All interviews were audiotaped and transcribed verbatim, with transcripts checked for consistency by another team member. NVivo software version 11 was used for the purpose of coding and data processing (QSR International; Computer Software, Australia). The data were analyzed using the thematic analysis that involved discovering, interpreting, and reporting patterns and clusters of meaning within the data (Braun and Clarke, 2006 ). In the first step, all study team members (JV, SC, ES, and RS) independently read a transcript each and employed either descriptive or theoretical codes to index meaningful segments or contents. The next step involved gathering of the team to compare individual analyses, reconcile any differences of perspective, and achieve consensus on the codes and their themes. From this initial inductive coding scheme, a list of preliminary themes was generated based on the summaries and collective interpretation of the coded material. To confirm adequate inter-rater reliability, a codebook was then constructed and all members coded a single new transcript using the codebook as a guide. Cohen's kappa coefficient was established to be 0.83, and team members proceeded to code the remaining transcripts independently. To capture unexpected themes that emerged during the course of reading the remaining transcripts, additional codes were created through open coding. In the final step, all identified themes were progressively integrated into higher-order key themes in relation to the research topic. To differentiate the before–during–after periods of service encounters, we have organized our findings into three distinct sections, namely, pre-, during-, and post-psychotherapy ( Figure 1 ).
Client experience with psychotherapy service utilization.
Our analysis was underpinned by Andersen's Health Service Utilization Model (Andersen, 1995 ), which has been used extensively in studies to understand factors that both promote and undermine the access to healthcare. Findings pertaining to the pre-psychotherapy experience provided support for the model, particularly where emergent themes relating to pathways and reasons to help-seeking could be mapped onto major components identified in the model. Andersen's Behavioral Model defined health service use as an interplay of three distinguished determinants, namely, predisposing characteristics, enabling resources, and need factors (Andersen, 1995 ; Andersen and Newman, 2005 ). The predisposing characteristics refer to the sociocultural characteristics of the individuals that exist prior to the development of an illness. The enabling factors represent the logistic aspects of obtaining care such as affordability and availability of resources at the personal, family, and/or community level. Need factors, usually identified as the most immediate cause of health service use, include potential needs for care, perceived and evaluated health, or functional state. We adopted thematic mapping onto an existing framework and discussed themes associated with each determinant to present our findings with respect to the pre-psychotherapy experience.
The ages of participants ranged between 22 and 55 years, with a median age of 32 years. Majority of them were females, Chinese, single, unemployed, completed the education of tertiary and above, stayed in purchased public housing, not hospitalized in the past year, and were without a comorbid physical problem. The number of psychotherapy sessions attended in the past 1 year ranged from 2 to 48 (median = 7.5). Table 2 provides a summary of the profile of clients.
Characteristics of participants.
Age group | 21–39 | 10 |
40–65 | 5 | |
Gender | Male | 6 |
Female | 9 | |
Ethnicity | Chinese | 9 |
Malay | 4 | |
Indian | 2 | |
Marital status | Single | 11 |
Married | 3 | |
Separated | 1 | |
Education | Secondary | 2 |
Vocational and diploma | 6 | |
Tertiary and above | 7 | |
Housing type | Public (rented) | 2 |
Public (purchased) | 10 | |
Private | 3 | |
Employment | Employed | 4 |
Not employed | 11 | |
Hospitalization in the past 1 year | Yes | 4 |
No | 11 | |
Physical health problems | Yes | 7 |
No | 8 | |
Type of mental disorder | Depression | 7 |
Mixed anxiety and depression | 3 | |
Anxiety disorder | 2 | |
Borderline personality disorder | 1 | |
Not known | 2 |
Predisposing factors.
As participants described their pathways or reasons to attend psychotherapy, several personal health-related beliefs and values, as identified by the authors, seemed to form their help-seeking behaviors. These included mental illness-related stigma in healthcare, lack of knowledge about psychotherapy as a treatment option, and preference for non-pharmacological treatment. The quotes representing each factor are presented in Supplementary Table 1 .
