I'm still me, I'm still a person: war metaphor use and meaning making in women with metastatic breast cancer

PURPOSE

The war metaphor is one strategy used frequently in breast cancer to inspire individuals in a "fight" against cancer and assist patients in navigating their illness experience. Despite prominent use, the emotional impact of this language has not been examined in the context of meaning making among women with metastatic breast cancer (MBC).

METHODS

This study involved a semi-structured interview considering the war metaphor's impact on women's illness experience with MBC. Participants (n = 22) had been diagnosed with MBC for at least 6 months or following 1 disease progression and were undergoing treatment at an NCI-designated cancer center in Western Pennsylvania at the time of interview. Each participant underwent an individual interview exploring the war metaphor's impact on illness experience. Qualitative thematic analysis was performed to assess feelings about the war metaphor and emotional response to the lived experience of cancer.

RESULTS

Two themes were identified surrounding metaphor use and participants' experiences with meaning making in cancer. First, women with MBC perceive the diagnosis as an "unfair fight" due to its incurable nature. Second, patients use alternative language of "living life" and communicate resistance to being defined by their cancer diagnosis.

CONCLUSION

War metaphors are one collection of terminology people use to understand their diagnosis. However, their use may apply pressure to prioritize positivity in the face of diagnosis and treatment, in a unique clinical context where this may not be adaptive. These findings affirm a need to consider patients' lived experiences to best facilitate psychological adjustment to illness.

Major transitions: how college students interpret the process of changing fields of study

Selecting a major is one of the most consequential decisions a student will make in college. Though major selection is often conceived of as a discrete choice made at a particular point in time, many students change their majors at least once during college. This article examines the process of changing majors as a key education transition. Drawing from 38 interviews with college students at a public university in the USA who changed their declared major, this study explores the ways they make meaning of transitions between fields of study. Specifically, I ask: How do students describe their experiences navigating the process of switching college majors? Six themes emerged in relation to three phases of transition: endings, neutral zones, and new beginnings. These themes provide new understandings of students' meaning making about their experiences moving between majors. In doing so, this study (1) demonstrates the value of studying major change as an important educational transition and (2) sheds light on the potential for employing theories of transition to understand non-normative and non-linear transitions in higher education. Implications for higher education research and practice are discussed.

Supplementary Information

The online version contains supplementary material available at 10.1007/s10734-023-01050-8.

Coping, Meaning Making and Resilience Within the Dutch Reformed Pietist Community During the COVID-19 Outbreak: An Exploratory Qualitative Study

In this qualitative study, we examined how community members of the Dutch reformed pietist community coped with the COVID-19 pandemic, and which religious sources of meaning making and resilience they used during this time of crisis. Based on seven in-depth interviews, we found that the representation of God being 'above all things' was prominent in times of close encounter with the coronavirus. In actively interpreting the pandemic, community members tended to stay away from concrete eschatological or ecological interpretations. Rather, the general theme of 'malleability' was used and linked to notions of calling and punishment. Furthermore, we identified the importance of community and scepticism towards the government as sources of resilience, whereas thinking about the future of the church was a source of fear and concern.

Cancer Survivorship: Religion in Meaning Making and Coping Among a Group of Black Prostate Cancer Patients in South Africa

The purpose of the study was to explore the role of religion in meaning making and coping among a group of black patients receiving some form of prostate cancer treatment at a public hospital in Limpopo Province, South Africa. A sample of 20 prostate cancer survivors, with ages ranging from 67 to 85 years (mean_age = 76yrs; SD = 5.3) selected through purposive sampling. Data were collected through in-depth, semi-structured individual interviews and analysed using interpretative phenomenological analysis (IPA). The findings demonstrated that religion is an important factor in meaning making and coping by prostate cancer survivors. The findings suggest that healthcare practitioners need to pay close attention to the meanings that cancer patients assign to their illness to provide the appropriate care and support.

Facing the pandemic lockdown questionnaire - FPLQ: A brief tool to assess individual differences in front of pandemic experience

This paper presents the development and the initial validation of a self-report questionnaire (the Facing the Pandemic Lockdown Questionnaire - FPLQ) focused on the way in which people faced the impact of the lockdown related to the Coronavirus Disease 19. 504 adults (81.55% females; M age = 32.71 years, SD = 11.19) took part to the study. Exploratory and confirmatory factor analyses revealed a 15-item 4-factor structure, invariant for gender and age: two dimensions related to maladaptive processes (i.e., "Perception of low social connectedness and lack of routines" and "Health worry") and two dimensions related to adaptive processes (i.e., "Positive re-thinking" and "Perception of online social connectedness"). Further, we investigated the associations between these dimensions and measures pertaining cognitive (i.e., internal and external health locus of control), emotional (i.e., positive and negative affect), and relational (i.e., attitude and behaviors toward civic engagement) processes, also testing the moderating role of gender and age. Finally, the potential usefulness of this new tool for both extant and future psychological research was highlighted.

