Prejudice in ‘inclusive’ spaces: Cisgenderist collusion in the interview context

Feminist reflexivity aims to (re)consider and challenge power differentials that exist in the research process. This activity is well represented in, for example, research into heterosexism. In this article we expand feminist reflexive practice in relation to cisgenderism through a (re)examination of interview transcripts conducted by a cisgender researcher on the topic of cisgenderism in media representations of trans and intersex sportspeople. Drawing on interviews with 18 cisgender and trans and non-binary participants, we analyse three forms of researcher collusion in cisgenderism, namely: 1) perpetuating cisgenderism in the selection of media materials; 2) assuming trans women are the referent; and 3) disunifying assumptions about trans sportspeople. This reflexive analysis is discussed with regard to how analytical insights can be generated into the operation and functioning of prejudice. In so doing, we further the conception of prejudice as a ubiquitous and latent activity in research practices.

Gendered accounts of managing diabetes in same-sex relationships: A discursive analysis of partner support

The gendered dimensions of partner support in relationships where one partner has a chronic condition has been a recurring focus within the literature on gender and health. Such literature however typically focuses exclusively on heterosexual couples while same-sex relationships are rendered invisible, leading to the discourse around partner support being heteronormative. This article examines gendered dimensions within accounts of lesbian, gay and bisexual people with diabetes using a discursive psychological approach. The analysis identifies how participants drew upon a range of interpretative repertoires, including: (1) notions that women are more caring than men; (2) that men can take control in an emergency; (3) that gay men are caring; (4) that grown men can take care of themselves; and (5) that gay men are more independent than heterosexual men. It is argued that rather than simply dismissing heteronormative repertoires of gender and health, non-heterosexuals draw upon them in ways that display ideological tensions.

Emotion-identity talk in aggressive interactions and in reflexive accounts

Proceeding from the assumption that emotional competencies are vital components of identity work, this article focuses on emotion talk in interactions as conducive to the speaker's maintaining dignity and forming desired relatedness with their counterpart. We compare the same speaker's emotion-identity management in two different yet related encounter types: (1) an aggressive bargaining, where his dignified self is threatened and (2) his reflexive account of this event. Thereby we aim to identify alternating emotion-talk strategies as cultural resources in coping with specific encounters' constraints and tasks. Materials are drawn from a study on talk-in-interaction of young Israeli men. Extensive discourse analysis is conducted of the speaker's performance throughout the two encounters. Findings reveal two sets of emotional-discursive strategies in constructing the speaker's self-in-relations and in retrospectively positioning himself vis-à-vis his own past experience. The speaker's competence of maneuvering between two self-in-interaction models—aggressiveness and detachment—is demonstrated, using or avoiding emotion talk in accordance with his different encounters' tasks, eventually producing a coherent, morally justified image of himself throughout the sequence of events. Linking emotion talk to the construction of a dignified self, analysis points at the ambivalent status of emotion-discourse as a resource of identity-work, hinging on specific encounter rules.

The meaning of occupation for patients in palliative care when in hospital

Objective:

The aim of this study was to describe how patients in palliative care relate to occupation during hospitalization and to define the meaning it has for them.

Method:

Eight inpatients in palliative care with various cancer diagnoses were interviewed one time. These interviews were transcribed and analyzed using qualitative content analysis.

Results:

Patients experience occupations as meaningful when in hospital during the last period of their lives. They would like to be able to handle their own needs as much as possible. Staff behavior, the design of the environment, the lack of accessible occupations, and the degree to which patients can decide whether to receive or decline visits affect the possibility to make their wishes a reality. Our results also revealed that patients experience a sense of loss of their role, as well as a lack of control and participation.

Significance of Results:

Our results confirm the importance of occupation and of patients having the option to and being given opportunities to take care of themselves when in palliative care. Further studies are needed to enable us to understand how organized occupations might influence patients' experience of being in a hospital during the final period of life.

Starting “Real” Life

Previous research has argued that despite the historically shifting meanings of singleness and family relationships, the “single woman” remains a “deficit identity.” We wondered whether this is the case for women who are at a point in their lives when meeting the married-with-family standard is becoming less probable. Interviews were conducted with 12 women (ages 35–44) who lived in Western Canada and identified as “never married,” “non-mother,” and “midlife.” Data were analysed using discourse analysis. Participants negotiated a space where being single is constructed as normal, while at the same time answering to normative discourses of womanhood. They resisted the deficit identity of singleness by drawing on the “transformative midlife” interpretative repertoire, which constructed midlife as a time of creating a secure, independent life. In doing so, they positioned themselves as “comfortably single at midlife women,” an identity defined in terms of who the woman is. Our analysis offers a depiction of midlife as a continuous struggle to create and maintain this space.

Gendered emotion work around physical health problems in mid- and later-life marriages

The provision and receipt of emotion work-defined as intentional activities done to promote another's emotional well-being-are central dimensions of marriage. However, emotion work in response to physical health problems is a largely unexplored, yet likely important, aspect of the marital experience. We analyze dyadic in-depth interviews with husbands and wives in 21 mid- to later-life couples to examine the ways that health-impaired people and their spouses provide, interpret, and explain emotion work. Because physical health problems, emotion work, and marital dynamics are gendered, we consider how these processes differ for women and men. We find that wives provide emotion work regardless of their own health status. Husbands provide emotion work less consistently, typically only when the husbands see themselves as their wife's primary source of stability or when the husbands view their marriage as balanced. Notions of traditional masculinity preclude some husbands from providing emotion work even when their wife is health-impaired. This study articulates emotion work around physical health problems as one factor that sustains and exacerbates gender inequalities in marriage with implications for emotional and physical well-being.

