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Featured researches published by Alison Fixsen.


Qualitative Health Research | 2016

“I’m Not Waving, I’m Drowning” An Autoethnographical Exploration of Biographical Disruption and Reconstruction During Recovery From Prescribed Benzodiazepine Use

Alison Fixsen

Benzodiazepines are group of drugs used mainly as sedatives, hypnotics, muscle relaxants, and anti-epileptics. Tapering off benzodiazepines is, for some users, a painful, traumatic, and protracted process. In this article, I use an autoethnographic approach, adopting the metaphor of water, to examine heuristically my experience of iatrogenic illness and recovery. I draw on personal journals and blog entries and former users’ narratives to consider the particular form of biographical disruption associated with benzodiazepines and the processes involved in identity reconstruction. I emphasize the role of the online community in providing benzodiazepine users such as myself with a co-cultural community through which to share a voice and make sense of our experiences. I explain how the success stories of former users provided me with the hope that I, the “medical victim,” could become the “victor” and in the process construct a new life and fresh identity.


Qualitative Health Research | 2012

Performance, Emotion Work, and Transition: Challenging Experiences of Complementary Therapy Student Practitioners Commencing Clinical Practice

Alison Fixsen; Damien Ridge

Few researchers have explored the clinical experiences of complementary and alternative medical practitioners and students, including the emotion work they perform. In this article, using a constant comparison approach and a heuristic framework (a dramaturgical perspective), we analyze semistructured interviews with 9 undergraduate practitioners in training to examine challenges experienced when students first attend to patients. A feature of students’ learning about clinical work concerned performance in a public arena and associated demands placed on the inchoate practitioner. Preliminary patient consultations represented a dramatic rite of passage and initiation into a transitional phase in professional identity. Juggling the roles of student and practitioner within an observed consultation led to anticipatory anxiety, impression management strategies, and conflict with other individuals. Of the coping strategies, participants regarded sharing and feedback from peer groups as most effective in examining and resolving the challenges of becoming a practitioner.


SAGE Open | 2015

Interaction Rituals and Jumbled Emotions Among "Relative Strangers": Simulated Patient Work on a Trainee Complementary Therapy Practitioner Program

Alison Fixsen; Damien Ridge; Susan Kirkpatrick; Doug Foot

Learning games such as role-play (which we refer to as “simulated interaction rituals”) are commonly used as social tools to develop trainee health practitioners. However, the effect of such rituals on individual and group participant emotions has not been carefully studied. Using a heuristic approach, we explore the experiences of complementary therapy practitioner trainees (and their trainers) participating in a personal development course. Ten trainees and two tutors were interviewed, observational notes taken, and a secondary qualitative analysis undertaken. Participants and tutors described a medley of disparate emotional and moral responses to group rituals, conceptualized in this article as “jumbled emotions.” Such emotions required disentangling, and both trainees and staff perceived participating in unfamiliar rituals “with relative strangers” as challenging. Front of stage effects are frequently processed “backstage,” as rituals threaten social embarrassment and confusion. Concerns around emotional triggers, authenticity, and outcomes of rituals arise at the time, yet trainees can find ways to work through these issues in time.


Journal of Contemporary Ethnography | 2018

Shades of Communitas: A Study of Soft Skills Programs

Alison Fixsen; Damien Ridge

In societies where neoliberal individualism prevails, communal experiences nevertheless remain crucial to human life. Drawing on participant data from a series of soft skills programs (SSPs) for Higher Education (HE) staff, we investigated SSP social worlds, their role in staff navigation in uncertain times and points of resistance within them. We found SSPs to be distinctly performative platforms, engaging actors in various self-care and entrepreneurial activities. A complex network of relationships was established via SSPs, as well as group effects akin to communitas, in “lighter” and “darker” forms. Incongruities of SSPs included gender imbalances and emotional management problems, while a mismatch between managerial attempts to create positive communitas and the reality of mounting workloads and job-cuts facing HE staff were noted in this study. SSPs may help counter organizational siloism, yet reflect the ambiguities within neoliberal culture and can deter staff from pursuing political modes of collective expression in the workplace.


Homeopathy | 2018

Homeopathy in the age of antimicrobial resistance: Is it a viable treatment for upper respiratory tract infections?