Participants delayed help-seeking or were initially reluctant to attend psychotherapy session at a psychiatric institution for psychological problems for fear of being discriminated against or due to mental health stigma. The presence of social stigma created barriers to healthcare access and quality care [see Supplementary Table 1 (A1, A2)].
Participants expressed a lack of knowledge about the purpose and processes of psychotherapy. They were either unaware of psychotherapy as a viable option for their problems or unsure about the effectiveness of this treatment in solving their issues. Most participants only became aware and tried out psychotherapy without any expectations because they were being referred by another mental health professional or came to know about it when they read about it online [see Supplementary Table 1 (B1, B2)] .
Patients either felt that medications were ineffective for them or were reluctant to embark on taking medications to manage their symptoms due to possible concerns of “addictiveness” or side effects. Therefore, they explored other non-pharmacological options such as psychotherapy as their preferred treatment of symptoms [see Supplementary Table 1 (C1, C2)].
The enabling factors explain the factors that facilitate or impede an individual to service use. Participants highlighted several hindrances to the utilization of psychotherapy services despite wanting to try or believe that psychotherapy is effective for them. These included inability to commit, affordability of service, and availability of resources (i.e., facilities and health personnel) in the community. The quotes representing each factor are presented in Supplementary Table 1 .
While describing their experience with the utilization of psychotherapy, participants expressed the commitment issue as the main factor for not starting or continuing the therapy. The reasons cited include the lack of time, clash of schedules, inconvenience, or other personal concerns [see Supplementary Table 1 (D1, D2)] .
Despite being aware of the availability of psychotherapy services, some participants had concerns about continuing such services for a longer term as they felt it was too expensive. Some chose to engage psychotherapy services from public health providers instead of private sectors that were costlier [see Supplementary Table 1 (E1, E2)].
Few participants reported reasons related to the availability of resources, which hindered them from accessing or continuing psychotherapy service. These included the unavailability of psychotherapy tertiary care service offered in the preferred choice of a healthcare institution or the therapist of choice of a patient, as well as long waiting time [see Supplementary Table 1 (F1)].
This study identified both the perceived needs of patients (i.e., psychological symptoms and diagnosis) and the evaluated needs of mental health professionals (i.e., judgment about the health status of patients) as determinants that made participants seek and utilize psychotherapy service. The quotes representing each factor are presented in Supplementary Table 1 .
The majority (i.e., 13/15) of participants were diagnosed with a mental disorder such as depression, anxiety, and borderline personality disorder. Participants reported the need to alleviate or cope with their underlying clinical symptoms and, hence, proceeded to seek psychotherapy service. Others felt that they just needed someone to talk to or to get support from due to the multiple psychological and social struggles that they were facing, and few insisted on seeing a psychotherapist despite being told it was not necessary by a health professional. Some participants also mentioned that they stopped going to the sessions when they felt better [see Supplementary Table 1 (G1)].
Those who did not seek psychotherapy on their own were mainly referred to the service after presenting to a mental healthcare professional. They were prescribed psychotherapy by their consulting psychiatrist, during hospitalization or visit to the emergency services. Some participants went into psychotherapy due to their trust in the healthcare professionals or without even knowing what to expect from the service [see Supplementary Table 1 (H1)].
Therapy process.
Themes identified in this component pertain to common in-session experiences of the client and were contributed by the interplay of three broad elements, namely, the psychotherapist, the therapeutic modality, and the client her/himself. Participants also described the aspects of the sessions that were helpful or not helpful in improving their psychological well-being. The quotes representing each factor are presented in Supplementary Table 1 .
Participants described mainly the positive qualities of their psychotherapists: “friendly,” “nice,” “gentle,” “non-judgmental,” “intelligent,” “good,” “concerned,” “well-informed,” “patient,” “attentive,” and “well-read,” with “understanding” being mentioned the most. These personal attributes of therapist appeared to strongly influence therapeutic alliance. The alliance was important to the therapeutic process and was also highly determined by the interaction of therapists with their clients. Understanding, caring, and accepting therapists were deeply valued by clients, while feeling unheard, misunderstood, and unappreciated challenged the alliance [see Supplementary Table 1 (I1, I2)].
