Paradoxical Feelings Research Articles

The Experience of Emerging Adult Daughters Caring for a Parent With Advanced Disease

Caring for a parent during emerging adulthood may be a disruptive and non-normative experience. Despite the growing prevalence of emerging adult (EA) caregivers, there remains limited research. We explored the experiences of EAs caring for parents living with advanced disease. Interviews were conducted with 12 EA daughters and analyzed using constructivist grounded theory. The core category was identified as negotiating accelerated adulthood, a dynamic interplay between feeling more of an adult than before and the paradoxical feeling of I’m not where I should be. Prior to the core category, participants’ caregiving role is assumed. Availability of support influenced participants’ process of negotiating accelerated adulthood. Findings highlight the uniqueness and developmental impact of this experience. Results suggest an interplay of different factors with how the role is assumed, appraised, and experienced by EA daughters. Greater awareness of these experiences may inform the development of tailored interventions and strategies for EA caregivers.

Parental factors affecting their participation in decision-making for neonates with life-threatening conditions: A qualitative study Parents' participation in decision-making.

Parents and healthcare professionals make decisions for neonates with life-threatening conditions (LTCs). Parents may be inadequately included. Limited studies have evaluated influential factors. We aimed to explore parental factors affecting parents' participation in decision-making (DM) for neonates with LTCs. A qualitative study was conducted in four level III neonatal intensive care units (NICUs) in Tehran, and twenty-two in-depth, semi-structured, face-to-face interviews were conducted in 2019. Interviews were transcribed and analyzed using a conventional content analysis approach. During the coding process, participants' words were condensed into meaning units, and 297 open-coded were extracted and then grouped into thirteen subcategories based on similarities and differences. This process was repeated until four main categories were identified. Main categories and subcategories include "parental capabilities" (level of health literacy, emotional state, paradoxical feelings, and perception of the situation), "a sense of parental self-efficacy" (perception of parental role, awareness of self-abilities, and willingness to accept the parental role), "convictions" (religious beliefs and cultural values), and "living conditions" (job balance, household management and caring for siblings, and commuting) were found. Although factors were parental, professionals who care for neonates with LTCs should be trained in family-centered care (FCC) principles to involve parents in DM. Nurses should be aware of parents' abilities and inform them of their rights. Parents' presentation at the bedside prevents their marginalization, reduces feelings of guilt, and helps them understand their baby's behavior and surrounding reality. A formal neonatal palliative care (NPC) program can encourage open communication between professionals and parents. A multidisciplinary team should consider parents' needs and values.

Szokowanie innych: fenomenologia szoku emocjonalnego i polaryzacji politycznej

This article uses the phenomenological method to explain the emotion of shock, which is at the heart of political polarization. It answers the following question: what is this often paradoxical feeling of disbelief that we feel when we find something shocking, and why does it make people strangers to one another? Unlike other existing conceptions of shock (Stockdale, Osler), we employ the phenomenological framework of Lorelle’s “traumatic experience” to make explicit the positive aspect of shock: showing how shock is an experience in itself and not merely a failure to assimilate experience. The conclusion reached is that surprise should not be seen as always a passive acknowledgment of the gap between our expectations and reality; instead it should be fully recognized as an active force. Thus, disbelief can be a moral standard that asserts itself and imposes an aura of strangeness on the people we disagree with.

The Role of Text Positions of "Existential Profuseness" in Revealing the Deep Artistic and Psychological Characteristics of the Image of the Narrator of "Poor Liza" by N.M. Karamzin

connections with the deep artistic and psychological features of the image of the narrator of "Poor Liza" by N.M. Karamzin, and the study of the patterns of artistic and psychological meaning generation associated with it. The text position of "existential profuseness" is highlighted and described, here key words and key concepts are considered, as well as the most informative text connections and signs that organize the reader's attention. The article describes the structural and content features of the position of "existential profuseness" in its various manifestations: "poles" and "peaks" of situations and states, "crystallization", paradoxical feelings and judgments, which is significant for establishing the deep artistic and psychological properties of the narrator. The author shows the meaning-forming possibilities of the situation of "existential profuseness" related to the unity of the character, as well as in the aspects of its disclosure.

