Identity Reconciliation Research Articles

The identity reconciliation of five elementary students across their landscapes of musical practice

ABSTRACT Elementary-aged students likely participate in an in-school Community of Musical Practice (CoMP) in addition to CoMPs outside of school. Therefore, knowing a student’s entire Landscape of Musical Practice (LoMP) can help music teachers align in-school music practices with those outside of school to support students’ developing musical identities. We studied five students at an elementary school in the mid-Atlantic region of the United States, along with five parents and one vocal music teacher, to determine to what extent, if any, the students’ musical identities were reconciled, renegotiated, or modulated by participating in multiple practices across their landscape. The students participated in multiple CoMPs across a LoMP and their musical identities were reconciled, negotiated, or modulated by competing demands. This study revealed theoretical terms that can aid in the understanding of how children inhabit and journey across a LoMP – the imaginary CoMP, the dabbler, and the steward.

“I don’t even know who I am”: Identity reconstruction after the loss of a spouse

Reconstructing identity after bereavement is an important element of managing grief. Using the context of spousal bereavement, the goals of this study were to understand how people reconstruct their identities following loss and to determine what role interaction plays during this process. Interviews with individuals who had lost a spouse ( N = 35) were analyzed using grounded theory procedures. The results supported a model of reconciling past and present selves, which included managing changes to both personal and relational identities. The identity reconciliation process was hindered by several personal and interactional stressors and facilitated by social support from others. To reconstruct identity, individuals utilized six strategies that reduced stressors and built sources of social support. Theoretically, these findings provide nuance for identity reconstruction processes and highlight the various ways others can hinder or facilitate identity change following bereavement.

Collaborative Poetic Inquiry as Micro-Resistance

Two teachers explore conflicts at the intersection of their personal and professional identities in public university spaces, examining reconciliation of identities in dissonance using collaborative poetic inquiry. Normative expectations permeate the academy, defined in the United States through White, male, middle class, non-disabled, able-minded, heterosexual, and Christian values, requiring teachers operating outside of these frameworks to perform in ways which place them in contradiction. This article proposes a collaborative, experimental poetic process to reflect on marginalized aspects of identity, intellectualize power dynamics involved in workplace conflicts, explore dynamics of privilege-oppression, and assess which parts of identity to sustain and which to reconcile to enable coexistence. Suggestions for art teacher outliers include finding tertiary relationships, creating collaborative poetic assemblages to bring clarification to workplace conflicts, and creating opportunities to reposition oneself within new narratives. This research provides a space for all teachers to build resilience in education spaces.

SP10.2.12 Information Sustainability: The revitalisation and upcycling of 373,342 historic surgical pathology records into the contemporary electronic patient record in one UK NHS Hospital Trust

Abstract Aims Surgical and Cellular pathology (‘e-pathology’) record sets are a valuable data resource with which to populate the Electronic Patient Record (EPR). Accessible reports, even decades old, can be of great value in contemporary clinical decision making and as a resource for longitudinal clinical research. They commonly identify the operation, the location and the pathology, even if not to modern reporting standards. Methods Since 2010, we have built and implemented a timeline structured EPR for the ‘whole-of-life’ visualisation of the electronic documents (e-Docs) of 2.5M+ patients on our Master Index. Prior to this project, our earliest e-Docs dated to 1995. We tracked down 373,342 inert e-pathology reports from our legacy Ferranti (1990-1997) and Masterlab (1997-2004) systems. These were uploaded into our active file servers, following appropriate data quality and patient identity reconciliation checks. Results We have progressively restored 373,342 previously inaccessible e-pathology records to clinical use and to immediacy of access, and in the process extending our “addressable EPR” back to 1990 for living and deceased patients. This process has also allowed us to populate and validate an EPR-integral breast cancer data system of 20,000 cases with e-pathology records dating back to 1990. Conclusions The sustainable revitalisation of old e-pathology reports into a timeline structured EPR creates preserves and upcycles the investment in pathology reporting which is otherwise progressively lost to clinical use. E-pathology records provide reliable, life-long evidence of critical transition points in individual lives and disease progression for clinical and research use, when they can be instantly accessed.

