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Women and Alcohol: a Phenomenological Exploration of Women’S Decisions to Engage with Drug and Alcohol Services

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Women and Alcohol: a Phenomenological Exploration of Women’S Decisions to Engage with Drug and Alcohol Services University of Wollongong Research Online University of Wollongong Thesis Collection 1954-2016 University of Wollongong Thesis Collections 2016 Women and alcohol: a phenomenological exploration of women’s decisions to engage with drug and alcohol services Renee Michelle Brighton University of Wollongong Follow this and additional works at: https://ro.uow.edu.au/theses University of Wollongong Copyright Warning You may print or download ONE copy of this document for the purpose of your own research or study. The University does not authorise you to copy, communicate or otherwise make available electronically to any other person any copyright material contained on this site. You are reminded of the following: This work is copyright. Apart from any use permitted under the Copyright Act 1968, no part of this work may be reproduced by any process, nor may any other exclusive right be exercised, without the permission of the author. Copyright owners are entitled to take legal action against persons who infringe their copyright. A reproduction of material that is protected by copyright may be a copyright infringement. A court may impose penalties and award damages in relation to offences and infringements relating to copyright material. Higher penalties may apply, and higher damages may be awarded, for offences and infringements involving the conversion of material into digital or electronic form. Unless otherwise indicated, the views expressed in this thesis are those of the author and do not necessarily represent the views of the University of Wollongong. Recommended Citation Brighton, Renee Michelle, Women and alcohol: a phenomenological exploration of women’s decisions to engage with drug and alcohol services, Doctor of Philosophy thesis, School of Nursing, University of Wollongong, 2016. https://ro.uow.edu.au/theses/4621 Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: [email protected] WOMEN AND ALCOHOL: A PHENOMENOLOGICAL EXPLORATION OF WOMEN’S DECISIONS TO ENGAGE WITH DRUG AND ALCOHOL SERVICES Renee Michelle Brighton This thesis is submitted in fulfilment of the requirements for the award of the Degree: Doctor of Philosophy University of Wollongong School of Nursing February 2016 Abstract The aim of this study was to explore the meaning that women who live with alcohol-use disorders attributed to their decisions to engage with drug and alcohol services. Women, alcohol and alcohol-use disorders are under-researched topics when compared to the abundance of studies on male alcohol consumption and its related harms. In particular, there is nearly silence on the discourse about the lived experience of women who consume harmful levels of alcohol and live with alcohol-use disorders (AUDs). In order to understand and interpret the essence of meaning behind the reasons why the 15 women participants made their decisions to engage with services, a phenomenological approach was used. More specifically, van Manen’s (1997) methodological framework provided a structure and a guide to the phenomenological enquiry into the lifeworld’s of the women participants. The research study was designed in a way so as to answer the question: ‘what does it ‘mean’ for a woman with an alcohol-use disorder to engage with services’. So as to encourage the women to share their stories and uncover meanings in their experiences, semi-structured, one-on-one interviews were the methods used to collect the data. NVivo 10TM data analysis software was used to capture the interview transcripts and to analyse and explore the 15 texts. van Manen’s (1997) method for isolating thematic statements formed the basis of this analysis. Within the women’s story-telling, an exploration of the essential, unified themes were uncovered and portrayed These themes, which follow, centre on the women discovering their ‘Dislike for Alcohol’, ‘Overcoming Barriers’ to service engagement, prevailing over a ‘Sense of Enforcement’ to engage with services and bouncing back from reaching ‘Rock Bottom’. Deeply embedded within the scenes in the women’s story-telling was the essence of their experiences – the meaning that each woman ascribed to her decision to engage with services. This essence was found to be the woman arriving at her ‘conceptualisation of the need for change’ in terms of her service-seeking behaviours. Implications for researchers and drug and alcohol service providers’ explore the subjective views of women with AUDs. In particular the unique, contextual factors that characterise a woman’s lifeworld in terms of her developing and living with an AUD should be understood and privileged. Page i Declaration of Originality I, Renee Michelle Brighton, declare that this thesis submitted in fulfilment of the requirements for the award of Doctor of Philosophy, at the University of Wollongong, is wholly my own work unless otherwise referenced