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To our students GROUNDED THEORY INPRACTICE BIBLIOTECA, 2.0354 ANSELM STRAUSS JULIET CORBIN ‘SAGE Publications Iertiona Eaton nd steal Ae TrousndOe london Nw Oa Cony © 197 by Sag Pablo ieee. op hbk may espace sien an ty 257 ‘sn crn mca gpg ee. oy 2 ‘Somes anderen st ermion eng rom Pah For noma ree vrevngee © econ peseecomr imme utara Congr Calpine Pabetn Dat Mn ey er te “Se Sauer tc Toes Cabin. ce ing tenes. nt 9 pe.e aka pe) i Sennen pig, 8 God ‘ea a Introduction 1. Deciphering Chronic Pain Tabelle Bascanger 2 Identity Dilemmas of Chronically Tl Men Kathy Charmas 13. ASocil Words Research Advent: “The Case of Reproductive Science ‘Adele E Clarke 4, The Molecular Biological Bandwagon in Cancer Research ‘Where Social Worlds Meet, Joan H. Fujimura 5, Time in the Recruiting Search Process by Headhunting Companies KrayatofKoneeks 6, The Line inthe Sand: Definona Dialogue in Abutive Relationships Lora Bex Lempert 1. Ternperaty and Lent Loss Due to Alzheimer's Disesse Celia J. Orono 8, OF Lung and Longer: The Casities Story of “Terclosis ‘Susan Legh tar GeotfesC. Bowker 6 9s BI ur m 9, Trajectories, Biographies, and the Evolving Medial ‘Technology Scene: Labor and Delivery a the lutesive Care Nursery (Caron Winer Ansel Strouse ‘Shizko Fagerhaugh Barbara Suezek 10. On Some Characteristics of Contemporary Japanese Society ‘Ses Mizuno Index About the Authors 20 2st 267 26 Introduction ‘Grounded theory methodology and methods (procedures are now among he ‘ost influential and widely ated modes of carrying ot qualitative reseach ‘wen generating theory ie the researcher's principal aim. Ths mode of qualiative study has spread fom its orginal use by sociologists othe other ‘cial scence and to practioner feds, cing leat accounting, busi ess management, education, nursing, public health, and social work. Is scographical spread is equally impressive. What this elects isa reat desi foe hore explanations and, of course, the incressing we oF quaiave aerials and ther analy "Most researchers who use tis grounded theory style af sei! research lear its details rom reading its speifc methodotogia! erature, including ‘one or more ofthe following: The Discovery of Grounded Theory (Cer & Stans, 1967), Theoretical Senstiity (Glaser, 1878), Qualtarve nasisfor Social Seieniss (Saas, 1987). Bases of Qualiave Research (Suauss & Cosbia, 190), and Handbook of Qualitative Rerearch (Denzin & Lincoln, 1994. Ahough many monographs and articles in the proud theory mode se quite acesible, some ae ls 9, ad perp some people who we or ‘approach donot seck out the sobsanive writing, From teaching reset Seminars, however, we know that students find avaiable, and probably esata the sy of ubtamive materi before they can Become confident nd sie rounded theory researches ‘This book of ealings is simed a increasing the accessibility of auch ‘mati. The selection of pbs articles reproduced here x dsigned a ‘9 much to show he range of substantive tpies or of the disciplines and practitione elds in which grounded theory researches ae writen. The major Principles of election for these articles, sie fora their generally High ‘ually of ees iis: Al the authors (a) have stated ety with, vii ROUNDED THEORY IN PRACTICE dll understand vey wel or vsion af tis syle of esearch; () have wed om of our methods, whether not cating explicit the deals of thet User and (@) have themselves chosen to emphasize diferent aspects of, ‘rounded theory methodology and mods inctding (wei theirpresen- {hon of mateils and they formated interpretations. Mtr al, people llvayssolect fom the overall menu of thee learning. They take whatever inems make mt sense to tem at he ime, a tems of knowledge an sil ‘Wit ego oreseush methods, they centainly do choose with reference £0 thei immediate work and ins, Grounded theory methods ae no exception to this general proposition, Even te diferent emphasis on varios aspects ‘ofthe general methodology obeys tS it wil wt be surprixing if yu find ‘one or more ofthese writings much mote luminaing o use han others In generals however, they shouldbe valuable in filing outwith le eolors tion the mote abstract iscunsion (despite al the lustations in our method ‘boks) We sll present each chapter with n accompanying commentary. “There at of couse many kinds of statements that coud be made about each, but we have oped for emphasizing specific pins that might be particularly nfl for teaders of Bases of Quaative Research or Quaatve