Whose Story is it? An Auto Ethnography Concerning Narrative Identity

This paper begins by outlining the theoretical and methodological contexts for the use of autoethnographic short stories in the human sciences. This sets the scene for the second part of the paper, an autoethnographic short story based on the first author\u27s memories of his early life. In part three, some of the significant issues raised in the story are discussed in relation to larger, co-evolving, social, cultural and therapeutic frameworks from a reflexive and narrative identity perspective

A systematic review of the health and healthcare inequalities for people with intersex variance

Extensive research documents the health inequalities LGBTI people experience, however far less is known for people with intersex variation. This paper presents a review of intersex health and healthcare inequalities by evaluating research published from 2012 to 2019. In total 9181 citations were identified with 74 records screened of which 16 were included. A synthesis of results spans nine quantitative, five qualitative and two narrative reviews. Literature was searched in Medline, Web of Science, Cochrane, PsycInfo and CINAHL. People with intersex variance experience a higher incidence of anxiety, depression and psychological distress compared to the general population linked to stigma and discrimination. Progressive healthcare treatment, including support to question normative binaries of sex and gender, aids understand of somatic intersex variance and non-binary gender identity, especially when invasive treatment options are avoided or delayed until individuals are able to self-identify or provide consent to treatment. Findings support rethinking sex and gender to reflect greater diversity within a more nuanced sex-gender spectrum, although gaps in research remain around the general health profile and the healthcare experiences of people with intersex variance. More large-scale research is needed, co-produced with peers who have lived experience of intersex variation to ensure policy, education and healthcare advances with greater inclusivity and ethical accountability

Queering the relationship between evidence-based mental health and psychiatric diagnosis: some implications for international mental health nurse curricular development

We critique EB mental healthcare’s relationship with psychiatric diagnosis from a queer paradigm position. We sketch out some initial principles that will hopefully stimulate and contribute to the advancement of mental health nurse educational curricula internationally. This will help bring mental health nurse education more in-line with contemporary developments in narrative psychiatry and formulation as an emerging alternative to psychiatric diagnosis in UK clinical psychology

Whose story is it? An autoethnography concerning narrative identity

This paper is divided into three parts, each separated by centrally spaced asterisks. The first part, co-written on the basis of the standpoint interests of both authors, outlines the historical, philosophical, theoretical and methodological contexts for the use of autoethnographic short stories in the social and human sciences. The functions and representational practices of this genre are reviewed and discussed, and the main criticisms leveled by its detractors responded to. This sets the scene for the second part of the paper, an autoethnographic short story. Effectively a story of stories, it was constructed directly from the first author’s memories of his early life in relation to textual material and was written exclusively by him. In part three, some of the significant issues raised in the story are discussed in relation to larger co-evolving social, cultural and therapeutic frameworks from a reflexive and narrative identity perspective. It is written as, and represents, an extended, unfinished dialogue between the first and second author

Listening for commissioning: A participatory study exploring young people's experiences, views and preferences of school-based sexual health and school nursing

Aims and objectives: To explore the experiences, views and preferences of youngpeople aged 11-19 years regarding school-based sexual health and school nursing toinform commissioning and delivery for one local authority area in England during 2015.Background: Promoting sexual health for young people remains a challenging, evencontroversial, but important public health issue. Concerns regarding accessibility,acceptability and efficacy in school-based sexual health and school nursing are evidentin the literature. Additionally, a complex public health policy context now governsthe funding, provision and delivery of sexual health and school nursing, whichpotentially presents further challenges.Design: A qualitative, participatory design was used to explore sexual health andschool nursing. Data were generated from 15 focus groups (n = 74), with young peopleaged 11-19 years, in educational-based settings in one local authority area in England.Results: The resultant themes of visibility in relation to sexual health education andschool nursing revealed both the complex tensions in designing and deliveringacceptable and appropriate sexual health services for young people and the significanceof participatory approaches.Conclusion: Our study shows the importance of participatory approaches in workingwith young people to clearly identify what they want and need in relation tosexual health. The findings also confirm the ways in which school-based sexualhealth remains challenging but requires a theoretical and conceptual shift. This weargue must be underpinned by participatory approaches.Relevance to clinical practice: School nurses have always had a significant role toplay in promoting positive sexual health for young people and they are exceptionallywell placed to challenge the risk-based cultures that frequently dominate schoolbasedsexual health. A shift of debates and practices towards the promotion of positivesexual health cultures though previously argued for now requires the activeengagement and involvement of young people