Reflexivity woven through qualitative health research: A researcher's experience

Authors

  • Janet L. Kuhnke Author
  • Sandra Jack-Malik Author

DOI:

https://doi.org/10.24377/EJQRP.article3103

Keywords:

stories, artwork, arts based research, reflexivity, researcher's experience

Abstract

Engaging in a qualitative, autobiographical research project as a nurse researcher, provided a place and space to explore my reflexive ways of being. This article focuses on describing the reflexivity practices in which I engaged throughout a twenty-four-month research study. This article focuses on a reflexivity practice while researching recovery from eating disorders, and while living during the global coronavirus pandemic. Throughout the research project, and in efforts to deepen understandings of the reflexivity experiences, I read related literature and focused on best and promising practices for eating disorder assessment, treatment, and management. I sought to scaffold and find a place to safely approach and respond to the dataset and artifacts. As an expression of reflexivity alongside the research, I journaled and created art as a medium to illustrate my practice. Simultaneously, I engaged in related conversations with trusted peers. In this work I am therefore both a participant and researcher (Roberts, 1982). Guiding this work were my understandings of stories and lived experiences which, in time, allowed me to create and live out new stories. Linda Finlay's (2012) approach to reflexivity informed and guided the project. As well, Dewey's (1934, 1958) writings on art and nature as experience allowed me to be mindful of my reflexivity practices. Finally, Susan Finley's (2011) critical arts-based notions gave me permission to create in multiple mediums as part of the reflexivity process. Four themes emerged from the reflexive thematic analysis: 1) the importance of scheduling time to conduct reflexivity activities and inquire into and understand responses; 2) the importance of spiritual care; 3) the role of trusted, supportive peers can help re-story shame; 3) the process of living out future, educative stories are possible; and 4) a reflexive practice can include embodied responses. 

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References

Akrawi, D., Bartrop, R., Potter, U., & Touyz, S. (2015). Religiosity, spirituality in relation to disordered eating and body image concerns: A systematic review. Journal of Eating Disorders, 3(29). doi: 10.1186/s40337-015-0064-0

Alexander, J., McAllister, M., & Brien, D. L. (2016). Exploring the diary as a recovery-orientated therapeutic tool. International Journal of Mental Health Nursing, 25, 19–26. doi: 10.1111/inm.12179

American Psychological Association. (2021). Eating disorders: Recovery. https://www.apa.org/topics/eating-disorders/recovery

Ammon, C. (2022). Results section for research papers. https://www.sjsu.edu/writingcenter/docs/handouts/Results%20Section%20for%20Research%20Papers.pdf

Bach, H., Kennedy, M., & Michelson, J-R. (1999). Bodies at work: Sensory knowing. Teaching Education, 10(2), 55–67.

Berg, M., & Seeber, B. K. (2010). The slow professor: Challenging the culture of speed in the academy. University of Toronto Press.

Branley-Bell, D., & Talbot, C. V. (2020) Exploring the impact of the COVID-19 pandemic and UK lockdown on individuals with experience of eating disorders. Journal of Eating Disorders, 8(44), 1–12. doi: 10.1186/s40337-020-00319-y

Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.

Brodo, I. M., Cameron, R., Andrachuk, H., & Craig, B. (2001). Identifying lichens of Nova Scotia: A reference guidebook. https://www.novascotia.ca/nse/protectedareas/docs/identifying.nova.scotia.lichens.pdf

Brown, B. (2006). Shame resilience theory: A grounded theory on women and shame. Families in Society: The Journal of Contemporary Social Services, 87(1), 43–52.

Brown, B. (2010). The gifts of imperfection. Hazelden Publishing.

Brown, B. (2017). Braving the wilderness. Random House.

Brown, B. (2021). Atlas of the heart. Random House.

Chan, E. (2019). Moving toward embodied research. In H. L. McBride & J. L. Kwee (Eds.), Embodiment and eating disorders (pp. 109–126). Routledge.

Clay, D. L. (2015). The phenomenology of anorexia nervosa: The intertwining meaning of gender and embodiment. The European Proceeding of Social and Behavioural Sciences. doi: 10.15405/epbsbs.2015.07.4

Chase, S. E. (2011). Narrative inquiry. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (pp. 421-434). Sage.

Coles, R. (1989). The call of stories. Houghton Mifflin Company.

Courtois, C. A., & Ford, J. D. (2016). Treatment of complex trauma. Guilford.

Creswell, J. W. (2014). Research design. Sage.