Besides the personal attributes and communication skills of therapists, the significance of the expertise and modality of the therapist cannot be undermined and was also identified as important to therapeutic alliance and psychotherapy process. Most participants mentioned that they felt that their therapists were able to listen to them, understand them, and offer them good advice. A range of other specific techniques and strategies applied by the therapists during the in-session activities were also found to facilitate clients in identifying, viewing, and solving problems ( Supplementary Table 2 ).
Evidence-based psychotherapy interventions were employed through either a single, integrative, or eclectic approach by therapists to match treatment to the individual and his/her psychiatric conditions. The commonly utilized forms of the evidence-based therapies based on the reports of participants were cognitive behavioral therapy (CBT) and mindfulness, while others included eye movement desensitization and reprocessing (EDMR), dialectical behavioral therapy (DBT), group therapy, exposure and response prevention (ERP), schema therapy, acceptance and commitment therapy (ACT), and psychodynamic therapy. While the majority found the assigned therapeutic approach helpful, others seemed to have their preferences and did not find certain intervention types to be helpful to them [see Supplementary Table 1 (J1, J2)].
Despite the best efforts of psychotherapists, some clients failed to act in their best interests and engage fully in the therapeutic process. Such resistance impeded the motivation of the client and also interfered in treatment efficacy. Some participants were found to be reluctant to open up or discuss certain topics that were intrusive and distressing, particularly during the initial sessions or when therapists were new. Attending the sessions unprepared and unfocused was also a concern [see Supplementary Table 1 (K1)].
In addition, the success of the client in therapeutic outcome is usually dependent on doing homework or practicing strategies taught by the psychotherapist between sessions, in this study, the lack of motivation or effort led to non-compliance among few participants. They may have been either willing but were unable to complete the assigned task due to its length or difficulty, or simply unwilling to take it up at all [see Supplementary Table 1 (K2)].
When asked about the kind of intervention they received or were receiving, some participants stated that they did not know the specific name of the therapy and that they were simply following through the therapy. While there was generally no complaint among these participants, few did express some unmet needs [see Supplementary Table 1 (L1, L2)].
Therapeutic outcomes.
Several themes were identified in this section when participants described the perceived change in them from receiving psychotherapy. These were the reflections of the service efficacy and effectiveness or, in other words, therapeutic outcomes, which varied among participants. They included positive changes following therapy, sense of recovery not due to therapy, continued use of self-supporting strategies or online resources outside therapy, and problem coping or managing symptoms without therapist support. The quotes representing each factor are presented in Supplementary Table 1 .
All the participants noted the beneficial effects of psychotherapy and experienced positive changes to varying extents. These improvements could be in the form of reduction in symptom severity or suicidal tendency, higher psychological well-being such as confidence and self-esteem, acquisition of better coping skills, or simply feeling better and supported after talk therapy [see Supplementary Table 1 (M1, M2)].
Several participants cited that psychotherapy has its own limitations and could only help them to a certain degree. The previously experienced symptoms and struggles of clients improved as a result of the influence of events occurring outside of therapy or when the underlying issue got addressed but not due to the therapy. Others felt that their self-healing capacity or the intrinsic self is, if not more, important than the intervention itself for recovery [see Supplementary Table 1 (N1, N2)].
Therapists routinely imparted coping strategies and recommended online resources to their patients as part of their effort to integrate self-help into psychotherapy. Most clients cited the continued use of these self-supporting techniques and tools during waiting and maintenance stages. Participants described how these have helped them to cope with struggles or manage their symptoms effectively on their own when required at home or work [see Supplementary Table 1 (O1, O2)].
