敏感话题的情感冲击:卵巢癌研究中的自述

Dinah A. Tetteh
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摘要

越来越多的证据表明,关于敏感话题的定性研究是一项情绪化的工作,对研究人员来说存在各种意想不到的风险。这篇自述文章讨论了当研究课题敏感而研究者又未亲身经历过所研究课题时所增加的复杂性,从而为现有文献增添了新的内容。我反思并分析了我对美国俄亥俄州西北部和密歇根州南部 28 名卵巢癌幸存者的研究中的顿悟,包括我如何处理一些参与者的死亡。我建议,积极倾听、反身性和灵活性有助于管理此类性质研究项目的局限性;但是,这些策略可能会使研究者的情感脆弱性复杂化,并进一步限制研究。本研究的意义包括,寻求研究卵巢癌或其他敏感话题的研究人员需要积极主动地将灵活性和反思性融入研究过程的每一个阶段,避免替参与者做决定。此外,本研究还建议医护人员了解卵巢癌经历的各种影响因素,包括内疚感、对死亡或疾病复发的恐惧,并在咨询和随访过程中承认这些因素,以帮助验证妇女的经历并开辟支持途径。
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The Emotional Impact of Sensitive Topics: An Autoethnographic Account of an Ovarian Cancer Research
Growing evidence suggests that qualitative research about sensitive topics is emotional work with varied unanticipated risks for researchers. This autoethnographic essay adds to the extant literature by discussing the complexities added when the research topic is sensitive, and the researcher has not personally experienced the topic under study. I reflect on and analyze epiphanies in my research with 28 ovarian cancer survivors in northwest Ohio and southern Michigan in the United States, including how I processed the death of some participants. I suggest that practicing active listening, reflexivity, and flexibility can help manage limitations of a research project of this nature; however, these strategies can complicate the emotional vulnerability of the researcher and further limit the research. Implications of the study include a need for researchers seeking to study ovarian cancer or other sensitive topics to proactively incorporate flexibility and reflexivity into every phase of the research process and avoid making decisions for participants. Additionally, this research suggests to healthcare practitioners to understand the varied influences on the ovarian cancer experience, including guilty feelings and fear of death or disease recurrence, and acknowledge these during counseling sessions and at follow-up visits to help validate women’s experiences and open avenues for support.
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