or acknowledged. The document has not been submitted for qualifications at any other academic institution. Signed by Renee Michelle Brighton On the 30th October, 2015 Page ii Dedication This thesis is lovingly dedicated to the memory of my mother, Margaret, who left us too soon. My mother instilled in me strong principles of social justice and the need to create a ‘rightness’ in this world, which formed the foundations for my work as a nurse and subsequently fuelled my desire to undertake this research. I did it Mum! Although you're gone, I'm not alone, and never shall I be. For the precious memories of the bond we shared, will never depart from me. Page iii Acknowledgements This thesis is the end of my journey in obtaining my PhD. I have not journeyed in a vacuum; this thesis has been completed with the encouragement of many people. The support of friends and colleagues has made this whole endeavour possible, and I am truly grateful to all who journeyed with me. This work would not be possible without the loving support my husband, John, and my two daughters, Bethany and Violet. Thank you for putting up with all my absences and my obsession with the need to ‘write, write, write’! You have all contributed to the completion of this work, especially you John, with your unwavering belief in me that I could do this. I would like to express my utmost gratitude for the support given to me by my principal supervisor, Lorna Moxham. Her dedication and enthusiasm for qualitative research is unsurpassed, and her vast knowledge and perceptive insight is truly inspiring. Lorna’s unconditional faith in me served as a driving force for the completion of this work. I would also like to gratefully acknowledge my co-supervisor, Victoria Traynor, for her advice, mentorship, great enthusiasm, and for simply believing in me. I simply could not have wished for a better supervisory team! I have learned so much from these two amazing women. I gratefully acknowledge Janette Curtis for the woman who first planted the ‘research’ seed in my mind and started me on the path to completing this work. Thank you for inspiring me Janette to achieve something I always deemed an impossible ‘pipe dream’. I would like to convey my appreciation of the ‘behind the scenes’ work of my mother-in-law and father-in-law, Wilma and Russ. The child minding, help with school projects and countless other things you have done was truly remarkable and so very much appreciated. I appreciatively acknowledge the encouragement of my colleagues in the School of Nursing, University of Wollongong. I would especially like to thank the Head of School, Angela Brown, for her support and consideration of the time I needed to work on this PhD. I cannot finish without acknowledging and conveying my upmost thanks the 15 women who invited me into their lives and shared their stories with me. Whilst I cannot acknowledge you publically by name, it was an honour and a privilege to have been entrusted to hear and retell your moving stories. Page iv Publications and Presentations Arising from this Research Manuscripts Brighton, R., Moxham, L., & Traynor, V. (2015). Women, alcohol and alcohol-use disorders: Time to understand the ‘lived experience’? Journal of Addictions Nursing (accepted for publication January 2016), submitted 27th October 2015. Brighton, R., Moxham, L., & Traynor, V. (2015). Women and alcohol-related harms. Australian Nursing and Midwifery Journal, 22(10), 52-52. Brighton, R., Traynor, V., Moxham, L., & Curtis, J. (2013). The needs of women with alcohol- related brain injury (ARBI): a review of the international literature. Drugs and Alcohol Today, 13(3), 205-214. Brighton, R.M., Moxham, L., & Traynor, V. (2012). Support and services for people with alcohol-related brain injury. Australian Nursing Journal, 20(3), 36-37. Presentations Brighton, R., Moxham, L. & Traynor, V. (2015). Giving women a voice – narratives on accessing (or not) drug and alcohol services. Alcohol, Other Drugs, Behavioural Addictions: Prevention, Treatment and Recovery: ADDICTION 2015 Australia: The Australian & New Zealand ADDICTION. Brighton, R. (2015). Women, alcohol and alcohol-use disorders: A phenomenological study. Seminar, School of Nursing Research School, University of Wollongong. Brighton, R. (2014). Time to understand the lived experience? Women, alcohol and alcohol- use disorders. Seminar, South Coast Private Hospital (Evolution Health), Wollongong NSW. Brighton, R.M., Moxham, L. & Traynor, V. (2013). Falling between the ‘service cracks’: women living with Alcohol-Related Brain Injury (ARBI). 1st Australasian Mental Health and Addiction Nursing Conference (pp. 1-1). New Zealand: NZCMHN and DANA. Brighton, R.M., Curtis, J. & Traynor, V. (2012). Understanding the lived experience of alcohol-related dementia. Creating Synergy 2012, Wollongong. Page v Brighton, R.M., Curtis, J. & Traynor, V. (2011). Explaining social exclusion in women with alcohol-related dementia: a literature review. DANA Conference - Exploring the Frontiers of Drug and Alcohol Nursing Melbourne: Drug & Alcohol Nurses of Australasia. Brighton, R M., Traynor, V.
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