Participants reported some form of reliance on their therapist during treatment phase. They expressed that they were unable to manage things on their own when they halted service after prolonged treatment or when they left the therapy room. Few participants had to resume psychotherapy despite having completed a previous course of treatment as they really needed someone to support them, with one even demanding for the same therapist [see Supplementary Table 1 (P1, P2)].
This study was a comprehensive study of the experience of clients with the service utilization of psychotherapy beginning from the pathway to care, followed by the therapy process, and lastly, response to therapy. Through in-depth interviews and qualitative analysis, the study derived themes associated with each phase of the service utilization of psychotherapy.
Different reasons (i.e., indirect and direct) and obstacles to service access underlined themes identified in the pre-therapy stage and were found to complement the three factors, namely, predisposing, enabling, and need factors that were highlighted in Andersen's Healthcare Utilization Model (Andersen, 1995 ).
Studies have quantified and compared the strength of associations among the predisposing, enabling, and need factors with the use of psychotherapy. In a well-informed population with a high-quality insurance cover (i.e., low enabling factors), the use of psychotherapy was primarily associated with the clinical condition (i.e., need factors) rather than the sociodemographic status (i.e., predisposing factors) (Briffault et al., 2008 ). Hundt et al. found that predisposing and need factors were linked to the onset of the use of psychotherapy while enabling and need factors were linked to higher level use, and they also demonstrated that need factors were most strongly associated with the use of psychotherapy in veterans (Hundt et al., 2014 ). Findings from our study suggest that the predisposing factors such as mental health stigma and the lack of awareness of psychotherapy were significant barriers to the initial access of psychotherapy, but once overcome, these factors did not appear to influence the frequency of use. The enabling factors such as the lack of time, high treatment cost, and long wait time for the preferred therapist mainly impeded the increased or prolonged use of psychotherapy but did not affect the earlier decision of participants to embark on psychotherapy. In terms of need factors, mental health symptoms and struggles were cited when asked for the main concern for attending psychotherapy. Perceived recovery or the absence of health needs, as evidenced from the post-therapy experience, was also related to the discontinued engagement of psychotherapy.
The experience of clients through the in-session activities and the therapy outcomes underlined themes in the during- and after-therapy stages, respectively. A large number of studies have been conducted into the process and outcome of psychotherapy from various lenses, with a substantial body of qualitative research focusing on the perspective of clients (Timulak, 2010 ; Timulak and McElvaney, 2013 ; Levitt et al., 2016 ). The study of the experience of therapy of the clients improves our understanding of the therapeutic process by shifting focus from the techniques, actions, and competencies of the therapists to include feelings, values, and attributes of the clients (Macran et al., 1999 ). A thematic review by Timulak revealed that, while clients valued factors relating to the client–therapist alliance during therapy, therapists were perceived to focus more on therapeutic gains (Timulak, 2010 ). Bachelor ( 2013 ) also found the views of the therapeutic alliance and therapeutic work between clients and therapists to differ such that, compared with therapists, clients tend to place greater emphasis on helpfulness, joint participation in therapy work, and negative signs of the alliance. The personal attributes (e.g., respectful, friendly, experienced, interested, open, warm, etc.) and the use of therapeutic techniques (e.g., supportive, understanding, exploration, reflection, accurate interpretation, affirming, etc.) of the therapist from a range of psychotherapy orientations were found to positively influence the development and maintenance of therapeutic alliance (Ackerman and Hilsenroth, 2003 ).
In fact, the findings from our study with respect to the “during service” period were consistent with the literature. First, some of the emergent themes (e.g., alliance between therapist and client, match between treatment modality and preference of client) involved various combinations of the three main aspects of psychotherapy, namely, client, therapist, and treatment modality, and did not involve only factors relating to the therapist or intervention alone. Second, the recollection of participants on the therapy process concentrated on how a range of characteristics and techniques of therapists similar to those described by Ackerman and Hilsenroth (Ackerman and Hilsenroth, 2003 ) was helpful to them and led to the positive therapeutic alliance, as well as on how the miscommunication of therapists ruined the alliance.
