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Narrative Therapy Dissertation

 

TABLE OF CONTENTS

(Part 2)

DECONSTRUCTING SECONDARY TRAUMA AND RACISM

AT A SOUTH AFRICAN POLICE SERVICE STATION

2001

A Dissertation by JO VILJOEN

 

SKIP TO:

DISSERTATION

Chapter 1

Chapter 2

Chapter 3

Chapter 4

Chapter 5

References

 

QUESTIONAIRE

GIVING THANKS

CHAPTER

TITLE

PAGE

CHAPTER ONE

INTRODUCING THE LANDSCAPE AND EXPERIENCE

1

1.1

EXPECTATIONS OF RESPECTFUL POLICE PRACTICE

1

1.2

FACING THE SHAME OF THE PAST

4

1.3

RESEARCH AIMS

13

1.4

RESEARCH METHODOLOGY

14

1.4.1

Qualitative research: Selecting a paradigm and epistemology

15

1.4.2

Qualitative research methods

15

1.4.2.1

Multiple reflexive conversations

15

1.4.2.2

Qualitative research interviews

16

1.4.2.3

Using story as metaphor

17

1.4.2.4

A brief word about narrative therapy as praxis

17

1.5

THEORETICAL UNDERPINNINGS

18

1.6

THE CONTEXT OF THE STUDY

20

1.6.1

The police station

20

1.6.2

The participants

20

1.6.2.1

Meeting the members

20

1.6.2.2

The officers

22

1.6.3

The process

22

1.6.4

The individual and group conversations

24

1.6.5

Critical incident debriefing

25

1.7

CHAPTER OUTLINE

25

CHAPTER TWO

PARADIGMS, PRACTICES AND NARRATIVE PASTORAL THERAPY

26

2.1

INTRODUCING PRADIGMS AND PRACTICES

26

2.2

THINKING THROUGH THEORY

27

2.2.1

Postmodern discourse

27

2.2.2

Social construction discourse

30

2.3

THE PRACTICAL THEOLOGICAL DISCOURSE

32

2.3.1

Pastoral care

33

2.4

A NARRATIVE APPROACH TO PASTORAL THERAPY

36

2.4.1

Externalising problems

38

2.4.2

Using questions to undo problem stories

40

2.4.3

Sensitivity to the role of gender

41

2.5

EMANCIPATORY ACTION RESEARCH

42

2.6

POSITIONING THE THERAPIST-RESEARCHER

43

2.6.1

Psychiatric nursing

43

2.6.2

Prophetic pastoral therapist

2.7

THERAPY-AS-RESEARCH

45

CHAPTER THREE

CO-CONSTRUCTING A COLLAGE OF PREFERRED REALITIES IN THE FACE OF STRESS

47

3.1

COLLAPSING CRISIS: WORKING TOWARDS A NEW COLLAGE

47

3.2

BRIEF HISTORICAL OVERVIEW OF STRESS DISORDERS

49

3.3

POSTTRAUMATIC STRESS DISORDER

49

3.4

SECONDARY STRESS DISORDER: COMPASSION FATIGUE

50

3.5

CRITICAL INCIDENTS AND SUB-CRITICAL INCIDENTS

52

3.5.1

Death and/or suicide of a fellow officer

53

3.5.2

Serious injury to a fellow officer

53

3.5.3

Serious multiple-casualty incidents/accidents

54

3.5.4

Traumatic deaths involving children

54

3.5.5

Events that attract excessive media interest and public scrutiny

54

3.5.6

Events involving victims known to the officer

54

3.5.7

Exposure to infectious diseases

55

3.5.8

Litigation, charging commission or omissions

55

3.5.9

Events that have an unusually powerful impact on an officer

55

3.5.10

Other stressors

55

3.5.11

Debriefing

56

3.6

THREE PERSONAL STORIES

57

3.6.1

Procrastination

57

3.6.2

Personal Problems, Rejection, Prejudice and The Tough Guy Subculture

60

3.6.3

Alcohol Abuse, Depression and Loneliness

62

3.7

A GROUP SESSION

67

3.8

THERAPEUTIC LETTERS AND RESPONSES

68

3.9

DEVELOPING AN ALTERNATIVE STORY OF HOPE

