Intuitive wisdom in leadership : exploring the exercise of intuitive wisdom among ministry leaders in New Zealand

https://place.asburyseminary.edu/ecommonsatsdissertations/2427/thumbnail.jp

A complex negotiation: Women’s experiences of naming and not naming premenstrual distress in couple relationships

Recent research has demonstrated the importance of family relationships in women’s experience of premenstrual changes, and their construction of these changes as ‘PMS’. However, the discursive process by which women take up the subject position of ‘PMS’ sufferer through the explicit naming of ‘PMS’ to an intimate partner has received little research attention. Drawing on 60 individual interviews with Australian women, conducted between 2004 and 2006, we examined accounts of naming ‘PMS’ in intimate relationships, women’s explanations for naming or not naming, and their experiences of their partner naming them as premenstrual. The analysis process identified an overarching theme of naming ‘PMS’, which was made up of three themes: naming to explain; ‘PMS’ becoming the only explanation for distress; and ‘PMS’ as not a legitimate explanation for distress. The findings suggest that clinicians need to be aware of women’s complex, and often ambivalent, experiences of naming ‘PMS’ within their relationships, when working with women, and couples, seeking treatment or support for premenstrual distress. Premenstrual distress; PMS; relationships; cultural construction; Positioning Theor

The Experience and Positioning of Affect in the Context of Intersubjectivity: The Case of Premenstrual Syndrome

The experience and positioning of affect is a material-discursive-intrapsychic experience, which can be interrogated through the examination of the intersubjective realm. This paper examines ways in which women experience and negotiate premenstrual change in affect, positioned as premenstrual syndrome (PMS), drawing on in-depth interviews conducted with 58 women. All of the women interviewed described premenstrual changes in affect in a similar manner, as being characterised by intolerance, irritation, emotional sensitivity, feeling more negative towards others, and feeling overwhelmed in the face of life’s demands. Without exception, women expressed a desire to be alone premenstrually, in order to escape relational demands and responsibilities, to reduce stimulation, or to avoid conflict. The way that these premenstrual changes and the woman’s desire to be alone were positioned by the woman’s partner, and dealt with within relationships, provided the material and discursive context for the woman’s experience and negotiation of PMS. Women whose partners were accepting and supportive were more likely to take up a position of awareness, acceptance and self-care in relation to premenstrual change, whilst women whose partners were unsupportive were more likely to engage in self-castigation and self-pathologization. This suggests that intersubjectivity, the examination of subjectivity and affect in the context of relatedness, will be a fruitful avenue of exploration for critical psychologists, as well as for researchers interested in the complexity of women’s premenstrual experiences

Integrating the promotion of physical activity within a smoking cessation programme: Findings from collaborative action research in UK Stop Smoking Services

Background: Within the framework of collaborative action research, the aim was to explore the feasibility of developing and embedding physical activity promotion as a smoking cessation aid within UK 6/7-week National Health Service (NHS) Stop Smoking Services. Methods: In Phase 1 three initial cycles of collaborative action research (observation, reflection, planning, implementation and re-evaluation), in an urban Stop Smoking Service, led to the development of an integrated intervention in which physical activity was promoted as a cessation aid, with the support of a theoretically based self-help guide, and self monitoring using pedometers. In Phase 2 advisors underwent training and offered the intervention, and changes in physical activity promoting behaviour and beliefs were monitored. Also, changes in clients’ stage of readiness to use physical activity as a cessation aid, physical activity beliefs and behaviour and physical activity levels were assessed, among those who attended the clinic at 4-week post-quit. Qualitative data were collected, in the form of clinic observation, informal interviews with advisors and field notes. Results: The integrated intervention emerged through cycles of collaboration as something quite different to previous practice. Based on field notes, there were many positive elements associated with the integrated intervention in Phase 2. Self-reported advisors’ physical activity promoting behaviour increased as a result of training and adapting to the intervention. There was a significant advancement in clients’ stage of readiness to use physical activity as a smoking cessation aid. Conclusions: Collaboration with advisors was key in ensuring that a feasible intervention was developed as an aid to smoking cessation. There is scope to further develop tailored support to increasing physical activity and smoking cessation, mediated through changes in perceptions about the benefits of, and confidence to do physical activity

Effects of Brief Mindfulness-Based Interventions on Health-Related Outcomes: a Systematic Review

