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PubMed2004

A phenomenology of problematic sexual behavior occurring in sleep.

First-person reports of individuals' experiences of problematic "sleep sex" were collected in an Internet-based study. Qualitative analysis of 121 reports yielded 6 distinct themes: (1) fear and a lack of emotional intimacy; (2) guilt and confusion; (3) a sense of repulsion and feelings of sexual abandonment; (4) shame, disappointment, and frustration; (5) annoyance and suspicion; (6) embarrassment and a sense of "self-incrimination." Results suggest that sleep sex can elicit negative emotions and cognitions that may become a source of personal and relational distress. Clinician familiarity with problematic sleep sex may foster more effective communication with individuals presenting with such complaints.

Adult↗
PubMed2004

Turning on and turning off: a focus group study of the factors that affect women's sexual arousal.

The aim of this study was to inform the development of a questionnaire to assess a woman's tendency to respond with sexual excitation/inhibition in different situations. Nine focus groups, involving 80 women (M age = 34.3 years; range, 18-84), were conducted. Women described a wide range of physical (genital and nongenital), cognitive/emotional, and behavioral cues to arousal. The relationship between sexual interest (desire) and sexual arousal was complex; sexual interest was reported as sometimes preceding arousal, but at other times following it. Many women did not clearly differentiate between arousal and interest. Qualitative data on the factors that women perceived as "enhancers" and "inhibitors" of sexual arousal are presented, with a focus on the following themes: feelings about one's body; concern about reputation; unwanted pregnancy/contraception; feeling desired versus feeling used by a partner; feeling accepted by a partner; style of approach/initiation; and negative mood. The findings can help inform conceptualizations of sexual arousal in women.

Adult↗
PubMed2000

The role of transportation in the persuasiveness of public narratives.

Transportation was proposed as a mechanism whereby narratives can affect beliefs. Defined as absorption into a story, transportation entails imagery, affect, and attentional focus. A transportation scale was developed and validated. Experiment 1 (N = 97) demonstrated that extent of transportation augmented story-consistent beliefs and favorable evaluations of protagonists. Experiment 2 (N = 69) showed that highly transported readers found fewer false notes in a story than less-transported readers. Experiments 3 (N = 274) and 4 (N = 258) again replicated the effects of transportation on beliefs and evaluations; in the latter study, transportation was directly manipulated by using processing instructions. Reduced transportation led to reduced story-consistent beliefs and evaluations. The studies also showed that transportation and corresponding beliefs were generally unaffected by labeling a story as fact or as fiction.

Adult↗
PubMed2006

Smokers' narrative accounts of quit attempts: AIDS and impediments to success.

In this study, the authors used cigarette smokers' narratives describing their quit attempts to understand factors related to the change process. Maintained quitters (MQs, n = 59) and temporary quitters (TQs, n = 47) wrote autobiographical narratives describing their most serious (TQs) or last (MQs) quit attempt. Two types of content analysis were used to analyze the reports: (a) dichotomous ratings of the presence or absence of an event and (b) computerized content analysis of event or word frequency. The valence (anti- or pro-smoking cessation) of change factors was also examined. MQs wrote significantly more affective statements than did TQs. When valence was examined, MQs made significantly more pro-smoking cessation social support, cognitive, and affective statements than TQs did, and TQs made significantly more anti-smoking cessation social support and affective statements than MQs did.

Affect↗
PubMed2001

Slip sliding away: a journey from professional to consumer.

Although I am primarily known in my local mental health community for my professional advocacy and consumer satisfaction work, my consumer status has never been a secret. This article briefly details what has happened as I see and feel the effectiveness of my medications decrease along with my professional credibility and self-respect. Despite my diligence to my mental health and recovery practices, I, nonetheless, feel I am decompensating. The article explores some thoughts and lessons I am learning, along with my fellow consumers/professionals, as I find myself straddling the fence between these two groups of my colleagues.

Anecdotes as Topic↗
PubMed2003

I have it!

Explore the source record for details and available documents.

Anecdotes as Topic↗
PubMed1995

World War II: the Army Dental Corps in the Far East.

August 15 is the anniversary of VJ Day--Victory in Japan. This article, the first of a 3-part series dedicated to remembering the efforts of the Army Dental Corps during the second world war, reproduces the personal experiences--some horrifying, some desperate, some funny--of those dentists who did their service in the Far East and who experienced VJ Day at first hand.

Anecdotes as Topic↗
PubMed2005

A small life in detail.