Analysis Jor Socal Seientss. Sometimes we point to the combining of sources— interview, Feld observations, and bistovial (Adele Clarke), sometimes to Special emphasis on major echsique—theconitional matrix (Kraystof ‘emecky to unorthodox but effective styles of presentation (Leigh Str and Geary Bowker; the inking of theoretical concepts (Isabelle Baszanp oun Fujmora). oF some diference between arles by very experienced roused theonsts (Kathy Charmaz, Carolyn Wiener) and those by tess “nperenced ones who seveneles have writen excelent articles (Lora {empen, Celi Orona} There is something, we Believe, to be learned fom ach whether in ecigoe, presentation, and presentational considerations, Reterences Demin esi (1988 donk ant sch Tawi CA Sa Seay aera ein ey CA Sey Ps GES 8 Gs destmnee oe Teac of ge tn Cha Ati ‘Sto i niae or me ara Rew Yo Came Unter Ss A Cin (1990, Bf utara New Pat CA Sa, Deciphering Chronic Pain ISABELLE BASZANGER Commentary “This imporantchaper by Labelle Rasanger, French sociologists thre esearch moves, informed by grounded theory methodology and meth ‘ds tht we call your atention inthis viet commentary. Fist, ber chapter is super theoreti ordering of very complex desriptve materials > ‘earthed through herextensive and skill itd work and documentary sec, Second the chapter systematically develops «substantive theory aed tothe concept of “operational knowledge” aprpas to pain and is manage ment This concept pertains "the problem of medical knowlege. of making Itopeationa. Th connection om opeatoal knowlege regis of doce Patient lations...” De Batzanger's chapter make another important point points os tro theory shout paratonal knowledge in general To ose ends she has eed several aspect of grounded theory—namely, “constant comparitiveanalyis, development of theoretical comets nd state- ments and theoretical sampling, as wel asthe sual supporting techaiqes “reat sein hi her pear in Sct of Hh thas 18-218 ‘hitrebypemsint abate 01982) Rotter The Eset 1 2 GROUNDED THEORY IN PRACTICE of theoretical coding and memsing, Shas woven necessary preseta- tional elements much facta det, bth llastative and persuasive, and fair arom of quoted material. (Most of his we have deleted to save pul tation space Ifyou a interested inthis matt, please check the original, publication) lle Baseanger sone of the tals and the eto of a book of| ‘selected works by Anselm Stas, Shehssiospeat many Reus talking ith him daring several vst to Ameria, s her knowledge of grounded theory ‘Comes fo her trough his source a well as through reading is iterate Introduction ‘choi pin towel oem rei: snes perio’ pate exparunce whch oe Si a et sm Others ae niet SEENO' thao be commusatd by he pean bjt Ba he iSanamerean wy chon in olen: Bc as its sting fron afar gusto th wise aon an craton bth Ponsa fae fal ole, wheter ay es rmedal ofesinals Eecaue pm ape seston at catnotbe aun by bjt {came fiat, bese sings ct hat ee > ‘hcl mee acct and hs pie elon tee profesor ‘Sony penon Ts age lites te work a pyscan so “tose paiens un “he mm of ts pertain fo pins pcg in an sedicne worth dspbrig Thx work hal hha or he eae Sra unin doin wich yon nesting buns vey chaos pateats pin state As Tha shown eevee {Drosage 98,1980). piss consracing crop aan ‘tint ea ny hat pes up a ow el of inal race, ich ‘on juss heats extn. Ti onaig work cotton Shuny vie his pesos grup beet how to die sts of esctve Crna! os dt he erston of hw tow pa auto {lve atin of chonc pa a tinge spay an ania vice At pes mo conmnarsin peck thing shape nes wo ery dif oles. tthe pole wma "ceon hugh geste nce pi by mess Deciphering Chronic Pain 3 ranging fom drugs ad the simplest physical methods o evermore sopis- ‘sed neurosugiea! echaigues. Hee, pia tends tobe defined 38 a fotion ‘ofthe technical possibilities or teting i AL ther pe which we might ‘all healing though adaptation,” the main objective to contol pale, which is defined as poty adapted behaviour, To reach this objective a global care ‘muito provided that esos to cogeitive ad behavioural ecigues a well clonic pai epesent these 10 ples, Hach ofthese centres hae a heavy cavelond, nd isan eteprenet “Their apposshes have ofen set them at odds on important pont, ssh a pain conte’s ute and educational ole. By examining entrepreneurial acti "is and medial professional dicoures i these two cents, Iwas able 10 Teconsrt tec very diferent coneptons of mesic work on pin. These iiales (he problematic faewalty of pain and doctrinal debate) affect Physicians every practises