Beruflich Dokumente
Kultur Dokumente
Anders Lindseth1 PhD (Professor) and Astrid Norberg2 RN, PhD (Professor)
1
Center for Practical Knowledge, Bodø Regional University, Norway and 2Department of Nursing, Umeå University, Umeå, Sweden
Scand J Caring Sci; 2004; 18; 145–153 relation to the literature about the meaning of lived
experience and a comprehensive understanding is formu-
A phenomenological hermeneutical method
lated. The comprehensive understanding discloses new
for researching lived experience
possibilities for being in the world. This world can be
This study describes a phenomenological hermeneutical described as the prefigured life world of the interviewees as
method for interpreting interview texts inspired by the configured in the interview and refigured first in the
theory of interpretation presented by Paul Ricoeur. Nar- researcher’s interpretation and second in the interpre-
rative interviews are transcribed. A naı̈ve understanding of tation of the readers of the research report. This may help
the text is formulated from an initial reading. The text is the readers refigure their own life.
then divided into meaning units that are condensed and
abstracted to form sub-themes, themes and possibly main Keywords: phenomenological hermeneutics, interview,
themes, which are compared with the naı̈ve understanding lived experience, method, text.
for validation. Lastly the text is again read as a whole, the
naı̈ve understanding and the themes are reflected on in Submitted 14 July 2003, Accepted 8 January 2004
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153 145
146 A. Lindseth, A. Norberg
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
Phenomenological hermeneutical method 147
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
148 A. Lindseth, A. Norberg
accomplished, what exactly is put within brackets? It is has (in itself) no need of correction through a stating of
of course not the preunderstanding. In that case meaning facts. This, however, does not mean that the narrative is a
and essence would also disappear. What we put within fiction. It tells about our world, about being-in-the-world,
brackets is our judgements about the factual, about what is about life world. This is not a factual world outside or lying
the case, in order to become open to our own experience behind the text, but rather a world in front of the text, a
and to the understandable meaning implicit in this world revealed by the text. Through lived discourses we
experience. participate in this world – and through narratives we
become aware of this participation. Narratives touch us
and move us when they shed light on our lived experience
Critical understanding of discourse
of discourse participation. Thus being touched and moved
Why is it important to obtain knowledge of the essential may reveal the essential meaning of this participation, this
meaning of lived experience? Why is it important to obtain being-in-the-world. Being touched and moved by essential
such knowledge within health care, and thus to develop a meaning leads us to the truth, to lived truth as opposed to
phenomenological hermeneutical method? One could correctness, and it connects us to the ontological level of
object that understandable, inter-subjective meaning does life world. However, this being in truth and connectedness
not need clarification as long as it functions in communi- to being must be fulfilled in understanding. Through nar-
cation. The meaning or essence of caring does not have to rating such fulfilment may begin. We have been formed by
concern us as long as we understand each other when discourse and tradition (prefiguration) and by telling what
carrying out caring activities. Then we should concentrate moves us, our preunderstanding may be transferred into a
on these activities and not on their meaning. This objection liberating expression (configuration), an expression that
has a point: when action is needed, too much reflection opens up new possibilities in life (9, refiguration). A pro-
may be inappropriate. On the other hand, when we have cess of improvement in understanding may begin –
emerged from a demanding situation, reflection may be of a process that will need the authority of science to achieve
crucial importance. For two interconnected reasons: (i) To something beneficial within the heavy traditions of dis-
be able to understand and, if necessary, to improve our course.
own practice, we have to start with our lived experience.
We have to express it to become aware of its meaning, and
Creating a text
often this awareness itself leads to improvements. If we
miss the opportunity to reflect on our own experiences, we There are many different kinds of texts. Here we describe
will hardly find a way to improve our practice, even if interview texts that are constructed in interaction between
organizational changes supposed to be beneficial are an interviewee and an interviewer. An interview occurs in
implemented. (ii) The meaning we need to reflect on is a a shared speech context, where both parties share an
meaning we take part in. If we work within healthcare, we understanding of the interview situation. Furthermore the
participate in the meaning of healthcare as it manifests interviewer can stop and ask the interviewee to clarify
itself in many actions, activities, considerations, helping what he/she has said when it is difficult to understand.
