joyce lamerichs
Vrije Universiteit Amsterdam, Faculty of Arts, Faculty Member
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Background: Intensive care doctors have to find the right balance between sharing crucial decisions with families of patients on the one hand and not overburdening them on the other hand. This requires a tailored approach instead of a... more
Background: Intensive care doctors have to find the right balance between sharing crucial decisions with families of patients on the one hand and not overburdening them on the other hand. This requires a tailored approach instead of a model based approach. Aim: To explore how doctors involve families in the decision-making process regarding life-sustaining treatment on the neonatal, pediatric, and adult intensive care. Design: Exploratory inductive thematic analysis of 101 audio-recorded conversations. Setting/participants: One hundred four family members (61% female, 39% male) and 71 doctors (60% female, 40% male) of 36 patients (53% female, 47% male) from the neonatal, pediatric, and adult intensive care of a large university medical center participated. Results: We identified eight relevant and distinct communicative behaviors. Doctors’ sequential communicative behaviors either reflected consistent approaches—a shared approach or a physician-driven approach—or reflected vacillati...
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To be able to tell the story of your illness, as well as relating to the stories of others, has always been important in people’s subjective handling of illness. In the digital age, this practice is extended to the Internet. Today there... more
To be able to tell the story of your illness, as well as relating to the stories of others, has always been important in people’s subjective handling of illness. In the digital age, this practice is extended to the Internet. Today there are various resources offering people possibilities to share and access health and illness narratives online. In this chapter we will look into empirical material from one particular resource, the researcher-driven national sites of DIPEx International. Based on empirical accounts from patients who have shared their narratives on the sites as well as those of its users, we provide insight into what digital health narratives might mean to people who are actually experiencing health challenges. The analysis exposes three core aspects of subjective illness formation that were related to the digital narratives: embodiment, normality and language. Approaching our empirical data through the theoretical lens of “digital subjectivity” allows for an understanding that moves beyond the conceptualisation of digital narratives as instrumental for information sharing only. Furthermore, the perspective also highlights how the distinction between online and offline practices is less relevant or fruitful when considering subjective formations of illness in contemporary society
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In februari 2007 zijn de sectie Communicatiewetenschap van Wageningen Universiteit en de afdeling Gezondheidsbevordering van de GGD Eindhoven gestart met het verspreidings- en implementatieplan LIFE 21. Ingegaan op de achtergronden van... more
In februari 2007 zijn de sectie Communicatiewetenschap van Wageningen Universiteit en de afdeling Gezondheidsbevordering van de GGD Eindhoven gestart met het verspreidings- en implementatieplan LIFE 21. Ingegaan op de achtergronden van het project LIFE 21 en op het ontstaan van de discursieve actie methode. Tijdens LIFE21 is deze methode ontwikkeld waarmee jongeren in staat waren hun eigen gesprekken op toegankelijke wijze te analyseren. Ook komt aan de orde hoe de methodiek aansluit bij huidige ontwikkelingen in gezondheidsbevordering
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This chapter explores children’s interactional displays of competence when invited to take part in a psychological research interview. The interviews were conducted by a trained psychologist and aimed to find out how children themselves... more
This chapter explores children’s interactional displays of competence when invited to take part in a psychological research interview. The interviews were conducted by a trained psychologist and aimed to find out how children themselves experienced recuperation from single-incident trauma, thus creating a more child-oriented perspective on trauma recovery. Our analysis explored three strategies children adopt to manage the interactional implications of participating in a setting in which the interviewing psychologist introduces situationally relevant notions such as ‘change’ and ‘recovery’. These strategies are: presenting a downgraded version of what happened, discounting ascriptions of a changed self and presenting normatively preferred versions of ‘doing being recovered’. This chapter advances our knowledge of how children participate in research interviews on highly sensitive topics, how they perform identity work around the notion of a ‘changed self’ and how they resist some li...
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The World Health Organisation estimates that worldwide 10–20% of children and adolescents experience mental health problems (WHO, 2018). Beyond the boundaries of these clinically defined populations and conditions, children experience a... more
The World Health Organisation estimates that worldwide 10–20% of children and adolescents experience mental health problems (WHO, 2018). Beyond the boundaries of these clinically defined populations and conditions, children experience a range of ordinary and extraordinary circumstances that affect their mental health and wellbeing. Throughout their lives, children may participate in a range of different institutional settings where emotional, behavioural and neurodevelopmental matters are attended to as relevant for the purposes of that institution. This might occur in clinical settings where mental health and wellbeing comprise a primary institutional focus.