Identity reconciliation and knowledge mobilization in a mandated community of practice

PurposeCommunities of Practice (CoPs) are increasingly being created to facilitate knowledge mobilization in organizations. This paper aims to elucidate an underexplored aspect of participation in mandated CoPs – identity reconciliation. Specifically, the authors explore how actors reconcile their existing identities with becoming members of new knowledge mobilization CoPs.Design/methodology/approachThe authors conducted a longitudinal qualitative case study over a 12-month period to explore identity reconciliation practices during the formation of the “ED CoP” – mandated by policymakers to mobilize knowledge between process improvement advisors and clinicians from various hospitals. Observation and interviews allowed us to uncover “front stage” and “backstage” practices of identity reconciliation.FindingsThe findings reveal two key unexpected modes of identity reconciliation – “distancing” and “peripheral lurking”. These modes resulted in different trajectories of participation of two of the key participant groups – “veteran” improvement advisors and “veteran” clinicians.Practical implicationsDifferent modes of identity reconciliation of different participants impact the formation of CoPs and how knowledge mobilization occurs within them. This paper offers a sensitizing lens for practitioners creating CoPs which enhances awareness of hidden identity practices, and recommendations to enable practitioners to effectively facilitate CoP formation.Originality/valueThis study suggests that identity reconciliation is an integral aspect of CoP formation, and essential for knowledge mobilization within CoPs. Whereas studies on CoPs in the knowledge management literature have mostly assumed that collaboration produces beneficial knowledge mobilization outcomes, the findings build a more nuanced picture of the processes involved in producing these outcomes.

New life for old cellular pathology: a transformational approach to the upcycling of historic e-pathology records for contemporary clinical uses

AimsCellular pathology (‘e-pathology’) record sets are a rich data resource with which to populate the electronic patient record (EPR). Accessible reports, even decades old, can be of great value in...

Contingent hope theory: The developmental exploration of hope and identity reconciliation among young adults with advanced cancers.

The diagnosis of an advanced cancer in young adulthood can bring one's life to an abrupt halt, calling attention to the present moment and creating anguish about an uncertain future. There is seldom time or physical stamina to focus on forward-thinking, social roles, relationships, or dreams. As a result, young adults (YAs) with advanced cancer frequently encounter existential distress, despair, and question the purpose of their life. We sought to investigate the meaning and function of hope throughout YAs' disease trajectory; to discern the psychosocial processes YAs employ to engage hope; and to develop a substantive theory of hope of YAs diagnosed with advanced cancer. Thirteen YAs (ages 23-38) diagnosed with a stage III or IV cancer were recruited throughout the eastern and southeastern United States. Participants completed one semi-structured interview in-person, by phone, or Skype, that incorporated an original timeline instrument assessing fluctuations in hope and an online socio-demographic survey. Glaser's grounded theory methodology informed constant comparative methods of data collection, analysis, and interpretation. Findings from this study informed the development of the novel contingent hope theoretical framework, which describes the pattern of psychosocial behaviors YAs with advanced cancer employ to reconcile identities and strive for a life of meaning. The ability to cultivate the necessary agency and pathways to reconcile identities became contingent on the YAs' participation in each of the psychosocial processes of the contingent hope theoretical framework: navigating uncertainty, feeling broken, disorienting grief, finding bearings, and identity reconciliation. Study findings portray the influential role of hope in motivating YAs with advanced cancer through disorienting grief toward an integrated sense of self that marries cherished aspects of multiple identities. The contingent hope theoretical framework details psychosocial behaviors to inform assessments and interventions fostering hope and identity reconciliation.

Population-level surveillance of congenital heart defects among adolescents and adults in Colorado: Implications of record linkage

The objective was to describe the design of a population-level electronic health record (EHR) and insurance claims-based surveillance system of adolescents and adults with congenital heart defects (CHDs) in Colorado and to evaluate the bias introduced by duplicate cases across data sources. The Colorado CHD Surveillance System ascertained individuals aged 11-64 years with a CHD based on International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic coding between 2011 and 2013 from a diverse network of health care systems and an All Payer Claims Database (APCD). A probability-based identity reconciliation algorithm identified duplicate cases. Logistic regression was conducted to investigate bias introduced by duplicate cases on the relationship between CHD severity (severe compared to moderate/mild) and adverse outcomes including all-cause mortality, inpatient hospitalization, and major adverse cardiac events (myocardial infarction, congestive heart failure, or cerebrovascular event). Sensitivity analyses were conducted to investigate bias introduced by the sole use or exclusion of APCD data. A total of 12,293 unique cases were identified, of which 3,476 had a within or between data source duplicate. Duplicate cases were more likely to be in the youngest age group and have private health insurance, a severe heart defect, a CHD comorbidity, and higher health care utilization. We found that failure to resolve duplicate cases between data sources would inflate the relationship between CHD severity and both morbidity and mortality outcomes by ~15%. Sensitivity analyses indicate that scenarios in which APCD was excluded from case finding or relied upon as the sole source of case finding would also result in an overestimation of the relationship between a CHD severity and major adverse outcomes. Aggregated EHR- and claims-based surveillance systems of adolescents and adults with CHD that fail to account for duplicate records will introduce considerable bias into research findings. Population-level surveillance systems for rare chronic conditions, such as congenital heart disease, based on aggregation of EHR and claims data require sophisticated identity reconciliation methods to prevent bias introduced by duplicate cases.

