Configurations of Time in Bereaved Parents' Narratives

Ideological meaning-making in the aftermath of traumatic loss: Radicalization as meaning

In this qualitative study we explore the concept of ideological meaning-making, with a focus on political radicalization and its relation to the process of meaning-making. Through interviews with 33 individuals who experienced the loss of a close family member in the Israeli-Palestinian conflict and subsequently became politically radicalized, four key themes emerged: preliminary decision, zoom out, mission, and radicalized self. Participants initially stabilize their beliefs through a preliminary ideological decision, followed by adopting a broader perspective (zoom out) that encompasses the political context. As the process unfolds, a deep commitment to an ideological cause (mission) emerges, leading to the integration of ideology with self-identity (radicalized self). This study contributes to constructivist theory by providing a nuanced understanding of how ideological radicalization intertwines with the process of meaning-making, offering valuable insights into the complex interplay between individual beliefs, self-identity, and the construction of meaning.

Experiences of Fathers in Norway Attending an Online Course on Therapeutic Writing After the Death of a Child

After the unexpected death of a child, bereaved parents require prompt access to helpful support systems. Online therapeutic writing courses can make such support accessible. Because few studies have included bereaved fathers as participants, we explored the experiences of fathers whose children died unexpectedly and who were part of an online course of therapeutic writing in Norway. We piloted two courses (group 1, six weeks, n = 9; group 2, 5 weeks, n = 5). We describe our methodological considerations for using poetic representations in qualitative health research and present four poetic representations based on fieldwork notes written by the principal investigator. Then, we triangulate and narratively analyze them together with two collective poems written by participants from each group; excerpts of the writings from two fathers, one per group; evaluation surveys (n = 4; n = 3); and, anonymous check-out journaling from the second group (n = 3). Resistance was a salient feature of our participants' grief, and writing enabled them to both be in contact with their emotional world and process difficult emotions as they looked for meaning despite the death of their children. Those who attended the most classes perceived the course as transformative, being part of an ongoing self-exploration, and a possibility to continue and strengthen the bond with their children. Our findings mirror the complexities of the grief experiences of fathers, giving account of their need to find a rhythm to dive into their emotional world, the importance of peer support, and the value of diversifying intervention techniques to meet individual needs and preferences.

Dignity and time perspective: A pilot explorative study in cancer patients

OBJECTIVES

This study investigated the possible correlation between emotional distress linked to dignity and dysfunctional temporal orientations in the oncological context.

METHODS

We conducted an exploratory study between December 2020 and February 2021, referring to a sample of 107 patients in active treatment for solid tumors belonging to the Oncology Department of the Fondazione Poliambulanza (Brescia, Italy). We administered two self-report questionnaires: the Patient Dignity Inventory (PDI-IT) (Italian version, Grassi L, Costantini A, Caruso R, et al. (2017) Dignity and psychosocial-related variables in advanced and nonadvanced cancer patients by using the patient dignity inventory-Italian version. Journal of Pain and Symptom Management 53(2), 279-287), as a measure of perceived level of dignity, and the Italian version of the Zimbardo Time Perspective Inventory scale (ZTPI) (Zimbardo PG and Boyd JN (2009) Il paradosso del tempo. La nuova psicologia del tempo che cambierà la tua vita. Milano: Mondadori), as a measure of the experiential dimensions of time, such as past, present, and future.

RESULTS

From the PDI-IT emerged that our sample reported high levels of physical and psychological distress. Furthermore, we founded higher distress in patients under 55 years (p = 0.04) and lower distress in retired patients (p = 0.01). The ZTPI showed in our patients prevailing orientations to the past-positive (39.3%) and the future (37.4%). We noticed a gender difference: men were mainly oriented to the future while women to the past-positive. Moreover, married subjects reported a prevalent orientation to past-positive and the future. Finally, data analysis found moderate positive correlation between the "Negative Past" dimension of ZTPI and high levels of physical (r = 0.203, p = 0.03) and psychological distress (r = 236, p = 0.01).

SIGNIFICANCE OF RESULTS

In our experience in oncology, dignity and time perspective play a central role as indicators of the quality of care. Our study shows the importance of a treatment path that integrates the constructs of Dignity and Time Perspective to favor a better psychological adaptation.

Metaphors that shape parents' perceptions of effective communication with healthcare practitioners following child death: a qualitative UK study

OBJECTIVES

To offer an interpretation of bereaved parents' evaluations of communication with healthcare practitioners (HCPs) surrounding the death of a child.

DESIGN

Interpretative qualitative study employing thematic and linguistic analyses of metaphor embedded in interview data.

SETTING

England and Scotland.

PARTICIPANTS

24 bereaved parents (21 women, 3 men).

METHODS

Participants were recruited through the True Colours Trust website and mailing list, similar UK charities and word of mouth. Following interviews in person or via video-conferencing platforms (Skype/Zoom), transcripts first underwent thematic and subsequently linguistic analyses supported by NVivo. A focused analysis of metaphors used by the parents was undertaken to allow in-depth interpretation of how they conceptualised their experiences.