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Aan de hand van de opdrachten die gekoppeld zijn aan dit interviewmateriaal krijg je meer inzicht in hoe het voor mensen is om te leven met dementie. Het interviewmateriaal is verzameld tijdens een eerder onderzoeksproject ‘Help, dement!... more
Aan de hand van de opdrachten die gekoppeld zijn aan dit interviewmateriaal krijg je meer inzicht in hoe het voor mensen is om te leven met dementie. Het interviewmateriaal is verzameld tijdens een eerder onderzoeksproject ‘Help, dement! Patiënt en mantelzorger aan het woord’ waarbij 35 mensen met dementie en 54 mantelzorgers zijn geïnterviewd. De interviews zijn in de vorm van korte clipjes gepubliceerd op de website www.pratenovergezondheid.nl en hebben als basis gediend voor dit lesprogramma. Het project ‘Lessen van patiënten – dementie’ is uitgevoerd met subsidie van het Nationaal Programma Ouderenzorg van ZonMw.
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This chapter investigates children’s accounts of ordinariness when they talk about trauma and trauma recovery. We were struck by the fact that children when they were invited to talk about their experience with trauma would say things... more
This chapter investigates children’s accounts of ordinariness when they talk about trauma and trauma recovery. We were struck by the fact that children when they were invited to talk about their experience with trauma would say things like ‘It was just a coincidence’ or ‘I just started to forget it’. Our first thoughts were that the particle ‘just’ seemed so ‘ill-fitted’ to the description of these serious, painful events, as they seemed to construct what happened as ‘nothing out of the ordinary’. Why would children describe potentially lifealtering occurrences like losing a sibling or a parent in ways that suggested it had only had a minor impact on their lives? These initial questions prompted us to explore what these mentions of ‘just’ do in children’s tellings of trauma and trauma recovery.
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We examine how “I don’t know” answers provided by children in psychological research interviews on trauma recovery talk are received. We analyse the two main ways in which these answers are taken up by the psychologist. Both are hearable... more
We examine how “I don’t know” answers provided by children in psychological research interviews on trauma recovery talk are received. We analyse the two main ways in which these answers are taken up by the psychologist. Both are hearable as offering an account for the child, but carry different implications. Where the first account claims access to what can legitimately be remembered, the second steers away from this ‘sensitive’ epistemic course by accounting for the question the interviewer asked. The first strategy results in qualifying responses from the child and the second strategy invites more elaborate replies from the child on what happened. Exploring these practices demonstrates how children display their social competence in this delicate interview setting.
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Illness narratives, patients’ stories about their experiences of illness, have gained a reputation as a scientific domain in medicine in the last thirty years. Patients’ stories about living with an illness, diagnostic procedures and... more
Illness narratives, patients’ stories about their experiences of illness, have gained a reputation as a scientific domain in medicine in the last thirty years. Patients’ stories about living with an illness, diagnostic procedures and treatments, encounters with medical institutions and its impact on their private and social life have been considered as an important access to their meaning-making and coping endeavours. They also play an important role in doctor-patient communication and the development of a healing relationship. This book aims at sensitizing professionals who use illness narratives in the field of medicine for their problems, challenges, and chances. In what ways should scholars of narratives respond to such uses? We argue that the use of narratives in applied contexts raises many questions about what kind of tools they are and what epistemological foundations, communicational properties and pragmatic effects they comprise when they are shifted from research material...
There is a need to focus on research conducted on online talk about mental health in the domains of ethnomethodology, Conversation Analysis (CA), Discursive Psychology (DP), and Membership Categorization Analysis (MCA). We use the notion... more
There is a need to focus on research conducted on online talk about mental health in the domains of ethnomethodology, Conversation Analysis (CA), Discursive Psychology (DP), and Membership Categorization Analysis (MCA). We use the notion of “talk” in this article, as opposed to what could be considered a more common term such as “discourse,” to highlight that we approach computer-mediated discourse as inherently interactional. It is recipient designed and unfolds sequentially, responding to messages that have come before and building a context for messages that are constructed next. We will refer to the above domains that all share this view as CA(-related) approaches. A characterizing feature of interactional approaches to online mental health talk is their focus on in-depth analyses of relatively small amounts of data. With this focus at the center of their attention, they sit in the wider field of Discourse Analysis (DA), or Computer-Mediated Discourse Analysis (CMDA) who use lan...
