Participants’ Reflections on Participating in the Mmogo-method: The Example of Mental Health Workers’ Coping Strategies

  • Vera Roos
  • Jenni van der Westhuizen
  • Anna Keyter
Chapter

Abstract

When using the Mmgo-method, researchers create context for optimal and active participation by introducing group norms. Following an open-ended prompt, participants use unstructured materials to create visual representations, which serve to stimulate individual and group discussions. The unstructured nature of the materials and the non-directive prompt may elicit personal and group experiences of which participants may not be aware. They are therefore invited on completion of data collection to reflect on their participatory experience for debriefing purposes (Phase 4). This chapter describes mental health workers’ reflections after taking part in a study using the Mmogo-method to explore coping strategies they applied in their occupation of dealing continuously with children (younger than 18) suffering severe abuse. Mental health workers (MHWs) (9 females and 1 male, aged from 26 to 57 years) were purposively selected. All participants are employed at Childline Gauteng, a non-governmental organization (NGO) which supports traumatized children in South Africa. The participants reflected on the research context, which they experienced as supportive, and on the research process, which they compared to a therapeutic experience. They became aware of their coping strategies, rediscovered previously acquired knowledge and indicated how they would henceforth adapt their behaviour to their social environment, thereby suggesting the potentially transformative value of the Mmogo-method. Participants’ reflections referred to the value of the group as a supportive interpersonal environment which contributed to new awareness and broke their isolation. Specific aspects relating to the material were mentioned, particularly how working with clay contributed to relaxation and maintaining the focus on the research topic.

Keywords

Awareness Coping strategies Group processes Interpersonal relationships Mmogo-method Visual data-collection method Transformative Trauma Stress 

