Emotional Roller Coaster Research Articles

Objectification, Desensitization, and Personification: Medical Student Strategies for Dealing with Human Body in the Anatomy Lab

Introduction & PurposeCadaver labs play a significant role in supporting learners form a professional attitude towards human body. Most medical students have their first authoritative encounter with human body in a cadaver lab where they get a right to manipulate and cut through the body. Dealing with death and dissection of the body may simply be a unique learning experience for some but it can be an emotional roller coaster for others. A few student strategies for dealing with cadaver bodies (such as objectification of the body) are documented in the literature but a full range of such strategies is rarely investigated. This study sought to understand the range of strategies medical students use for dealing with cadaver bodies in the anatomy lab at one medical school.MethodsTwenty semi‐structured interviews and four focus groups were conducted with a total of 44 students from all four years of undergraduate medical education at Indiana University School of Medicine, in 2019. All sessions were audio‐recorded and later transcribed verbatim. A qualitative thematic analysis was performed by developing an inductive coding scheme which resulted in emergence of salient themes from the data.ResultsThe full spectrum of student strategies for dealing with cadaver bodies included: 1) complete, effortless objectification of cadaver’s body as a non‐living thing, 2) actively desensitizing oneself toward cadaver’s body as so to be able to work with it, and 3) paralyzing personification of the cadaver’s body that impedes learning from it let alone dissecting it. Falling within this spectrum were also the so‐called middle ground strategies that were chosen by students attempting to adopt a more balanced behavior between desensitization and personification but still found themselves alternating between those two positions at certain times.ConclusionStudents employ certain strategies for handling human body in the cadaver lab. These strategies are based on their personal values and/or actively chosen to help them make the most out of their experience working with cadavers in the anatomy lab.Significance/ImplicationsLearning to deal with cadaver bodies in a professional manner is an impactful part of medical students’ professional identity formation process. The way students handle those bodies is likely to impact their attitude toward their patients’ bodies in the future as a doctor. Understanding the full range of student strategies for handling bodies in cadaver lab is a critical step for anatomy lab educators to facilitate a healthy, professional, ethical, and at the same time humane relationship between students and their cadaver’s body. Future studies should dig deeper into each of the strategies identified here and explore the best ways to oversee them for an effective medical professional identity formation in medical students.

Encountering patients with anorexia nervosa - An emotional roller coaster. nurses’ lived experiences of encounters in psychiatric inpatient care

ABSTRACT Purpose The aim of this study was to illuminate the meaning of nurses’ lived experiences of encounters with adult patients with anorexia nervosa in psychiatric inpatient care. Methods A qualitative phenomenological hermeneutical design was used. Personal interviews with a narrative approach were conducted with 11 nurses with experience of encountering patients with anorexia nervosa in psychiatric inpatient care. Results Three key themes were revealed: Being overwhelmed by emotions consisting of three subthemes: Bearing feelings of incomprehension, Navigating emotions, and Being disappointed and frustrated; Seeking strength to cope consisting of three subthemes: Relying on colleagues and routines, Feeling hope and motivation, and Building inner security; and Trying to build relations consisting of two subthemes: Getting closer to the patient and Relating to relatives. Conclusion Our findings illuminate the “emotional roller-coaster” which nurses are embedded in during their daily work experiences. Being able to balance one’s professional role, seeing the person behind the patient, and the illness is important in all nurse-patient encounters. An examination of nurses’ lived experiences can contribute new and important knowledge, an in-depth understanding of the nurses’ work situation, and can help identify any need for increased knowledge.

The emotional journey of the beginning teacher: Phases and coping strategies

ABSTRACT Research on the transition from teacher education to beginning to teach have focused on the ability to teach, as well as on classroom practices, and how complicated socialisation processes impede developing skills when starting to teach. The aim of the study was to investigate emotionally challenging situations during teacher education and when starting to teach, with a focus on how the participants’ perspectives and coping strategies changed over time. In this study, 20 participants were followed during their final year of teacher education and into their first year of teaching. Data was collected through interviews and written self-reports. A constructivist grounded theory methodology was adopted. We found that new teachers experience three main emotional phases as they move from teacher education and into teaching, namely (1) opposite positions, (2) enthusiasm mingled with fear, and (3) a rollercoaster of emotions. Emotions and coping strategies linked with the phases are illustrated, and practical implications are discussed.

