Bullying has severe consequences for school-aged adolescents who have experienced repeated victimization and for the families as well. While there is a considerable body of research on bullying and its effects on victims, very little research has been devoted to studying the experiences and resistance of the targeted young people and their families in the bullying situations. The literature on bullying characterizes victims as unable to defend themselves; this depiction is limited, simplistic, and one-dimensional. This dissertation presents an alternate view, focusing on the experiences and responses of victims and their families. The thesis draws on a poststructural view and a response-based framework to present a new perspective on the victims of bullying—a perspective that contrasts with the common depiction of “helpless, powerless victims” and foregrounds the personal agency of young people who have responded to bullying. Data for this study was collected in the form of narratives from the families and eleven to fifteen year old school adolescents who have been targets of ongoing bullying. The sample consisted of four families and five adolescents. The interview questions were based on Allan Wade’s response-based approach. The participants’ narratives focused on their responses to bullying. Each narrative was read thoroughly for themes related to the skills and the knowledge adolescents have used in responding to peer aggression. Similarly, parents’ narratives were examined for themes of their responses to the bullying of their children. The conclusion from the findings indicated that the parents and adolescents responded to bullying in many small but prudent and resourceful ways.

Many stories exist within the professional landscape of child weight management programming and health services. Grand narratives within these spaces story fat bodies as “unhealthy”, “risky” and in need of transformation, and often position the family and mothers in particular given gendered caregiving norms, as responsible for their children’s weight and poor health. Mothering stories and experiences are rarely told by the mothers themselves within this professional landscape. This study is a narrative inquiry that explores the in-depth experiences of two mothers who previously participated with their children in an Ontario paediatric weight management program. Given my work as a social worker within child weight management clinics I also explore my experiences alongside the participants. Clandinin and Connelly’s conceptualization of narrative inquiry and the three dimensional framework of temporality (past, present, future), sociality and place, inquiring inward, outward, backward and forward, were used in order to find meaning in mothering experiences of child weight management. Narrative beginnings share my own experiences of mothering and child weight management. Relational ethics were central as the inquiry unfolded, allowing for simultaneous exploration of experiences, continuous negotiation, awareness and re-evaluation with each mother, from recruitment, field work, to field text, interim text and the writing of the final text. Given the current social distancing restrictions related to the COVID-19 pandemic, conversations took place over zoom and telephone and were audio-recorded and transcribed verbatim. Detailed narrative accounts were written for each mother capturing individual experiences of child weight management as they intersected with many other experiences in their everyday lives. Narrative threads weaved together the mother’s experiences throughout the inquiry and focused on disrupting the grand narrative and resisting fragmentation. The inquiry contributes to the scholarship within fields of social work, social justice, mothering and health care by providing new ways of knowing about and engaging in conversations about mothering, weight, fatness and health. / Dissertation / Doctor of Philosophy (PhD) / This narrative inquiry explores the in-depth experiences of two mothers who previously participated in a child weight management program. As part of this research, I also explore my experiences in relation to the mothers, as a social worker who historically worked in the clinic. Mothers were often positioned as responsible for their children’s body weight and poor health and stories and experiences were rarely told by the mothers themselves across research and policy in the field. Clandinin and Connelly’s three-dimensional framework was used to find meaning in mothering experiences of child weight management. Conversations took place over zoom and telephone over a year. Detailed narrative accounts capture the individual mothering experiences of child weight management and come together in narrative threads that focus on disrupting the grand narrative and resisting fragmentation. The inquiry contributes to the scholarship within fields of social work and health care, providing new ways of knowing about and engaging in conversations about mothering, weight, fatness and health.

The National Institute for Occupational Safety and Health’s (NIOSH) “Prevention through Design” (PtD) initiative encourages the exploration of different methods to foster dialogue between engineers and healthcare workers. Although engineers are encouraged to follow a user-centered design (UCD) process to identify user needs (ANSI/AAMI, 2009; IEC, 2007), NORA (2009) warns that engineers may “fail to get the full range of healthcare worker input on the usability of a device”. The primary goal of this research was to present storytelling as an elicitation method that addressed the PtD call for methods that improve usability within healthcare. This work provides three contributions to the PtD initiative. First, a conceptual model for the role of storytelling in design, which represents a synthesis of narrative and design research, is presented. The conceptual model explicitly states how the elicitation and analysis of stories results in the identification of a design opportunity that addresses user needs. Second, the Design + Storytelling framework, which guides designers’ use of storytelling, is presented. An instantiation of the framework specific to the identification of a design opportunity within an emergency room (ER) is investigated to determine the framework’s impact on design. Findings resulted in the study’s third contribution: design guidance comprised of storytelling guidelines, decision support tools for storytelling method selection, and traceability support for design evaluation. The investigation of the framework focused on two primary stages: (1) story elicitation and (2) story analysis. Storytelling sessions, which varied in context, collected 573 stories (i.e., 441 habitual, 132 hypothetical) from 28 ER nurses. Qualitative analysts used the framework’s instructions to identify and specify 383 user needs within the narratives. Empirical comparisons of the compiled needs across groups informed decision rules for elicitation method selection. The impact of the framework’s analysis instructions during design practice was investigated. Student design teams analyzed nurses’ safety stories to create a conceptual design for an identified design opportunity. Findings indicated a trend for stakeholder experts to rank conceptual designs created by teams with the instructions as more usable than teams without the framework’s instructions. The theoretical and practical exploration indicated a positive impact on design. / Ph. D.