Therapeutic alliance essentially captures the interactive process between the client and the therapist and has been identified as the key variable in negotiating change or a reliable predictor of positive clinical outcomes in psychotherapy (Ackerman and Hilsenroth, 2003 ; Ardito and Rabellino, 2011 ). Besides therapeutic alliance, research into the effectiveness of therapy typically found other factors such as empathy, goal consensus and collaboration, the experience of therapists, therapy modality, and the level of motivation of the client to influence successful psychotherapy outcomes (Lynch, 2012 ; Wampold and Imel, 2015 ), all of which were consistent to the findings in our study. Previous studies on therapy outcomes were divided. The description of “good outcomes” among patients was found to cluster around four themes as follows: establishing new ways of relating to others, less symptomatic distress or change in behavioral patterns contributing to suffering, better self-understanding and insight, and accepting and valuing oneself (Binder et al., 2010 ). Other patients however, described themselves as not having improved through therapy and that therapy had not met their expectations (Radcliffe et al., 2018 ). All of our participants acknowledged some gains or positive changes, although few found therapy to have limited effectiveness and may not lead to full recovery.
Apart from the perspectives of clients, recent literature has reported that weekly therapy sessions appear to increase the rate of improvement compared with less frequent sessions although we have to keep in mind that this may vary according to setting, clinical population, and outcome measures (Robinson et al., 2020 ). On the contrary, studies have also reported that the number of psychotherapy sessions has less association with the therapeutic outcome (King, 2015 ; Flückiger et al., 2020 ). In our study, we did not examine this factor specifically, but it was observed that our participants who have had more sessions tended to report improvement. The effectiveness of the sessions was also reported by those who have had less than five sessions. We could have probably observed the expected trend with a larger sample.
Besides the numerous predisposing, enabling, and need factors as highlighted in Andersen's Behavioral Model, we also identified an additional component, i.e., service-related factors that we deemed to be important in understanding factors associated with the service utilization of psychotherapy ( Figure 2 ). For example, clients' in-session and post-therapy experience may also impede or facilitate their decision to continue or complete treatment based on their account. Environmental obstacles, dissatisfaction with service, and lack of motivation for therapy were found to be the three most common reasons for premature termination of service (Anderson, 2016 ). Andersen proposed that the model offers flexibility in understanding health behaviors and researchers could add more factors to the original model, without disrupting its original structure to fit the purpose and nature of their research (Andersen, 1995 ). We have therefore proposed an expanded framework for the initial and continued use of psychotherapy service that incorporated the four abovementioned factors (i.e., predisposing, enabling, needs, and service-related factors) ( Figure 2 ). The revised model also proposes the use of psychotherapy service to be a function of determinants due to both the client and the therapist. One limitation, however, will be the exclusion of components related to the health service policy and the healthcare system, which have been recognized as a criticism of the original Andersen's model (Andersen, 1995 ).
Proposed expanded framework for psychotherapy help-seeking behavior adapted from Andersen's Health Utilization Model.
There were several limitations in our study. First, as patients recruited for this study were mainly referred by their consulting therapists, they may not be open to discuss about the negative experiences they had with their therapists for fear that their therapists may learn about it despite being informed about the confidentiality and de-identification of the interview content. Second, the authors were unable to identify the distribution of the themes in the interviews as clients spent more time talking about what they found beneficial and not. Finally, the study was conducted among psychiatric patients attending psychotherapy in a discretionary health service (i.e., outpatient hospital service) setting, and hence, findings may not be generalized to all forms of psychotherapy services. Further studies are warranted to provide evidence for the proposed framework for the utilization of psychotherapy.
This qualitative study may be the first to have obtained the in-depth experiences of psychotherapy of clients in Singapore, which enabled an evaluation of narratives from three phases, namely, pre-, during- and post-service encounters. The themes identified at the various stages concurred with those reported in other qualitative or quantitative studies. The study also expanded on Andersen's Health Service Utilization Model and proposed a promising framework to understand health behaviors and utilization relating to psychotherapy service. It also provides actionable information to address identified barriers to access and negative experiences or outcomes due to psychotherapy.
