Gundi Kiemle | University of Liverpool (original) (raw)

Papers by Gundi Kiemle

Clinical Psychology Forum

Psychology & health, 2015

Systemic Lupus Erythematosus (SLE) negatively impacts life quality, disproportionately affecting ... more Systemic Lupus Erythematosus (SLE) negatively impacts life quality, disproportionately affecting women and UK ethnic minorities. The study aimed to explore how UK South Asian women with SLE make sense of their social and interpersonal experiences, within the context of their ethnicity and perceived cultural influences. A qualitative design was employed to collect data from a homogenous sample of six South Asian women with SLE. Semi-structured interviews elicited participants' experiences of living with SLE and data were analysed using Interpretative Phenomenological Analysis. Master themes were (1) 'SLE: Complexities and Ironies', (2) 'The Power of SLE', (3) 'A Sense of Personal Responsibility and Accountability', (4) 'Essential Relationships: Qualities and Consequences' and (5) 'Struggling in Public View'. Findings revealed that illness, function and emotion were experienced as interrelated, and psychosocial issues were a powerful feature...

International Journal of Mens Social and Community Health

Background: Due to societal stereotypes around masculinity (i.e. men should be strong and able to... more Background: Due to societal stereotypes around masculinity (i.e. men should be strong and able to physically resist an offender), male survivors of child sexual abuse frequently experience sexuality and gender role crises, as they tend to blame themselves for not protecting themselves. The negative effects on male and female survivors of sexual abuse are well documented. There is some evidence to suggest that female survivors may experience post traumatic growth (PTG), although less is known about male survivors and PTG. Aims: To explore the PTG processes involved in the development of positive gender roles and sexuality in male survivors of child sexual abuse. Method: Recruitment through national male survivor support organisations and via social media resulted in a sample of 12 participants from the UK, EU and USA. Qualitative semi-structured interviews were conducted, transcribed and analysed using social constructionist thematic analysis. Results: The parallel processes of ‘stru...

Archives of Sexual Behavior, 2017

Vulvodynia, the experience of an idiopathic pain in theformofburning,soreness,orthrobbinginthevul... more Vulvodynia, the experience of an idiopathic pain in theformofburning,soreness,orthrobbinginthevulvalarea,affects around 4-16% of the population. The current review used systematic search strategies and meta-ethnography as a means of identifying, analyzing, and synthesizing the existing literature pertaining to women's subjective experiences of living with vulvodynia. Four key concepts were identified: (1) Social Constructions: Sex, Women, and Femininity: Women experienced negative consequences of social narratives around womanhood, sexuality, and femininity, including the prioritization of penetrative sex, the belief that it is the role of women to provide sex for men, and media portrayals of sex as easy and natural. (2) Seeking Help: Women experienced the healthcare system as dismissive, sometimes being prescribed treatments that exacerbated the experience of pain. (3) Psychological and Relational Impact of Vulvodynia: Women experiencedfeelingshameandguilt,whichinturnled totheexperienceof psychological distress, low mood, anxiety, and low self-esteem. Moreover, women reported feeling silenced which in turn affected their heterosexual relationships and their peer relationships by feeling social isolated. (4) A Way Forward: Women found changing narratives, as well as group and individual multidisciplinary approaches, helpful in managing vulvodynia. The findings of the review conclude that interventions at the individual level, as well as interventions aimed at equipping women to challenge social narratives, may be helpful for the psychological well-being of women with vulvodynia.

Open Journal of Social Sciences, 2021

An exploratory investigation into the experiences of unemployed university graduates with common ... more An exploratory investigation into the experiences of unemployed university graduates with common mental health issues (i.e., depression and anxiety) was conducted using Interpretative Phenomenological Analysis. Analysis of semi-structured interviews with 12 graduates in their twenties, all of whom had been unemployed between five and 24 months with common mental health issues, generated themes relating to “Loss of Expectation and Disorientation”, “Waste, Failure and Blame”, and “Stigma and Shame”. Participants had experienced a “Fall from Grace”—a descent from a vaunted position of high-esteem and importance as university graduates, with seemingly bright prospects for a privileged future, into a lowly state of unemployment with mental health issues, leaving them feeling tarnished. These findings are discussed in relation to the literature on graduate unemployment, crisis and stigma, raising some practical issues for universities, including counselling services, and how they can bett...