References

  1. Arnold, D., Calhoun, L. G., Tedeschi, R., & Cann, A. (2005). Vicarious post-traumatic growth in psychotherapy. Journal of Humanistic Psychology, 45, 239–263. doi:10.1177/0022167805274729.CrossRefGoogle Scholar
  2. Botha, K. F. H. (2013). Self-regulation as psychological strength in South Africa: A review. In M. P. Wissing (Ed.), Well-being research in South Africa (pp. 501–516). Dordrecht, The Netherlands: Springer.CrossRefGoogle Scholar
  3. Carson, J., Cavagin, J., Bunclark, J., Maal, S., Gournay, K., Kuipers, E., & West, M. (1999). Effective communication in mental health nurses: Did social support save the psychiatric nurse? Nursing Times Research, 4(1), 31–42. doi:10.1177/136140969900400105.
  4. Cockroft, K. (2002). Theories of cognitive development: Piaget, Vygotsky, and information-processing theory. In D. Hook, J. Watts, & K. Cockroft (Eds.), Developmental psychology (pp. 175–199). Lansdowne, South Africa: UCT Press.Google Scholar
  5. Corey, G., & Corey, C. (2010). Groups: Process and practice. Belmont, CA: Cengage Learning.Google Scholar
  6. Curl, K. (2008). Assessing stress reduction as a function of artistic creation and cognitive focus. Art Therapy: Journal of the American Art Therapy Association, 25(4), 164–169.CrossRefGoogle Scholar
  7. De Lange, N., & Geldenhuys, M. (2012). Youth envisioning safe schools: A participatory video approach. South African Journal of Education, 32(4), 494–511. Retrieved from http://www.ajol.info/index.php/saje/article/download/83111/73201.
  8. Devilly, G. J., Wright, R., & Varker, T. (2009). Vicarious trauma, secondary traumatic stress or simply burnout? Effect of trauma therapy on mental health professionals. Australian and New Zealand Journal of Psychiatry, 43, 373–385. Retrieved from http://ehis.ebscohost.com.nwulib.nwu.ac.za/ehost/detail?sid=c73410a6-ea79-40b3-933e-c2d83f31e9d5%40sessionmgr4&vid=1&hid=15&bdata=.
  9. De Wet, A. A. (2005). The elimination of racial prejudice: towards facilitating a corrective emotional experience. Unpublished doctoral thesis. University of Limpopo, Polokwane, South Africa.Google Scholar
  10. Figley, C. R. (2002). Compassion fatigue: Psychotherapists’ chronic lack of self-care. Psychotherapy in Practice, 58(11), 1433–1441. doi:10.1002/jclp.10090.Google Scholar
  11. Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. The Royal Society, 359, 1367–1377. Retrieved from http://rstb.royalsocietypublishing.org/content/359/1449/1367.full.pdf.
  12. Freysteinson, W. M., Lewis, C., Sisk, A., Wuest, L., Deutsch, A. S., & Cersario, S. K. (2013). Investigator Reflections: A final debriefing following emotionally sensitive mirror Research. Holistic nursing practice, 27(3), 177–184. doi:10.1097/HNP.0b013e31828a0968.CrossRefPubMedGoogle Scholar
  13. Gil, E. (2003). Art and play therapy with sexually abused children. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 152–166). New York, NY: The Guilford Press.Google Scholar
  14. Gladding, S. T., & Newsome, D. W. (2003). Art in counseling. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 243–253). New York, NY: The Guilford Press.Google Scholar
  15. Heine, S. J., Takemoto, T., Moskalenko, S., Lasaleta, J., & Henrich, J. (2008). Mirrors in the head: Cultural variation in objective self-awareness. Personality and social psychology bulletin, 34(7), 879–887. doi:10.1177/0146167208316921.CrossRefPubMedGoogle Scholar
  16. Hermans, H. J. (2002). The dialogical self as a society of mind introduction. Theory & Psychology, 12(2), 147–160. doi:10.1177/0959354302122001.CrossRefGoogle Scholar
  17. Hesse, C. S. W. (2002). Secondary trauma: How working with trauma survivors affects therapists. Clinical Social Work Journal, 30(3), 293–309. Retrieved from http://download.springer.com/static/pdf/161/art%253A10.1023%252FA%253A1016049632545.pdf?auth66=1363720746_a4e35ad848a6ca0013a6e58ce3a2027e&ext=.pdf.
  18. Hornor, G. (2005). Domestic violence and children. Journal of Paediatric Health Care, 19, 206–212. doi:10.1016/j.pedhc.2005.02.002.CrossRefGoogle Scholar
  19. Jaroch, B. (2008). The dialogue between the artist and the clay: A heuristic study of self-transformation. Unpublished doctoral dissertation. Retrieved from http://nwulib.nwu.ac.za/login?url=http://search.proquest.com/docview/305102087?accountid=12865.
  20. Johnson, C. N. E., & Hunter, M. (1997). Vicarious traumatisation in counsellors working in the New South Wales sexual assault service: An exploratory study. Work & Stress, 11(4), 319–328. doi:10.1080/02678379708252995.CrossRefGoogle Scholar
  21. Joireman, J. A., Parrott, L., & Hammersla, J. (2002). Empathy and the self-absorption paradox: Support for the distinction between self-rumination and self-reflection. Self and Identity, 1(1), 53–65. doi:10.1080/152988602317232803.CrossRefGoogle Scholar
  22. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York, NY: Springer.Google Scholar
  23. Liebenberg, L. (2009). The visual image as discussion point: increasing validity in boundary crossing research. Qualitative Research, 9(4), 441–467. doi:10.1177/1468794109337877.CrossRefGoogle Scholar
  24. Lincoln, Y. S. (2009). Ethical practices in qualitative research. In D. M. Mertens & P. E. Ginsberg (Eds.), The handbook of social research ethics (pp. 150–166). Thousand Oaks, CA: Sage.CrossRefGoogle Scholar
  25. Literat, I. (2013). “A pencil for your thoughts”: Participatory drawing as a visual research method with children and youth. International Journal of Qualitative Methods, 12, 84–98. Retrieved from http://ejournals.library.ualberta.ca/index.php/IJQM/article/view/11780/14875.
  26. Mac Ritchie, V., & Leibowitz, S. (2010). Secondary traumatic stress, level of exposure, empathy and social support in trauma workers. South African Journal of Psychology, 40(2), 149–158.CrossRefGoogle Scholar
  27. McShane, K. E., Davey, C. J., Rouse, J., Usher, A. M., & Sullivan, S. (2014). Beyond ethical obligation to research dissemination: Conceptualizing debriefing as a form of knowledge transfer. Canadian Psychology/Psychologie canadienne. Advance online publication. Retrieved from http://dx.doi.org/10.1037/a0035473.