This thesis is an investigation into women’s experiences of repeatedly attempting to lose weight and maintain a weight they find acceptable, and the implications of this for health education. This was an interpretivist inquiry which generated data through narrative interviews. The data was analysed using three different strategies to enable deeper understanding of the participants’ experiences. To set the context health education resources relating to body weight, healthy eating and activity were collected from local community and health settings. A former local practice nurse was also interviewed about her role in assisting women with weight loss. A literature review revealed an emphasis on research and policy that focuses on the dangers of overweight and obesity, prioritising individual behaviour and energy-deficit approaches to losing weight. A qualitative method was used to collect data from a convenience sample of five women. Data from interviews and autobiographical writing were recorded, transcribed and analysed within a narrative analysis framework. Analysis of the findings using three interpretive lenses are presented first as re-storied accounts of the women’s narratives, and secondly thematic analysis addressing issues of control, pleasure and pain, and embodiment and alienation. Finally a relational analysis reveals the ways in which participants position themselves in relation to themselves, other characters and the interviewer in order to build their desired identities. The data shows that the participants had followed a wide and diverse range of diets, eating and exercise plans, none of which had been successful in both reducing their weight and maintaining it at a level they were happy with, even after repeated attempts. Whilst biomedical literature suggests a dividing line between pathological eating disorders such as anorexia nervosa/bulimia and normality, the disordered eating and emotional difficulties described by the participants supports the view that a broad range of eating and body-image problems may be more culturally normative than is generally recognised. Dieting and weight cycling were common experiences. The findings of the thesis suggest that contrary to current public policy, the views of these women who are unhappy with their body weight are complex, idiosyncratic and demonstrate resistance to health messages that target individual responsibility for weight management. Their views are developed from personal experiences - the findings suggest that these women are stigmatised. However, one response to this can be to stigmatise other people whom they see as more overweight than themselves. Normative femininity is increasingly centred on appearance and women who do not comply with the requirements risk alienation and pain. The identities that the women construct are relevant for health education but not taken into account when national policy and strategies are developed to address overweight and obesity. The risks to health of weight cycling are also not addressed by policy. The implications of the thesis are discussed in relation to the embodied experiences and gendered roles of women, the role of health education and its relationship with biomedicine.

This study has evaluated outcomes of the care and educational intervention set up for children of Magalasi and the surrounding villages since 2003. Magalasi Village is located in the rural area of Zomba District in Malawi, Southern East of Africa. The study has investigated perceptions, attitudes and ultimately meanings that participants have attached to this intervention. In doing so, it has established the effectiveness of this intervention, which is based on based on the principle of partnership, and aimed at improving the care and education of young children of Magalasi Village. The study employed the narrative inquiry approach situated within a hermeneutic phenomenological framework. Data was collected from 35 community participants using conversational narratives and has been analyzed thematically. The study has generated numerous findings; way beyond assessing the objectives set out at the beginning of the intervention, 40 themes in total. The major findings are: a) the reversal of child neglect situation; resulting in improvement in the hygiene and personal care of nearly all children in Magalasi village; b) highly improved school performance of most children attributed to improved school preparedness and leading to most children enjoying and staying in school, and successfully completing primary education; c) highly appreciable nutritional support to children; and d) existence of challenges and tensions underlying the implementation process. Overall, the Muula Center is having a huge positive impact on the care and education of most children of Magalasi village with minimal financial and essential technical support. Therefore, the financial, technical and community ingredients that are responsible for the delivery of the care and educational services in this intervention need to be sustained for continued impact. Also, a good understanding of challenges and tensions underlying the implementation process bears the potential of identifying and addressing critical issues, which will lead to further strengthening of the efficacy of the intervention. / Graduate / khamachibwana@gmail.com

