Annotated Bibliography Pro Sem (2)

8/3/2019 Annotated Bibliography Pro Sem (2)

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Annotated Bibliography 1

Annotated Bibliography

Kenyon Stanley

COMM 602

Dr. Zachary White

November 7th

, 2010


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Young, E. (2009). Memoirs: Rewriting the social construction of mental illness.Narrative

Inquiry, 19(1), 52-68. doi:10.1075/ni.19.1.04you.

E. Youngs qualitative analysis of four individuals stories highlight the detrimental impact that

cultural values have in effectively treating mental illness. Young examines how each individual

was forced to deal with the guilt and shame that arose when their mentally ill condition left them

unable meet the cultural expectation of society. Furthermore, Young highlights how

superimposing cultural values and expectations on mentally ill subjects made the diagnosis and

treatment more difficult. Lastly, Young posits that the mentally ill are a voiceless group that is

in desperate need of further exposure.

Youngs report focuses on the clinical diagnosis of depression. For many years, depression was

not taken seriously in society. Many people believed (and still believe) that people diagnosed

with depression should simply suck it up, pull up their boot straps and take responsibility.

Depression is a serious problem with the homeless population. Depression leads to suicidal

thoughts, fatigue and many other factors which can render a homeless individual simply

incapable of appropriately navigating him or herself to a life of self-sufficiency. Youngs report

will highlight the dysfunctional sense making methods that mentally ill subjects employ while

engaging in narrative discourse. Youngs report will provide me with similar narratives between

mentally ill subjects who are and arent homeless.

L. Moxam & S. Peggs article is an argumentative report where the authors persuasively posit

that the manner society provides housing for the mentally ill is inadequate. The authors suggest

that providing more community based environments will lead o deinstitutionalization in the men

and women who suffer from mental illness and are in need of housing. Lastly, the authors


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highlight the importance of supportive and flexible housing alternatives, especially housing

options which allow the residents more control over their options.

Moxam and Peggs article is an out of the box idea that directly challenges the current

methodology agencies employ when housing indigent mentally ill patients. The notion of

institutionalization is a reality that I witness every night when attempting to serve the needs of

mentally ill homeless men. While my project proposal is designed to give a marginalized group

a voice, out of the box ideas need to be explored if effective treatment is ever going to be

actualized. Right now, the mentally ill homeless population is housed in homeless shelters.

Their needs are expected to be met by staff that is not qualified to diagnose or treat mental

illness. In fact, at my place of employment there is nobody on staff that is credentialed to

identify and meet the primary and secondary needs of the mentally ill. Therefore, this

argumentative article will provide some great out of the box ideas for the discussion portion of

my proposal.

Ritchie, L. (2009). Metaphor, narrative, and social reality in a conversation about homelessness.

Conference Papers -- InternationalCommunication Association, 1-30. Retrieved from

Communication & Mass Media Complete database.

L. Ritchies study attempted to utilize peer group discussions of homeless individuals in order to

discover reoccurring themes and metaphors that occurred during the group sessions. The group

sessions were recorded and transcribed by students of Dr. Ritchie. The analysis revealed several

reoccurring themes. One of the themes exposed was that several of the subjects chose to blame

others for their situation and/or the system. There were no occurrences where the subjects

blamed themselves for their failure to live a self-sufficient life. Additionally, the subjects


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unanimously agreed that substance abuse was a coping mechanism for their hard life instead of a

barrier to better their situations. Again, many of the subjects blamed the system for inadequate

drug treatment programs, thus exemplifying the blame the system metaphor.

Ritchies study is a great study where the voices of homeless people are given a platform.

Ritchies report will enhance my research proposal in the discussion and so what areas of my

paper. Ritchie effectively exposes that many homeless people blame others for their situation,

thus suggesting that while making sense of their lives, taking personal responsibility is secondary

while blaming others is primary and a way to cope with the guilt that obviously accompanies

people suffering from homelessness. Considering my report deals with mentally ill homeless

people, it will be interesting to see whether or not the reoccurring metaphors in Ritchies study

occur in my study. Ritchies qualitative analysis will provide a platform to compare the sense

making process between mentally ill homeless individuals with a cohort of mentally sound

homeless people.

Heuchemer, B., & Josephsson, S. (2006). Leaving homelessness and addiction: Narratives of an

occupational transition. Scandinavian Journalof Occupational Therapy, 13(3), 160-169.

doi:10.1080/11038120500360648.