Meaning making in retirement transition: a qualitative inquiry into Slovak retirees

Purpose: This study is a qualitative inquiry into meaning making during retirement transition. The study focuses on how Slovak retirees reconstruct meanings during the transition and the factors which both help and hinder this process.Methods: Forty individuals (M = 63.36; SD = 2.47) who had recently transitioned into retirement were interviewed and data were analysed using the Consensual Qualitative Research-Modified approach.Results: The analysis generated five basic domains with categories and subcategories of the participants' responses. The analysis showed that once retired, the participants generally continued to rely on previous meaning sources such as work and family; however, there were changes such as switching from job-related work to work related to hobbies and housekeeping, or from financially providing for the family to maintaining family relationships and grandparenting. The main factors facilitating the meaning making process were positive attitudes and social support for meaning. The risk factors included lack of finances, poor health of retiree or a close person, and the loss of a spouse.Conclusions: In general, the research showed that the main features of the retirees' meaning making processes were maintaining accessible sources, compensating for sources lost during the transition, and managing beneficial and risk factors.

Loss and Resilience in the Time of COVID-19: Meaning Making, Hope, and Transcendence

This article addresses the many complex and traumatic losses wrought by the COVID-19 pandemic. In contrast to individually based, symptom-focused grief work, a resilience-oriented, systemic approach with complex losses contextualizes the distress and mobilizes relational resources to support positive adaptation. Applying a family resilience framework to pandemic-related losses, discussion focuses on the importance of shared belief systems in (1) meaning-making processes; (2) a positive, hopeful outlook and active agency; and (3) transcendent values and spiritual moorings for inspiration, transformation, and positive growth. Practice guidelines are offered to facilitate adaptation and resilience.

Beyond the Meaning Given. The Meaning as Explanandum

The paper starts from the recognition of Bruner's contribution to the development of psychological science. It is claimed here that to proceed in that direction requires the building of an analytical notion of meaning. This analytical notion should distinguish between meaning-making and sensemaking, namely between the processes of elaboration and use of meaning (meaning-making) and the processes that makes the meaning emerge to be lived as psychological reality (sense-making). In order to discuss this distinction, two main issues are addressed - the limit of the hypostatized view of meaning and the dynamics of presentification through which meaning is endowed with value of life. These two issues are complementary - together they push psychology to search for a theoretical and methodological framework where meaning can be investigated as an emergent psychological phenomenon, and not only taken for granted as a premise.

Psychology: a Discipline in Need of Reflective Foundations

Zagaria, Andó and Zennaro (2020) provide a useful analysis of the current state of affairs in the discipline of psychology. They conclude that psychology is in a messy and unproductive pre-pragmatic state and suggest that evolutionary psychology can provide a needed metatheoretical perspective to enable psychology to move forward as a science. In my commentary I move to another direction and suggest that psychology does not need more solid foundations, but rather foundations characterized by reflective stance towards its phenomena, theories, methods and data production processes. I suggest that this kind of stance would be in accordance with the process ontological perspective that allows focusing on meaningful human experience as central object of study for psychology, together with an idiographic approach to research. I thus suggest that psychology will endure only by turning its reflective gaze towards oneself, by thinking about its past, imagining its future and constructing novelty from the creative assemblage of the two.

News media's framing of health policy and its implications for government communication: A text mining analysis of news coverage on a policy to expand health insurance coverage in South Korea

On August 9, 2017, South Korea announced a new measure to expand National Health Insurance (NHI) coverage, which was nicknamed "Mooncare." At the early stage of its implementation, the interpretation of a policy by social actors influences its success and the formation of social conflicts around it. This study sought to identify the strategies for interpreting Mooncare in newspapers and government documents and examine the conflicts between them. Therefore, this study used text mining methods that are well-suited to processing large amounts of natural language data. Findings revealed that, while the conservative newspaper The Chosun Ilbo tended to highlight the financial feasibility of Mooncare, the liberal newspaper The Hankyoreh emphasized the change in rationality of government from the previous administration implied by Mooncare. Additionally, medical newspapers tended to adopt the perspective of healthcare providers and to focus on the changes in the medical system that may threaten them. In contrast, general newspapers tended to adopt the perspective of Mooncare's beneficiaries. Finally, government documents were found to focus on simply introducing the benefits of Mooncare, not responding to the framings of various media. This study identified how various social actors interpreted Mooncare. The results suggest that the government should assume a more active role in the meaning making of the policy.