Thesis advisor: Sandra R. Mott / The purpose of this research was to address the gap in the literature regarding the lack of first hand accounts of the factors that influence adolescent sexual decision making. Using a narrative approach, I asked a cohort of late adolescent participants to tell their stories about the events surrounding their decision to become sexually active, and how this initial decision affected subsequent decision making. The specific research questions that guided the study were: 1) What are late adolescents' perspectives of the factors that influenced their decision to become and remain sexually active? and 2) What is the effect of sexual decision making regarding coital debut on subsequent sexual activity? To accomplish my research aims I used narrative inquiry to elicit rich information, in the adolescents' own words, about what they perceive to be the most salient factors that contributed to their decisions to engage in sexual activity. I recruited a purposive sample of 11 late adolescents between the ages of 18 and 22 years from a series of family planning and sexually transmitted infection (STI) clinics in the Northeastern United States. As their stories unfolded, four main components emerged. These components included the internal and external environmental context, expected social norms, implied sexual consent, and self-reflection and evaluation. The results of this study provide evidence that adolescent sexual decision making is a complex process with multiple layers of influence. Through the stories of my participants, I have constructed a more comprehensive conceptualization of adolescent sexual decision making and related sexual behaviors. This will guide the development of possible interventions to improve health care for this population. These interventions include expanding nursing knowledge to inform the development of theories, practice innovations, research, sexual health education, and policies for addressing adolescents' needs across the continuum of the adolescents' development from childhood to adulthood. / Thesis (PhD) — Boston College, 2009. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Thesis advisor: Maria E. Brisk / While traditional multicultural education has advanced school personnel's cultural awareness and the implementation of multicultural curricula, it can also perpetuate stereotypes of certain cultural groups by overstating the role of culture. The widely held stereotypes of Chinese immigrants as super-achievers and a "model minority" may dangerously hide the problems that many Chinese immigrant families face upon immigrating. In this dissertation, I share findings generated from the narrative inquiry of sixteen Chinese immigrant parents. The study was to uncover multiple realities related to the parenting experiences constructed by Chinese immigrant parents in their given social, cultural, and personal circumstances. Guiding this inquiry is the bioecological model, which provides an overarching framework to address all the factors that possibly influence immigrants' parenting. With a focus on critical events, data collected from multiple open-ended interviews and documents were presented in two ways: case-focused narrative analysis and cross-case thematic analysis. The findings show that Chinese immigrants are a diverse group, with each individual's parental beliefs and practices influenced by multiple personal and contextual factors. All the factors interacted through complex processes occurring at various levels within the parents' ecological environments between the two cultures. In addition, several issues related to Chinese immigrant families were exposed from the parents' narratives that have not been well researched so far, including: subgroup differences, the influence of marital discord as a result of immigration on child development, the role of religion change on parenting, and grandparents as major childcare giver. At a theoretical level, notions of the continuum of common cultural values, and the continuum of enculturation and acculturation provide a fluid and dynamic theoretical lens to better understanding immigrants' in-between cultural values. I suggest that school personnel and social workers work towards eliminating pre-assumptions about any cultural group, attending to each child's unique identity without over-emphasizing the role of culture. Furthermore, schools need to take efforts to build effective and reciprocal relationships with immigrant families to better address the immigrant students' individual needs. / Thesis (PhD) — Boston College, 2013. / Submitted to: Boston College. Lynch School of Education. / Discipline: Teacher Education, Special Education, Curriculum and Instruction.

This research study explores the ways in which articulations of belonging are expressed by a small number of second year education undergraduates in a post-1992 university in the UK. Issues of student engagement and belonging in Higher Education (HE) have been the subject of research within recent years as a way to enhance rates of student retention and success, as the Widening Participation agenda has realised a changing demographic within the traditional student body. This study focuses on the First Generation Student (FGS), as reflective of the non-traditional student, who is subject to a negative framing within the educational literary discourse. The research adopts a metaphorical lens to locate the FGS as migrant within the HE landscape and to consider HE institutional efforts to foster a sense of belonging, as a strategic tool for success, as a colonising process. Working within an ecological framing of the topic, the study focuses on the differing contexts within which the research participants operate and considers the impact these have upon student engagement with the university. As a way to foreground respectful working with research participants, a person-centred approach has been employed, using a narrative inquiry methodological framework. Voices of the participants, as narrators, are privileged within this study in order to afford them the opportunity to add to the ongoing conversation on belonging. Creative strategies, based upon photo- and metaphor-elicitation, have been employed to facilitate discussion of the abstract and intangible concept of belonging and to provide a participatory nature to this research study. Findings signal a strong resolve by these narrators to overcome obstacles in their path to success within what is often an unfamiliar terrain within HE. The potentiality of the individual is privileged, showing strengths that are brought to the world of study which are often unrecognised by university practices. The affective dimension of belonging is emphasised within the research and metaphors of belonging, articulated by the narrators, offer alternative conceptual structurings which privilege aspects to do with security and adventure. Such insights afford opportunities to view belonging from differing perspectives, to re-figure ways in which students see themselves within HE processes, and to alert staff and personnel to new ways in which they might view the non-traditional student. Aspects of valuing the diversity of students and of a person-centred approach to working are viewed as key to creating the possibilities for belonging.

