• 'You can take a horse to water but you can't make it drink': Exploring children's engagement and resistance in family therapy

      O'Reilly, Michelle; Kiyimba, Nikki; University of Leicester; Birmingham and Solihull Mental Health Foundation Trust (Springer Verlag, 2012-11-13)
      Children’s engagement and disengagement, adherence and non-adherence, compliance and non-compliance in healthcare have important implications for services. In family therapy mere attendance to the appointments is no guarantee of engaging in the treatment process and as children are not the main initiators of attendance engaging them through the process can be a complex activity for professionals. Through a conversation analysis of naturally occurring family therapy sessions we explore the main discursive strategies that children employ in this context to passively and actively disengage from the therapeutic process and investigate how the therapists manage and attend to this. We note that children competently remove themselves from therapy through passive resistance, active disengagement, and by expressing their autonomy. Analysis reveals that siblings of the constructed ‘problem’ child are given greater liberty in involvement. We conclude by demonstrating how therapists manage the delicate endeavour of including all family members in the process and how engagement and re-engagement are essential for meeting goals and discuss broader implications for healthcare and other settings where children may disengage.
    • 'You do act differently when you're in it’: lingerie and femininity

      Wood, Rachel; University of Chester (Taylor & Francis, 2014-01-13)
      This paper examines British women's accounts of buying and wearing lingerie taken from in-depth interviews exploring experiences of shopping in sex shops. Lingerie forms one part of a sexual consumer culture that is positioned within a neoliberal discourse of postfeminism. Women's engagement with the representation of lingerie, the way they enact lingerie buying and wearing in their everyday lives and the ways they speak about these practices show complex and often incongruous strategies of accommodation and negotiation. Such strategies can make lingerie pleasurable and liveable whilst at the same time expressing forms of anxiety, ambivalence or laughter directed towards the performance of femininity and feminine sexuality required and represented by lingerie. I contend that it is precisely through this often contradictory engagement with lingerie that strategic counter discourses emerge, by which women can resist some of the respectable norms of female sexuality. Women position themselves in ambivalent ways in relation to the visual imperative of feminine sexuality represented by lingerie, particularly through an embodied discourse of comfort and discomfort, or through the playful and pleasurable performance of non-naturalised gender roles.
    • “You don’t know what’s wrong with you”: An exploration of cancer-related experiences in people with an intellectual disability

      Flynn, Samantha; Hulbert-Williams, Nicholas J.; Hulbert-Williams, Lee; Bramwell, Ros; University of Chester (Wiley, 2016-08-02)
      Objective: Few empirical studies have explored cancer-related experiences of people with an intellectual disability (ID), despite rising cancer incidence in this population. The present research aims to better understand the experiences of this population from multiple perspectives, generating theory and further research questions. Methods: Six people with ID and cancer, alongside twelve participants from their supportive network (including: family, social and healthcare professionals), were interviewed; transcripts were analysed using grounded theory. Results: People with ID were often overlooked within cancer consultations, excluded from conversations about their care and treatment-related decisions. Caregivers (family and paid) were relied upon to facilitate communication, understanding and supplement healthcare professional knowledge. Caregivers’ attempts to protect the patient from distress harmed communication further; our interviewees suggest that increased involvement and empowerment mediated cancer-related distress. Where healthcare professionals possessed good patient-centred skills, and additional support was offered, people with ID were more likely to engage meaningfully in their cancer-related experience. Conclusions: Interestingly, emergent concepts were consistent with general psycho-oncology literature, however incidence and severity of difficulty was substantially greater in this sample. This disparity warrants further exploration, with a need for intervention research to develop effective ways of supporting healthcare professionals in enhancing patient-centred skills with this population. In the clinical setting, patient involvement in healthcare decisions (despite problems associated with co-morbidity) is imperative to optimise engagement.
    • Youth transitions as ‘wiki-transitions’ in youth policies platforms

      Cuzzocrea, Valentina; Collins, Rebecca; Universita degli Studi di Cagliari; University of Chester (Taylor & Francis, 2019-11-21)
      In recent years, a number of youth-focused online platforms have emerged which, in different ways, seek to support young people across Europe in building pathways to independent adulthood. In this article, we draw on data from Edgeryders, a recent youth policy research project, to reflect on the extent to which online discussion platforms are useful instruments for understanding the challenges youth face in their transitions to independent adulthood across Europe. Noting the collaborative emphasis articulated by both the project designers and participants, we ask how we might make sense of the data – and the meanings conveyed by that data – produced by online projects. We propose the notion of ‘wiki-transitions’ as a means of theorising young people’s use of online space to support their transitions to adulthood.
    • “You’ll never walk alone”: Phenomenology and ageing in contemporary culture

      Powell, Jason; Coventry University (SciPress Ltd, 2014-05)
      This article explores the theory of phenomenology and its relevance for understanding ageing. I begin by attempting to unravel the main theorisations of phenomenology and then explore how the use of a biographical method can be enmeshed in cultural contexts of ageing. In particular, I assess the relevance of the ageing body, and ageing identity for pointing toward a general theory that can be defined as a „phenomenology of ageing‟. Part of the context for realising the potential of phenomenology is its dissection of meaning, not as fixed, but as fluid as found in the context of everyday life. Phenomenology provides a significant contribution to un-locking an understanding of what is means to be a human person situated within and across the life course. It can be used to reveal critical consciousness, understanding of personal identity and social meanings. This article explores the contexts, examples and situations within which the perspective can be illuminated for understanding ageing. Ageing is a biographical process and this will be dissected for understanding social theory.