Women's Decision-Making And Factors Affecting Their Choice Of ...

Women's Decision-Making And Factors Affecting Their Choice Of ... Women's Decision-Making And Factors Affecting Their Choice Of ...

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Critique of constraints of qualitative research One of the questions raised about interviews in general is how one can be sure that what participants tell represents reality (Murphy, Dingwall, Greatbatch et al 1998). It is argued that qualitative interviews are contextual interactions providing opportunities for participants to present themselves as in control to those interviewing them (Goffman 1983). When research interviews are treated as social interactions, interview data are then treated not as accurate reports of external reality, but as occasions for participants to give accounts of their situations or their perception of reality (Dingwall 1997; Murphy, Dingwall, Greatbatch et al 1998). In a study that combined participant observations with interviews in general practice consultations, inconsistencies were found between reports given by patients about interactions with their doctors with what was actually observed (Stimson and Webb 1975). The patients were observed to be passive and rarely giving open expressions of disagreement or dissatisfaction in the presence of the doctor, on the other hand, patients themselves reported atrocity stories, which presented them as active, and the doctor as passive. While the inconsistency between the interview and observation could discredit the interview data as biased, Stimson and Webb (1975) took a different view in the analysis of the interview, and considered what the participants could be seen to be doing in giving the accounts that they did. They argue that the atrocity stories help to make the patient appear sensible and balanced, and thus help to redress the imbalance between patient and doctor (Stimson and Webb 1975). 89

There is an argument for analysing what people are doing in interview talk, rather than taking the data as representation of reality (Baker 1984; Silverman 1985). In this way, interview data would be analysed in terms of the assumptions, and moral and cultural forms that they display (Dingwall 1981; Silverman 1985). Murphy et al (1998) cite Silverman's work of contrasting two studies of children with serious diseases to illustrate the difference between treating interview data as representing reality versus analysing the data. One of the two studies involved parents of children with cystic fibrosis (Burton 1975), and the other included parents of children with congenital heart disease (Baruch 1981). Both studies reported that parents had expressed concerns about their children to health professionals before the children's diagnosis was made, and in both cases their concerns were dismissed as groundless. Approaches to the analysis of data in the two studies were different. In Burtods study, at interactionist approach was taken, and the reports were viewed as accurate representations of external events (Burton 1975). In contrast, Baruch (1981) analysed the interview data in terms of what the parents could be seen to be doing in the interviews. His argument is that the interview data represent parents' display of their moral responsibility. Murphy et al (1998) note that Baruch, like Stimson and Webb, was concerned with functions of the accounts rather than as straightforward reports of what happened. Hammersley and Atkinson (1995) do not accept that interview data may never be read for what they tell about the subject to which they refer. They contend that the trustworthiness of interview data should not be taken at face value, but understood in the context in which it was produced. By so doing, they 90

There is an argument for analysing what people are doing in interview<br />

talk, rather than taking the data as representation of reality (Baker 1984;<br />

Silverman 1985). In this way, interview data would be analysed in terms of the<br />

assumptions, and moral and cultural forms that they display (Dingwall 1981;<br />

Silverman 1985). Murphy et al (1998) cite Silverman's work of contrasting two<br />

studies of children with serious diseases to illustrate the difference between<br />

treating interview data as representing reality versus analysing the data. One of<br />

the two studies involved parents of children with cystic fibrosis (Burton 1975),<br />

and the other included parents of children with congenital heart disease (Baruch<br />

1981).<br />

Both studies reported that parents had expressed concerns about their<br />

children to health professionals before the children's diagnosis was made, and in<br />

both cases their concerns were dismissed as groundless. Approaches to the<br />

analysis of data in the two studies were different. In Burtods study, at<br />

interactionist approach was taken, and the reports were viewed as accurate<br />

representations of external events (Burton 1975). In contrast, Baruch (1981)<br />

analysed the interview data in terms of what the parents could be seen to be doing<br />

in the interviews. His argument is that the interview data represent parents'<br />

display of their moral responsibility. Murphy et al (1998) note that Baruch, like<br />

Stimson and Webb, was concerned with functions of the accounts rather than as<br />

straightforward reports of what happened.<br />

Hammersley and Atkinson (1995) do not accept that interview data may<br />

never be read for what they tell about the subject to which they refer. They<br />

contend that the trustworthiness of interview data should not be taken at face<br />

value, but understood in the context in which it was produced. By so doing, they<br />

90

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