Abstract
This chapter uses Victor Turner’s concept of liminality as a theoretical lens through which to inspect various aspects of ethnography and stroke rehabilitation. Liminality is a productive concept for illuminating the experience of a stroke as a moment ‘in and out of time’ that marks a sudden separation from the life that preceded it. The stroke unit, a place of transition, is a liminal space. The purpose of a stroke unit is ambiguous, with priorities varying from one hospital to another. Patients lack agency as they are moved through these transitional spaces, and complex, individualized decisions are made by multidisciplinary teams on behalf of patients. The potential of rehabilitation for guiding people through the liminal wilderness to a better state is not consistently fulfilled, though there are valuable exceptions to this. Liminality is also used in this chapter to reflect on the process of transitioning from clinician to ethnographer, focusing on the fruitful awkwardness of being ‘betwixt and between’ groups and navigating decisions about presentation of self. The aim here is not to draw comparisons between the experiences of a researcher and a stroke patient, but to show how the process of doing ethnography and applying theory reveals new insights from familiar stories.
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References
Barnet, M. (2007). What brings you here? An exploration of the unconscious motivations of those who choose to train and work as psychotherapists and counsellors. Psychodynamic Practice: Individuals, Groups and Organisations, 13(3), 257–274.
Benner, P. (1982). From novice to expert. American Journal of Nursing, 82(3), 402–407.
Bernhardt, J., Dewey, H., Thrift, A., & Donnan, G. (2004). Inactive and alone: Physical activity within the first 14 days of acute stroke unit care. Stroke, 35, 1005–1009.
Clifford, J., & Marcus, G. (Eds.). (1986). Writing culture: The poetics and politics of ethnography. University of California Press.
Coleman, C. (2015). Borderlands: Ethics, ethnography, and “repugnant” Christianity. HAU: Journal of Ethnographic Theory, 5(2), 275–300
Dworzynski, K., Ritchie, G., & Playford, D. (2015). Stroke rehabilitation: Long-term rehabilitation after stroke. Clinical Medicine, 15(5), 461–464.
Ellis-Hill, C., Payne, S., & Ward, C. (2008). Using stroke to explore the life thread model: An alternative approach to understanding rehabilitation following an acquired disability. Disability and Rehabilitation, 30(2), 150–159.
Finlay, L. (2002). Negotiating the swamp: The opportunity and challenge of reflexivity in research practice. Qualitative Research, 2(2), 209–230.
Graham, J. (1983). Occupational therapy: Is it the creative problem solving process which the profession claims? Australian Occupational Therapy Journal, 30, 89–102.
Geertz, C. (1973). Thick description: Toward an interpretive theory of culture. In C. Geertz (Ed.), The interpretation of cultures: Selected essays (pp. 3–30). Basic Books.
Geertz, C. (1983). Local knowledge. Fontana Press.
Goffman, E. (1959). The presentation of self in everyday life. Doubleday Anchor.
Grbich, C. (1999). Qualitative research in healthcare: An introduction. Sage.
Hammersley, M., & Atkinson, P. (2007). Ethnography: Principles in practice. Routledge.
Intercollegiate Stroke Working Party (ISWP). (2012). National clinical guidelines for stroke (4th ed.). Royal College of Physicians.
Jeffrey, B., & Troman, G. (2004). Time for ethnography. British Educational Research Journal, 30(4), 535–548.
Johnson, N. (2007). Sex, color and rites of passage in ethnographic research. In A. Robben & J. Sluka (Eds.), Ethnographic fieldwork: An anthropological reader. Blackwell.
Karpman, S. (1968). Fairy tales and script drama analysis. Transactional Analysis Bulletin, 7(26), 39–43.
Lambert, H., & McKevitt, C. (2002). Anthropology in health research: From qualitative methods to multidisciplinarity. British Medical Journal, 325, 210–213.
Lipsky, M. (2010). Street-level bureaucracy: Dilemmas of the individual in public services. Russell Sage.
Lipson, J. (1994). Ethical issues in ethnography. In J. Morse (Ed.), Critical issues in qualitative research methods (pp. 333–355). Sage.
Madden, R. (2010). Being ethnographic: A guide to the theory and practice of ethnography. Sage.
Mesman, J. (2008). Disturbing observations as a basis for collaborative research. Science as Culture, 16(3), 281–295.
Nicholls, L. (2013). The ‘Therapeutic Use of Self’ in occupational therapy. In L. Nicholls, J. Cunningham-Piergrossi, C. de Sena Gibertoni, & M. Daniel (Eds.), Psychoanalytic thinking in occupational therapy: Symbolic, relational and transformative (1st ed). Wiley.
O’Reilly, K. (2009). Key concepts in ethnography. Sage.
Pollock, K. (2012). Procedure versus process: Ethical paradigms and the conduct of qualitative research. BMC Medical Ethics, 13, 25.
Sartre, J. (1956). Being and nothingness: An essay of phenomenological ontology. Philosophical Library.
Skinner, J. (2012). The interview: An ethnographic approach. Berg.
Taylor, E., McKevitt, C., & Jones, F. (2015). Factors shaping the delivery of acute inpatient stroke therapy: A narrative synthesis. Journal of Rehabilitation Medicine, 47(2), 107–119.
Taylor, E., Jones, F., & McKevitt, C. (2018). How is the audit of therapy intensity influencing rehabilitation in inpatient stroke units in the UK? An ethnographic study. BMJ Open, 14;8(12), e023676.
Tinney, J. (2008). Negotiating boundaries and roles: Challenges faced by the nursing home ethnographer. Journal of Contemporary Ethnography, 37(2), 202–225.
Turner, V. (1969). The ritual process. structure and anti-structure. Aldine Transaction.
Turner, V. (1987). Betwixt and between: The liminal period in rites of passage. In L. Mahdi, M. Little, & S. Foster (Eds.), Betwixt & between: Patterns of masculine and feminine initiation. Open Court.
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Taylor, E. (2022). Navigating Transitions: Liminality, Ethnography and Stroke Rehabilitation. In: Hayre, C.M., Muller, D.J., Hackett, P.M.W. (eds) Rehabilitation in Practice. Springer, Singapore. https://doi.org/10.1007/978-981-16-8317-6_11
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