Article published In:
Narrative InquiryVol. 26:1 (2016) ► pp.22–38
Homeward bound
Enacted narratives of the return to home after a short-term stay at a psychiatric centre
With a focus on enacted narratives, this ethnographic study addresses how people with mental illness communicate returning home after a treatment stay at a psychiatric centre. Data were analysed based on Ricoeur’s theory of narrative and action. Our analysis consisted of three analytic layers: the significant issue of discharge, identifying three stories of how being on the way home is enacted, and a further interpretation and discussion. The narrative analysis shows how significant issues of returning home are enacted among persons in everyday activities at one centre, and how an inherent ambiguity raised some challenges within the field of mental health. This study shows how conducting everyday activities enable people use the available narrative resources to negotiate the self; hence they reflect and create thoughts about the return home that are shared among persons at the centre.
Keywords: narrative-in-action, ethnography, discharge, mental illness, ambiguity
References (51)
Alsaker, S., & Joshepsson, S. (2010). Occupation and meaning: Narrative in everyday activities of women with chronic rheumatic conditions. Occupation, Participation and Health, 30(2), 58–67. 
Alsaker, S., Bonsgaard, R., & Josephsson, S. (2009). Stuying narrative-in-action in women with chronic rheumatic conditions. Qualitative Health Research, 191, 1154–1161.
Alsaker, S., & Josephsson, S. (2010). Stories stirring the quest of the good: Narratives of women living with chronic rheumatic conditions. Scandinavian Journal of Disability Research, 13(1), 53–70.
Bamberg, M. (2006). Stories - Big or small: Why do we care? Narrative Inquiry, 16(1), 136–147.
Bareiss, W. (2014). “Mauled by a bear”: Narrative analyses of self-inquiry among adolscents in US news, 2007–2012. Health, 18(3), 279–301.
Bejerholm, U., & Eklund, M. (2004). Time use and occupational performance among persons with schizophreinia. Occupational Therapy in Mental Health, 201, 27–47.
Bernardo, A.C., & Forchuck, C. (2001). Factors associated with readmission to a psychiatric facility. Psychiatric Services, 52(8), 1100–1102.
Beuthin, R.E., Bruce, A., & Shields, L. (2014). Storylines of aging with HIV shifts toward sense making. Qualitative Health Research, 1–10.
Borg, M. (2007). The nature of recovery as lived in everyday life: Perspectives of individuals recovering from severe mental health problems. Thesis for the degree philosophiae doctor, NTNU, Trondheim.
Bruner, J. (1986). Actual minds, possible worlds. Cambridge: Harvard University Press.
. (2003). Self-making narratives. In R. Fivush & C.A. Haden (Eds.), Autobiographical memory and the construction of a narrative self (pp. 209–225). Mahwah, NJ: Erlbaum.
Corrigan, P.W., Mueser, K.T., Bond, G.R., & Solomon, P. (2008). Principles and practice of rehabilitation psychiatry. An empirical approach. New York: The Guilford Press.
Eklund, M., & Leufstadius, C. (2007). Relationships between occupational factors and health and well-being in individuals with persistent mental illness living in the community. Canadian Journal of Occupational Therapy, 74(4), 303–313.
Elstad, T. (2014). Participation in a “low threshold” community mental health service: An ethnograpic study of social interaction, activities and meaning. PhD, Norwegian University of Science and Technology, Trondheim.
Geertz, C. (1973). The interpratation of cultures. New York: Basic Books.
Georgakopoulou, A. (2007). Thinking big with small stories in narrative and identity analysis. In M. Bamberg (Ed.), Narrative - State of the art (pp.145–154). Amsterdam: John Benjamins Publishing Company.
Giddens, A. (1993). New rules of sociological method: A positive critique of interpretative sociologies (2nd ed.). Cambridge: Polity.
Granerud, A. (2004). Sosial integrering for mennesker med psykiske problemer - erfaringer, utfordringer og ønsket støtte (Vol. 191, pp. 76). Hedemark, Norway: University College of Hedemark.
Gubrium, J.F., & Holstein, J.A. (2008). Narrative ethnography. In S.N. Hesse-Biber & P. Leavy (Eds.), Handbook of emergent methods (pp. 241–264). New York: Guilford.
Hammersley, M., & Atkinson, P. (2007). Ethnography. Principles in practice (3rd ed.). London: Routledge.
Sosial og helsedepartementet; St. meld. nr. 25, [Norwegian Goverment White Paper]. (1996–97). Åpenhet og helhet [Openess and comprehension]. Oslo: Sosial og helsedepartementet.
Sosial og helsedepartementet; St.prp. nr. 63. (1997–98). Om opptrappingsplanen for psykisk helse [Norwegian goverment’s plan for mental health services]. Oslo: Sosial og helsedepartemenetet.