Experiences of patients with cancer and their relatives confronted with COVID-19 related delay or change in care: A qualitative study.

AimsTo provide in‐depth insight into how patients and their relatives experienced change or delay in cancer treatment and care due to COVID‐19.DesignA qualitative study including semi‐structured interviews with patients with cancer and their relatives.MethodsBetween July and October 2020, 42 patients who were confronted with a change or delay in cancer treatment or care, and 11 relatives were interviewed. Data collection and analysis were performed according to the most important methods of grounded theory, including iterative data collection and analysis, theoretical sampling, constant comparative analysis and theoretical sensitivity.ResultsThis study shows that patients with cancer and relatives experienced paradoxical feelings when confronted with change or delay in treatment or care due to COVID‐19. Patients and relatives felt relieved (e.g. less risk of infection), but were also concerned and anxious (e.g. fear for progression, fear for more side effects). Due to these ambivalent feelings, it was difficult for patients and relatives to cope with the change or delay in treatment or care, both when this was decided by the physician and by themselves. In combination with the general impact of COVID‐19 on their daily lives, the change or delay led to additional distress. The interviews showed that exploring the meaning of change or delay of care for patients and their relatives and discussing what would help them might prevent or relieve distress.ConclusionThe findings of our study show that COVID‐19 and the associated delay or changes in cancer treatment and care had a major impact on the well‐being of patients and their relatives. Person‐oriented care is even more important during (emergency) situations in which care might be changed or delayed.

Voice in Reaction to Being Envied: The Self-Esteem Mechanisms Under the Agency-Communion Framework

Being envied in the workplace can make the target feel good for being superior to peers in certain aspects but can also make the target feel bad for not being liked by peers. These paradoxical feelings can have different effects on the envied employees’ behaviors, especially public behaviors that are observable to the peers. Based on the agency-communion framework, our research investigated how and when being envied affects one’s public voice. Field data from a service company found that being envied enhanced self-esteem in the agency domain (i.e. organizational-based self-esteem), which in turn increased public voice. This positive indirect effect was stronger when competitive climate was higher rather than lower. Meanwhile, being envied increased self-esteem threat in the communion domain (i.e. social self-esteem threat), which in turn inhibited public voice. This negative indirect effect was stronger when task interdependence was higher rather than lower. These findings suggest that, depending on the team contexts, employees' perception of being envied can either facilitate or impede their public voice by either enhancing their self-esteem in the agency domain or threatening their self-esteem in the communion domain, respectively. The theoretical and practical implications are discussed.

Significados atribuídos ao alimento por pacientes com Anorexia Nervosa e por mulheres jovens eutróficas

Este estudo teve por objetivo identificar os significados atribuídos ao alimento por pacientes com Anorexia Nervosa (AN) e por jovens eutróficas sem sintomas de Transtornos Alimentares. Trata-se de um estudo qualitativo, comparativo e transversal. Foram entrevistadas 12 mulheres distribuídas em dois grupos focais: um composto por seis participantes com diagnóstico de AN, que frequentavam um serviço especializado (grupo de pacientes: GP) e outro, de comparação (GC), constituído por seis mulheres, eutróficas e sem sintomas de AN. Os encontros foram audiogravados e transcritos na íntegra. Para a análise de dados utilizou-se a técnica de análise de conteúdo temática e o marco teórico-conceitual da antropologia da alimentação, focalizando os significados do alimento e o valor simbólico das práticas alimentares. Verificou-se, em ambos os grupos, que os alimentos despertam uma gama de sentimentos paradoxais, variando desde prazer à repulsa, repúdio, nojo, culpa e medo. No GP, os significados são norteados pela importância capital atribuída ao conteúdo calórico em vez do valor nutricional dos alimentos. Para compreensão das práticas alimentares na anorexia, os profissionais devem estar atentos às determinações culturais, sociais e políticas que atravessam esse fenômeno, evitando a individualização do problema.

Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a systematic review protocol of qualitative evidence.

