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BACKGROUND: References to transformative and therapeutic benefits of digital storytelling are often made, yet this remains an under-explored area, which we foreground in this study. METHODS: A phenomenological research design was adopted to explore through interview how a purposive sample of Patient Voices storytellers experienced participation in more than one digital storytelling workshop. Analysis was through thematic coding, linguistic analysis and use of van Manen's lifeworld existentials framework. RESULTS: We find that for this particular group, the therapeutic and transformative experiences that re-centre and re-frame personal meaning do so through inter-personal connections and can be understood as a process of social learning. The lifeworld existentials analysis demonstrates that a pluralist and relational conception of wellbeing holds and there is a close relationship between this and Yalom's 11 therapeutic factors. CONCLUSIONS: Drawing on group analytic literature, we suggest the concept of a social learning methodology as useful in grounding further research that seeks to understand the beneficial impacts of digital storytelling methodologies in healthcare and in contributing evidence in this field with fidelity to the lived experience as central.
RESUMEN
This paper reviews current literature in which adolescents with anorexia nervosa (AN) were consulted about their views of their treatment. Published research was systematically retrieved and interrogated during 2009-2010 and analysed using a four-stage model. Eleven studies met the inclusion criteria. Three core themes were identified. AN was perceived as a means of taking control and also something that controlled the individual. Tensions were recognized between client preferences for psychological interventions and treatments that prioritized physical care. Therapeutic alliance emerged as a strategy for overcoming these difficulties but was challenged by client ambivalence towards treatment. Most included studies were qualitative. Young males and individuals who dropped out of treatment were underrepresented in the studies. Adolescents' perspectives on treatment for AN were characterized by paradoxes and tensions. Egosyntonic theory was used as a theoretical construct to interpret findings.
Asunto(s)
Anorexia Nerviosa/psicología , Actitud Frente a la Salud , Adolescente , Anorexia Nerviosa/terapia , Femenino , Humanos , MasculinoRESUMEN
At the close of the nineteenth century, the English lunacy laws in relation to pauper cases made no concessions for acute, temporary, or recoverable cases. They were all located in the asylum along with severe and chronic cases. Dr Helen Boyle worked among London's poor in the 1890s and observed the deterioration of cases of nervous disorder and borderline insanity due to their lack of treatment. The early treatment of borderline cases was the aim of Boyle's charitable hospital, founded in 1905, for nervous disorders in women and girls. Boyle's interest in mental disorder included the mentally defective and she was a founder member of the Guardianship Society which sought to keep those defined as such within the community. The history of the care and treatment of the 'insane' has concentrated largely on the public and private asylums. London-based facilities such as the Tavis-tock clinic and the Maudsley Hospital, which both treated rate-aided patients in the inter-war period, have been given a great deal of attention because of wealthy benefactors and the involvement of high profile individuals. Boyle's unique in-patient facility in Brighton preceded the Maudsley by almost 20 years and as such fills an important gap in mental health history. Boyle's work challenged the lunacy laws and set out to establish a holistic system of care for recoverable conditions outside the asylum system. This essay concentrates on the work of Dr Helen Boyle in Brighton but also highlights other facilities that were available for rate-aided patients, which have been neglected in the historiography of mental health care.