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This chapter describes how we developed a Conversation Analysis-based intervention approach, which we call the Discursive Action Method. The method aims to make people critically aware of how they talk and, on that basis, to help them... more
This chapter describes how we developed a Conversation Analysis-based intervention approach, which we call the Discursive Action Method. The method aims to make people critically aware of how they talk and, on that basis, to help them shape their own practices. The method has its roots in an early statement of what Edwards and Potter termed their ‘Discursive Action Model’ (Edwards and Potter, 1993) and is based on insights from Conversation Analysis and Discursive Psychology1 more generally (Edwards, 1997; Edwards and Potter, 1992; Hepburn and Wiggins, 2007; Hutchby and Wooffitt, 1998; Potter, 1996; Potter and Te Molder, 2005).
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Research Interests: Business and The Internet
This article describes a method that aims to stimulate adolescents to become critically aware of the social practices accomplished through talk. A key feature of the method is that adolescents are invited to analyse their own conversation... more
This article describes a method that aims to stimulate adolescents to become critically aware of the social practices accomplished through talk. A key feature of the method is that adolescents are invited to analyse their own conversation materials to accomplish this goal. We will explain how central concepts in the analytical framework employed in discursive psychology are translated into an approach consisting of five stages. Each stage is accompanied by a number of key questions, which constitute the method's backbone. We refer to this approach as the Discursive Action Method. We want to show how this method stimulates youngsters to critically reflect on everyday talk while maintaining a safe position (as 'distant observers'). We stress the importance of inviting youngsters to examine specific interactional features of their talk themselves, as an important 'active ingredient' of this method.
A detailed examination of participants' everyday conversations in an online support group for people suffering from depression has shown that next to talking about their feelings of depression, participants display a pervasive concern... more
A detailed examination of participants' everyday conversations in an online support group for people suffering from depression has shown that next to talking about their feelings of depression, participants display a pervasive concern with whether their request for support is appropriate. It was demonstrated how contrary to the assumptions that are often held with regard to communication via the Internet - portraying online communication being thought of as straightforward, free of obligations and ephemeral - participants employ a number of discursive procedures to account for their call for support. Participants may for example describe their request for support as a result of external emotions, present it in terms of honest feelings or explicitly and fiercely distance themselves from the part that voices these feelings. At the same time, talking about your feelings and asking for support is also presented as a moral obligation. The fragments presented thus show that what count...
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In this article we present a micro-analysis of 27 English blogs of people who reflect on their illness experience and the ostomy surgery they had to undergo as a result of that illness. We adopt an approach based on two related... more
In this article we present a micro-analysis of 27 English blogs of people who reflect on their illness experience and the ostomy surgery they had to undergo as a result of that illness. We adopt an approach based on two related perspectives: conversation analysis and discursive psychology. Both perspectives consider language as a tool for social action. Our findings demonstrate that the discourse of the blogs serves three important social functions. First, the bloggers are able to describe how they have managed their ill-health for a long time, and how ostomy surgery became an inevitable next step. Second, bloggers can demonstrate their acceptance of the ostomy bag in embodied and personified ways (e.g., naming their bag) as well as emphasizing a return to a new normal. Third, ostomates present their stoma as a transformational occurrence. They do so by emphasizing extraordinary achievements in their lives after their stoma surgery and by displaying a strong normative claim to act a...
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Abstract This chapter puts forward the argument that a focus on interaction in the field of natural resource management would benefit from addressing participants' everyday talk in'natural'settings.... more
Abstract This chapter puts forward the argument that a focus on interaction in the field of natural resource management would benefit from addressing participants' everyday talk in'natural'settings. To illustrate the possible merits that lie in such an approach, a study is ...
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Record number, 1671116. Title, Discourse of support: exploring online discussions on depression show extra info. Joyce Lamerichs. Author(s), Lamerichs, J. Publisher, [Sl : sn]. Publication year, 2003. Description, 240 p. Notes, Met lit.... more
Record number, 1671116. Title, Discourse of support: exploring online discussions on depression show extra info. Joyce Lamerichs. Author(s), Lamerichs, J. Publisher, [Sl : sn]. Publication year, 2003. Description, 240 p. Notes, Met lit. opg. ...