Objective To explore how men and women with cancer talk about using the internet.
Concepts of biographical disruption and repair have been widely applied to chronic illness, but not terminal illness. This paper examines the relevance of these concepts to motor neurone disease (MND), a progressive neurological condition characterised by loss of mobility, speech and ability to breathe or swallow. Survival is usually between two and five years, and some die within a few months. The condition thus lies at the boundary between chronic and terminal illness. Narrative interviews were conducted with 35 people living with MND and 11 family carers; analysis explored how people constructed their accounts as well as what they said. As well as accounts of biographical disruption, we identified a distinctive sense that the diagnosis is a 'death sentence' and life is already over, which we term 'biographical abruption'. We also found instances of biographical repair, as participants sought to make sense of their remaining life, restore normality and control, and find new meaning and identity.
Objective To explore the relation between work and family life among hospital consultants and their attitude towards the choices and constraints that influence this relation. Design Qualitative study of consultants' experiences and views based on tape recorded semistructured interviews. Setting Former South Thames health region in southeast England. Participants 202 male and female NHS hospital consultants aged between 40 to 50 years representing all hospital medical specialties. Results Three types of relation between work and family life (career dominant, segregated, and accommodating) were identified among hospital consultants. Most consultants had a segregated relation, although female consultants were more likely than male consultants to have a career dominant or an accommodating relation. Many male consultants and some female consultants expressed considerable dissatisfaction with the balance between their career and family life. A factor influencing this dissatisfaction was the perceived lack of choice to spend time on their personal or family life, because of the working practices and attitudes within hospital culture, if they wanted a successful career. Conclusions Consultants are currently fitting in with the profession rather than the profession adapting to enable doctors to have fulfilling professional and personal lives. Current government policies to increase the medical workforce and promote family friendly policies in the NHS ought to take account of the need for a fundamental change in hospital culture to enable doctors to be more involved in their personal or family life without detriment to their career progress.
The authors report a series of controlled comparisons of fifty-eight one-to-one qualitative interviews and thirty-seven mixed-sex joint interviews on the same health-related topics. Their analysis identifies comparative keyword frequencies and is supported by qualitative investigations of keywords in context, drawing on existing relevant knowledge of common gender differences in language choice. Gender differences are reduced and women's perspectives are more prominent in joint interviews, so researchers wanting to find out about men's experiences concerning health-related topics such as those associated with fatherhood may find out more in one-to-one interviews with men. The greater readiness of men to engage in gender-stereotyped behavior in sole interviews, most of which involved a female interviewer, suggests that an interviewer's gender identity is perceived as somewhat neutral by comparison with the considerable salience of the gender of a joint respondent. This finding potentially contributes to knowledge of the qualitative interview as a special form of institutional talk.
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