Alison Fixsen

BACKGROUND Acute upper respiratory tract infections (URTIs) and their complications are the most frequent cause of antibiotic prescribing in primary care. With multi-resistant organisms proliferating, appropriate alternative treatments to these conditions are urgently required. Homeopathy presents one solution; however, there are many methods of homeopathic prescribing. This review of the literature considers firstly whether homeopathy offers a viable alternative therapeutic solution for acute URTIs and their complications, and secondly how such homeopathic intervention might take place. METHOD Critical review of post 1994 clinical studies featuring homeopathic treatment of acute URTIs and their complications. Study design, treatment intervention, cohort group, measurement and outcome were considered. Discussion focused on the extent to which homeopathy is used to treat URTIs, rate of improvement and tolerability of the treatment, complications of URTIs, prophylactic and long-term effects, and the use of combination versus single homeopathic remedies. RESULTS Multiple peer-reviewed studies were found in which homeopathy had been used to treat URTIs and associated symptoms (cough, pharyngitis, tonsillitis, otitis media, acute sinusitis, etc.). Nine randomised controlled trials (RCTs) and 8 observational/cohort studies were analysed, 7 of which were paediatric studies. Seven RCTs used combination remedies with multiple constituents. Results for homeopathy treatment were positive overall, with faster resolution, reduced use of antibiotics and possible prophylactic and longer-term benefits. CONCLUSIONS Variations in size, location, cohort and outcome measures make comparisons and generalisations concerning homeopathic clinical trials for URTIs problematic. Nevertheless, study findings suggest at least equivalence between homeopathy and conventional treatment for uncomplicated URTI cases, with fewer adverse events and potentially broader therapeutic outcomes. The use of non-individualised homeopathic compounds tailored for the paediatric population merits further investigation, including through cohort studies. In the light of antimicrobial resistance, homeopathy offers alternative strategies for minor infections and possible prevention of recurring URTIs.


Qualitative Health Research | 2017

Stories of Hell and Healing: Internet Users’ Construction of Benzodiazepine Distress and Withdrawal

Alison Fixsen; Damien Ridge

Benzodiazepines are a group of drugs used mainly as sedatives, hypnotics, antiepileptics, and muscle relaxants. Consumption is recommended for 2 to 4 weeks only, due to fast onset of dependency and potentially distressing withdrawal symptoms. Few peer-review studies have drawn on the user experiences and language to appreciate firsthand experiences of benzodiazepine withdrawal or discontinuation syndrome. We looked extensively at patient stories of benzodiazepine withdrawal and recovery on Internet support sites and YouTube. Our analysis indicated that users employ rich metaphors to portray the psychologically disturbing and protracted nature of their suffering. We identified seven major themes: hell and isolation, anxiety and depression, alienation, physical distress, anger and remorse, waves and windows, and healing and renewal. By posting success stories, ex-users make known that “healing” can be a long, unpredictable process, but distress does lessen, and recovery can happen.


Homeopathy | 2018

HRI Malta 2017—Cutting Edge Research in Homeopathy: HRI’s Third International Research Conference in Malta

Angelina Mosley; Hazel Partington; Katharina Gaertner; Peter Fisher; A.L.B. (Lex) Rutten; Robert T. Mathie; Steven J. Cartwright; Alison Fixsen; Maria Olga Kokornaczyk; Anezka Sokol; Alexander Tournier; E. Roberts


Homeopathy | 2018

Can Homeopathy Offer a Viable Alternative to Antibiotic Use in the Treatment of Upper Respiratory Tract Infections? A Review and Discussion of the Literature

Alison Fixsen


Studies in Continuing Education | 2017

Self-care and entrepreneurism: An ethnography of soft skills development for higher education staff

Alison Fixsen; Steven Cranfield; Damien Ridge


Archive | 2017

Feeling Our Way: An ethnographic exploration of university staff experiences of ‘soft skills’ learning and development programmes

Alison Fixsen

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Damien Ridge

University of Westminster

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Hazel Partington

University of Central Lancashire

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Peter Fisher

University of Liverpool

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Robert T. Mathie

British Homeopathic Association

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