No abstract

Traditional epistemological concerns in qualitative research focus on the effects of researchers' values and emotions on choices of research topics, power relations with research participants, and the influence of researcher standpoints on data collection and analysis. However, the research process also affects the researchers' values, emotions, and standpoints. Drawing on reflexive journal entries of assistant researchers involved in emotionally demanding team research, this article explores issues of emotional fallout for research team members, the implications of hierarchical power imbalances on research teams, and the importance of providing ethical opportunities for reflexive writing about the challenges of doing emotional research. Such reflexive approaches ensure the emotional safety of research team members and foster opportunities for emancipatory consciousness among research team members.

Conrad notes that non-medical personnel often accomplish the routine, everyday work of medicalization. This is particularly so in the case of Attention Deficit (Hyperactivity) Disorder, where teachers, special educators and school psychologists identify, assess and administer medication to 'problematic' children. Drawing on data from interviews with Canadian and British mothers of ADD/ADHD children, this article explores mothers' perceptions of educators' roles in medicalizing children who are different, comparing medicalization in two divergent sites. In Canada, where ADD/ADHD is a highly medicalized phenomenon, and teachers have few alternative forms of social control available to them in classrooms, it appears that educators are prepared to identify problem children and press for medical treatment with remarkable vigor. In Britain, where medicalization remains incomplete, and where teachers and special educators have more stringent alternative forms of social control available to them, educators were often described as gatekeepers who will refuse the label or to administer medication.

Étant donné son ambiguïté sur les plans culturel et historique, l'ap‐pellation psychiatrique de trouble déficitaire de I'attention (hyperac‐tivité) entraîne les mères dans un conflit avec les discours sur l'image de la bonne mère, la normativité familiale, les compétences profes‐sionnelles et la notion de risque. L'éude d entretiens avec 34 femmes au Canada et en Angleterre a permis de comprendre, du point de vue des femmes, les mécanismes de la connaissance et du pouvoir qui sous‐tendent les relations avec des professionnels de la médecine, de la psychiatrie et de l'éducation. Les mères se sont approprié une vaste gamme de méthodes discursives afin de se présenter elles et leur famille comme des personnes méritantes, louables et cultivées. Elles se sont engagées dans l'examen scrupuleux des méthodes éduca‐tionnelles et psychiatriques par l'intermédiaire du bénévolat, de la contribution à la conception de politiques, de la tenue de dossiers et du recours à des témoins externes afin de renforcer leur légitimité. Par ailleurs, de nombreuses femmes se sont engagées dans le jeu de la vérité, ont choisi la confrontation et, finalement, le refus. Toutefois, étant donné que des enfants vulnerables sont en jeu, la capacité des mères a résister véritablement reste limitée. The psychiatric category Attention Deficit Disorder (Hyperactivity), because of its cultural and historical ambiguity, brings mothers into conflict with discourses of good motherhood, family normativity, professional knowledge and risk. Interviews with 34 women in Canada and England were conducted as a way to understand, from women's perspectives, the workings of knowledge and power encountered in dealing with medical, psychiatric and educational professionals. Mothers took up a wide range of discursive practices in attempts to position themselves and their families as worthy, deserving and knowledgeable. They also engaged in scrutiny of educational and psychiatric practice through volunteering, policy contributions, record keeping and using outside witnesses to shore up their legitimacy. As well, many engaged in knowledge/truth games, confrontation and, ultimately, refusal. However, because vulnerable children are at stake, mothers' ability to truly resist remains limited.

In this article, the social economic practices related to perinatal death, based on Rando’s model of complicated mourning and on an analysis of interactions with social institutions identified in the literature as relevant to perinatal death, are examined. Data are reported from semistructured interviews with 22 individuals who lost children to perinatal death. Parents’ stories indicate that they were not provided with material social supports that normally would be provided to individuals in the case of a “real” birth or death. Family and community gestures, workplace measures, and medical and legal supports were either discouraged or actively withheld. This lack of financial and material support creates an informal social economy of perinatal death that conveys clear messages to parents regarding their rights and claims to support. It is evident that these practices contribute to feelings of non-legitimacy and to complicated mourning.