Hysterics and Heresy: Using Dialogism to Explore the Problematics of Endometriosis Diagnosis

Krebs, Emily; Schoenbauer, Kelsea V.

doi:10.1080/10410236.2019.1606136

Cited by 23 publications

(17 citation statements)

References 30 publications

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“…Rafferty and Hutton (2019) examined parenting children with a chronic illness, and Grewe (2017) illuminated meanings of disability. In addition, scholars have studied meaning‐making surrounding more specific health and ability issues, such as diabetes management and communication (L. L. S. O'Hara, 2017; L. L. O'Hara & Shue, 2018; Peltola & Isotalus, 2020), sensemaking of endometriosis (Krebs & Schoenbauer, 2019), hearing loss (Scharp & Barker, 2020), and mental illness and violence (Sporer & Toller, 2017). Researchers have also examined meanings surrounding physical loss, including pregnancy loss (Bute & Brann, 2020), abortion experiences (Rafferty & Longbons, 2020), and end‐of‐life care (Ohs et al, 2015).…”

Section: Research Applicationsmentioning

confidence: 99%

Relational Dialectics Theory

Baxter

Scharp

Thomas

2021

J of Family Theo & Revie

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This article first provides an overview and brief history of relational dialectics theory (RDT) before turning to a presentation of RDT's basic tenets and theoretical utility. In addition, it also examines how RDT has been applied in studying family contexts and offers suggestions for future directions of RDT-based research. Relational dialectics theory (RDT) addresses the meaning-making process. As the word "dialectics" suggests, the theory's key premise is that the meaning of some phenomenon emerges in the moment through the interplay or struggle of competing possibilities of meaning. Early on, RDT referred to these opposing meaning possibilities as "contradictions" (Baxter & Montgomery, 1996), but the term "contradiction" can carry a pejorative meaning, in addition to the presumption that meaning-making is a binary between only two alternative meanings. Because of these misunderstandings, the newer iteration of RDT refers to the interplay of competing meaning systems, which are labeled

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Section: Research Applicationsmentioning

confidence: 99%

Relational Dialectics Theory

Baxter

Scharp

Thomas

2021

J of Family Theo & Revie

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“…Despite the fears of pathology that reify Good grief, Emily went on in a class presentation (the same one as Nivea's CSA story) to share her story of contemplating and planning suicide, with me in her senior distinction project, with others at a national conference. From there in academic studies and publications she breathed life into the stories of suicide attempt survivors (Krebs, 2017, forthcoming) and women with endometriosis (Krebs & Schoenbauer, 2019). April is currently working in her dissertation to explore bereaved parents' experiences with others' hurtful and compassionate communication.…”

Section: Building a Community Of Mad Grieversmentioning

confidence: 99%

Mad to the bone: learning outcomes of critical grief pedagogy

Willer¹,

Krebs²,

Castaneda

et al. 2020

Communication Education

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We outline critical grief pedagogy as a Mad feminist response to the silencing of loss that often occurs in academic spaces. This pedagogical framework creates openings for students to "break open the bone" of their own and others' losses, particularly through community-engaged learning and research. Using collaborative autoethnography, in this essay we (a professor and her mentees) explore our experiences working with the Scraps of the Heart Project-a community-based research collective focused on empowering families following the loss of a baby-to understand student learning outcomes that were born from our engagement with critical grief pedagogy. Our collective narratives revealed that these learnings included: gaining compassionate communication skills, embracing and unpacking failure as a method of mourning, becoming empowered and empowering others to share their stories of loss, and building a community of Mad grievers. We put these learning outcomes into conversation with cultural discourses surrounding pedagogical and academic norms. Additionally, we offer insight into how loss and mourning can be invited into the classroom so that students learn to engage grief critically, meaningfully, and Madly-and to learn important communicative skills along the way.

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“…Menstruation has long been categorised as natural and normal with trivialisation of symptoms, thus women have been discriminated against within a gendered socio-political context. 3,4,6,11,14 –18…”

Section: Introductionmentioning

confidence: 99%

“…Women with endometriosis have expressed the social stigma, shame and the social weight of being labelled a ‘complainer’ or a ‘hysterical woman’ and often seen as unable to cope or exaggerating when they have spoken up about their menstrual concerns. 16,17,25 This stigma creates further barriers which can cause women to stay silent due to cultural and social beliefs that a woman’s menstrual suffering is an expected biological norm. 25 Krebs and Schoenbauer 17 warn that our health systems are still largely influenced by a patriarchal ‘modern form of hysteria’ with the ‘somatization’ of menstrual concerns, that is, symptoms treated as psychologically determined and ‘all in the head’ rather than having biological cause.…”

Section: Introductionmentioning

confidence: 99%

“…17,18 Grundström et al 18 identified a diagnosis experience as described online was a ‘protracted struggle’ influenced by doctor competence and how doctors reacted and responded to patient disclosure. Likewise Krebs and Schoenbauer 17 analysed online narrative postings and found a competing discourse about the ‘expert’ professional versus patients lived experience. They found women were advocating to reclaim their own narrative and be recognised as the expert of their own body.…”

Section: Introductionmentioning

confidence: 99%

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That one doctor. . . Qualitative thematic analysis of 49 women’s written accounts of their endometriosis diagnosis

Fernley¹

2021

Journal of Endometriosis and Pelvic Pain Disorders

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Introduction: One in nine women experience endometriosis, a common gynaecological disease, yet time to diagnosis averages 7 years. People are sharing their endometriosis experiences online. This research’s aim was to expose and synthesise the collective themes of diagnostic experience. Method: A qualitative thematic analysis of publicly accessible online autobiographical accounts of women and their endometriosis diagnosis. Themes were coded within NVIVO and thematic maps and tables created. Eighty-nine original accounts were identified, 26 were excluded. Saturation point was 49. Results: Women communicated long, painful and emotional journeys to diagnosis. Forty women experienced endometriosis symptoms before the age of 20, 33 before 15 years. Despite repeated GP presentation, 36 women had never heard of endometriosis before diagnosis. Women highlighted the positive impact of ‘that one doctor’ who said the word ‘endometriosis’ who listened, believed, investigated and provided prompt referral to specialists. Diagnosis gave relief and answers to the long journey, provided women a sense of community, hope and personal visibility after feeling alone. While this common disease is undiagnosed women suffer. Conclusion: ‘That one doctor’ can transform a patient’s experience and create a positive diagnosis pathway towards endometriosis. The doctor patient alliance is vital for prompt diagnosis. Symptom dismissal with long diagnosis delays are having negative, physical and psychological consequences for women. Early detection, GP education and community awareness campaigns are imperative to reduce further delayed diagnosis and long-term negative impacts of undiagnosed endometriosis.

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Hysterics and Heresy: Using Dialogism to Explore the Problematics of Endometriosis Diagnosis

Cited by 23 publications

References 30 publications

Relational Dialectics Theory

Relational Dialectics Theory

Mad to the bone: learning outcomes of critical grief pedagogy

That one doctor. . . Qualitative thematic analysis of 49 women’s written accounts of their endometriosis diagnosis

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