Ethics statement.
This study involving human participants were reviewed and approved by National Healthcare Group Domain Specific Review Board. The patients/participants provided their written informed consent to participate in this study.
LSES and RS were involved in the conceptualization, data analysis, and drafted the manuscript. JV wrote up the protocol of the main study. SC and JV conducted the interviews. SC, RS, and LSES transcribed the audio files. LSES, RS, JV, and SC were involved in the coding process. MS was consulted for study design. HL, HA, and C-YT gave valuable inputs for the study and provided referrals for the interviews. All authors provided intellectual inputs and have approved the final manuscript.
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Funding. This study was supported by the National Medical Research Council under the Center Grant Program (NMRC/CG/M002/2017).
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2021.667303/full#supplementary-material
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Unit 6: Qual vs Quant.
Qualitative methods in communication research.
In communication research, both quantitative and qualitative methods are essential for understanding different aspects of communication processes and effects. Here’s how qual methods can be applied:
Communication Research in Real Life Copyright © 2023 by Kate Magsamen-Conrad. All Rights Reserved.
COMMENTS
This chapter introduces the concept of qualitative research and its role in understanding the social world of counselling and psychotherapy. It also reviews some of the key studies that have used qualitative methods to explore the meanings, processes and outcomes of therapy.
In such designs, qualitative methods are used to explore and obtain depth of understanding while quantitative methods are used to test and confirm hypotheses and obtain breadth of understanding of the phenomenon of interest ( Teddlie & Tashakkori, 2003 ). Mixed method designs in mental health services research can be categorized in terms of ...
This chapter reviews the history, paradigms, designs, and practices of qualitative research in counseling psychology. It also discusses the challenges and opportunities of conducting qualitative research in a multiparadigmatic and multimethod field.
On the other hand, qualitative research and mixed methods research remain drastically underused approaches relative to dominant quantitative methodologies in counseling psychology and psychology more broadly. For example, Ponterotto (2005b) surveyed counseling psychology graduate program training directors (N = 60) and found that only 10% reported that their programs required training in ...
The questions raised by these three studies are anchored in an understanding of research paradigms; thus, in this chapter, we first identify the paradigmatic issues that form the foundation of qualitative inquiry. Building on this framework, we describe the current status of the genre by reviewing content analyses of qualitative research in counseling and counseling psychology.
Counseling psychologists face many approaches from which to choose when they conduct a qualitative research study. This article focuses on the processes of selecting, contrasting, and implementing five different qualitative approaches.
Reaction to special section on qualitative research in counseling process and outcome. Journal of Counseling Psychology, 41, 510-512. Google Scholar. Regan, A. M., & Hill, C. E. (1992). An investigation of what clients and counselors do not say in brief therapy. Journal of Counseling Psychology, 39, 168-174.
Abstract. Beginning with calls for methodological diversity in counseling psychology, this article addresses the history and current state of qualitative research in counseling psychology. It identifies the historical and disciplinary origins as well as basic assumptions and underpinnings of qualitative research in general, as well as within ...
The need to show how and why counselling works has led to an explosion of research activity, and a growing focus on research in counselling and psychotherapy teaching and practice. Yet this book, even now in its second edition, stands alone in addressing qualitative research in therapy. Leading expert John McLeod helps readers through each ...
This paper is thus written to support novice counselor researchers, and to inspire an emerging research culture through sharing formative experiences and lessons learned during a qualitative research project exploring minority issues in counseling. Key Words: Counseling, Health, Qualitative, Methods, and Narrative.
Examples of how counseling research would proceed from varying paradigms are explored, and a call is made for expanding the training students receive in philosophy of science and qualitative approaches to inquiry. ... (2005). Qualitative research in counseling psychology: A primer on research paradigms and philosophy of science. Journal of ...