This systematic review aims to identify and synthesize available qualitative evidence related to the experiences of transition to motherhood during pregnancy in women who conceived through assisted reproductive technology (ART). Women who conceived through ART experience pregnancy-specific anxiety and paradoxical feelings, and face unique challenges in their identity transition to motherhood. It is important for healthcare professionals working with these women to understand the context and complexity of this special path to parenthood, including the emotional adaptation to pregnancy following ART. A qualitative systematic review can provide the best available evidence to inform development of nursing interventions to meet the needs of pregnant women after ART. This review will consider any qualitative research data from empirical studies published from 1992-2019 in English or Japanese that described experiences of transition to motherhood during pregnancy in women who conceived with ART. This review will follow the JBI approach for qualitative systematic reviews. Databases that will be searched for published and unpublished studies include MEDLINE, CINAHL, PsycINFO, ProQuest Health & Medical Collection, Google Scholar and Open Access Theses and Dissertations (in English), and Ichushi-Web, CiNii and the Institutional Repositories Database (in Japanese). Titles and abstracts will be screened by two independent reviewers in full. The full-text of selected studies will be assessed in detail, and findings and their illustrations will be extracted and aggregated. Any disagreements between the reviewers that arise at each stage will be resolved through discussion, or by a third reviewer.

Prosthetics and the Chronically Ill Body: Living with Type 1 Diabetes and an Insulin Pump

Prosthetics and the Chronically Ill Body: Living with Type 1 Diabetes and an Insulin Pump

Unpreparedness, impurity and paradoxical feeling: menstruation narratives of Iranian women.

Menstruation is universally experienced by all healthy females from menarche to menopause, although the cognitive and emotional dimension of this experience may differ across time and place. This qualitative study was conducted to explore the menstruation experiences of Iranian women. Eight Iranian university students, aged between 21 and 25 years, who were resident in Tehran, were interviewed and data were analyzed using an interpretive phenomenological analysis approach. Two main themes of the participant narratives were identified: "The menarche" and "women's perception of menstruation". Each of these elements comprised a number of sub-themes. The menarche experience was related to "inadequate preparation", "fear and horror" and "the mother". Women perceived menstruation as "shameful and secret", "sickness and impurity", "bothersome and painful", accompanied with "paradoxical feelings" and "irregularity and unpredictability". The results of this study revealed that menarche experience for most of the women was a negative experience. Feelings of being fearful, shocked or worried could be influenced by inadequate preparation for menstruation. They reveived insufficient information from school or their friends and their mothers, specifically. Menstruation is shameful, kept secret and is usually hidden from men. Most of them experienced menstruation as a sickness and considered menstruating women as impure who must obey religious rules. Some of them had symptoms of premenstrual syndrome. For some women menstruation was both painful and pleasing and its irregularity and unpredictability made women anxious. The findings of this study highlight the effect of sociocultural factors on the menstruation experience.

A Didactic Experiment with Cinema - Portuguese Emigration and Sense of Belonging

Since the first decades of the twentieth century, Portugal has affirmed itself as an emigration country. This social, political, economic and demographic phenomenon has consequences, which have always been approached in a general way, neglecting the personal side and identity aspects that the displacement causes at an individual and family level. In long duration emigration, there is usually a paradoxical feeling of non-belonging/belonging to two spaces. On the one hand, already integrated into the new reality, the individual feels that to a certain extent they belong to the new space. However, in their identity memory, the culture and way of life of their nationality, region or place still exist. This dilemma of belonging is relatively abstract to convey to students when we work the demographic phenomenon. The Portuguese filmography has a recent film - The Golden Cage, released by the son of Portuguese emigrants, in France - where this feeling of belonging is represented, under ‘the cover' of a comedy. We showed the film to a group of Demography and Sociology students and had them explore this phenomenon. The results were extremely positive.

Representations of Oil in Chad: A Blessing or a Curse?

This article presents representations of oil in Chad which have been drawn from ethnographic interviews with a variety of actors, most notably with local oil workers and inhabitants from the oil-producing areas of the country. It reveals that a decade of oil exploitation in Chad was sufficient enough time for a collective imaginary to emerge regarding the implicit and explicit effects of oil. Expectations about the impact of the extractive industry on local development have not been met, which has led communities to develop sometimes paradoxical feelings towards, beliefs about, and representations of oil. What began as a belief that oil is a gift from god to help to alleviate poverty has given way to a disappointed sense that oil is in fact a curse. This has seen people use metaphors involving fire, the devil, disease, animals, and cursed money to express the harsh realities of Chad's mining industries. These myths, representations, and discussions about oil embody and explicate the resource curse theory.