and rlations with patients, It Fores them 2 ‘work on th elusive information provided by patents 035 oi into Beng someting called chronic pain, When doing this, they tp various, early incompatible, resources, I the ease of eon pin, they resort 0 tata of knowledge with which thy are more or les familia. ‘Oncis the widely acoped gat-convol theory This scientific ory far from providing them wit he means of regulating acta practices Alough ll pain physician share this frame of reference, they are invalved in am ‘ongoing iasfarmaton ofthis theory as diferent maximal and minis, postions have been adopted. Actual practices are grounded in hese cone Ing options a isthe work of deiphoring cases, I addition to his theory physicians sls pu o work knowledge of all sets—about the environment, psychological behaviours, social factors, “They also tap vatous sient sourees (biology, neurophysiology. anatomy, epidemiology. peychologytc)ofonge practical knowledge fortetingeases rather than explaining generalities" The illest effort to "pat odd and ‘rds tether" doesnot stop here. Another sp is rquired: Meical wok i performed on individals, who ate not “objective” datato be effet ea People have thet own ies they may change cr esist change; they express ‘emotions feats and hopes. Each patient ha history. This hat revera omaguences (Strat ta, 1982; and Winer a, 1980), one of hich ‘merits tenon: During medical consitations, more is going on than just. ‘therapeutic and diagnostic cts in the narrow, ual ens. Indeed, many andulferet things ae asi eapging for body complains operon fly oF workelted problems. Whether or motto listen to ths information, 4 @ROUNDED THEORY IN PRACTICE andentand and eit a ta (a ho to os) ae dso regu mare thon mel the plato of eoecal anovldge. They may be ete 0 1 pte’ prone approaho ta proesonal pce Ser ina, 182; and Dots, 190) Tiere, tal dy the ay these mpl sous ae pu 0 we by hysctnsan hey hn jogemens about svn. Beyod the pole of frases! Koowlaige,T mold ite to fook ate consequences fr pate ‘Fa way icin pu ei vane escucestowork can elpusunderstand tow ty subnet east forse he lena rey fone pen they dnt sing rely manimeeton By Tnongeie trenton patient By sng ar element 0 pan ‘Sunes with oppose concen ad pac, weal beable tse how hose in cosh cote termine pet rin stations an fore vetoes tome how he harris of is work involve phyla in see systems of raion wih pens and How thse ‘Stems oe ened fo mens fhe works er jsifeaton of fhysitan actions o ei fo cofeation,o elas of he inal Method | grounded theory approsch as develope by Glaser and Straps (1967), is adopted. Thetwo puincenres were chosen aie an iil phase of esearch, ‘bess realised a comparison could serve o grou theoretial statement, Both centes are load n pbb tschig hospitals in Pais, France. They reocive patents wit simi stologies, sil pin inthe skeletal system. (ow back pain, cervical pai, aftermath of back surgery), teesion headache, ‘migraine, eurlogical psn (ato linb, oxberpetc neuralgia geminal eralia infact any pin which has ase fr more than si mont tu hasbeen revise toll eplar eatments. However, skhough ese 160 ‘entes ited similar patents, they do aot have te same approach 0 pain. {Conve thas “coring though esheigdes approach. Treatment isconsiderd to tea phase ina total medical process. On average there ate thre coms Uttons flowed by referral back to the patent's was! physician ence the lneatment is dusted, One nevorargen ano anuesthesilopsts whohave teguited the specific techniques to care pai ae the entepeneurs of this Ceatre. The mulidivcpinary orgasisaton ofthe centre takes shape around Deciphering Cronle Pan § this core of pin pyscins” They re surrounded by conrling speciaits to whom ptions for whom specific tesmens donot exis are teferred upon asival atthe cen whenever itis possible It isdiffereat othe psychistis [After ther weatments have heen wneoscessi, “pain physicians” dally ‘efne the ease as being Beyond thei jssdction abd eer 1 the psyeiae tris The second centre has “healing through adaptation” approach which leads 10 the provision of extensive, iterated patient cate, The average follow-up om case usally lasts ron eight fourteen months. This allow up neceasittes eam work and eetve muliisplinaryongaistion. he plots ofthe team are thse physicians, egadless of thew species, who have adapted behavioural ehigues for sting psn. Contin pes, incloing a pyehist, work with them ina perspective of tol ere several

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