measures, institutions, buildings, technology and so on. Thus the speaking as an event and its meaning come close
We call such a meaning that manifests itself historically, to each other (10). In writing on the other hand, the event
a discourse (8). We may engage in discourses with enthu- of writing becomes separated from the meaning. The text
siasm, we may suffer under our participation in them; we becomes autonomous and open to anyone who can read.
may work against them or step out of them. Frequently it A tape-recorded and transcribed interview text lies closer
is not in our power as individuals to change them. Nev- to speech than to writing, especially if the interviewer
ertheless, discourses, such as the discourse of healthcare, herself/himself interprets it. It is fixated speech. The
are continuously changing and we also take part in this interviewee is the main author of the text and the inter-
process of change. For these reasons reflection on lived viewer is a co-author who has taken part in a more or less
meaning and its essential traits is important. Without such dominating way. In order to guarantee that the inter-
reflection on lived meaning it is difficult to become aware viewee’s voice is heard in the interview text it is essential
of unfortunate practices we are part of. And it is impossible that the interviewee feels free to relate her/his lived
to implement a fruitful discussion that may change such experience.
practices and lead to discourse improvements. The most basic way to gain understanding of our own
experiences is to narrate them and to listen to others’
narratives. We can understand moral action when we lis-
Improving understanding
ten to others’ narratives about the way they acted in var-
When we narrate out of lived experience and write down ious situations. Therefore narrative interviews (11) are an
the narration, we produce an autonomous text, a text that appropriate method for disclosing the meaning of lived
expresses its own meaning. The narrative thus produced experience.
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
Phenomenological hermeneutical method 149
Ricoeur (9) emphasizes that we have a preunderstan- tation theory was the main inspiration for opening the way
ding of life, which finds expression in the shape of stories. into this circle by moving through the three methodolo-
We organize our experiences so that they answer questions gical steps described below (3, 10). The advantage with this
like: ‘what’, ‘why’, ‘who’, ‘how’, ‘with whom’, ‘to whom’ method of working is that there is a dialectic movement
and ‘for whom’. A story is a whole, which gives meaning between understanding (a nonmethodic pole) and
to particular events, which give meaning to the whole explanation (a methodic pole). Our method has been
story. A story constitutes a dialectic between the past, the developed over a period of more than 10 years and has
present and the future (12). To retell an event means to been used in several studies (e.g. 15–23).
bring the past into the present in order to shape the future.
A story enables the listeners/readers to see their world in
Naı̈ve reading
new ways. Therefore ‘a narrative is never ethically neutral’
(13). Narratives about lived experience generate visions of The text is read several times in order to grasp its meaning
the good life and point to differences between good and as a whole. To do this it is necessary for us to be open
evil (14). The world that is opened up in front of the enough to allow the text to speak to us. We become tou-
narrative can be a fictive world but it can also be the ched and moved by it. During the naı̈ve reading we try to
ontological world (10). switch from a natural attitude to a phenomenological
When conducting a narrative interview the interviewer attitude. The naı̈ve understanding of the text is formulated
encourages the interviewee to narrate, as freely as possible, in phenomenological language. It is regarded as a first
about his/her lived experience of the topic chosen. The conjecture and it has to be validated or invalidated by the
hope is that the narrator will become engaged in her/his subsequent structural analysis. Thus the naı̈ve under-
narrative and almost forget about the interviewer. The standing guides the structural analysis. Given below is an
interviewer asks questions aimed at encouraging further example of the formulation of a naı̈ve understanding of
narration, such as: Who? What did you feel? What hap- the interview text:
pened next? Sometimes the interviewer may also Feeling at home means feeling comfortable, relaxed,
encourage the narrator to reflect on his/her narrative. The free from demands and alone, enjoying memories of a
resulting narrative should, as far as possible, be the nar- happy childhood. It also means enjoying contact with
rator’s own. nature and a feeling of being loved by God.
