Professional Documents
Culture Documents
Case I A, 25 years was admitted to the hospital (Thane) four years back under a detention order by the Police. Educated till grade V, she was working as a compounder in a private clinic earning Rs.500/- p.m. prior to being admitted in the hospital. Her primary diagnosis as mentioned in the hospital case records was schizophrenia with a history of 10 years.
The
mental status examination (MSE) at the time of admission stated that she was conscious, talkative, argumentative, suspicious, had persecutory delusions and partial insight into her illness. She received ECTs and medication on admission and is currently on maintenance medication. Her present MSE reveals that she has fair insight into her illness and need for medication, talk is relevant, coherent and there are no delusions or hallucinations. She feels she has recovered and is keen to go home.
She is currently working as a helper patient in the hospital looking after women patients and assisting the attendants. Prior to admission to this hospital, she had received treatment from a Municipal Hospital in Mumbai, a village in Kerala (from where she hails) and also from indigenous healers at a temple and mosque.
Originally
from Kerala, her parents along with her younger brother and herself had settled in Mumbai several years ago. Her father owned a tea stall near CST station in Mumbai but kept shifting the location of his stall and home to find better business and cheaper accommodation. At the time of admission, her brother younger by five years was in an orphanage pursuing his studies. A has little information about him and her father who came to meet her twice during the last four years. He had suffered a paralytic attack,
was hospitalized and has since then no contact with her. As mother is also admitted to the same hospital and she says there is family history of mental illness. Besides her mother and herself, her maternal and paternal aunts are also suffering from mental illness. Hospital case records mention that both the mother and daughter were being sexually abused on the streets of Mumbai and were found by the police who admitted them.
Her family history reveals that her father was an alcoholic and would regularly beat up her mother. Her brother and she used to steal money to buy food and run away from school to go on bus and train rides. When her father found out about their exploits he would beat them up too. They had no extended family support either in Mumbai or in Kerala as her maternal grandmother did not like As mother to visit Kerala and stay with them. Her memories about her mothers illness go back to her school days when her mother used to have a lot of tension, become sick and behave in an odd manner. A feels that because of the tension, she too became sick and now has landed in the hospital.
People differ in their experiences and understandings of reality; how participants define a situation may not reflect assumptions made by the researcher
social phenomenon cannot be understood outside its own context Theory both guides qualitative research and is a result of it Exceptional cases may yield insight into a problem or new leads for further inquiry Understanding of human behaviour emerges slowly and nonlinearly
REDUCING
DISPLAYING
separate data of different stakeholders if two or more methods used, separate data from each method for each stakeholder Create homogenous sources of data When writing the narratives, chronological; present/past; sectorwise; cause/effect; back and forth The writing structure should be the same for comparative analysis, include all data
READING
reading and rereading texts and reviewing notes, is data adequate; content; note quality of the transcripts. Begin to identify patterns: possible relationships; contradictory responses; gaps in understanding
DATA PREPARATION
Transcription takes time Transcription is an interpretive process Level of transcription depends on the objectives of study Do the transcription yourself Dangers of superficial coding, missing contextual details, what happened before and after Hence, knowing and reading data very important Writing a creative activity, not mechanical When working in a team, transcription a must
METADATA
Data about data Information about your data : notes, outlines used Information about the details of your data : how study was done, biographical info . about your respondents. Date of interview Biographical details about the respondent Topic and circumstances of interview Name of interviewer Source of field notes relevant to the interview Linked documents [earlier contacts] Initial ideas for analysis Pseudonym of person interviewed
CODING
Process of identifying passages that exemplify certain thematic ideas and give them a label the code. Classifying words. Derived from research questions, key concepts, themes Working with words have multiple meanings
Need to move from mere descriptive codes [activities done together] to a more categorical, analytic and theoretical level of coding [have these decreased, why] Concept driven coding Conceptual map; secondary data; hunches . build up a list of thematic ideas. But these would be amended as study goes on Data driven coding Start with no codes open coding. Done by advocates of grounded theory Usually a mixture of both done Can be descriptive, explanatory, interpretive
DEFINITIONS OF CODES
A must Name better than a number If possible , do double coding with another person. A good reliability check Reliability = number of agreements total number of agreements + disagreements Not every piece of material needs to be coded When to code? Iterative process. Always code the previous set of field notes before the next trip to the site Have the codes on a single sheet for easy reference
MATRICES
Are
an aid Checklist Matrix for identifying Domains of concepts Each data should have a concept label Use concept labels which are theoretically correct.[ e.g., perception] If new concept , then need to define Concepts are not derived till checklist matrix is completed Checklist matrix need not be included in the report
CHECKLIST MATRIX
Data which is not directly used, should not be excluded. Can use as background data Representing data in the narratives, is an act of responsibility Narratives in first person [I] only when individual is the unit of analysis When analyzing, avoid global statements - look for shades of differences, behaviours, details of interventions
CHECKLIST MATRIX
Variable label Value of variable [for each case] Nature of project by Community based NGO health project Types of target groups Women, youth and children Location of project In a rehabilitated community Approach of project Preventive and curative
Personnel involved
Time of intiation
1988
Beliefs about the project Women have to be the focus to meet health needs of family Programmes Outreach
MATRICES
Critical incident Only critical incidents HOW was it critical should be depicted in the matrix PROCESS OUTCOME MATRIX TIME ORDERED MATRIX ROLE ORDERED MATRIX EFFECT OF AN EVENT MATRIX
CASE ANALYSES
of of of of
DISPLAYING
A spatial format that presents information systematically to the user. For qualitative researchers, the typical mode is narrative text. However, this runs into pages, not in order, loosely knit. Hence, need creative forms for this purpose. Then explore each thematic area, first displaying in detail the information relevant to each category. The major themes and the subthemes. [ e.g. theme: for arranged marriages or love marriages [a few for either] ; subthemes: reasons; experience; feelings; values ;]
Home Maternal adoptive family, visited biological family intermittently, conservative values, religious, cohesive and caring though formal and located in insecure downtown area.
