title: The significance of 'hierarchy' in a research project on adoption and adaptation.
abstract: In the course of phenomenological research project focusing on the midwife's care of the mother who relinquishes her baby for adoption, hierarchy emerged repeatedly as a significant theme. This concept manifested itself both methodologically as well as thematically. In methodological terms, hierarchy first became apparent during the planning phase in the selection of the research design: at this point it took the form of the distinction between quantitative and qualitative research design. In the course of applying for research access the same attitudes re-emerged in the gatekeepers' responses to the research design which had been chose. Later, during the field work, hierarchy appeared in the course of the interviews, in the form of the unequal balance of power between the interviewer and the informant. Specific tactics were required to overcome the likelihood of hierarchy affecting the data at this stage. Eventually this concept was raised by the informants, who included both relinquishing mothers an midwives, and became a major theme. The informants' use of hierarchy to explain the unselfishness of relinquishment proved to be one of a number of strategies which facilitated coping either with the experience of relinquishment or with caring for a women going through that experience. The conclusion which emerges is that hierarchy features in many aspects of life. While it may be beneficial when applied to certain situations to facilitate coping, in other circumstances it may be less than positive.
authors.affiliation: Department of Nursing Studies, University of Edinburgh, UK. R.Mander@ed.ac.uk
authors.forename: R
authors.initials: R
authors.lastname: Mander
mesh_terms: D000223:Adaptation, Psychological; D000300:Adoption / Q000523:psychology*; D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D006117:Grief; D006167:Guilt; D006608:Hierarchy, Social; D006801:Humans; D007231:Infant, Newborn; D009035:Mothers / Q000523:psychology*; D009721:Nurse Midwives / Q000523:psychology*; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D011247:Pregnancy; D011795:Surveys and Questionnaires