B. Heuchemer & S. Josephssons 2006 article is a qualitative analysis of two homeless women

who suffer from chemical dependency issues. The authors use a comparative analysis between

the two homeless drug abusers and two individuals who dont have substance abuse issues or

homeless situations. By utilizing a narrative approach, the researchers found that the homeless

women initially thought that drugs would provide a solution to their problems but soon realized

that using drugs turned out to be a significant barrier to self-sufficiency. Additionally, the


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researchers found that the women suffering from homelessness and chemical dependency viewed

life in the short term and intense. In contrast, the women who didnt suffer from homelessness

or drug addiction viewed life through a long term lens and were less intense. Lastly, the report

gives the reader a unique snapshot into the lives of a vulnerable and marginalized faction of

society that doesnt get much exposure.

While the research was conducted in Sweden, chemical dependency and homelessness are

mutually inclusive. Drugs are a major factor as to why society has struggled to understand and

effectively end homelessness. Although my research proposal is centered on the mentally ill

homeless, many mentally ill homeless people suffer from chemical dependency issues as well.

Furthermore, when substance abuse is added as a barrier to the mentally ill homeless, the

combination of prescribed medication and mind-altering drugs further disrupt the mentally ill

homeless from connecting with their own socially constructed reality. Therefore, it is quite

possible that in order to treat the mentally ill homeless, effective substance abuse treatment may

need to be addressed as well. By highlighting the similarities that the women in Heuchemer & S.

Josephssons study share with the subject(s) in my research proposal, will highlight the

complexity mutually inclusive relationship between homelessness, chemical dependency and

homelessness.

Williams, B. (2009). Life as narrative. European Journalof Philosophy, 17(2), 305-314.

doi:10.1111/j.1468-0378.2007.00275.x.

Bernard Williams article draws upon Alasdair MacIntyres notion that lives are lived first and

then told. Additionally, Williams posits that there are three levels to which narratives take place.

The first level is intelligible action. Williams says that when an individual takes part in an


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action, engages someone in a conversation or any other human transaction, then he or she is a

character and co-author in a narrative. The second account of narrative occurs at the level of

living. In order for one to socially construct her or his narrative, he or she must be conscious of

the overarching narrative environment. The third and final account of narrative provides the

basis for the unity of life. In other words, humans make sense out of our personal narratives and

the relationship our lives/stories have with others.

Williams article depicts how humans normally make sense out of their lives. My research

proposal focuses on how the mentally ill homeless engage in the sense making process and the

narratives they construct. While Williams analysis provides a good generalization for people, it

is quite possible that the sense making process mentally ill subjects engage in is disjointed and

inconsistent, thus contributing to their overall confusion with life in general. Williams article

will provide my research proposal with a sound baseline of how mentally sound individuals

socially construct their own narratives and how they make sense out of them.

Lai, C. (2010). Narrative and narrative enquiry in health and social sciences.Nurse Researcher,

17(3), 72-84. Retrieved from Academic Search Premier database.

The article C. Lai writes is a wonderful summation of how narratives are a great tool for

researchers who endeavor to make sense out of sense making. Lai explores the concepts of

narrative and narrative enquiry. Furthermore, Lai explores their ontology and epistemology and

how they contribute to the field as a research tool. Lastly, throughout Lais article are links to

how narratives are a great tool for researchers who intend to find trends in the way people make

sense out of their lives.


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While this article does not address homelessness or mental illness, Lais article gives the reader

wonderful insight to the history of storytelling as well as many ideas that todays researcher can

practically apply narratives for many purposes. Lai states a compelling argument for narratives

as a way that humans have always made sense out of life. I plan on citing Lai in my literature

review portion of my proposal as the purpose of my paper is centered on narrative and sense

making.

Wright, N., & Walker, J. (2006). Homelessness and drug use a narrative systematic review of

interventions to promote sexual health.AIDSCare, 18(5), 467-478.

doi:10.1080/09540120500220474.

Wright and Walker use a longitudinal study of 99 scholarly papers on the subject of

homelessness, drug use prevention and the promotion of sexual health. Out of the 99 papers, 6

met the criteria for Wright and Walkers study. The purpose of the study was to examine

whether or not drug treatment intervention methods actually affects a positive change in the

subjects sexual health. The study concluded that treatment exercises such as role play, video

games and group work led to a decrease in drug usage and sexual activity.

Wright and Walkers report is a great reference for my paper as homeless people in general face

many barriers to self-sufficiency. This report addresses substance abuse and sexual health.