To make it possible to understand the interview text
in relation to its context field notes are taken during
Structural analyses
the interview, i.e. arrangements, interruptions, etc. are
noted. Structural analyses are the methodical instance of inter-
The tape-recorded interview is listened to and the field pretation. There are several kinds of structural analyses.
notes are read. Then the interview is transcribed verbatim Here we describe thematic structural analysis, i.e. a way of
and pauses are marked by empty intervals in the text. seeking to identify and formulate themes. A theme is a
Nonverbal and paralingual communications that seem thread of meaning that penetrates text parts, either all or
relevant are also marked in the text, e.g. (weeps for about just a few. It is seen as conveying an essential meaning of
5 minutes). The transcribed text is compared with the tape lived experience. In order to capture this meaning of lived
recording and adjusted if necessary. An example of a experience we do not formulate the themes as abstract
narrative about ‘feeling at home’ is given below: concepts, but rather as condensed descriptions We for-
I was sitting in my chair on the terrace. My chair was mulate them in a way that discloses meaning.
comfortable (long pause) and it was quiet around me, There are several ways of performing thematic analyses
I was all alone. I took off my shoes and undid my (24). We can, for example, ask questions to the text and
buttons. It was very relaxing; I felt I was free to do gather sections of the text that answer those questions (e.g.
what ever I would like. No one had any demands on 25). Here we will describe the method whereby the whole
me. I looked at the trees in the garden and remem- text is read and divided into meaning units. A meaning
bered how I had climbed them as a child and how my unit can be part of a sentence, a sentence, several
mother had warned me about falling down sentences, a paragraph, i.e. a piece of any length that
(laughing). I smiled when I remembered her concern conveys just one meaning.
and love. They were the same trees as then. I thanked When dividing the text into meaning units there will be
God for having given me such a happy life. some parts that do not seem to be about anything related
to the research question, e.g. remarks about the tempera-
ture in the room and parts that contain descriptions of
Interpreting the text
context etc. These text parts are taken into consideration
Interpreting a text means entering the hermeneutical cir- during the analysis but may not contribute to the formu-
cle. Ricoeur’s phenomenological hermeneutical interpre- lation of themes.
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
150 A. Lindseth, A. Norberg
I was sitting in my chair on the terrace. Sitting comfortably Being comfortable Being connected to body
My chair was comfortable
And it was quiet around me, I was all alone Being alone in quietness Being in privacy Being connected to self
I took off my shoes and undid my button. Relaxing through loosening clothes Being relaxed Being connected to body
It was very relaxing
I felt I was free to do whatever I would like Being free to act as one chooses Being free Being connected to self
No one had any demands on me Not being required to do things Being free Being connected to self
I looked at the trees in the garden and Enjoying nature and memories Being rooted Being connected to nature
remembered how I had climbed them as a child
And how my mother had warned me Remembering having been loved Being loved Being connected to the
about falling down. I smiled when and cared for memory of deceased other
I remembered her concern and love
They were the same trees as then Comparing present and past Being rooted Being connected to nature
I thanked God Thanking God Being grateful to God Being connected to God
For having given me such a happy life Being happy in life Being happy Enjoying life
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
Phenomenological hermeneutical method 151
Ó 2004 Nordic College of Caring Sciences, Scand J Caring Sci; 2004; 18, 145–153
152 A. Lindseth, A. Norberg
truthfully about their lived experiences. This presupposes ways of being in the world. It is only when the reader can
that the interviewees are aware of their lived experiences. make the interpretation integrated into her or his world
Sometimes interviewees may say that they do not (refiguration) that it can become productive in human life,
remember, or they do not seem to understand the meaning e.g. it can be used to improve care.
of the questions we ask. The interviewees may not be
willing or dare to narrate. They may not find the right
Acknowledgements
words to express their lived experiences. Conducting a
narrative interview is a delicate task, the interviewer The authors would like to thank Pat Shrimpton of Umeå
should create a permissive climate and help the inter- University, for help with the language.
viewee to feel free to relate, relying on the interviewer’s
promise of confidentiality.
Author contribution
As the interviewees can only understand and narrate
their lived experience in relation to their preunderstanding The authors collaborated on the presented method since
and the interviewers can only understand the narrative in 1990. The first part of the article was written by Anders
relation to their preunderstanding, there is a risk of mis- Lindseth, the second part by Astrid Norberg.
understanding. Skilful interviewers check their under-
standing of the narrative or elements in the narrative with
Funding
the interviewees during the interview and use questions
such as: What do you mean? The authors received no external funding for this work.
In order to arrive at as truthful an interpretation of the
text as possible the process of interpretation must be strict.
Ethical approval
Klemm (10) argues that the most probable interpretation
of a text is ‘the one that makes sense of the greatest Not applicable for this article, but ethical approval was
number of details as they fit into a whole and one that obtained for each paper quoted in the method.
renders all that can be brought forth by the text’.
We understand in relation to our preunderstanding. We
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