Friends Close group, understanding, dependent, frank and modern attitude towards boy-girl friendships.
School Liked its environment, behavior less reserved at school and felt the moral behavior of some girls was lacking.
Individual characteristics Behavior home: sensitive, obedient, stays to herself, quiet, asocial, follows the moral behavior expected by family; school : talkative, jovial, academic, can not play because of breathing problem, modern outlook, conflict between what society says and what she feels, bossy, lacks confidence, not participative, performance anxiety; general: timid, liked traveling, watching television and spending time with friends, wanted to become a doctor, patient and forgiving. Beliefs religious beliefs were molded by family, moral behavior influenced by religion, believed religion was significant, religiosity measured by rituals followed and God determines death. Dealing with emotions misses her own family and upset when someone criticises without any reason, generally even tempered, dealt with difficult emotions by sharing with friends but not dependent on family.
DATA REDUCTION
Reduce this information to its essential points. Distilling the information to make visible the most essential concepts and relationships Happens after all the data is in and you are familiar with their content Visual devices help in this process: one approach is to develop matrices, diagrams, for each thematic area
Outgoing Territori al Close, cohesive, communica tive Close but non communica tive Not close Amir level one Political Sania level three Unclear Zubin level four Zubeida level one Territo rial
Dual Polit ical Uncl ear Territo rial Sabina level three Bilal level three Nafis a level three Feroz level one
A single site can be an individual, group, organization, community The importance of display: narrative alone can be cumbersome. , dispersed, vague, spread out over many pages Unlike quant. Data, which can compute large numbers in a matter of seconds, the Qualitative . researcher has to hand craft all such data displays Can be matrices, charts, figures. These depend on what the researcher wants to analyse Must be standardized, as to be used for all units of analysis If a concept is not on a format sheet, cannot be compared with another unit or concept Can have many kinds of displays for the same set of concepts
Case 2
Shy, lacks confidence
Case 3
Friendly, popular, avg intelligence
Case 4
Sensitive, emotional, confident
Case 5
Self conscious, low confidence, less intelligent
Case 6
Shy, reserved, dependent on others, sensitive, low confidence Communicative
Communic ative
Quiet
Communicativ e
Communicati ve
Quiet
Participati ve
Participative
Participative
Participative
Non participative
Beliefs
Conservative, stereotypes
Expressive
STRUCTURED CONCEPTS:
SELF
Self perception Characteristics Dealing emotions with School Beliefs
Outgoing
Influenced by Koran, could not follow all the rituals, idea of morality based on religion, gender stereotypy.
Believed in God and rituals, based on Koran, believed in religious explanations.
Dual
Quiet at home and talkative in school, not social, lacks confidence and intelligent.
Less inhibited, close group of friends, participates in sports. Either did not like school or liked it because of friends, small peer group, nonparticipative.
Belief in God, religious identity, rituals were a sign of religiosity, believed in destiny, afraid of death, moral behaviour dependent on beliefs.
DEVELOPING HYPOTHESES
as you organize data around themes, you start forming hypotheses hunches about the data that you want to investigate further. web as interconnected, and not stand alone. One also tries to validate or reject emerging conclusions Do the categories that I have developed make sense? What pieces of information contradict my emerging ideas? What pieces of information are missing or underdeveloped? What other opinions should be taken into account? How do my own biases influence the data and analysis? Does it include process and explanations of how and why concepts occur
Begin with the smallest unit/concept from the checklist matrix Need to do tangible and process simultaneously in analysis Tangible: series of matrices and /or diagrams to identify relationships between 2 or more concepts Process, quality of analysis creative skills selecting concepts develop skill of weaving in minute details to maximum divergence in findings. Divergence : looking a t a phenomenon [ e.g. poor] in different contextual situations which give rise to different behaviours Develop web of hypotheses for all concepts to finally build a causal network chart
WEB OF HYPOTHESES:
LEVELS OF EXPOSURE AND STRESS-COPING
Levels of exposure
One (serious injuries) Two (child and father injured) Three (moderate injuries) Four (no injuries)
Self Family
Very serious injuries produced marked changes in beliefs and attitude as compared to moderate to no injuries. Injury to self and family was associated with more distress compared to minimal physical injuries.
Stress-coping experience
Stress reactions Coping efforts Familys reactions Social support Changes in self
Close, cohesive and communicative Close but non communicative Not so close or communicative
Children from close but non communicative families perceived less distressing stress reactions and changes in self and in their family as compared to those from not so close families.
Children from close, cohesive and communicative families perceived facilitative family reactions and social support as compared to children from not so close families.
Stress-coping experience
Stress reactions Coping efforts Familys reactions Social support Changes in self
Data [ fragmented, stand alone data] Narratives [ to include all data] Concept development Domains of patterns in concepts Concepts Web of hypotheses Process explanations
Protective factors Expressive and social self Close family relationships Communicative and cohesive family Political understanding of the context Minimal physical injuries
Vulnerability factors Shy and non-expressive self Lack of close family relationships Strained relation with father Taking a territorial perspective of the violence Severe physical injuries
TRIANGULATION
Data triangulation Researcher triangulation Theory triangulation Methodological triangulation
THANKS
pradeep_meshram1967@rediffmail.com