Sexual health is a broad definition which encompasses a great deal of health and behavioral

issues. For example, teenage pregnancy and sexually transmitted diseases are two of the health

issues which is likely to be part of a homeless persons narrative. Additionally, many of the

homeless have a history of engaging in sexual activity that lacks intimacy and is rooted in

abusive environments. My research proposal is an attempt to hear the voice of the mentally ill


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homeless. If finding that the subject(s) in my study have a history of drug use and poor sexual

health, the findings of Wright and Walker might give me some great ideas in the so what

section of my proposal.

Nelson, G., Clarke, J., Febbraro, A., & Hatzipantelis, M. (2005). A narrative approach to the

evaluation of supportive housing: Stories of homeless people who have experienced

serious mental illness.Psychiatric Rehabilitation Journal, 29(2), 98-104. Retrieved from

Academic Search Premier database.

In an attempt to evaluate supportive housing, Nelson, Clarke, Febbraro & Hatzipantelis hear the

stories of twenty homeless individuals who suffer from mental illness. The purpose of the study

is to evaluate the effectiveness supportive housing has on the mentally ill homeless population.

Using a qualitative approach, the researchers discover that the quality of life before the

individuals entered supportive housing was filled with anxiety and generally dark. In contrast,

following the participants entrance into supportive housing, the participants reported a significant

brighter perspective on life in general. Although the quality of life of the participants were

enhanced after entering a supportive housing system, some of the subjects reported negative

aspects about their supportive housing environment (e.g. struggles with substance abuse &

access to medication).

While this report evaluates supportive housing, there is a great deal of information which will

enhance my research proposal. For example, the report is a narrative approach. By hearing the

voices of the mentally ill, patterns of sense making emerge and give the reader a snapshot into

the lives of some of our most vulnerable citizens. The sense making patterns in this report will

complement the patterns which show themselves in my study.


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Theiss, J., & Solomon, D. (2008). Parsing the mechanisms that increase relational intimacy: The

effects of uncertainty amount, open communication about uncertainty, and the reduction

of uncertainty. Human Communication Research, 34(4), 625-654. doi:10.1111/j.1468-

2958.2008.00335.x.

Theiss and Solomons article examines uncertainty, openness of communication and the

uncertainty reduction process as they simultaneously affect intimacy in romantic relationships.

Using a quantitative approach, the study surveys a cohort of traditional college age students over

a six week period. The results of the study indicate that reducing uncertainty is the only

significant predictor of intimacy.

As my project proposal explores sense and sense making for the mentally ill homeless

population, it is critical to reduce uncertainty and increase self-disclosure of the subject(s) who

will be studied. In my experience, I have noticed that homeless men in general are skeptical and

generally dont trust others. The mentally ill homeless men I encounter are even more difficult

to reach. Therefore, decreasing the uncertainty of the subjects about the nature of my study will

increase the level of intimacy (trust) the interviewer has with the subject(s).


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Summary

While reading the articles for this project, ideas were popping off in my head about the direction

of my final research proposal. I read close to twenty different reports and all of them could have

contributed to my purpose to affect change in the way society deals with providing care for the mentally

ill homeless individuals in our country. However, my research proposal will be limited to a qualitative

analysis on how one or two mentally ill homeless men socially construct their narratives and make sense

out of those stories. Additionally, the lack of trust that mentally ill homeless people have towards others

is a reality that my proposal will have to address. The lack of trust stems from previous traumatic

experiences and the uncertainty of the future. Therefore, my proposal must include methods to reduce the


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level of uncertainty in the overall setting the subjects will experience during the interview process. While

building trust isnt the primary focus of my research proposal, I want to get as close to a pure narrative of

the narrative and sense making process as possible.

My annotated bibliography contains sources that analyze uncertainty reduction, narrative

discourse, chemical dependency, housing methods and other barriers to self-sufficiency that mentally ill

homeless people encounter in their journey. While reading these articles, I saw the faces of the men I

serve every day. Before this project, I lacked focus and direction regarding how I would proceed.

Analyzing the work that has preceded my area of focus has fueled the flames of passion and given me a

clear direction on how I intend to proceed. Each of the articles in my annotated bibliography will

contribute to my proposal. Some of the articles will be highlighted in my literature review, some will be

in my discussion and some will be referenced throughout my paper. I will simply have to wait and see

how the drafting process unfolds.

Homelessness is a social problem that will require passionate people to remain solution orientated

towards a large number of barriers. Mental illness is simply one barrier. However, considering that many

mentally ill people suffer from mental illness and other barriers, effectively solving the problem will only

happen when people get out of the compartmentalized approach currently employed by agencies and

adopt new methods that attack all of the barriers simultaneously.

Documents

Annotated Bibliography Pro Sem (2)