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Alpha What is dialectic contemplation? State of Research Purpose Structure: Road Map Phase I Phase II Phase III Likely methodologies within Alpha Omega What is esoteric contemplation? State of Research Purpose Structure: Road Map Phase I Phase II & III Requirements Resources Structure and Supporting Bodies Director References and Appendices Appendix 1 - Mindfulness Critique Appendix 2 - References 2 2 3 3 4 5 6 8 10 10 11 11 12 13 12 14 14 17 18 Stream Alpha α: Description What is Dialectic Contemplation? A dialectical method involves a search for understanding using discourse. Dialectics as a method has been traced back to the Pre-socratic philosopher Zeno of Elea, is well-known in the dialogues of Plato, and has continued to be familiar to the west (thanks in part to the influence of Neoplatonism on Western thought) as a way people can come to greater understanding. Dialectic Contemplation - the dialectical method in question - is a way of addressing a personal problem that an individual feels unable to resolve, such as a pattern of behaviour that they find themselves seemingly trapped in. It uses a question framework that can be administered by an experienced practitioner, by a peer, or self-administered. The framework is designed to draw the conversation towards uncovering the source of the problem with greater clarity; for example, a false conclusion that was drawn in the past about what appropriate behaviour looks like. Practitioners have reported striking results through the use of this method, but it has not yet been directly scientifically investigated. This dialectical approach should be distinguished from other activities with a dialectical component, such as DBT (dialectical behaviour therapy). Although both approaches involve the idea of observing and describing situations, DBT suggests strategies for dealing with challenging situations that may arise in the future, for instance using the ‘ACCEPTS’ set of actions to distract oneself from negative emotions. In contrast, dialectic contemplation proscribes no strategies and makes no recommendations for coping with the future. Instead, it focuses simply on better understanding a problem and its source such that the problem is resolved. State of research There is published work (Uliana, 2003) on an earlier method, Philosophical Midwifery, which uses a dialectical approach. This used case-study evidence to demonstrate efficacy of the method. We propose to develop a much farther-reaching research program investigating the efficacy of the current dialectic. This will include case studies, quantitative investigation of successful resolution of problems across cohorts, and theory-driven predictions of broader outcomes obtained through the concerted use of this approach. As stated in the Road Map details, a wide-ranging review of related areas will be undertaken to ground and broaden understanding. Purpose of research stream The scientific investigation of the experience and consequences of an individual using dialectic contemplation to understand themselves. The primary question guiding this research is: in what ways is this dialectic approach effective in helping individuals resolving personal problems, and what impact does that have for the individual? Structure Alpha Research Road Map At this stage, the research road map is provisional, and its full development would need to occur as a first task of the appointed Research Director. However, this is likely to include in the earlier stages Phase I 1. 1. 2. 2. 3. 3. 1. 2. 3. Literature search Review with subject matter experts Formalisation of broad research plan for Phases II & III Phase II 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 1. 2. 3. 4. 5. Design data collection procedure Determine data analysis procedure Identification of relevant valid measures Development of bespoke metrics including piloting Trialling of methodologies Phase III 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 1. 2. 3. 4. 5. Participant recruitment Data collection Data analysis Interpretation and write-up of results Evaluate next research steps in light of findings Phase 1 - Direction Literature search As the dialectic method in question has not been the subject of research to date, a full-fledged systematic review is inappropriate, but existing literature will inform the research program in other ways. Investigating other practices that are in certain ways analogous can generate insight into possible research methods and tools that can be relevant. Eg, research into • ¥ • ¥ Expository writing Coaching methodologies • ¥ Self-initiated reflection Insight from such practices will take an ad-hoc, snowball approach, exploring further relevant areas as and when connections are identified. This literature search will begin with the commencement of the research stream, and then will proceed in parallel with other aspects of Phase I. These searches will rely on the databases described later in Stream: Omega, and also use of non-scholarly resources such as Google and Wikipedia for top-level investigation of possibly analogous practices. Review with subject matter experts Given the lack of existing research on the practice to be investigated, insight into the plausible impact of the dialectic method will be sought from experienced practitioners. This is likely to include a small qualitative pilot using brief interviews together with information gathered through open-ended survey and informal means. This data will be used to inform hypotheses, rather than put to the test in itself. Formalisation of broad research plan for Phases II & III On the basis of initial literature review and input from practitioners, S+P will produce a research plan of the priority studies to conduct to further this research stream, which will comprise Phases II and III of the stream. This will be a living document, continually informed by understanding. Should the work in the preceding steps have established clear hypotheses, then the most interesting and tractable of these will be the focus of the outline. Alternatively, it may become clear that a first step is more substantial exploratory research. Finally, a mix between hypothesis-driven and exploratory research may present the most next steps for the stream. (One key decision to be made at this stage is whether the initial research is appropriate to submit for pre-registration, or whether the nature of the work proposed is not appropriate - for instance, too exploratory or too preliminary. Pre-registration of research is