Managing Students' Creativity in Music Education - The Mediating Role of Frustration Tolerance and Moderating Role of Emotion Regulation.

Artificial intelligence (AI) era challenges the use and functions of emotion in college students and the students’ college life is often experienced as an emotional rollercoaster, negative and positive emotion can affect the emotional outcomes, but we know very little about how students can ride it most effectively to increase their creativity. We introduce frustration tolerance as a mediator and emotion regulation as a moderator to investigate the mechanism of creativity improvement under negative emotion. Drawing on a sample of 283 students from professional music colleges or music major in normal universities, we find that negative emotion are generally associated with a lower creativity, while frustration tolerance can mediate the relationship between negative emotion and creativity, but these effects depend on the emotion regulation. Cognitive reappraisal exerts a negative effect on the relationship between negative emotion and creativity, while expressive suppression has the opposite effect. Our study contributes to the literatures on student’s emotions and creativity in music education and to the emotion regulation literature.

Researching homosexuality in Ghana and its implication on the researcher: reflections from the field

ABSTRACT This paper discusses methodological reflections based on an empirical research project on gay rights advocacies in Ghana. It engages the possibility of emotional harm on researchers in the fieldwork that may not be inherently captured by universities’ ethical procedures. In the event that ethical procedures consider harm to the researcher, the word ‘harm’ is often defined within the parameters of physical injury and not emotional ones. This paper concludes that researchers dealing with ‘vulnerable’ participants should be better equipped in terms of building emotional fortitude. This could be attained by making emotionality a part of research ethical processes. This would help deal with the attendant emotional rollercoaster researchers experience on the field. This is important because being conscious of emotionality shapes the way researchers perceive and relate to the underlying emotions that accompany the narrations of research participants in the quest to be reflexive.

'The apocalypse': A qualitative pilot study of the psychological aftermath of the 2020 Beirut blast.

There has been very limited data describing the psychological aftermath of the Beirut blast. This qualitative pilot study aimed to explore the psychological and physical reactions to the trauma experienced by Beirut blast survivors, as well as their coping strategies. From November 2020 to February 2021, in-depth, semi-structured interviews were conducted with eight Lebanese citizens who were within a 4 km radius of the Beirut port at the time of the explosion. A thematic analysis was adopted. Three themes were identified: (1) the blast; (2) life after the blast: extended trauma; (3) coping strategies. First, almost all participants vividly remembered the moment of the blast and referred to it as a turning point in their lives. They also remembered being on an emotional rollercoaster, feeling physically numb, worried about another explosion and finding God in the midst of tragedy. Second, all participants reported several negative experiences in their post-blast life, which may have enhanced/prolonged their trauma, including losses of different kinds (of a country, home, loved ones, hope, safety/security, culture and heritage), the cumulative impact of the blast, the impossibility to ever return to 'normality', persistent survival guilt and somatisation. Lastly, different coping strategies were adopted to deal with trauma, such as talking it out, establishing a consistent daily routine, helping the community, overworking and detachment. This study highlights the many layers of psychological suffering of Beirut blast survivors in the current context of collective distress dominating Lebanon.

The Work of Mothering in the NICU: A Critical Analysis of Alberta Family Integrated Care Parent Journals.