There is a paucity of scientific evidence into the lived experience of people who have a history of injecting drug use and are living with leg ulceration. Portraying the true voice of injecting drug users (IDUs) through narrative means is a novelty in contemporary literature. The representation of the life and the person behind the leg ulcer, having experienced addiction, is original from a purist narrative perspective. This study, led from the perspective of a nurse-researcher leading in the field of wound management, offers a unique opportunity to gain a rare glimpse into the daily life of IDUs, as reported in their own words. The aim of this study was to explore the experience of injecting drug users living with leg ulceration using qualitative methodology. A naturalistic paradigm framed the design by allowing participants to control the data in an unrestricted an open manner without direct intrusion form the researcher. Qualitative methodology was central to collecting data on life experience and feelings. The ethics process detailed a rigorous application to explore the professional, ethical virtues from the perspective of an insider-outsider working with sensitive data in a marginalised population. Diaries were kept and recorded by participants over four weeks in their routine daily life; this was followed by semi-structured interviews. The diaries allowed a unique insight into the past, present and future of IDUs and how their ulcer affected their lives. The diaries also facilitated a means of reflection on themselves and their wounded body. The interviews offered an opportunity to explore in detail the diary entries and other stories participants wished to share. The study recruited twelve participants from leg ulcer clinics set in London; three women and nine men older than 18 years of age (median age of 52 years; range 35 - 62 years). Ten completed the data collection process; two of the participants, aged 61 and 62 years, were married. Gatekeepers working with IDUs with leg ulceration were central to the process of engagement and recruitment. Participants welcomed the design as an opportunity to voice and share their journey of living with an open wound. The findings revealed the detailed suffering participants endured living with their ulcer: pain, shame and stigma were clearly voiced in their narratives. The majority of participants had experienced some form of stigma during their life and this was exacerbated as they were drug users. The self-blame and punishment triggered by this felt stigma was a detriment to the health of participants. Those in contact with specialist wound care services saw a significant improvement in wound healing and this had a positive impact on their wellbeing and their overall outlook on life. Participants also voiced enacted-stigma experienced from encounters in health practice. These negative experiences exacerbated the self-stigma. Findings also portrayed the multiple characteristics and talents of participants including humour, art and resilience. This research contributes to science and practice by understanding the lives of IDUs living with leg ulceration. It provides a platform from which to engage both generalists and specialists who care for these patients and has the potential to influence medical and social policy-making and clinical practice in this field. By means of narrative inquiry, this study may challenge the conventional social stereotypes, the taboos and the stigma still experienced by this patient group in health care.

This study used Arts-based research and Narrative Inquiry to explore the rural-urban transition experiences of three high-achieving millennial gay men. Using Clandinin’s (2013) narrative commonplaces of temporality, sociality, and place as frames for understanding each participant’s individual story, the study utilized The Listening Guide (Gilligan, 2015) to illuminate participants’ experiences related to identity development, sense of community, queer migration, and authentic leadership development. In addition to the individual narratives, story threads or themes present in one, two, or all three narrative portraits were analyzed and discussed. The data also included found poetry and original poems written in the style of George Ella Lyon’s (1999) I Am From poem. The study examined the authentic leadership development of the participants and advanced arts-based research through a discussion of the personal, practical, and social justifications of the methodology broadly, and this study in particular. The significance of this study is directly related to the social justifications of theoretical contributions and a social justice orientation. By engaging in the research, the participants told their stories in this way for the first time and gave voice to their past experiences and illuminated the implications of these experiences on their current roles as junior faculty members and administrators in higher education. The narrative portraits and poetry serve as counter-narratives to those of white, straight men which are most often privileged in the academy and beyond. This study demonstrates the usefulness and rigor of using narrative methods to gather and share stories about 1) transitioning between rural and urban places, 2) the experiences of a subset of the millennial cohort and life-course development, 3) and the development of authentic leadership. Each participant expressed a passion and purpose for more socially just classrooms, campus environments, and community spaces, and each participant incorporated this purpose in his teaching, research, and practice in his own way. As more millennial gay men assume leadership positions in universities, board rooms, and city halls, ABR creates the potential capacity for a new generation of public leaderships to usher in societal shifts reflecting a changing America.