Women Defining Themselves: Shared stories of of private hell
Elaine Dietsch
School of Clinical Sciences, Charles Sturt University, Wagga Wagga NSW
PP: 165 - 173
Abstract
In this phenomenological study women who had experienced an abnormal Pap result in the past were asked to share something about themselves as women, prior to describing their experience of having an abnormal Pap result.
From their responses, we hear stories of how their sense of self was intricately entwined with their experiences of physical, emotional or sexual violence and/or a profound sense of grief and loss. The stories of violence, trauma and loss alert the nurse and midwife to the possibility that giving a woman information, for example that her Pap test result is abnormal, may compound existing feelings of fear and create a new threat to the woman's sense of 'self'.
Keywords
pap test, sexual assault, domestic violence
References
Annells M (1999) Evaluating phenomenology: usefulness, quality and philosophical foundations. Nurse Researcher 6(3), pp.5-19.
Benner P (1985) Quality of life: A phenomenological perspective on explanation, prediction and understanding in nursing science. Advances in Nursing Science 8(1), pp.1-14.
Benner P (ed) (1994) Interpretive phenomenology: embodiment, caring and ethics in health and illness. Thousand Oaks, California: Sage Publications.
Beresford J and Gervaize P (1986) The Emotional Impact of Abnormal Pap Smears on Patients Referred for Colposcopy. Colposcopy and Gynaecologic Laser Surgery 2(2), pp.83-87.
Coker A, Sanderson M, Fadden M and Pirisi L (2000) Intimate partner violence and cervical neoplasia. Journal of Womens Health & Gender-Based Medicine 9(9), pp.1015-1023.
Denzin N and Lincoln Y (2003) The Landscape of Qualitative Research: Theories and Issues. Thousand Oaks, California: Sage Publications.
Dietsch E (2003) The Lived Experience of Women with a Cervical Screening Detected Abnormality: A Phenomenological Study. Unpublished PhD Thesis. Bathurst: Charles Sturt University.
Gadamer H (1965/1975) Truth and Method (2nd ed). In G Barden and J Cumming, Trans and edited from the 2nd 1965 edn. New York: Seabury Press.
Geyer S (2000) The role of social and psychosocial factors in the development and course of cancer. Wiener Klinische Wochenschrift 112(23), pp.986-994.
Gregory S and McKie L (1991) The smear test - women's views. Nursing Standard 5(33), pp.32-36.
Holloway I (2005) Qualitative Research in Healthcare. Maidenhead, Berkshire: Open University Press.
Husserl E (1970) The crisis of the European sciences and transcendental phenomenology. Evanston: Northwestern University Press, cited in Taylor B (1994) Being human: Ordinariness in nursing. Melbourne: Churchill Livingstone.
Kellogg N and Parra J (1995) The progression of Human Papillomavirus Lesions in Sexual Assault Victims. Pediatrics 96(6), pp.1163-1165.
Koch T (1998) Reconceptualizing rigour: the case for reflexivity, Journal of Advanced Nursing 28(4), pp.882-890.
Kotsirilos V (1998) Stress and health Implications. Australian Journal of Primary Health - Interchange 4(3), pp.173-178.
Lane V and Lawler J (1997) Pap Smear Brochures, Misogyny and Language: A Discourse Analysis and Feminist Critique. Nursing Inquiry 4(4), pp.262-267.
McKie L (1995) The art of surveillance or reasonable prevention? Sociology of Health and Illness 17(4), pp.441-457.
Posner T (1991) What's in a smear? Science as Culture 2(2), pp.167-187.
Public Health Division (2000) The health of the people of New South Wales - Report of the Chief Health Officer. Sydney: NSW Health Department.
Quilliam S (1990) Positive smear: the emotional issues and what can be done. Health Education Journal 49(1), pp.19-20.
Schover L, Fife M and Gershenon D (1989) Sexual dysfunction and treatment for early stage cancer. Cancer 63, pp.204-212.
Sprague J (2005) Feminist Methodologies for Critical researchers: Bridging Differences. Lanham, MD: Altamira Press.
Stevens-Simon C, Nelligan D, Breese P, Jenny C and Douglas J (2000) The prevalence of genital human papillomavirus infections in abused and nonabused preadolescent girls. Pediatrics 106(4), pp.645-649.
Sullivan H (1953) The interpersonal theory of psychiatry. New York: WW Norton.
Swiss S and Giller J (1993) Rape as a Crime of War: A Medical Perspective. The Journal of the American Medical Association 270(5), pp.612-615.
Wilding C and Whiteford G (2005) Phenomenological Research: An Exploration of Conceptual, Theoretical and Practical Issues. The Occupational Therapy Journal of Research 25(3), pp.98-105.
Wurmser L (1981) The Mask of Shame. Baltimore: John Hopkins University Press.

eContent Home