Integrating parents into the care of their infants in the neonatal intensive care unit (NICU) is vital for both parents and infants. Yet, parents are often not fully involved in important decision-making and care, even when practices are family- and patient-centered. Alberta Family Integrated Care (FICare) is a model of care designed to support integration of parents into their infant's care. The aim of this study was to describe and examine how mothers' work was coordinated by institutional processes when participating in Alberta FICare. We used institutional ethnography to analyze written entries in Alberta FICare parent journals to show points of tension mothers experienced in the NICU. We illustrated the institutional activities that intersect with parental work of being present in the NICU. We argue that the journal text and the primary discourses that mothers are tuned to organize the way they knew and thought about their infant. Managing everyday NICU rules, navigating constant and unexpected changes, and the work of feeding their infant created tension. Mothers focused on milk supply, weight gain, and transition from gavage to nipple feeds. We show how mothers' activities were coordinated by practices that prioritize progression toward discharge rather than supporting them through the roller coaster of emotions and practical challenges of being present in the NICU. This illustration of institutional systems and processes may assist practitioners to understand the barriers mothers face when caring for their infants in the NICU.

Enemies

Enemies

UK professional male cricketers’ mental health and support experiences: A qualitative exploration

Recently, UK professional cricket has seen tragic events, powerful testimonies, and increased media attention surrounding mental health, yet the experiences of players and the support they receive has continued to receive limited academic attention. Our study bridged that gap by qualitatively examining UK male professional cricketers’ experiences of mental health and mental health support. Through interviews with 15 current and former male UK professional cricketers, who had an average of 14 years’ experience, three key themes were developed: (1) The emotional rollercoaster of a career in professional cricket, (2) local vs national level mental health support and, (3) nourishing vs malnourishing player’s mental health. Firstly, a career in professional cricket had highs and lows that both stimulated a player’s mental health and led to mental health issues and impaired performance. Secondly, while national level mental health support was endorsed, the support was found to be reactive. Due to the continued perceived stigma and lack of openness at the local (County) level, players reported feeling uncomfortable to reach out for support. Lastly, by providing stability with contracts, helping players prepare for and through transitions, encouraging the development of healthy habits, and coaches communicating effectively and investing in their relationships with players, organizations have the potential to nourish, protect, and enhance professional cricketers’ mental health throughout their career. Our study has important implications for counties by highlighting the role and responsibility they have in breaking down stigma, creating an open and supportive environment around mental health and nourishing player’s mental health experiences. Lay Summary: Interviews with 15 male UK professional cricketers revealed the importance of local and national cricket clubs supporting and protecting player mental health. Specifically, via reducing perceived mental health stigma, providing stability with contracts, helping players prepare for transitions, encouraging healthy habit development and effective coach relationships and communication. IMPLICATIONS FOR PRACTICE Organizations at the local (County) level must recognize the key role and responsibility they have in breaking down the current stigma that exists around mental health and work toward creating an open and supportive environment where players can feel supported and comfortable seeking out mental health support. Organizations can also help protect and enhance professional cricketer’s mental health throughout their career. To achieve this, organizations at the local level should provide stability with contracts, help players prepare for and through transitions, encourage the development of healthy habits from an early age and lastly, coaches should communicate effectively and openly and invest in their relationships with players.

Nurses' Experiences of Caring for Long-Term Care Residents With Dementia During the COVID-19 Pandemic.

The COVID-19 pandemic has had a negative impact on older persons who reside in long-term care settings, especially residents living with dementia. The physical and psychological burden of the current pandemic has also been felt by frontline caring staff including nurses caring for persons living with dementia. The aim of the study was to explore the experiences of nurses while caring for residents with dementia who resided in long-term dementia care units during the COVID-19 pandemic. Nine Maltese nurses working in dementia care units were interviewed during the month of February 2021. Following analysis of the transcripts, three themes were identified; ‘living the challenges of the pandemic’, ‘passing through a roller coaster of emotions’ and ‘building on personal and organisational resilience’. The participants lived through several challenges which in turn generated both positive and negative emotions. Moving forward through this period mostly relied on their coping strategies, how they negotiated infection control measures with the residents’ quality of life and how their organisation was able to provide quality dementia care pre-COVID-19. The study indicated how personal and organisational resilience could have influenced the participants’ experience of the pandemic and helped nursing staff in developing new ways of working.