Objectives Traditional mindfulness-based interventions (MBIs) have been applied successfully across many populations. The time commitment for these programs is often a barrier, and while brief MBIs have become popular, the impact of these on health-related outcomes is unclear as they have not yet been reviewed. Methods A search of databases, including Medline, Embase, and PsycINFO, was conducted with qualitative and case studies being excluded. Findings were summarized using a narrative approach for all studies that met the inclusion criteria. Results With one exception, all 85 studies that were included were randomized controlled trials and were relatively robust methodologically. Seventy-nine reported significant positive effects on at least one health-related outcome and over a quarter targeted a clinical population. The majority of studies focused on psychological outcomes, such as anxiety and depression, as well as emotion regulation, stress, and cognitive outcomes. Conclusions Despite heterogeneity of outcomes across studies, there is evidence that brief MBIs can impact numerous health-related outcomes, after only one session and with interventions as brief as 5 min. These interventions have the potential to be the initial steps leading to sustainable and positive health outcomes

Managing the premenstrual body : a body mapping study of women's negotiation of premenstrual food cravings and exercise

Background: Women’s eating behaviours and exercise patterns have been found to fluctuate across the menstrual cycle, manifested by premenstrual food cravings and reduced exercise. However, the meaning and consequences of premenstrual changes in eating and exercise behaviours remains underexplored. The aim of this qualitative study was to explore how women who feel negatively about their premenstrual bodies construct and experience premenstrual changes to eating and exercise practices, which disrupt their usual patterns of body management. Methods: Four hundred and sixty women aged 18–45 completed an online survey in response to a Facebook advertisement targeted at women who feel negatively about their bodies during the premenstrual phase of the cycle. Participants reported moderate premenstrual distress, high body shame and high risk of disordered eating attitudes using standardised measures. Sixteen women reporting rich accounts of premenstrual body dissatisfaction were invited to participate in body-mapping, involving visually illustrating experiences on a life-sized outline of the body, followed by a telephone interview. Thematic analysis was used to explore qualitative survey, interview, and body mapping data. Results and discussion: Results found that outside of the premenstrual phase these women engaged in restrictive eating and intensive exercise behaviours, which were disrupted by premenstrual cravings, hunger, fatigue, pain and feeling physically uncomfortable. For a minority of the women, this facilitated self-care in reducing the strict management of their bodies during the premenstrual phase. Others experienced feelings of guilt, shame, self-disgust and pushed their bodies physically through increased exercise. Conclusions: These findings emphasise the need to acknowledge changes in body management across the menstrual cycle, with implications for women’s mental health and feelings about the self. Internalisation of pressures placed on women to manage their bodies through restrictive eating behaviours and rigorous exercise plays a role in women’s premenstrual body dissatisfaction and distress. Plain English summary: The current study aimed to explore how women who feel negatively about their premenstrual bodies construct and experience premenstrual changes to eating and exercise practices. Outside of the premenstrual phase these women engaged in restrictive eating and intensive exercise behaviours which were disrupted by premenstrual cravings, hunger, fatigue, pain and feeling physically uncomfortable. Some women allowed themselves to take a premenstrual break from their usual strict eating and exercise behaviours, whereas others felt guilt, shame, self-disgust and physically pushed their bodies through increased exercise. These findings emphasise that changes to eating and exercise behaviours across the menstrual cycle and pressures placed on women to manage their eating and exercise behaviours have implications for women’s premenstrual distress and body dissatisfaction

Sexuality and Intimacy in the Context of Cancer

The impact of cancer on sexuality and intimacy: A key aspect of quality of life In 2006, more than 106,000 new cases of cancer were diagnosed in Australia, with the number of new cases in New South Wales alone expected to grow to 40,116 by 2011 (AIHW et al., 2007, Tracey et al., 2005). It is now widely recognised that cancer and its treatment can have a significant effect on the quality of life of both people with cancer (Stommel et al., 2004) and their family members, in particular their intimate partner (Hodges et al., 2005). Sexuality and intimacy are important aspects of an individual's quality of life (World Health Organisation, 1995), and there is a growing body of evidence to show that cancer can result in dramatic changes to sexuality, sexual functioning, relationships, and sense of self, regardless of cancer type. Indeed, these changes can be experienced as the most significant in the person with cancer's life (Anderson et al., 2000)

"I treat my daughters not like my mother treated me" : migrant and refugee women's constructions and experiences of menarche and menstruation

Menstruation is a material reality at some point in most women’s lives. Yet, the discursive meaning assigned to menstruating bodies and the way in which they are experienced is dependent on the sociocultural and historical spaces which they occupy (Lee and Sasser-Coen 1996, 13). Across cultural contexts, menarche is constructed as a symbolic transition from childhood to womanhood, a period of growth and change, often linked with sexual maturation (Lee 2009, 622). While menstrual activists, artists, poets, and women’s rights organizations are challenging negative representations and practices surrounding menstruation (Bobel 2010, 42), dominant discourses often still portray menstruation as something dirty and disgusting, and a bodily function to be silenced and concealed (Brantelid, Nilvér, and Alehagen 2014, 606; Mason et al. 2013, 4; see also Wood [Chapter 25] in this volume)