“I Wish They Had Asked”: a Qualitative Study of Emotional Distress and Peer Support During Internship

Interns are vulnerable to emotional distress and burnout. Little is known about the extent to which interns' well-being can be influenced by peer support provided by their senior residents. To elucidate contributors to interns' emotional distress and ways that peer support from senior residents may impact intern well-being. Qualitative study using semi-structured interviews conducted December 2017-March 2018. Second year residents (n = 11) in internal medicine at a major academic medical center during the data collection period. Constructivist grounded theory approach in which transcripts were analyzed in an iterative fashion using constant comparison to identify themes and to create a conceptual model. The investigators identified three themes around emotional distress and two themes around resident peer support. Distress was a pervasive experience among participants, caused by a combination of contextual factors that decreased emotional resilience (e.g., sleep deprivation) and acute triggers (e.g., patient death) that led to an abrupt increase in distress. Participants grappled with identity reconciliation throughout internship. Reaching clinical competency reinforced self-efficacy for participants. With regard to peer support, participants recalled that resident support was ad hoc, primarily involving task support and debriefing traumatic events. Participants reflected that their intern experiences shaped their supervisory support style once they became senior residents; they did not perceive any formalized, systematic approach to supporting interns. We propose a model illustrating key points at which near-peers can make an impact in reducing interns' distress and suggest strategies they can use. Given the substantial role peer learning plays in intern development, senior residents can impact their interns by normalizing emotions, allowing vulnerability, and highlighting the importance of self-care. A formalized peer support skill-building curriculum for senior residents may empower them to provide more effective support as part of their supervisory efforts.

\u2018What do we do, doctor?\u2019 Transitions of identity and responsibility: a narrative analysis

Transitioning from student to doctor is notoriously challenging. Newly qualified doctors feel required to make decisions before owning their new identity. It is essential to understand how responsibility relates to identity formation to improve transitions for doctors and patients. This multiphase ethnographic study explores realities of transition through anticipatory, lived and reflective stages. We utilised Labov’s narrative framework (Labov in J Narrat Life Hist 7(1–4):395–415, 1997) to conduct in-depth analysis of complex relationships between changes in responsibility and development of professional identity. Our objective was to understand how these concepts interact. Newly qualified doctors acclimatise to their role requirements through participatory experience, perceived as a series of challenges, told as stories of adventure or quest. Rules of interaction within clinical teams were complex, context dependent and rarely explicit. Students, newly qualified and supervising doctors felt tensions around whether responsibility should be grasped or conferred. Perceived clinical necessity was a common determinant of responsibility rather than planned learning. Identity formation was chronologically mismatched to accepting responsibility. We provide a rich illumination of the complex relationship between responsibility and identity pre, during, and post-transition to qualified doctor: the two are inherently intertwined, each generating the other through successful actions in practice. This suggests successful transition requires a supported period of identity reconciliation during which responsibility may feel burdensome. During this, there is a fine line between too much and too little responsibility: seemingly innocuous assumptions can have a significant impact. More effort is needed to facilitate behaviours that delegate authority to the transitioning learner whilst maintaining true oversight.

The Narrative of Reconciliation and Hope following a Traumatic Brain Injury

To investigate the internal and external process of identity reconciliation within individuals that have sustained a traumatic brain injury (TBI).

Where extremes meet: Sport, nationalism, and secessionism in Catalonia and Scotland

AbstractIn this essay, we trace the symbolic conundrums of belonging and of the reconciliation of identities, in the context of Catalan and Scottish sport and politics. Our discussion will commence with a necessarily concise consideration of past academic contentions regarding the national “psyches,” which have been argued to shape contemporary notions of identity and politics in Catalonia and Scotland, before turning our attention to the specific role of sport vis‐à‐vis these psyches and the growing clamour for greater political autonomy for each of these stateless nations. On the basis of the evidence drawn from the interaction between sport and politics in the two nations, we argue that secessionism is a liminal field of transformation as it includes what is seen as mutually exclusive sets of relationships (Catalans vs. Spaniards, Scottish vs. British, and secessionists vs. unionists/centralists), which at the same time allows subjects to pass from one state to another and occupy them nonexclusively.