Qualitative Research in Counseling: A Reflection for Novice. Counselor Researchers. Randolph Bowers and Victor Minichiello. University of New England, Armidale, Australia. David Plummer ...
This special issue of the Journal of Counseling Psychology (JCP) on qualitative approaches (Haverkamp, Morrow, & Ponterotto, 2005) serves as an invitation for counseling psychologists to consider the place of qualitative research methods in the field, generally, and in their own research programs and training environments, specifically.
Therefore, the aim of this study was to explore the experience of psychotherapy among clients integrating the before-during-after service encounters using a qualitative approach. Methods: A total of 15 clients of outpatient psychotherapy were interviewed, and data saturation was reached. The topics included pathways and reasons to seeking ...
Qualitative research in counseling psychology: A primer on research paradigms and philosophy of science. Journal of Counseling Psychology, 52, 126-136. Google Scholar. Ponterotto, J.G. (2005b). Qualitative research training in counseling psychology: A survey of directors of training. Teaching of Psychology, 32, 60-62.
This study used a qualitative interpretivist paradigm to explore various facets of forgiveness and self-efficacy through understanding the experiences of adults who have survived child labour ...
perceptions: 1. Psychology generally, and counseling psychology specifi-. cally, has been dominated by positivist and postpositivist research. paradigms and associated quantitative methods. Such a ...
Qualitative Research in Counselling and Psychotherapy has therefore been written to help researchers find their way through the range of methodologies and techniques available to them. Leading expert, and bestselling author John McLeod takes the reader through each stage of the research process, explaining techniques for gathering data, writing ...
Thinking with theory in qualitative research (second edition) by Alecia Y. Jackson and Lisa A. Mazzei, New York and London, Routledge, 2023, 170 pp., £39.99 (paperback), ISBN 978-1-138-95214-. Andreas Tsounis Department of Educational and Social Policy, University of Macedonia, Thessaloniki, [email protected] further author ...
This article examines concepts of the trustworthiness, or credibility, of qualitative research. Following a "researcher-as-instrument," or self-reflective, statement, the paradigmatic underpinnings of various criteria for judging the quality of qualitative research are explored, setting the stage for a discussion of more transcendent standards (those not associated with specific paradigms) for ...
Beginning with calls for methodological diversity in counseling psychology, this article addresses the history and current state of qualitative research in counseling psychology. It identifies the historical and disciplinary origins as well as basic assumptions and underpinnings of qualitative research in general, as well as within counseling ...
Journal of Employment Counseling is a career counseling journal publishing research that illuminates theory and practice in employment counseling. Abstract This qualitative study explores the impact of life-design counseling (LDC) on mid-career professionals facing career plateauing. Seven mid-career professionals underwent counselling sessio...
Beginning with calls for methodological diversity in counseling psychology, this article addresses the history and current state of qualitative research in counseling psychology. It identifies the historical and disciplinary origins as well as basic assumptions and underpinnings of qualitative research in general, as well as within counseling psychology. It identifies the foundational elements ...
In communication research, both quantitative and qualitative methods are essential for understanding different aspects of communication processes and effects. Here's how qual methods can be applied: Interviews: Conducting in-depth interviews to explore individuals' experiences and perceptions of their interpersonal relationships;
He is also a Professor in the Department of Psychology. In one line of research, Dr. Szeto has developed and evaluated mental illness stigma reduction and mental health promotion programs for various audiences across Canada and internationally. Dr. Szeto also conducts research and publishes on various topics including post-secondary mental health.
Presents an overview of qualitative research methods and their application in counseling psychology research. First, the authors provide an overview of theoretical, definitional, and methodological issues in qualitative research. Next, various paradigms that underlie qualitative methods across disciplines are examined, and several approaches to qualitative research are outlined: grounded ...
Abstract. This article examines concepts of the trustworthiness, or credibility, of qualitative research. Following a "researcher-as-instrument," or self-reflective, statement, the paradigmatic underpinnings of various criteria for judging the quality of qualitative research are explored, setting the stage for a discussion of more transcendent ...