The Relational Impact of Multiple Sclerosis: An Integrative Review of the Literature Using a Cognitive Analytic Framework

This integrative literature review uses cognitive analytic therapy (CAT) theory to examine the impact of a chronic illness, multiple sclerosis (MS), on relationships and mental health. Electronic searches were conducted in six medical and social science databases. Thirty-eight articles met inclusion criteria, and also satisfied quality criteria. Articles revealed that MS-related demands change care needs and alter relationships. Using a CAT framework, the MS literature was analysed, and five key patterns of relating to oneself and to others were identified. A diagrammatic formulation is proposed that interconnects these patterns with wellbeing and suggests potential “exits” to improve mental health, for example, assisting families to minimise overprotection. Application of CAT analysis to the literature clarifies relational processes that may affect mental health among individuals with MS, which hopefully will inform how services assist in reducing unhelpful patterns and improve coping. Further investigation of the identified patterns is needed

Missed Miracles and Mystical Connections: Qualitative Research, Digital Social Science and Big Data

Purpose: This chapter critically discusses implications of working with ‘big data’ from the perspective of qualitative research and methodology. A critique is developed of the analytic troubles that come with integrating qualitative methodologies with ‘big data’ analyses and, moreover, the ways in which qualitative traditions themselves offer a challenge, as well as contributions, to computational social science. Design/methodology/approach: The chapter draws on Interactionist understandings of social organisation as an ongoing production, tied to and accomplished in the actual practices of actual people. This is a matter of analytic priority but also points to a distinctiveness of sociological work which may be undermined in moving from the study of such actualities, suggesting an alternative coming crisis of empirical sociology. Findings: A cautionary tale is offered regarding the contribution and character of sociological analysis within the ‘digital turn’. It is suggested that ‘big data’ analyses of traces abstracted from actual people and their practices not only miss and distort the relation of social practice to social product but, consequentially, can take on an ideological character. Originality/value: The chapter offers an original contribution to current discussions and debates surrounding ‘big data’ by developing enduring critiques of sociological methodology and analysis. It concludes by pointing to contributions and interventions that such an empirical programme of qualitative research might make in the context of the ‘digital turn’ and is of value to those working at the interface of traditional and digital(ised) inquiries and methods