End-of-life care for extremely low-birth-weight newborns is complex. Newborns cannot be informed or make personal choices. Uncertainty in outcomes as well as defining futility can make decisions about withdrawing or withholding care nebulous. Major ethical, legal and professional problems can arise when clinicians are not skilled in extending end-of-life care to include the family, healthcare team and all involved. The competent, caring and compassionate clinician can often facilitate a positive outcome in end-of-life experiences.

Anecdotes as Topic↗
PubMed2001

Risky business: stories from the field of rural community nurses' work in domestic violence.

This paper reports on a descriptive study into family violence in rural Victoria. Focus groups were held in a number of areas across rural Victoria with a total of 24 community nurse participants. The focus groups were audio-taped and the tapes transcribed to enable the clustering of themes. The dominant themes were: picking up cues, helping and helplessness, holding secrets and quiet resistance. Underpinning all these themes however, was the notion of 'risky business'. All nurses in the study gave examples of situations that they encountered; their ways of helping; of working around a system that is unhelpful; and the ways in which their work while skilled, thoughtful and wise, is also costly in terms of the emotional wounds they carry. Rural nurses work with considerable risk and courage as they engage in the care and support of women experiencing family violence.

Anecdotes as Topic↗
PubMedDate not supplied

Removing chest drains--a critical reflection of a complex clinical decision.

Decision-making is a fundamental element of nursing work (Boblin-Cummings et al, 1999; Berggren and Severinsson, 2000; Bucknall, 2000) which fluctuates according to experience, location and personal boundaries. Nursing judgements are said to portray the nature of nursing knowledge and practice (Thompson, 1999; Buckingham and Adams, 2000a) and can affect others either favourably or adversely (Gordon et al., 1994), with Buckingham and Adams (2000a) emphasizing the benefits to be gained from understanding the process, including improved clinical effectiveness and self-knowledge. It is said that all decisions are made in one of two ways--hypothetico-deductively or intuitively (Dowie and Elstein, 1988; Thompson, 1999; Buckingham and Adams, 2000a)--although different titles are used interchangeably for the same modes. Both of these modalities are examined. Hypothetico-deductive reasoning entails exposure to information before and during the patient encounter. These data are grouped and used to generate a hypothesis or possible diagnosis. The second stance in decision-making is founded upon intuition and closely associated with expertise. The presence of chest drains after cardiothoracic surgery is known to cause severe pain, thereby interfering with respiratory mechanics and the ability to take part in physiotherapy exercises (Owen and Gould, 1997; Fox et al., 1999; Charnock and Evans, 2001; Lazzara, 2002). This work therefore aims to examine the decision-making processes in relation to the prompt removal of chest drains by analysing the options available and the skills required to utilize them effectively.

Aged↗
PubMed2003

Receiving money for medicine: some tensions and resolutions for community-based private complementary therapists.

During recent years, private complementary medicine has grown as a significant provider of healthcare in the UK and much of this provision is through small private businesses financed by out-of-pocket payments made by privately paying clients. Using a combined questionnaire (n = 426) and interview survey (n = 49), the present paper considers the potential tensions and dilemmas which therapists face and the resolutions which they come to in being carers, but in market terms, also profit makers. Therapists generally identified with being carers first and business people second, and this was reflected in their caring decisions. Indeed, under circumstances where the roles potentially conflicted (e.g. when clients could no longer afford to pay for their treatments), most therapists claimed that they continued to provide care, either by providing their services free-of-charge, at a reduced rate, by deferring payment or by accepting alternative forms of compensation. There is a relative lack of dedicated research literature on complementary therapists, their attitudes and actions, and this paper provides some important data on their specific management and caring decisions. At the same time, the evidence also provides some initial food-for-thought and indicates some potential research directions for exploring ethical issues in the private practice of complementary medicine.

Adult↗
PubMed1998

'The buck stops here': accepting responsibility for learning and actions after graduation from a problem-based learning nursing education curriculum.

Despite the increased attention that problem-based learning has received as an appropriate pedagogical technique for educating adults for professional practice, reports that evaluate the process are rare and usually relate to professions other than nursing. A study was undertaken in order to discover the graduates' own perceptions of a problem-based learning programme and its effectiveness in preparing them for the reality of their chosen profession. Twelve practising graduate nurses who had completed the programme were interviewed according to the ethnographic method. Three categories were identified from the data: 'and all of a sudden...', which describes the transition from PBL student to staff nurse; 'not an unthinking assistant', where the characteristics that the PBL graduates believe make them different from traditionally trained nurses are described; and 'the buck stops here', which describes the sense of personal responsibility that the graduates experience in terms of their learning and actions.

Anecdotes as Topic↗