  28. Malchiodi, C. A. (2003a). Art therapy and the brain. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 16–24). New York, NY: The Guilford Press.Google Scholar
  29. Malchiodi, C. A. (2003b). Using art therapy with medical support groups. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 351–361). New York, NY: The Guilford Press.Google Scholar
  30. Mikulincer, M. (1994). Human learned helplessness: A coping perspective. New York, NY: Plenum Press.CrossRefGoogle Scholar
  31. Morse, G., Salyers, M. P., Rollins, A. L., Monroe-DeVita, M., & Pfahler, C. (2012). Burnout in mental health services: a review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research, 39(5), 341–352. doi:10.1007/s10488-011-0352-1.CrossRefPubMedPubMedCentralGoogle Scholar
  32. Najjar, N., Davis, L. W., Beck-Coon, K., & Doebbeling, C. C. (2009). Compassion fatigue: A review of the research to date and relevance to cancer-care providers. Journal of Health Psychology, 14(2), 267–277. doi:10.1177/1359105308100211.CrossRefPubMedGoogle Scholar
  33. Park, P. (2006). Knowledge and participatory research. In P. Reason & H. Bradbury (Eds.), Handbook of action research (pp. 83–93). London, UK: Sage.Google Scholar
  34. Pithouse, K. (2011). Picturing the Self. In L. Theron, C. Mitchell, A. L. Smith, & J. Stuart (Eds.), Picturing research (pp. 37–48). Dordrecht, The Netherlands: Sense Publishers.CrossRefGoogle Scholar
  35. Prilleltensky, I. (2000). Value-based leadership in organizations: Balancing values, interests, and power among citizens, workers, and leaders. Ethics and behaviour, 10(2), 139–158. doi:10.1207/S15327019EB1002_03.CrossRefGoogle Scholar
  36. Reason, P. (2003). Three approaches to participative inquiry. In N. K. Denzin & Y. S. Lincoln (Eds.), Strategies of Qualitative Inquiry. Thousand Oaks, CA: Sage.Google Scholar
  37. Robins, P. M., Meltzer, L., & Zelikovsky, N. (2009). The experience of secondary traumatic stress upon care providers working within a children’s hospital. Journal of Pediatric Nursing, 24(4), 270–279. doi:10.1016/j.pedn.2008.03.007.CrossRefPubMedGoogle Scholar
  38. Roos, V. (2008). The Mmogo-method™: Discovering symbolic community interactions. Journal of Psychology in Africa, 18(4), 659–668. Retrieved from http://dspace.nwu.ac.za/handle/10394/2896.
  39. Roos, V. (2012). The Mmogo-method®. An exploration of experiences through visual projections. Qualitative Research in Psychology, 9(3), 249–261. Retrieved from http://www.tandfonline.com/doi/abs/10.1080/14780887.2010.500356.
  40. Roos, V. (2016). Conducting the Mmogo-method®. In V. Roos (Ed.), Understanding relational and group experiences through the Mmogo-method ® (Chap. 2, pp. 19–31). New York, NY: Springer.Google Scholar
  41. Roos, V., & Redelinghuys, A. (2016). Analyzing visual with text from the Mmogo-method®: Experience of meaning during the third trimester of pregnancy. In Understanding relational and group experiences through the Mmogo-method ® (Chap. 7, pp. 119–138). New York, NY: Springer.Google Scholar
  42. Rose, G. (2013). On the relation between ‘visual research methods’ and contemporary visual culture. The Sociological Review, 62(1). doi. 10.1111/1467-954X.12109.
  43. Rydzik, A., Pritchard, A., Morgan, N., & Sedgley, D. (2012). Mobility, migration and hospitality employment: Voices of central and eastern European women. Hospitality & Society, 2(2), 137–157. Retrieved from http://dx.doi.org/10.1386/hosp.2.2.137_1.
  44. Scarnera, P., Bosco, A., Soleti, E., & Lancioni, G. E. (2009). Preventing burnout in mental health workers at interpersonal level: An Italian pilot study. Community Mental Health Journal, 45(3), 222–227. doi:10.1007/s10597-008-9178-z.CrossRefPubMedGoogle Scholar
  45. Sharpe, D., & Faye, C. (2009). A second look at debriefing practices: Madness in our method? Ethics & behavior, 19(5), 432–447. doi:10.1080/10508420903035455.CrossRefGoogle Scholar
  46. Sholt, M., Gavron, T., & Israel, H. (2006). Therapeutic qualities of clay-work in art therapy and psychotherapy: A review. Art Therapy: Journal of the American Art Therapy Association, 23(2), 66–72.CrossRefGoogle Scholar
  47. Solomon, M., & Tatkin, S. (2011). Love and war in intimate relationships: Connection, disconnection, and mutual regulation in couple therapy. New York, NY: W. W. Norton and Company, Inc.Google Scholar
  48. South African Police Service. (2011). Crime report 2010/2011. South Africa: South African Police Service.Google Scholar
  49. Stiles, W. B. (2002). Assimilation of problematic experiences. In J. C. Norcross (Ed.), Psychotherapy relationships that work: Therapist contributions and responsiveness to patients (pp. 357–365). New York, NY: Oxford University Press.Google Scholar
  50. The Centre for the Study of Violence and Reconciliation. (2007). The violent nature of crime in South Africa: A concept paper for the justice, crime prevention and security cluster. Retrieved from http://www.csvr.org.za/docs/crime/compatibility_mode.pdf.
  51. Theron, L. C. (2012). Does visual participatory research have resilience-promoting value? Teacher experiences of generating and interpreting drawings. South African Journal of Education, 32(4), 381–392.CrossRefGoogle Scholar
  52. Vinogradov, S., & Yalom, I. D. (1989). Group psychotherapy. Washington, DC: American Psychiatric Press.Google Scholar
  53. Vorster, C. (2011). Impact. The story of interactional therapy. Pretoria, South Africa: Satori Publishers.Google Scholar
  54. Waller, D. (2003). Group art therapy: an interactive approach. In C. A. Malchiodi (Ed.), Handbook of art therapy (pp. 313–324). New York, NY: The Guilford Press.Google Scholar
  55. Wood, J. T. (1995). Relational communication. Continuity and change in personal relationships. Belmont, CA: Wadsworth Publishing Company.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Vera Roos
    • 1
  • Jenni van der Westhuizen
    • 1
  • Anna Keyter
    • 1
  1. 1.Africa Unit for Transdisciplinary Health ResearchNorth-West UniversityPotchefstroomSouth Africa

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