Inhabiting the interspaces within emergency care

Aim: To describe and develop an understanding of the patient’s first encounter with different professionals at the scene of an accident and at the emergency department (ED), with a special focus on describing the meaning of emergency care of patients in these care contexts. Design and Methods: The study, having a descriptive design, was carried out with a reflective lifeworld (RLR) approach founded on phenomenological philosophyResults: The general structure revealed that emergency care is characterized by a hand-over of responsibility, which is characterized by life-saving medical actions and constitutes a doing. Those life-saving actions need a conscious presence, which at the same time means an existential support for the patient that is constituted by a being. The responsibility then intertwines the doing and the being and all persons involved are brought together into a mutual space. When the patient’s condition allows for increased physical distance from the professionals, a gap or an interspace in the intertwining between doing and being arises as well as an interspace in the patient's understanding of the encounter. For the patient and next-of-kin, this interspace means an empty space with paradoxical feelings of being interesting and at the same time uninteresting - a paradox of care. For the professionals, this interspace provides a needed breathing space, but also feelings of being split between the high demands of efficiency and the patient's need for existential support and a meaningful encounter - an ethical dilemma.Discussion: Knowledge of the temporal meaning ofthe encounter, to be here andnow,can give professionals an opportunityto fillthe interspacedespite increasingphysical distance as patient health improves. Furthermore, it will also give professionals an opportunity toreflect on howthe available timeis used.

Knowledge work intensification and self-management: the autonomy paradox

In the analysis of the sustainability of knowledge work environments, the intensification of work has emerged as probably the single most important contradiction. We argue that the process of knowledge work intensification is increasingly self-driven and influenced by subjectification processes in the context of trends of individualisation and self-management. We use a qualitative case study of a leading multinational company in the information and communications technology sector (considered to be ‘best-in-class’) to discuss this intensification and its linkage with self-disciplining mechanisms. The workers studied seem to enjoy a number of resources that current psychosocial risk models identify as health promoting (e.g. autonomy, learning, career development and other material and symbolic rewards). We discuss the validity of these models to assess the increasingly boundaryless and self-managed knowledge work contexts characterised by internalisation of demands and resources and paradoxical feelings of autonomy. Knowledge work intensification increases health and social vulnerabilities directly and through two-way interactions with, first, the autonomy paradox and new modes of subjection at the workplace; second, atomisation and lack of social support; third, permanent accountability and insecurity; and finally, newer difficulties in setting boundaries.

The lies of liberalism in Ian McEwan's novels

The paper locates moments of exposure of ideological lies of liberalism on a corpus of three novels by Ian McEwan (Cement Garden, Black Dogs and Saturday). In spite of Ian McEwan's reputation as a liberal intellectual, the paper demonstrates that the novels which are often read as homage to liberalism can in fact be interpreted as a critique of liberalism. In McEwan's novels one can find moments of fierce critique of the nuclear family as the ideological bedrock of liberalism. Moreover, the novels also establish close links between liberalism and fascism and point to the existence of what Eco called 'ur- fascism' in Western Civilization. Also, the paper sheds some light on the paradoxical feeling of a chronic lack of freedom in liberal societies and ends by giving examples of McEwan's pessimistic attitude towards the future of the liberal society or the modern Western civilization encumbered by the historical baggage of fascism as well as the structural inability to overcome it within the bounds of liberal ideology.

Paradox of Modern Pregnancy: A Phenomenological Study of Women's Lived Experiences from Assisted Pregnancy.

The purpose of our study was describing the meaning of pregnancy through Assisted Reproductive Technologies (ARTs). A qualitative design with hermeneutic phenomenology approach was selected to carry out the research. Semistructured in-depth interviews were conducted with 12 women who experienced assisted pregnancy. Three themes emerged from women's experience including finding peace in life, paradoxical feelings, and struggling to realize a dream. We concluded that pregnancy is the beginning of a new and hard struggle for women with fertility problems. The findings of our study resulted in helpful implications for the health care professionals managing assisted pregnancies.