The Construction of Acehnese Identity in Serambi Indonesia after the Helsinki Memorandum of Understanding

The signing of Memorandum of Understanding (MoU) between the Government of Indonesia and The Free Aceh Movement (GAM) in 2005 in Helsinki officially ended the armed separatist movement in Aceh. The long history of separatist movement in the region had created the question of identity between Acehnese and Indonesian identities among Acehnese. This study investigated the construction of Acehnese identity in relation to Indonesian identity in Serambi Indonesia, the most prominent local media, after the signing of the Helsinki peace accord. This study used a textual analysis to examine the construction of Acehnese identity through the use of symbolic language. The sample of 88 articles collected from July 2012 to May 2013 were analyzed based on five coding categories; themes, framing perspectives, labels to describe Aceh, labels to describe Indonesia, and depiction of Aceh-Indonesia relations. Findings revealed that Serambi Indonesia had managed to negotiate the tension between Acehnese and Indonesian identities. The newspaper overtly legitimated Aceh as an Indonesian region while maintaining the specialty of Aceh in comparison to other provinces of Indonesia. These findings suggested that the local media played a significant role in identity reconciliation during the reconciliation process in the post-conflict area

The international field placement: a reconciliation of identity

The international field placement is a site of both identity confusion and identity development for the social work student. Aiming to develop their professional identity they are faced with a challenge: the presence of two dominant identities, the tourist identity and the student identity. Whilst the embodiment of the tourist identity has often facilitated the student’s motivation to undertake the placement experience, the student identity is what both university staff and agency field educators perceive as integral to student engagement in this remote educational setting. Social work educators perceive this identity challenge as an impediment to learning. In contrast, students report feeling that their tourist traits strengthened their personal and professional capacity, natural curiosity and ability to engage with the local community. By analysing the roles of university staff as liaison support, and field educators as agency supervisors, it is possible to explore a teaching and learning relationship that is student-centred, grounded in the immersive international experience. Through privileging the student’s voice social work educators involved with organising, supporting and supervising international field placements are able to understand the placement as a continuum of learning. On this continuum identity reconciliation is viewed as a crucial element in the development of a professional identity.

“It Just Always Seemed Like it Wasn't a Big Deal, Yet I Know for Some People They Really Struggle with It”: LGBT Religious Identities in Context

Scholarly examinations of lesbian, gay, bisexual, and transgender (LGBT) religious identities have typically focused on “identity reconciliation,” which assumes that being both LGBT and religious is a “contradiction,” and posits a “coherent” identity as a desired end goal. The present research draws on a qualitative study of three LGBT‐identified congregations to demonstrate that there are a variety of ways in which LGBT religious people approach the connection between their LGBT identity and their religion. While some participants of the study did feel a need to reconcile these aspects of their self, others report never feeling a strong conflict between their LGBT identity and faith. The differences in these understandings of LGBT identity emerge out of the sociotemporal contexts the interviewees exist in, suggesting that different contexts provide divergent resources for identity performances. Through these findings, I contribute to our understanding of the intersection of religious agency, religious identities, and religion as a quality of social spaces.

Shuttling More than Goods: Collective Support among Turkish-Bulgarian Shuttle Traders

Given that the European Union is a free trade, market-oriented economic zone that should, theoretically, eliminate market distortions that fuel the informal economy, why are we seeing continued participation in the informal economy, specifically, the shuttle trade between Bulgaria and Turkey? Many scholars frequently cite price distortions, market gaps, lucrative exchange rates, and economic survival as prominent reasons, however, these explanations do not suffice in explaining why the shuttle trade thrives 25 years after the communist collapse in Bulgaria. Through the use of meta-linguistic analysis of the interviews and analysis of the individuals that I interviewed, I argue that, in addition to being a viable method of income supplementation, the shuttle trade also serves as a platform for social support and identity reconciliation for Turkish-Bulgarian participants. Collective nostalgia about the communist past and similar post-communist experiences and a strong sense of interpersonal trust serve to integrate shuttle traders, who invest in social capital via the shuttle trade.