Music Player u sing Emotion Recognition

Expression of humans has a very crucial role in determining the present state and the mood of a person. It helps in the extraction of the emotion by understanding the different features of the face like cheeks, forehead, eyes, or maybe the curvature of the smile. Music plays a crucial role in the daily lifestyle. It is essentially a kind of thing that soothes and calms the body, brain and soul of a human. During this fast-paced lifestyle, everyone goes through a roller coaster of emotions and changes in moods within seconds. People tend to listen to music according to their emotions. Hence, we have chosen emotion and music and combined them together. Our program will first detect facial expressions and using that it will recognize the emotion of a human being. This is done through counting of repeated integers in a trained model and playing music favorable with the mood detected. This will alleviate the mood or just calm the individual. It may also be able to fetch quicker songs consistent with the mood, saving time looking up for different songs. Parallelly developing a software which will be used anywhere with the assistance of providing the functionality of playing music consistent with the emotion detected. People tend to concentrate on songs consistent with their moods, and it feels very frustrating if a tragic song starts playing when you are happy. It seems like a burden to constantly visit the music application to vary the song. Therefore, in this work, we've come up with a solution in which we will use computer vision to detect the emotion of an individual and therefore the system shall play a song consistent with the mood of the client.

Affective and coping responses to quarantine hotel stays.

During the outbreak of COVID-19, many travellers had to quarantine upon arrival to their destination, often at designated hotels and usually for two weeks. Quarantine, as any type of isolation, is often emotionally challenging. This study applies the transactional theory of stress to explore guests' experiences during the hotel quarantine, the cognitive appraisals of their experiences and affective responses, and the coping strategies they deploy to address adverse mental effects of the quarantine. Data from in-depth interviews with quarantine hotel guests demonstrates that guests experience a rollercoaster of moods and emotions during their stay, moving from uncertainty and anxiety to isolation and boredom to despair and depression, and finally to relief and optimism. These hotel guests used a range of coping styles to alter the perceived space and time in quarantine, address social isolation as well as negative emotions and moods. These findings have important implications for tourism, hospitality, and health professionals in managing travel, accommodation, and quarantine arrangements during a crisis.

Teaching Music During COVID-19: Teachers’ Perceptions of Personal and Professional Effects

Abstract As a result of the COVID-19 pandemic, teachers across the world shifted from in-person to online instruction. Almost instantaneously, educators were forced to rethink how they delivered instruction, managed their classes, and assessed student learning. This multiple case study examined the perspectives of 13 music educators from across the United States as they engaged in teaching music during a pandemic and how these teachers adapted and responded to a prolonged stressful teaching situation. Data collection included an entrance questionnaire, monthly semistructured interviews in fall 2020, and an exit questionnaire. Data were analyzed for themes through a theoretical lens of a four-cycle resilience theory. Findings were grouped into themes: the failure of administration, mental perseverance, the importance of music in everyone's lives, a love of children, and being on emotional rollercoaster. Insights from this study may demonstrate ways music educators might adapt to crisis and adversity. The results may also prove relevant to music educators as they reflect on their teaching practice and consider ways to nurture resilience in future stressful situations.

“It's hard to find balance when you're broken”: Exploring female endurance athletes’ psychological experience of recovery from relative energy deficiency in sport (RED-S)

IntroductionThis study aimed to explore qualitatively the psychological experience of recovery from relative energy deficiency in sport (RED-S). More specifically, it sought to understand: how RED-S is experienced from a psychological perspective; sources of psychological conflict in the ongoing management of energy availability (EA); and athlete responses to psychological conflict in the pursuit of optimal EA. MethodsEight female endurance athletes identifying as “in recovery” or “recovered” from RED-S (M age = 29.78 years) participated in this integrated methods multiple case-study. Participants engaged in an initial topical life history interview, before completing an online diary over a 21-day period, taking photographs of psychological triggers for seven days, and participating in a follow-up interview. Data were analysed using reflexive thematic analysis. ResultsThe theme in too deep and treading water captured the significant psychological implications of RED-S. Seven sources of psychological conflict reported while managing EA were identified. The theme a constant tug of war represented the responses to these sources of psychological conflict in the ongoing management of EA. Within this theme, the subthemes in two minds and an emotional rollercoaster illustrated the cognitive and affective responses to psychological conflict, while giving in and the only way is through represented the adaptive and maladaptive behavioural responses during recovery, respectively. ConclusionThis study offers novel insights into the complex nature of recovery from RED-S and highlights the importance of considering psychological factors underpinning improved physiological functioning and overall wellbeing during RED-S recovery.