Sharing experiences in a support group: men's talk during the radiotherapy period for prostate cancer

OBJECTIVE

Prostate cancer, one of the most common cancers in men, is often treated with radiotherapy, which strains both physical and mental health. This study aimed to describe the experiences of men living with prostate cancer shared within conversational support groups during a course of radiotherapy.

METHOD

Nine men participated in one of two groups that met six or seven times, led by a professional nurse. Qualitative content analysis was used to identify themes and subthemes in the recorded group conversations.

RESULTS

The analysis resulted in six themes: living with a changing body, being in the hands of others, learning to live with the disease, the importance of knowledge, everyday life support, and meeting in the support group. The men discussed a wide variety of bodily experiences and described support from healthcare professionals, relatives, friends, and the support group as crucial to their recovery.

SIGNIFICANCE OF RESULTS

Meeting men in a similar situation, sharing experiences of living with the disease, and feeling allied to each other were important to the men in our study. The conversational support group provided the patient with prostate cancer a forum where sharing was made possible.

Diagnostic classification, viral sexually transmitted infections and discourses of femininity: limits of normalisation to erase stigma

Clinicians in the field of women's sexual health typically classify the two most common viral sexually transmitted infections (STIs), the human papilloma virus and the herpes simplex virus, as relatively innocuous infections. Teaching interventions include 'normalising' adult sexual activity and the epidemiological ordinariness of infection. Normalising is intended to disarm the potential stigma of the diagnosis. In this study, in-depth email interviews were conducted with 26 women with a viral STI diagnosis and 12 sexual health clinicians. Data were analysed thematically using a feminist, poststructuralist approach. Normalising is contextualised as an example of the workings of western philosophical thought whereby dualistic classifications privilege certain terms and subordinate other terms. In this instance, the relative medical normalcy of viral STIs is given primacy compared to the social abnormality experienced by women. Although these viral STIs infect women and men, this research concentrates on women's learning about viral STIs. For women, beliefs about femininity, sexuality, health, morality and responsibility influence effects of a viral STI diagnosis. These discourses are clinically significant because beliefs that specifically link to ideas about how to be a woman are overlooked when clinicians devise educational interventions.

Chronic Illness in Non-heterosexual Contexts: An Online Survey of Experiences

In this article we contribute to the expansion of lesbian, gay, bisexual, transgender and queer (LGBTQ) health psychology beyond the confines of sexual health by examining the experiences of lesbian, gay and bisexual people living with non-HIV related chronic illness. Using a (predominantly) qualitative online survey, the perspectives of 190 LGB people with 52 different chronic illnesses from eight countries were collected. The five most commonly reported physical conditions were arthritis, hypertension, diabetes, asthma and chronic fatigue syndrome. Our analysis focuses on four themes within participants’ written comments: (1) ableism within LGBT communities; (2) isolation from LGBT communities and other LGB people living with chronic illness; (3) heteronormativity within sources of information and support and; (4) homophobia from healthcare professionals. We conclude by suggesting that LGBTQ psychology could usefully draw on critical health psychology principles and frameworks to explore non-heterosexual’s lived experiences of chronic illness, and also that there remains a need for specifically targeted support groups and services for LGB people with chronic illnesses.

Psychosocial adaptation in female partners of men with prostate cancer

The objective was to explore the psychosocial adaptation of female partners living with men with a diagnosis of either localized or metastatic prostate cancer. Semi-structured qualitative interviews were conducted with 50 women at two time points (baseline and 6 months later). The interviews examined emotions, experiences, attitudes to sexual and continence issues and treatment decision making. As part of a larger prospective observational study, demographic data and scores for depression and anxiety were collected. Initial analysis demonstrated that the group of 11 women assessed as distressed on the anxiety and depression measures described reduced coping skills and poorer adaptation after 6 months. In contrast, the 39 women in the non-distressed group reported emotional adaptation that fitted the Lazarus and Folkman pattern of coping through appraisal of the impact of the diagnosis on their partner and themselves, appraisal of coping strategies and reappraisal of the situation. A surprise finding was the high level of resilience displayed by majority of these women. Results suggest that a psychosocial intervention could strengthen healthy adaptation and provide better coping skills for distressed couples.

The implications of dying cancer patients' talk on cardiopulmonary resuscitation and do-not-resuscitate orders

Current medical emphasis on autonomy requires that patients be primary in authorizing do-not-resuscitate (DNR) orders, countermanding provision of cardiopulmonary resuscitation (CPR) on terminally ill patients. The assumptions that patients make regarding CPR and DNR orders will influence their choices about them. Using discursive analysis, the authors examined the speech of 28 patients dying of cancer regarding the appropriateness of refraining from CPR or of instituting DNR orders. Most participants identified CPR as inappropriate in their circumstances, favoring institution of DNR orders. However, a minority drew on dominant construals of DNR orders and CPR to locate themselves outside the category of suitable candidates for DNR orders, thus justifying a preference for CPR--even though some had current DNR orders. Doctors' and patients' assessments of eligibility for DNR orders might not coincide, and when patient autonomy is presumed by patients to be determinant, discrepancies between patient expectations and instituted medical practice are inevitable.