71

3.10

NARRATIVE PASTORAL PRACTICES

74

3.10.1

Recognising the ruins

74

3.10.2

Rebuilding the ruins

76

3.11

CONCLUSION

79

CHAPTER FOUR

HOLDING UP THE MIRROR OF HOPE

81

4.1

INTRODUCTION

81

4.2

RACISM IN A PSYCHIATRIC CLINIC

84

4.3

DISCOVERING RACIALLY INSPIRED PROBLEMS AT THE POLICE STATION

87

4.4

RACISM AT WORK AT THE POLICE STATION

89

4.5

LITERACY AND TRAINING

92

4.6

PROBLEMS MANAGING PEOPLE?

93

4.7

RACIAL INCIDENTS

94

4.8

THREE MOMENTS OF RACISM

95

4.8.1

Essentialist racism

96

4.8.2

Moments of colour- and power-evasiveness

98

4.8.3

A third moment of racism: race-cognizance

103

4.9

NARRATIVE PASTORAL PRACTICES: LOOKING IN THE MIRROR

104

4.9.1

Negativity and the morale survey

105

4.9.2

Questioning racism

107

4.9.3

Responses to the questionnaire

108

4.9.3.1

Anger and grief

108

4.9.3.2

Powerlessness

110

4.9.3.3

Isolation and feelings of separation

111

4.10

NARRATIVES FROM GROUPS AND INDIVIDUAL SESSIONS

113

4.10.1

Naming the injustice

114

4.10.2

Externalising the problem

117

4.10.3

Taking steps of resistance to racism

119

4.10.4

Developing respectful practices

120

4.10.5

Re-authoring an identity of respect

121

4.10.6

Summarising therapy letters as part of the re-authoring process

124

4.11

NARRATIVE THERAPY-AS-RESEARCH AS ETHICAL PASTORAL PRACTICE

125

4.12

CONCLUSION

130

CHAPTER FIVE

REFLECTIONS

132

5.1

INTRODUCTION

132

5.2

LOOKING BACK ON THE PROCESS OF THERAPY-AS-RESEARCH

133

5.3

REFLECTING ON OUR WAYS OF WORKING

133

5.3.1

Confidentiality

134

5.3.2

Accountability

135

5.3.2.1

Reflection from a previously disadvantaged pastoral therapist

136

5.3.2.2

Consent

140

5.3.2.3

Sharing power and knowledge

5.3.2.4

Transparency and trust

141

5.4

COLLECTING STORIES AND CHALLENGING DOMINANT DISCOURSES

143

5.4.1

Conflict

144

5.4.2

Alcohol Abuse, 'The Tough Guy', homophobia and liberating spiritual talk

146

5.4.3

Power abuse

147

5.5

THE RESEARCH: SOME REFLECTIONS

149

5.5.1

Reflecting on the usefulness and limitations of a qualitative research paradigm

141150

5.5.2

The self of the therapist-researcher

151

5.5.3

Reflecting on the theoretical underpinnings of this study

152

5.6

REFLECTING ON THE PROCESS OF DATA CONSTRUCTION

154

5.7

REFLECTING ON PRACTICAL THEOLOGY AND PASTORAL THERAPY

155

5.8

RECOMMENDATIONS FOR FUTURE RESEARCH

156

BIBLIOGRAPHY

APPENDICES

167

Appendix A:

South African Police Service Code of conduct

South African Police Service Mission and Values

Appendix B:

Reports on police stress and suicide

Appendix C:

Monthly bulletin of crime statistics 4/2000

Appendix D:

Informed consent

Appendix E:

Narrative questions used in critical and sub-critical incident debriefing

(Fay 1999)

Appendix F:

Therapeutic documents

Appendix G:

Narrative questionnaire: Questioning Racism

LIST OF TABLES

Table 3.1:

First group session &endash;

Responses and theory

TO THE MAIN TEXT OF THE DISSSERTATION

 
© Dean Lobovits, David Epston, Jennifer Freeman
narrative@home.com
Date Last Modified: 4/21/2k