Crites, S. (1971). The narrative quality of experience. Journal of the Academy of Religion, 39(3), 291–311.

Dewey, J. (1934). Art as experience. Perigee.

Dewey, J. (1938). Experience and education. Free Press.

Dewey, J. (1958). Experience and nature. Dover Press.

Faulkner, S. L., Kaunert, C. A., Kluch, Y., Koc, E. S-Y., & Trotter, S. P. (2016). Using arts-based research exercises to foster reflexivity in qualitative research. Learning Landscapes, 9(2), 197–211.

Federici, A., & Kaplan, A., S. (2008). The patient’s account of relapse and recovery in anorexia nervosa: A qualitative study. European Eating Disorders Review, 16, 1–10.

Finlay, L. (2002). Negotiating the swamp: The opportunity and challenge of reflexivity in research practice. Qualitative Research, 2(2), 209–230.

Finlay, L. (2005). Difficult encounters. Nursing Management, 12(1), 31–35.

Finlay, L. (2011). Phenomenology for therapists. Wiley- Blackwell.

Finlay, L. (2012). Five lenses for the reflexive practitioner. In J. F. Gabrium, J. A. Holstein, A. B. Marvasti, & K. D. McKinney (Eds.), The Sage handbook of interview research: The complexity of the craft (pp. 317–331). Sage.

Finlay, L. (2014). Embodying research. Person-Centred & Experiential Psychotherapies, 13(1), 4–18. https://psycnet.apa.org/doi/10.1080/14779757.2013.855133

Finlay, L. (2017). Championing “reflexivities”. Qualitative Psychology, 4(2), 120–125. doi: 10.1037/qup0000075

Finlay, L. (2022). The therapeutic use of self in counselling and psychotherapy. Sage.

Finlay, L., & Gough, B. (Eds.) (2008). Reflexivity: A practical guide for researchers in health and social sciences. John Wiley & Sons.

Finley, S. (2011). Critical arts-based inquiry: The pedagogy and performance of a radical ethical aesthetic. In N. K. Denzin & Y. S. Lincoln (Eds.), The SAGE handbook of qualitative research (pp. 435–450). Sage.

Finley, S. (2018). Multi-method arts-based research. In P. Leavy (Ed.), Handbook of arts-based research (pp. 477–492). The Guilford Press.

Fish, B. J. (2018). Drawing and painting. In P. Leavy (Ed.), Handbook of arts-based research (pp. 336–354). The Guildford Press.

Fox, M. J. (2010). A funny thing happened on the way to the future. Hyperion Press.

Frankl, V. E. (1982). Mans’ search for meaning. Washington Square Press.

Frith, E., Miller, S., & Loprinzi, P. D. (2019). A review of experimental research on embodied creativity: Revisiting the mind-body connection. Journal of Creative Behavior, 54(4), 767–798. doi: 10.1002/jocb.406

Galmichee, M., Dechelotte, P., Lambert, G., & Tavolacci, M. P. (2019). Prevalence of eating disorders over the 2000-2018 period: A systematic literature review. American Journal of Clinical Nutrition, 109, 1402-1413. doi:10.1093/ajcn/nqy342

Gao, Y., Bagheri, N., & Furuya-Kanamori, L. (2022). Has the COVID-19 pandemic lockdown worsened eating disorders symptoms among patients with eating disorders? A systematic review. Zeitschrift fur Gesundheitswissenschaften (Journal of Public Health), 1–10. Advance online publication. doi: 10.1007/s10389-022-01704-4

Greene, M. (1977). Toward wide-awakeness for the arts and humanities in education. Teachers College Record, 79(1), 119–125. doi: 10.1177/016146817707900105

Greene, M, V., & Park, G. (2021). Promoting reflexivity during the COVID-19 pandemic. American Journal of Qualitative Research, 5(1), 23–29. doi: 10.29333/ajqr/9717

Haghshomar, M., Shobeiri, P., Brand, S., Rosell, S. L., Malayeri, A. A., & Rexaei, N. (2022). Changes of symptoms of eating disorders (ED) and their related psychological health issues during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Eating Disorders, 10(51). doi: 10.1186/s40337-022-00550-9

Harvey, L. (2011). Intimate reflections: Private diaries in qualitative research. Qualitative Research, 11(6), 664–682. doi: 10.1177/1468794111415959

Hinz, L. D. (2015). Expressive therapies continuum: Use and value demonstrated with case study. Canadian Art Therapy Association Journal, 28(1-2), 43–50. doi: 10.1080/08322473.2015.1100581

Holm, G., Sahlstrom, F., & Silliacus, H. (2015). Arts-based visual research. In P. Leavy (Ed.), Handbook of arts-based research (pp. 311–335). The Guildford Press.

