This article uses Letters from the Future (a health promotion instrument) to explore the human capacity of imagining the future. From a narrative perspective, letters from the future are considered to be indicative of a variety of forms through which human beings construct and understand their future selves and worlds. This is consistent with an interpretive approach to understanding the human mind, which offers an alternative for the current dominant causal-explanatory approach in psychology. On the basis of qualitative analysis of 480 letters from the future, collected online from a diverse group of Dutch and German persons, we first identified five narrative processes operating in the letters: imagining, evaluating, orienting, expressing emotions and engaging in dialogue. Second, using comparative analysis, we identified six types of how these processes are organized in the letters as a whole. These types differ regarding functionality (which of the five processes was dominant); temporality (prospective, retrospective and present-oriented); the extent to which a path between present and future was described; and the vividness of the imagination. We suggest that these types can be used in narrative health practice as 'pathways' to locate where letter writers are on their path to imagine the future, rather than as a normative taxonomy. Future research should focus on how these pathways can be used to navigate to health and well-being.

In qualitative health research many researchers use a narrative approach to study lay health concepts and experiences. In this article, I explore the theoretical linkages between the concepts narrative and health, which are used in a variety of ways. The article builds on previous work that conceptualizes health as a multidimensional, positive, dynamic and morally dilemmatic yet meaningful practice. I compare big and small stories as analytical tools to explore what narrative has to offer to address, nuance and complicate five challenges in narrative health research: (1) the interplay between health and other life issues; (2) the taken-for-granted yet rare character of the experience of good health; (3) coherence or incoherence as norms for good health; (4) temporal issues; (5) health as moral practice. In this article, I do not present research findings per se; rather, I use two interview excerpts for methodological and theoretical reflections. These interview excerpts are derived from a health promotion study in the Netherlands, which was partly based on peer-to-peer interviews. I conclude with a proposal to advance narrative health research by sensitizing researchers to different usages of both narrative and health, and the interrelationship(s) between the two.

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Although in the last decades there have been an increasing number of female managers, few make it to top management positions. In this study we want to gain insight into the persistence of the 'glass ceiling' by analyzing, from an ethnomethodologically informed discursive approach, how managers discursively position themselves in career making practices. Our study is located at the Dutch site of a multinational corporation where no women were found in higher positions, despite their growing presence in management positions. We aim at unraveling the implied membership competencies to participate in career making practices. In line with research on gendered organizations we consider these competencies to be gendered. In a detailed discursive analysis of interview material we identified an underlying paradox of 'doing ambition'. We conclude that the women in this study who are 'doing ambition' are inevitably caught in a double bind position. The (re)production of gender inequality can be understood in terms of this double bind that is normalized in the organization. We argue that the discursive approach demonstrated in this article, is suitable for gaining insight into the often paradoxical demands managers, and especially women, face in daily career practices.

Online interventions hold great potential for Therapeutic Change Process Research (TCPR), a field that aims to relate in-therapeutic change processes to the outcomes of interventions. Online a client is treated essentially through the language their counsellor uses, therefore the verbal interaction contains many important ingredients that bring about change. TCPR faces two challenges: how to derive meaningful change processes from texts, and secondly, how to assess these complex, varied, and multi-layered processes? We advocate the use text mining and multi-level models (MLMs): the former offers tools and methods to discovers patterns in texts; the latter can analyse these change processes as outcomes that vary at multiple levels. We (re-)used the data from Lamers et al. ( 2015 ) because it includes outcomes and the complete online intervention for clients with mild depressive symptoms. We used text mining to obtain basic text-variables from e-mails, that we analyzed through MLMs. We found that we could relate outcomes of interventions to variables containing text-information. We conclude that we can indeed bridge text mining and MLMs for TCPR as it was possible to relate text-information (obtained through text mining) to multi-leveled TCPR outcomes (using a MLM). Text mining can be helpful to obtain change processes, which is also the main challenge for TCPR. We showed how MLMs and text mining can be combined, but our proposition leaves open how to obtain the most relevant textual operationalization of TCPR concepts. That requires interdisciplinary collaboration and discussion. The future does look bright: based on our proof-of-concept study we conclude that MLMs and text mining can indeed advance TCPR.