretical framework. The subsystems of the ecological systems theory include the individual who is influenced by the microsystem, the mesosystem, the exosystem, the macrosystem and the chronosystem. This was a qualitative research study that  / employed an intensive case study. Data was obtained through series intensive semi-structured interviews that were approximately 40 - 70 minutes in duration. The participant is a coloured female, aged 28 years from a high-risk community in the Cape Flats. Prior to the interview process, relevant permission was obtained from the participant, which allowed the interviews to be conducted and recorded. The data was then analysed using a narrative analysis. The themes that emerged from the research findings include: childhood trauma / sexual abuse during childhood / social milieu and norms / adolescent delinquency / the cycle of abuse / understanding crystal methamphetamine use and the consequences of crystal methamphetamine use. Findings with regard to the individual factors included psychological well-being, depression and negative affectivity, feelings of hopelessness, suicidal ideations, loneliness, past abuse of legal substances, adolescence, delinquency and childhood sexual abuse. The influential factors that emerged within the microsystem were lack of family support, dysfunctional family dynamics, childhood abandonment, uninvolved parents, several custodial parents, childhood disequilibrium, parental modelling and family drug use. Further findings within the microsystem included peer influence viz. direct persuasion of drug use, peer exposure of drugs, experimentation, delinquent behaviour, gang-related involvement and peer group acceptance. The mesosystemic findings included, lack of emotional support or attachments, social support, lack of structure as well as relocating to numerous schools and homes. Findings located in the exosystem were the availability and accessibility of drugs in all the communities in which the participant lived. Findings in the macrosystem included the social environment of the individual, including the social norms of the community and the home setting as well as the norm of violence, crime and gangsterism. The information and knowledge accumulated would optimistically contribute to addressing the paucity of qualitative literature and present knowledge to  / improve intervention and prevention strategies.</p>
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