When a child is hospitalized in a Covid-19 ward: An emotional roller coaster for parents

PurposeTo examine the emotions demonstrated by parents of children hospitalized in a pediatric Covid-19 ward. BackgroundAlthough Covid-19 is mostly a mild disease in children, a small proportion develop severe disease requiring prolonged intensive care support. MethodsOn October 1st, 2020, a unique ward for children with Covid-19 was established in a large hospital in Israel. Interviews were conducted with parents of children who had been hospitalized in a pediatric Covid-19 ward. FindingsA total of 22 parents of children aged 3 weeks to18 years were interviewed. Three themes emerged: Theme 1: Recognizing their child needed hospitalization in the Covid-19 ward, caused parents anxiety and fear of the unknown. Theme 2: Their child's hospitalization in the Covid-19 ward caused fear and worry at their child's condition, parental stress, shame, boredom, and acceptance. Theme 3: Parents initially felt emotional loneliness towards the healthcare staff in the Covid-19 ward, as well as loss of control, later replaced by feelings of confidence. ConclusionParents have diverse emotions in response to needing to accompany their children who are hospitalized and isolated in a closed ward due to Covid-19. Practical implicationsHealth care professionals are immensely important in providing support for parents and for their children suffering from Covid-19. A national plan should be established to address inpatient childcare during an epidemic. Nurses can encourage parents and family to be involved in the child's care and communicate effectively to reduce both the parents' and the child's uncertainty, shame, fear and stress.

Masks, Empathy, and a Pediatric Cancer Diagnosis During COVID-19.

Masks, Empathy, and a Pediatric Cancer Diagnosis During COVID-19.

“It's been up and down”—perspectives on living through COVID-19 for individuals who experience homelessness: a qualitative study

BackgroundThe UN describes the COVID-19 pandemic as the greatest public health crisis for the current generation. However, individuals who experienced austerity, adversity, and disadvantage prior to the pandemic have been disproportionately affected with every turn the pandemic has taken, from transmission risk to vaccination take-up. One such population is individuals who experience homelessness. As the UK begins to transition to a stage of post-pandemic recovery, it is imperative to understand the perceived impact COVID-19 has had on the day-to-day lives of individuals who experience homelessness, to ensure they are not left behind and recovery planning can be better targeted to their specific needs. MethodsBetween February and May, 2021, 26 individuals (10 women and 16 men) who self-identified as experiencing homelessness within the Newcastle Gateshead area took part in telephone interviews of 20–80 min in length. Participants provided written or verbal informed consent prior to participating. Recruitment took place through existing networks, housing providers, charities, word of mouth, and snowball sampling. Analysis was co-produced with five individuals with lived experience using interpretative phenomenological analysis. NVivo release 1·5 was used to organise quotes. Ethics approval was granted by the Faculty of Medical Sciences Research Ethics Committee, part of Newcastle University's Research Ethics Committee (ref 2034/6698/2020.) FindingsExperiences shared depicted unique stories with commonalities across the findings through five main themes: (1) surreality of day-to-day life—searching for understanding and lost autonomy; (2) an emotional rollercoaster—confronting negative emotions; (3) loneliness is my best friend—learning from being alone; (4) adversity is the only consistency—recognising past and present hardship, violence, and loss; and (5) coping with uncertainty—using drugs, mindfulness, and technology to survive. InterpretationThe pandemic has affected the daily lives of people who experience homelessness in a variety of ways, including personal growth, no change, and regression. This study is limited by its localised recruitment in Newcastle and Gateshead in the UK; however, this local focus and involvement of individuals with lived experience has strengthened the study's implications for policy and practice in the region. Initiatives or policies developed to support post-pandemic recovery should reflect the array of impacts, while giving special recognition to loneliness, adversity, and resiliency among individuals who experience homelessness. FundingNational Institute for Health Research School for Public Health Research.

