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Interviews are the privileged tool for carrying out qualitative research and clinical assessments on family relationships. Nevertheless, there are limited examples of interviews in clinical and psychosocial literature that are explicitly aimed at the evaluation of relational-family constructs. This paper presents the essential characteristics of the Clinical Generational Interview (CGI): an original tool for investigating and evaluating family relationships, that aims to combine the complexity of the subject being studied with the systematic and rigorous approach. It was created according to the following criteria: a flexible qualitative approach, the production and relational reading of information, intersubjective measurability and control of the inferential/interpretative process, and clinical use. Although it is organized in a structured and well-defined form and provides a precise system for encoding information, it is not a test, nor an algorithm that can be used in a mechanically diagnostic sense; it is a very versatile psychological tool that can be used in two different areas: the first is related to clinical research on family and couple relationships, the second to relational assessments. The contribution illustrates the path of construction and elaboration of the instrument, considering first of all its theoretical foundations and the constructs derived from them and around which the set of items is organized. The criteria for coding and analyzing the information thus produced and the different possible areas of application are then described. Finally, the theoretical and methodological characteristics of the instrument are also considered in relation to the main interviews in the literature in order to highlight differential particularities. [ABSTRACT FROM AUTHOR]

Cancer diagnosed during pregnancy is a rare event. The most common type of malignancy diagnosed in pregnant women is breast cancer, whose incidence is expected to raise in the next future due to delayed childbirth, as well as to the increased occurrence of the disease at young age. Pregnant women diagnosed with breast cancer are exposed to multiple sources of stress, which may lead to poorer obstetric outcomes, such as preterm birth and low birth weight. In addition, pregnancy involves physiological changes in the breasts that may blur the signs of cancer, with delayed diagnosis and poor prognosis. However, the lived experience of these women was investigated in very few studies. Given this scenario, we conducted this qualitative study to describe and understand women's subjective experience of being diagnosed with breast cancer during pregnancy. The study was conducted following the principles of Interpretative Phenomenological Analysis. Participants were five women with breast cancer diagnosed during pregnancy, purposefully recruited at a public hospital during medical visits and interviewed at treatment initiation. The interview transcripts were analyzed using thematic analysis. The textual analysis led to the identification of three main themes related to: (1) the emotional storm experienced after cancer diagnosis, and the importance of receiving appropriate information and being focused on treatment decisions; (2) physical changes and comparisons with healthy women, associated with feelings of sadness and inadequacy; (3) being positive, feeling free to disclose all kinds of emotions, religion and spirituality as sources of strength. The paradoxical coexistence of pregnancy and cancer represents a stressful experience for women and their loved ones. Adopting a systemic perspective may be important to understand the effects of such a complex condition, also considering its impact on healthcare workers. [ABSTRACT FROM AUTHOR]

Although most studies investigated the impact of infertility and its treatment on the couple, a small body of evidence suggested that infertility care providers may experience different sources of stress related for instance to excessive workload, the complexity of the technique, and relational difficulties with patients. The current study aimed at providing further insight into the understanding of the subjective experience of infertility care providers by highlighting their feelings and emotions, personal meanings, challenges, and opportunities. Following the methodological guidelines of Interpretative Phenomenological Analysis, we conducted individual semi-structured interviews with 23 members of two different fertility units. Interviews were audiotaped and transcribed verbatim. Textual analysis was then conducted to identify emerging dominant themes and subthemes. Three main themes were extracted: (i) dealing with infertile patients and their specificities , (ii) performing assisted reproductive technology (ART) , (iii) being part of a team. These themes related to participants experiencing: (i) difficulties in establishing an empathic connection and communicating with couples, such that women were sometimes perceived as "particular patients" and men as poorly involved in the process; (ii) difficulties in dealing with a complex procedure in which errors are not allowed (as reported by embryologists), with a growing number of women aged > 40 seeking assisted reproduction, despite the risks for their health; (iii) being part of a team as a resource, although the huge amount of time spent together can involve conflicts and organizational problems. These findings suggested that patients' overpersistence (rather than just dropout) represents an important source of stress for infertility care providers. At the same time, the concept of particular or difficult patient derives from the combination of multiple factors, including providers' own history and subjective experience. The presence of mental health professionals in fertility units is essential to help providers improve the quality of doctor-patient communication and relieve the stress related to organizational issues and conflicts. [ABSTRACT FROM AUTHOR]

This study intended to explore how child custody evaluations might help in supporting parents during the transition of divorce to continue to be parents together. Sixteen Italian divorced parents were interviewed using an ad hoc semistructured interview. Data were analyzed by T-LAB software. Findings indicated a shift from the structural aspects of the intervention to the dynamic ones, as well as from an individual vision of the child to a more relational one, from the problems and the conflicts to resources, mutual respect, and trust. Results are discussed in relation to practical implications for intervention. [ABSTRACT FROM AUTHOR]

This qualitative study intended to assess how intergenerational transformative family mediation is a resource in promoting and supporting coparenting during the transition of divorce. There were 2 goals: to assess parents’ perceptions of key topics of family mediation and to compare their perceptions concerning different moments of the intervention. Fifteen Italian parents were interviewed using an ad hoc semistructured interview. Data were analyzed using the textual analysis software T-LAB. Findings showed mediator, pragmatic aspects, and family relationships as the most salient aspects of mediation. Significant differences emerged among the beginning, the middle phase, and the end of this intervention. [ABSTRACT FROM AUTHOR]

Since 2011, the organisational and management process of the Italian Prison Administration has started to change. The Open section and Dynamic supervision measures introduced into the Italian penitentiary system, requires that all prison workers participate in the observation and treatment of the prisoners' activities, carried out within a multidisciplinary perspective. This may imply a significant increase, in both the workload and possible sources of stress for prison workers and, therefore, hinder the organizational change. To enable the process of change, while monitoring the employees' wellbeing, monthly multidisciplinary meetings have been planned, involving the ward staff of each prison. This study aims to both understand the impact of the organisational change on the employees of a prison in northern Italy and to explore the sustainability of the ward staff tool. Ten multidisciplinary meetings were analysed over a year, focusing on topics discussed within the group and relational positions assumed by the members. Content analysis has been performed through the T-LAB software, whereas the analysis of the interactive modalities has been carried out through the application of the Interaction Process Analysis grid. Results showed the group's tendency to focus on the task, neglecting the relational dimension and moments of shared reflection related to the process. The study allows us to reflect on those aspects that may undermine the organisational and employee wellbeing and to assess the sustainability of a new organizational tool. [ABSTRACT FROM AUTHOR]