Beyond Verbal Narratives: Using Timeline Images in the Semiotic Cultural Study of Meaning Making

Contemporary semiotic cultural tradition in psychology views human meaning making as unfolding through the negotiation of multiple real and imagined scenarios and storylines. While emphasising this complex and layered nature of meaning making, this research tradition offers little methodological guidance for appreciating and evidencing this multiplicity in data analysis and interpretation. This paper suggests that a methodological approach that combines visual and verbal ways of representing one's personal stories might offer a useful alternative for evidencing the multiple meanings that individuals create about their personal journeys. By presenting two examples of drawn timeline images and corresponding interview extracts, the paper discusses how the chosen methodological approach offered opportunities for participants to 'show and tell' their complex and layered stories, and gave them freedom and agency to shape the research encounter and data production processes. The paper also highlights how the incorporation of visual methods into the methodology enabled the researcher to find alternative ways of interpreting participants' stories. The paper argues for a purposeful integration of visual and verbal methods, where the semiotic tensions and clashes between these modes can reveal novel ways of seeing researchers' and participants' meanings in the making.

Perceptions of general and parenting-specific posttraumatic change among postpartum mothers with histories of childhood maltreatment

Although adaptive meanings of childhood maltreatment (CM) are critical to posttraumatic adaptation, little is known about perceptions of posttraumatic change (PTC) during the vulnerable postpartum period. PTC may be positive or negative as well as global or situational. This study examined general and parenting-specific PTC among 100 postpartum women with CM histories (Mage=29.5 years). All reported general and 83% reported parenting PTC. General PTC were more likely to include negative and positive changes; parenting PTC were more likely to be exclusively positive. Indicators of more severe CM (parent perpetrator, more CM experiences) were related to parenting but not general PTC. Concurrent demographic risk moderated associations between number of CM experiences and positive parenting PTC such that among mothers with more CM experiences, demographic risk was associated with stronger positive parenting PTC. Results highlight the significance of valence and specificity of PTC for understanding meanings made of CM experiences.

Parental relationships beyond the grave: Adolescents' descriptions of continued bonds

OBJECTIVE

Many people experience an ongoing relationship with a deceased loved one. This is called a "continued bond." However, little is known about the adolescent experience with continued bonds once a parent has died. This study describes three ways that adolescents continue their relationship with a parent after that parent's death.

METHOD

Individual semistructured interviews were conducted with nine adolescent children of deceased hospice patients from a large hospice in northeastern Ohio as part of a larger grounded-theory study. The interviews were audiotaped, transcribed verbatim, and analyzed using a conventional content analysis approach.

RESULTS

Adolescents continued their bonds with deceased parents in one of three ways: experiencing encounters with the deceased parent, listening to the inner guide of the parent, and keeping mementos to remind them of the parent.

SIGNIFICANCE OF RESULTS

The ways that the adolescents continued their bond with a deceased parent assisted them in creating meaning out of their loss and adjusting to life without that parent. Our results can be used by health professionals and parents to help adolescents after a parent has died.

Semiosis stems from logical incompatibility in organic nature: Why biophysics does not see meaning, while biosemiotics does

We suggest here a model of the origin of the phenomenal world via the naturalization of logical conflict or incompatibility (which is broader than, but includes logical contradiction). Physics rules out the reality of meaning because of the method of formalization, which requires that logical conflicts cannot be part of the model. We argue that (a) meaning-making requires a logical conflict; (b) logical conflict assumes a phenomenal present; (c) phenomenological specious present occurs in living systems as widely as meaning-making; (d) it is possible to provide a physiological description of a system in which the phenomenal present appears and choices are made; (e) logical conflict, or incompatibility itself, is the mechanism of intentionality; (f) meaning-making is assured by scaffolding, which is a product of earlier choices, or decision-making, or interpretation. This model can be seen as a model of semiosis. It also allows putting physiology and phenomenology (or physics and semiotics) into a natural connection.

Helping students make meaning of authentic investigations: findings from a student-teacher-scientist partnership

As student-teacher-scientist partnerships become more widespread, there is a need for research to understand the roles assumed by scientists and teachers as they interact with students in general and in inquiry learning environments in particular. Although teacher roles during inquiry learning have been studied, there is a paucity of research about the roles that scientists assume in their interactions with students. Socio-cultural perspectives on learning emphasize social interaction as a means for students to make meaning of scientific ideas. Thus, this naturalistic study of classroom discourse aims to explore the ways scientists and teachers help high school students make meaning during authentic inquiry investigations. Conversational analysis is conducted of video recordings of discussions between students and teachers and students and scientists from two instances of a student-teacher-scientist partnership program. A social semiotic analytic framework is used to interpret the actions of scientists and teachers. The results indicate a range of common and distinct roles for scientists and teachers with respect to the conceptual, social, pedagogical, and epistemological aspects of meaning making. While scientists provided conceptual and epistemological support related to their scientific expertise, such as explaining scientific phenomena or aspects of the nature of science, teachers played a critical role in ensuring students' access to this knowledge. The results have implications for managing the division of labor between scientists and teachers in partnership programs.