A rollercoaster of emotions: An integrative review of emotions and its impact on health professional students' learning in simulation-based education.

AimSimulation‐based education establishes a specific learning environment capable of activating emotions before, during and after the task. Research has identified stress and anxiety related to simulation. However, the role of various emotional experiences in a simulation that favour learning is still unclear. This review describes, interprets and synthesizes the current research findings on health professional students' experience of emotions and the effects on student learning in simulations.DesignThis study design was guided by integrative review method.MethodsDatabases were systematically searched for articles. 9,323 records were screened and 16 studies met the inclusion criteria. The study protocol was reported in Prospero.ResultsThree themes emerged from the analysis: (a) simulation as a fearful and stressful situation, (b) variability in emotions experienced during simulation as a rollercoaster of emotions and (c) emotions wide‐ranging effects on students' learning in the simulation.

Pilot project for a recovery-oriented, DBT-informed skill-building education course for families of adults with borderline personality, bipolar or major depressive disorders.

There are a variety of educational interventions for families who have a relative with a mental health disorder. However, for those with one or more emotion dysregulation disorders, there are limited options. This article reports on the results of a pilot project using a quasi-experimental design with a sample of 270 (intervention=217, control=53) to assess an intervention, Getting Off the Emotional Roller Coaster Skill-Building Family Education Course (GOER Family Course), for families coping with and managing emotion regulation disorders in a loved one which are often misdiagnosed or co-occurring. This intervention was effective in reducing caregiver burden [F(1, 120)=12.25, p=0.001], while improving attitudes, knowledge, and skills [F(1, 170)=6.16, p=0.014]. It fills an important gap in available resources for families faced with challenges and responsibilities that these disorders can present, especially when inaccurately diagnosed or receiving ineffective treatment. While there is a need for further research and adaptation to virtual learning, the preliminary results show positive effects.

An mHealth App to Support Fertility Patients Navigating the World of Infertility (Infotility): Development and Usability Study.

BackgroundThe experience of infertility and its treatment engenders considerable stress and is often described as an emotional rollercoaster. A mobile health (mHealth) app may be a novel solution to address the psychoeducational and psychosocial support needs of fertility patients because of its potential to reduce stress and increase patient empowerment. There are a few fertility-related apps that provide information and support to both men and women undergoing fertility treatment; however, none have documented their development and evaluation process.ObjectiveThis study aims to describe the development and evaluation process of a bilingual mHealth app, Infotility, designed to meet the psychoeducational and psychosocial support needs of men and women undergoing fertility treatment.MethodsTo develop the Infotility app, we adhered to the Medical Research Council guidelines for the development and evaluation of complex interventions. First, we conducted literature reviews and needs assessment surveys of fertility patients and health care providers who informed the content and design of the app. Second, we tested the intervention with a small group of end users who provided feedback on the design and appropriateness of the app’s content. Third, we evaluated the uptake and usability of the app using a pre-post study design. Finally, we updated the app’s content based on participants’ feedback and searched for partners to disseminate the app to the broader public.ResultsThis study is the first to describe the development and evaluation process of an mHealth app for men and women undergoing fertility treatment. The app met its goal in providing fertility patients with a clinician-approved, portable resource for reliable information about medical and psychosocial aspects of infertility and its treatments and a confidential peer support forum monitored by trained peer supporters. Participants rated the engagement, functionality, information, and esthetics of the app positively, with an overall app quality mean score of 3.75 (SD 0.53) and a star rating of 3.43 (SD 0.75), with a total possible score and star rating of 5.00.ConclusionsBy documenting the systematic development and evaluation of the mHealth app for men and women undergoing fertility treatment, this paper can facilitate the replication of the study intervention and the development of similar mHealth apps.