Jolley, H. K. (2019). I’m human too: Person-centered counsellors’ lived experiences of therapist self-disclosure. European Journal for Qualitative Research in Psychotherapy, 9, 12–26. https://doi.org/10.24377/EJQRP.article2990

Kammerer, A. (2019). The scientific underpinnings and impacts of shame. https://www.scientificamerican.com/article/the-scientific-underpinnings-and-impacts-of-shame/

Kwee, J. L., & Launeanu, M. (2019). Practical strategies for promoting embodiment in eating disorder prevention and treatment. In H. L. McBride & J. L. Kwee (Eds.), Embodiment and eating disorders (pp. 342–357). Routledge.

Kuhnke, J. L. (2012). The lived experience of men living with rheumatoid arthritis. [Poster presentation, Queens’ University, Kington, Ontario].

Kuhnke, J. L. (2022, January). Creating space to write and grow spiritually: A qualitative inquiry. LIRIC International Research and Innovation Community Journal, 2(1). https://www.lapidus.org.uk/events-news/liric-journal/liric-current

Kuhnke J. L. (2022, March). Diary writing and trust-filled alliances: A qualitative inquiry. [Unpublished manuscript].

Kuhnke, J. L. (2020). Arts-based activities and adverse events: An autobiographical inquiry. European Journal for Qualitative Research in Psychotherapy, 10, 82–92. https://doi.org/10.24377/EJQRP.article2995

Kuhnke, J. L., & Jack-Malik, S. (2019). Two-eyed seeing, arts-based reflection and collaboration: Reflexivity tools for nursing practitioners working across cultures. European Journal Qualitative Research in Psychotherapy, 9, 48–59. https://doi.org/10.24377/EJQRP.article2988

Launeanu, M., & Kwee, J. L. (2019). Embodiment. In H. L. McBride & J. L. Kwee (Eds.), Embodiment and eating disorders (pp. 35–52). Routledge.

Le Fevre, D. M., & Sawyer, R. D. (2012). Dangerous conversations: Understanding the space between silence and communication. In J. Norris, R. D. Sawyer, & D. Lund (Eds.), Duoethnography (pp. 261–287). Routledge.

Malchiodi, C. A. (2007). The art therapy sourcebook. McGraw-Hill.

Malchiodi, C. A. (2020). Trauma and expressive arts therapy. Guildford.

McBride, H. L. (2019). Embodiment and body image. In H. L. McBride & J. L. Kwee (Eds.), Embodiment and eating disorders (pp. 6–16). Routledge.

Merleau-Ponty, M. (1945/1962). Phenomenology of perception. Colin Smith.

Moon, B. L. (2016). Art-based group therapy. (2nd ed.). Thomas.

Moon, C. H. (2010). Materials and media in art therapy: Critical understandings of diverse artistic vocabularies. Routledge Taylor & Francis Group.

National Health Service. (2021). Eating disorders. https://www.nhs.uk/mental-health/feelings-symptoms-behaviours/behaviours/eating-disorders/overview/

National Initiative for Eating Disorders. (2018). Canadian research on eating disorders. Available at: https://nied.ca/wp-content/uploads/2018/11/Canadian-Research-on-Eating-Disorders-Formatted.pdf

National Initiative for Eating Disorders. (2023). Eating disorders in Canada. https://nied.ca/about-eating-disorders-in-canada/

National Institute of Mental Health. (2018). Eating disorders: About more than food.https://www.nimh.nih.gov/health/publications/eating-disorders

Nechita, D-M., Bud, S., & David, D. (2021). Shame and eating disorders symptoms: A meta-analysis. International Journal of Eating Disorders, 54(110), 1899–1945. https://onlinelibrary.wiley.com/doi/10.1002/eat.23583

Nova Scotia Forest. (2016). What lichens and lichenologists can and sometimes cannot tell us. http://nsforestnotes.ca/2016/11/04/what-lichens-and-lichenologists-can-and-sometimes-cannot-tell-us/

Ollerenshaw, J., Creswell, J. W. (2002). Narrative research: A comparison of two restoring data analysis approaches. Qualitative Inquiry, 8(3), 329–347. doi: 10.1177/10778004008003008

Olmos-Vega, F, M., Stalmeijer, R. E., Varpio, L., & Kahlke, R. (2023). A practical guide to reflexivity in qualitative research: AMEE Guide No. 149, Medical Teacher, 45(3), 241–251. doi: 10.1080/0142159X.2022.2057287

Perey, I., & Cook-Cottone, C. (2020). Eating disorders, embodiment, and yoga: A conceptual overview. Eating Disorders, 28(4), 315–329. doi: 10.1080/10640266.2020.1771167

Paterson, E. (2004). In R. Coles (Ed.), Teaching stories (pp. 272–275). Modern Library.