RESULTS

The findings illuminate the ways parents experienced communication with HCPs surrounding the death of a child. Key findings from this study suggest that good communication with HCPs following the death of a child should acknowledge parental identity (and that of their child as an individual) and offer opportunities for them to enact this; taking account their emotional and physical experiences; and accommodate their altered experiences of time.

CONCLUSIONS

This study suggests that HCPs when communicating with bereaved parents need to recognise, and seek to comprehend, the ways in which the loss impacts on an individual's identity as a parent, the 'physical' nature of the emotions that can be unleashed and the ways in which the death of a child can alter their metaphorical conceptions of time.

Life Restoration and Future Care Preparation Among Older Parents in Shanghai Who Have Lost Their Only Adult Child

The combination of aging and losing their only adult child challenges an increasing number of older adults in China. Current literature primarily focuses on older parents' bereavement but seldom examines their effort to cope with subsequent life changes brought about by only-child loss. This study explores how older parents in Shanghai who lost their only adult child restore their lives and prepare for future care. Twenty-four older adults were purposively sampled and participated in face-to-face, in-depth interviews. The findings suggest that participants tried to restore their lives by rationalizing grief and expanding their social networks. Despite their losses, participants remained in favor of family caregiving and reluctantly prepared for future care. Their ambivalent attitudes toward government support call for caution in approaches to service delivery.

Meaning-Making Process Related to Temporality During Breast Cancer Traumatic Experience: The Clinical Use of Narrative to Promote a New Continuity of Life

Previous research has agreed that meaning-making is a key element in the promotion of patients' well-being during and after a traumatic event such as cancer. In this paper, we focus on an underestimated key element related to the crisis/rupture of this meaning-making process with respect to the time perspective. We consider 40 narratives of breast cancer patients at different times of treatment, undergoing chemotherapy and biological therapy. We collected data through writing technique. We performed an interpretative thematic analysis of the data and highlighted specific ways to signify time during the different treatment phases. Our central aspect "the time of illness, the illness of time" demonstrates that the time consumed by illness has the risk of becoming an illness of time, which transcends the end of the illness and absorbs a patient's past, present, and future, thus saturating all space for thought and meaning. The study suggests that narrative can become a therapeutic and preventive tool for women with breast cancer in a crisis of temporality, and enable the promotion of new semiotic connections and a specific functional resynchronization with the continuity/discontinuity of life. This is useful during the illness and medical treatment and also after the treatment.

The reflexive role of tanka poetry in domestic abuse research

Domestic abuse research can be emotionally challenging, particularly for qualitative researchers who are immersed in sensitive, and sometimes distressing, participant stories. Reflexivity is essential in sensitive research; however, researchers typically focus their reflexive efforts on how their own perspectives may have influenced the data, rather than how they may have been personally affected by the stories they analyse. In this paper, I reflect on how using poetry in domestic abuse research can help to increase researchers’ sensitivity to emotion, heighten their empathic responses to participants’ stories and promote reflexivity. The use of poetry has gained popularity and various poetic forms have been used to collect, analyse and present qualitative data. Using examples from a recently completed study on domestic abuse, I show how tanka poems can be developed from existing qualitative data to draw together researcher and participant perspectives within the same poem. Originating in 7th-century Japan, the tanka is a short, structured poem that conveys strong emotion and authentic voice. To date, tankas are underutilised in poetic inquiry research and, in sharing my own reflections, I advocate tanka poetry as a creative way of engaging with qualitative data and a useful means of reflexivity in domestic abuse research.

Ideological meaning making after the loss of a child: the case of Israeli bereaved parents

The study provides a view of ideological meaning-making processes of 10 Israelis who lost a child examining the parents' perspectives and written public documents. The texts and interviews were analyzed using Gadamer's hermeneutic philosophy. Findings indicate that bereaved parents construct conflicting ideologically oriented viewpoints: doubting and affirming the Zionist ideology; ascribing sense and senselessness to the loss; and joining the ethos but keeping personal meanings. Our conclusion is consistent with theorists who reject the notion that the human narrative should be coherently unified. We point to potential links between relational dialectics and meaning-making theory and outline implications for practice.

Bodies as means for continuing post-death relationships

Secondary analysis of data from 30 people in three interview studies shows that bereaved people use their own and the deceased’s body in their continuing efforts to maintain a relationship with the departed. Following the continuing bond perspective, the study reveals three body-associated strategies for maintaining post-death relationships: (a) the presence of the deceased in the bereaved’s body, (b) body-associated actions and activities, and (c) sensing and caring for the deceased’s body. The conceptual dimension of embodiment is used to interpret results. Attention is also given to the bereaved’s sense of disembodiment due to social rejection of these strategies for maintaining post-death relationships. Implications for health psychologists are offered.