Social and Behavioral Sciences Commons^™

Implementing Routine Communication About Costs Of Cancer Treatment: Perspectives Of Providers, Patients, And Caregivers, Marie Haverfield, A. E. Singer, C. Gray, A. Shelley, A. Nash, K. A. Lorenz

Faculty Publications

Objectives Rising costs in oncology care often impact patients and families directly, making communication about costs and financial impacts of treatment crucial. Cost expenditures could offer opportunities for estimation and prediction, affording personalized conversations about financial impact. We sought to explore providers’, patients’, and caregivers’ preferences towards implementing communication about cost, including when, how, and by whom such information might be provided.

Methods We conducted semi-structured phone interviews with a diverse population including 12 oncology providers, 12 patients, and 8 patient caregivers (N = 32). The constant comparative method was used to identify mutually agreed upon themes.

Results Participant groups …

Patient-Centered Pain Management Communication From The Patient Perspective, Marie Haverfield, Karleen Giannitrapani, Christine Timko, Karl Lorenz

Faculty Publications

BackgroundPain management discussions between patient and provider can be stressful to navigate and greatly impact the care received. Because of the complexity, emotional color, and sensitivity of pain management, such discussions require a high degree of skill.ObjectiveTo identify patients’ perspectives of patient-centered care communication within the context of pain management discussions.DesignWe conducted semi-structured interviews (25–65 min) with patients regarding their experiences with pain assessment and management.Participants: 36 patients (29 males, 7 females), from 3 Veteran Affairs healthcare locations. Participant age ranged from 28 to 94 with pain intensity ranging from 0 to 10, based on the “pain now” numeric rating …

Friendship As Method, Lisa M. Tillmann Ph.D.

Faculty Publications

“Friendship as Method,” appendix of the book In Solidarity: Friendship, Family, and Activism Beyond Gay and Straight (Routledge 2015), overviews the author's approach to and philosophy of research. She defines friendship, posits it as a kind of fieldwork, and lays the methodological foundations of friendship as method. After arguing that friendship as method involves researching with the practices, at the pace, and in the natural contexts of friendship, the author describes this approach’s strengths and considerations for both researcher and participants. To learn more, visit the book's website: http://www.insolidaritybook.com.

Speaking Into Silences: Autoethnography, Communication, And Applied Research, Lisa M. Tillmann Ph.D.

Faculty Publications

In 2004, two articles in the Journal of Applied Communication Research (Ashcraft & Tretheway, 2004; Goodall, 2004) celebrated the merits of auto- and narrative ethnography, methods of research grounded in lived experience and evocative modes of representation that seek to engage readers emotionally, aesthetically, ethically, and politically. Despite these and other persuasive calls for auto- and narrative ethnographic works, few have been published in communication journals. More than four years ago, JACR offered readers arguments for this kind of scholarship, yet no full-length autoethnography appeared in its pages—until now. This article, a prelude to its companion essay, “Body and Bulimia …

Body And Bulimia Revisited: Reflections On "A Secret Life", Lisa M. Tillmann Ph.D.

Faculty Publications

In 1996, the author published “A Secret Life in a Culture of Thinness: Reflections on Body, Food, and Bulimia” (Tillmann-Healy, 1996), an account of her struggle with binging and purging from ages 15 to 25. She came to understand bulimia as a communicative act, expressing fear, anxiety, and grief. From 25 to 35, her recovery from bulimia involved learning to “purge” emotion through other forms of communication (e.g., dialogue, writing, and teaching). At 35, separation and divorce pose the greatest challenge to the author’s 10-year recovery, yet she does not return to bulimic expression. This article invites readers to sense …

Homeward (Chapter 6 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation), Lisa M. Tillmann Ph.D.

Faculty Publications

“Homeward” is Chapter 6 of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001). Here I present events that took place during the spring 1997 semester and that summer. An issue that comes to the forefront is the binary (gay-straight) construction of sexual orientation and identity. I ask what it means to say, “I’m straight,” or “I’m gay,” and what options and experiences such a claim opens up and closes off. By exploring an attraction between myself and one of my participants, I question the popular wisdom that friendships between straight women and gay men …

Talking Through Meaning (Chapter 7 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation), Lisa M. Tillmann Ph.D.

Faculty Publications

Chapter 7 provides a dialogic analysis of my PhD dissertation research (1994-98) on a network of gay male friends in Tampa, Florida. The chapter is based on a conversation my husband Doug and I had while I was trying to compose a more conventional conclusion on gay-straight friendship and friendship as method. We discuss my project’s academic, personal, interpersonal, and cultural implications.

Between Gay And Straight-1 Before, Lisa M. Tillmann Ph.D.

Faculty Publications

In chapter 1, “Before,” of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001), I story the absences, silences, and stereotypes surrounding same-sex orientation when I came of age in the 1980s and early 90s.

Contact (Chapter 2 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation"), Lisa M. Tillmann Ph.D.

Faculty Publications

“Contact” is chapter 2 of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001). The timeframe portrayed extends from June 1994 to September 1995. It opens with my boyfriend Doug meeting David Holland, who would become our first gay male friend. David and his partner Chris introduce us to gay spaces around Tampa. Also in this chapter, Doug begins his four-year tenure with The Cove, a team in the predominantly gay Suncoast Softball league.

Negotiating Academic And Personal Selves (Chapter 4 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation), Lisa M. Tillmann Ph.D.

Faculty Publications

“Negotiating Academic and Personal Selves” is Chapter 4 of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001). Here I show how my relationships with the gay men of my research community alter how I position myself in graduate courses, how I practice research, how I write, and how I teach my classes. As a student, I delve into new projects on sexual orientation and identity; as an instructor, I alter course reading lists, assignments, and activities. This chapter also moves through my increasingly problematic encounters with associates who identify as heterosexual. My new consciousness …

Life Projects (Chapter 5 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation), Lisa M. Tillmann Ph.D.

Faculty Publications

“Life Projects” is Chapter 5 of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001). The timeframe spans from the fall of 1996 to January 1997. I’m taking a course on life history, and I ask a member of my research community, Gordon Bernstein, to participate in my project. During our interviews, Gordon teaches me about the ongoing process of coming out—to oneself, to other gay men, and to coworkers, friends, and family. Later, I grapple with elements of this network of gay male friends that can be unsettling, especially for women. I bemoan its …

Defending Life: Epilogue To Between Gay And Straight: Understanding Friendship Across Sexual Orientation [Book], Lisa M. Tillmann Ph.D.

Faculty Publications

In the epilogue, “Defending Life,” the project comes full circle. The setting is the oral defense of my PhD dissertation. About a dozen of the men I befriended and wrote about—most of whom have read the document—are in attendance. My academic and research communities offer personal and scholarly responses to my work. We talk through the disbelief and pain surrounding Matthew Shepard’s death just four days before, and we try to direct ourselves toward a future of greater harmony and justice.

Tales From The (Softball) Field (Chapter 3 Of The Book Between Gay And Straight: Understanding Friendship Across Sexual Orientation), Lisa M. Tillmann Ph.D.

Faculty Publications

“Tales from the (Softball) Field” is chapter 3 of the book Between Gay and Straight: Understanding Friendship Across Sexual Orientation (AltaMira Press, 2001). “Tales” marks the beginning of my academic journey into this community. It’s the fall of 1995, and I’m taking a graduate class on qualitative methods. Unexpectedly, the softball field emerges as a fieldwork site. As I become immersed in team members’ lives and stories, I begin exploring how to “work the hyphen” (Fine, 1994) between gay and straight, to practice research (and friendship) with and for my friends/participants.