Pinnegar, E., & Quiles-Gernandez, E. (2018). A self-study of researcher relationships with research participants. Studying Teacher Education, 14(3), 284–295. doi: 10.1080/17425964.2018.1541287

Rae, J. (2018). Exploring creativity from within: An arts-based investigation. Art/Research International: A Transdisciplinary Journal, 3(2), 216–235. doi:10.18432/ari29328

Rae, J., & Green, B. (2016). Portraying reflexivity in health services research. Qualitative Health Research, 26(11), 1543–1549. doi: 10.18432/ari29328

Richards, P. S., Caoili, C. C., Crowton, S. A., Berrett, M. E., Randy K., Hardman, R. K., Jackson, R. N., & Sanders, P. W. (2018). An exploration of the role of religion and spirituality in the treatment and recovery of patients with eating disorders. Faculty Publications. https://scholarsarchive.byu.edu/facpub/3840

Rienecke, R. D., Johnson, C., Le Grange, D., Manwaring, J., Mehler, P. S., Duffy, A., McClanahan, S., & Blalock, D. V. (2022). Adverse childhood experiences among adults with eating disorders: Comparison to a nationally representative sample and identification of trauma profiles. Journal of Eating Disorders, 10(72), 1–10. doi: 10.1186/s40337-022-00594-x

Roberts, B. (2002). Biographical research. Open University Press.

Rodgers, R. F., Lombardo, C., Cerolini, S., Franko, D. L., Omori, M., Fuller-Tyszkiewicz, M., Linardon, J., Courtet, P., &

Guillaume, S. (2020). The impact of the COVID-19 pandemic on eating disorder risk and symptoms. The International Journal of Eating Disorders, 53(7), 1166–1170. doi: 10.1002/eat.23318

Rollings, J. H. (2013). Arts-based research. Peter Lang Primer.

Saldana, J. (2011). Fundamentals of qualitative research. Oxford.

Salmons, J. (2015). Qualitative online interviews (2nd ed.). Sage.

Sciencing. (2021). Wasp paper. https://sciencing.com/bring-the-outdoors-inside-with-these-nature-kits-for-kids-13763822.html

Spatz, B. (2017). Embodied research: A methodology. Liminalities: A Journal of Performance Studies, 13(2), 1–31.

Stranghellini, G., Mancinin, M., Castellini, G., & Ricca, V. (2019). Eating disorders and disorders of embodiment and identify. In H. L. McBride & J. L. Kwee (Eds.), Embodiment and eating disorders (pp. 127–142). Routledge.

Stone, K. D., Dimitropoulos, G., & MacMaster, F. P. (2021). Food for thought: A dissonance between healthcare utilization costs and research funding for eating disorders in Canada. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 30(3), 197–203.

Sweeting, H., Walker, L., MacLean, A., Patterson, C., Räisänen, U., & Hunt, K. (2015). Prevalence of eating disorders in males: A review of rates reported in academic research and UK mass media. International journal of men's health, 14(2), doi: 10.3149/jmh.1402.86.

Turner, T. (2017). Belonging: Remembering ourselves home. Her Own Room Press.

Van der Kolk, B. (2014). The body keeps score. Penguin.

Vara, C. (2021). Kinesthetic empathy as embodied research. Performance Research, 26(4), 130–136. doi: 10.1080/13528165.2021.2005973

Weitkamp, E. (2016). Telling stories about our research. Journal of Science Communication, 15(2), 1–4. doi: 10.22323/2.15020501

Wolf, Z. R. (2012). Ethnography: The method. In P. L. Munhall (Ed.), Nursing research: A qualitative perspective (5th ed., pp. 285–322). Jones & Bartlett Learning.

Wright, H. N. (2004). Experiencing grief. B&H Publishing Group.

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24-09-2024

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Kuhnke, J. L., & Jack-Malik , S. (2024). Reflexivity woven through qualitative health research: A researcher’s experience. European Journal for Qualitative Research in Psychotherapy, 14, 20-43. https://doi.org/10.24377/EJQRP.article3103

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