Trauma, violence & abuse, 2021

Research has documented wide-ranging psychological impacts of childhood sexual abuse (CSA) for ma... more Research has documented wide-ranging psychological impacts of childhood sexual abuse (CSA) for male survivors, but their experience of relationships is understudied. This qualitative review aimed to synthesize the qualitative literature concerning the experience of partner relationships for male CSA survivors. Electronic searches were conducted across PsycINFO, CINAHL, and PubMed, complemented by hand searches of references. Searches were limited to English-language peer-reviewed studies. Studies were included if they sampled adult male CSA survivors and reported qualitative data on their experience of partner relationships. Sixteen studies met the review criteria. Articles were quality-appraised using the Critical Appraisal Skills Programme qualitative checklist (2018), and narrative synthesis derived five themes: "sexual orientation confusion," "sexual intimacy difficulties," "the barrier of emotional intimacy," "navigating agency," and &quo...

Vulvodynia is the experience of idiopathic pain characterized by burning, soreness, or throbbing ... more Vulvodynia is the experience of idiopathic pain characterized by burning, soreness, or throbbing in the external female genitalia or vulva and is estimated to be experienced by 4-16% of the female population, yet only half of women seek help regarding their symptoms. Of the women who do seek help, only around 2% obtain a diagnosis. Therefore, the aim of the current study was to explore the experiences of women with vulvodynia on their journey toward diagnosis, by using semi-structured interviews and an interpretative phenomenological analysis (IPA) methodology. Eight women were interviewed, and their experiences were analyzed and interpreted into three master themes, each with constituent sub-themes: (1) The Journey Is a Battle, (2) "What Is Vulvodynia?": Ambivalence Toward Diagnosis, and (3) Patriarchy, Women, and Sex. Overall, women perceived a healthcare system which was dismissive and shaming, with an inadequate knowledge of vulvodynia. This in turn impacted on women's psychological well-being. Psychological understanding, one-to-one therapy, and consultation and training for healthcare professionals may help to improve the psychological well-being of women with vulvodynia.

Sexually Transmitted Infections, 1997

A comparison of urine and urethral swabbing for the diagnosis of C trachomatis infection in males... more A comparison of urine and urethral swabbing for the diagnosis of C trachomatis infection in males. Serodiagn Immunother Infect Dis 1995; 4:476-80. 3 Sexually transmitted diseases quarterly report: genital infection with Chlamydia trachomatis in England and Wales. Communicable Disease

Emerging Adulthood

We investigated the experiences of unemployed university graduates with common mental health issu... more We investigated the experiences of unemployed university graduates with common mental health issues. After conducting semistructured interviews with 12 unemployed bachelor’s degree graduates with common mental health issues, we used interpretative phenomenological analysis to generate three superordinate themes: “fall from grace,” “vulnerability,” and “life on hold.” Our focus in this article is life on hold and its constituent themes: “stagnation,” “moving backward,” and “feeling left behind.” Graduates struggled to complete the broader structural life transition from university student to the adult world of work, experiencing a nebulous state of straddling adolescence and early adulthood. This undermined their sense of adult maturity, leaving them vulnerable to becoming entrenched in their mental health-related difficulties. We discuss these findings in relation to the developmental perspectives of life-course theory, status passages, and separation–individuation in early adulthoo...

Genitourinary medicine, 1997

Journal of Psychosomatic Obstetrics & Gynecology

European Journal of Psychotraumatology

Background: The death of a child of any age can be traumatic and can leave bereaved parents exper... more Background: The death of a child of any age can be traumatic and can leave bereaved parents experiencing negative psychological outcomes. Recent research has shown the potential utility for understanding more about the development of post-traumatic growth following bereavement. Objective: This paper sought to identify the aspects of post-traumatic growth experienced by bereaved parents and the factors that may be involved in facilitating or preventing posttraumatic growth. Methods: A systematic search of peer-reviewed articles with a primary focus on positive personal growth in bereaved parents was conducted. Thirteen articles met the inclusion criteria, and were analysed and synthesized according to common and divergent themes. Results: Bereaved parents were able to experience elements of growth proposed by the post-traumatic growth model (changes in self-perception, relationships, new possibilities, appreciation of life and existential views). The papers also indicated that (1) mothers appeared to experience more growth than fathers, (2) cultural variation may impact on some participants' experience of growth, and (3) participants were able to identify growth only once some time had passed. Potential facilitators of post-traumatic growth involved making meaning, keeping ongoing bonds with the child, being with bereaved families, and family and personal characteristics. Social networks were identified as having the potential to be either a facilitator or a barrier to growth. Conclusions: In addition to experiencing grief, bereaved parents may experience aspects of post-traumatic growth, and a variety of factors have been identified as potential facilitators and barriers of these changes. The findings may have implications for support services (e.g. expert-by-experience services).

Sexual and Relationship Therapy