Hydén, L.-C. (1997). Illness and narrative. Sociology of Health & Illness, 9(1), 48–69.
Josephsson, S., Asaba, E., Jonsson, H., & Alsaker, S. (2006). Creativity and order in communication: Implications from philosophy to narrative research concerning human occupation. Wikipedia Scandinavian Journal of Occupational Therapy, 13(2), 86–93.
Karlsson, B., & Borg, M. (2013). Psykisk helsearbeid. Humane og sosiale perspektiver og praksiser [Mental health. Human and social perspectives and practices]. Oslo: Gyldendal Akademiske.
Krupa, T., McLean, H., Eastbrook, S., Bonham, A., & Baksh, L. (2003). Daily time use as a measure of community adjustment for persons served by assertive community treatments teams. American Journal of Occupational Therapy, 57(5), 558–565.
Kvale, S., & Brinkmann, S. (2009). Det kvalitative forskningsintervjuet [The qualitative research interview]. Oslo: Gyldendal Akademiske.
Leufstadius, C., & Eklund, M. (2008). Time use among individuals with persistent mental illness: Identifying risk factors for imbalance in daily activities. Scandinavian Journal of Occupational Therapy, 151, 23–33.
Lindström, M., Lindberg, M., & Sjöström, S. (2011). Home bittersweet home: The significance of home for occupational transformations. International Journal of Social Psychiatry, 57(3), 284–299.
Mattingly, C. (1998). Healing dramas and clinical plots. The narrative structure of experience. Los Angeles: University of California Press.
. (2006). Reading medicine: Mind, body and meditation in one interpretive community. New Literary History, 37(3), 563–581.
. (2010). The paradox of hope. Journeys through a clinical borderland. Los Angeles, CA: University of California Press.
Moss, J., Li, A., Tobin, J., Weinstein, I.S., Harimoto, T., & Lanctôt, K.L. (2014). Predictors of readmission to a psychiatry inpatient unit. Science Direct, 55(3), 426–430.
Ogden, L. (2014). ‘’My life as it is has value’’: Narrating schizophrenia in later years. Qualitative Health Research, 241, 1342–1355.
Padgett, D.K. (2007). There’s no place like (a) home: Ontological security among persons with serious mental illness in the United States. Social Science and Medicine, 64(9), 1925–1936.
Pokinghorne, D.E. (1991). Narrative and self-concept. Journal of Narrative and Life History, 1(2–3), 135–153.
Polkinghorne, D.E. (1988). Narrative knowing and the human sciences. Albany: State University of New York.
. (1995). Narrative configuration in qualitative analysis. International Journal of Qualitative Studies in Education, 8(1), 5–23.
Ricoeur, P. (1984). Time and narratives: vol. I-III. Chicago: The University of Chicago Press.
. (1991). From text to action. Essays in hermeneutics, II. London: Northwestern University Press.
Riessman, C.K. (2008). Narrative methods for the human sciences. Los Angeles: Sage Publication.
Roe, D., & Davidson, L. (2005). Self and narrative in schizophrenia: Time to author a new story. Journal of Medical Humanities, 311, 89–94.
Ryan, R.M., & Deci, E.L. (2000). Self-determination theory and the facilitation of intrisinc motivation, social development, and well-being. American Psychologist, 55(1), 68–78.
Schwartz, R., & Conklin, J. (2014). Competing paradigms: Exploring dialogue to promote interprofessional collaboration and transformation. The Journal of Applied Behavioral Science, 51(4), 479–500.
Strauss, J.S. (2008). Prognosis in schizophrenia and the role of subjectivity. Schizophrenia Bulletin, 34(2), 201–208.
Tranulius, C., Corin, E., & Kirmayer, L.J. (2008). Insight and psychosis: Comparing the perspectives of patient, entourage and clinician. International Journal of Social Psychiatry, 54(3), 225–241.
Ulfseth, L.A., Josephsson, S., & Alsaker, S. (2013). Social relations in everyday activities among patients with persistent mental illness at a psychiatric centre. Scandinavian Journal of Disability Research, 17(2), 99–104.
. (2014). Meaning-making in everyday occupation at a psychiatric centre: A narrative approach. Journal of Occupational Science, 22(4), 422–433.
Ware, N., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D. (2008). Connectedness and citizenship: Redefining social intergration. Psychiatric Services, 551, 469–474.
WHO. (2001). Promoting mental health: New understanding, new hope. In World Health Report. Geneva: World Health Organization.
Wing, J.K. (1990). Meeting the needs of people with psychiatric disorders. Social Psychiatry and Psychiatric Epidemiology, 251, 2–8.
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