St Petersburg: shadows of the past

Fragile, gritty, and vital to an extraordinary degree, St. Petersburg is one of the world's most alluring cities-a place in which the past is at once ubiquitous and inescapably controversial. Yet outsiders are far more familiar with the city's pre-1917 and Second World War history than with its recent past. In this beautifully illustrated and highly original book, Catriona Kelly shows how creative engagement with the past has always been fundamental to St. Petersburg's residents. Weaving together oral history, personal observation, literary and artistic texts, journalism, and archival materials, she traces the at times paradoxical feelings of anxiety and pride that were inspired by living in the city, both when it was socialist Leningrad, and now. Ranging from rubbish dumps to promenades, from the city's glamorous center to its grimy outskirts, this ambitious book offers a compelling and always unexpected panorama of an extraordinary and elusive place.

Cancer’s Impact on Spousal Caregiver Health: A Qualitative Analysis in Grounded Theory

The purpose of this qualitative study is to examine the impact cancer has on a spouse/partner caregiver. The psychological effects of caregiving are well documented, but information related to the physical outcomes of the caregiver of a partner with cancer is lacking. This is a qualitative study based in grounded theory and explores themes from transcripted interviews of eight spousal caregivers and four widowers. The caregiver is often the “silent sufferer.” Caregivers that experience compounding hardships and have multiple caregiving responsibilities tend to have paradoxical feelings about their experience and report higher levels of emotional and physical distress. Current caregivers report lower quality of physical health, as compared to widowers who report being in better health after the death of their spouse.

Nostalgie bij de breuk met het verleden - Bilderdijk en Feith over geuzen en patriotten

At the end of the eighteenth century, Western society and culture underwent a radical change, and, as Reinhart Koselleck argued, so did the meanings of political and ideological concepts. More recently, theorists such as François Hartog have linked this shift to a changing attitude towards the past, or the regime of historicity: from a continuity between past and present (ancien regime) to a discontinuity, a break between past and present (modern regime). Historians Peter Fritzsche and Frank Ankersmit have (independently) linked the historical experience of this break to paradoxical feelings of longing for something that has been irretrievably lost (melancholy, nostalgia, the sublime). In this paper, I will suggest that the close reading method of Begriffsgeschichte can contribute to an understanding of how this shift from the ancien regime to a modern regime is, in itself, full of paradoxes: the regimes as such were not monolithic constructs, and the meanings of the concepts that they claimed to explain were not unambiguous. To illustrate this point with a case study, I will analyse the concept of ‘patriotism’ in the correspondence between Dutch poets Willem Bilderdijk and Rhynvis Feith following Bilderdijk’s revised edition of Onno Zwier van Haren’s epic De Geusen (1785), and in a play written by Feith in that same year. At that specific moment, the term ‘patriotic’ not only referred to love for one’s country, but also to a specific political faction, of which Feith was a member but which Bilderdijk ardently opposed.

Spatio-Temporal Updating in the Left Posterior Parietal Cortex

Adopting an unusual posture can sometimes give rise to paradoxical experiences. For example, the subjective ordering of successive unseen tactile stimuli delivered to the two arms can be affected when people cross them. A growing body of evidence now highlights the role played by the parietal cortex in spatio-temporal information processing when sensory stimuli are delivered to the body or when actions are executed; however, little is known about the neural basis of such paradoxical feelings resulting from such unusual limb positions. Here, we demonstrate increased fMRI activation in the left posterior parietal cortex when human participants adopted a crossed hands posture with their eyes closed. Furthermore, by assessing tactile temporal order judgments (TOJs) in the same individuals, we observed a positive association between activity in this area and the degree of reversal in TOJs resulting from crossing arms. The strongest positive association was observed in the left intraparietal sulcus. This result implies that the left posterior parietal cortex may be critically involved in monitoring limb position and in spatio-temporal binding when serial events are delivered to the limbs.