far from a pre-requisite, and most psychological research is not currently pre-registered. However, S+P believe that transparent and accountable research reflects the ideals that itself aspires to, so a route towards pre-registered research is one of the intentions of this program.) This broad research plan leads directly into the activities in Phase II, many of which flesh out the skeleton of this plan in direct ways. Phase II - Groundwork Detail of Phase II and III is necessarily speculative, but there are some likely research activities which a given study will need to move through. It is also likely that following the development of the full research plan in Phase I, different components will be moving at different paces through the later phases; for instance, one study may enter its full data collection stage (Phase III), whilst another is still at Phase II trialling. Design data collection procedure Elaborating on the basic methodology contained in the research plan, by detailing decisions such as • ¥ • ¥ • ¥ details about population (e.g. should the study be confined to participants with no previous use of the method) Where and how the data collection steps take place what data will be gathered (including variables that are non-key but necessary, such as control variables or additional regressors to test a model) Determine data analysis procedure Whether quantitative or qualitative, an analysis plan must be in place. For any study that tests hypotheses, it is important that this is formalised and fixed, to avoid fishing the data and consequently ‘p-hacking’ (distorting the relevance of statistical significance by conducting so many tests that one was bound to be significant; one of the issues that pre-registration is designed to combat). Exploratory studies have more freedom to test the data, but it is still vital that an analysis plan be set up in advance to ensure that the data can be worked with meaningfully, before it is collected. Examples of data analysis procedures that may prove to be appropriate include mean comparison (e.g. T-test or ANOVA), regression techniques (e.g. linear regression), factor analysis (CFA/EFA), and for qualitative data a wide variety of tactics including clustering, triangulating, and partitioning variables. One additional consideration that will be informed by this and the previous activity is the estimation of minimum sample size for the study, based upon power analysis of effect under investigation (NB this may also depend on subsequent steps such as trialling of new measures). Identification of relevant valid measures Based upon the hypotheses and areas of interest identified in the research plan, measurement instruments are likely to be necessary, and many of these may exist already in the literature. S+P will review pre-existing measures and establish that they are fit for purpose. Development of bespoke measures including piloting In addition, bespoke measures may also be required. These will need to be developed which for sufficiently complex measures (e.g. a psychometric instrument) will need to be piloted with a sufficiently large group to establish the tool is fit for purpose (e.g. establishing reliability and construct validity). Trialling of methodologies Before full launch of a study, it may be appropriate to trial the process involved, for example, a semi-structured interview process. Phase III - First wave of research Participant recruitment Each study will require a review of the data required and the consequent recruitment approach needed. The research will rely on participants, many drawn from students of The Fountainhead School which has agreed to partner with S+P in order to generate research about the nature and efficacy of dialectical work. With that in mind the school has developed a research policy for the use of student’s anonymised data, with their consent, for research purposes. Additional data collection, will involve the dedicated data collection platform. Data collection Collection of data in accordance with the data collection procedure. Data analysis Analysis of data in accordance with the data analysis procedure. Interpretation and write-up of results Making sense of the findings, which includes both evaluation of the data analysed, and of the method used to get there, both in principle and what practically happened. Note for an explorative study, this step may include cycling back to the previous one in an iterative process. This step is important not just for making sense of the current study, in order to generate a summary of the research to contribute to the wider literature, but also the implications for the research program at large. If a hypothesis was not confirmed, is it plausible that the study was underpowered, or had methodological weaknesses that are only now apparent? If a hypotheses was confirmed, are there anomalies in the data or recognition of a methodological confound that render this result less conclusive? Evaluate next research steps in light of findings Given the interpretation of the results, what does this mean for next steps for the research stream? Does the data warrant a replication, or an attempt to investigate the hypotheses using an improved methodology? Did the study generate further questions which call for further hypotheses to be formed? This leads to a return to the research plan, appending or amending research activities as necessary. Anticipated activities and questions for Alpha Stream The investigation of dialectic contemplation will focus principally on psychological outcomes within individuals. The types of questions likely to be addressed in these early stages are similar to the following (but to be elaborated more rigorously) 1. 1. Does use of the dialectical technique lead to improvements in wellbeing and psychological health, such as changes in ratings of life satisfaction, rumination or stress? 2. 2. meaning? Does use of the technique result in changes in self-concept and 3. 3. Does use of the technique lead to reduction of somatic stress symptoms, such as poor sleep or headaches? These questions can chiefly be addressed using established and validated measures that exist in the scientific literature. The program would also call for the development of measures particular to the frame of research, in order to address a key question: Is use of the dialectical technique successful in its own terms, in the resolution of specific problems that it intends to address? Methods Case studies will be used, principally for generating hypotheses to be tested at a group level, but additionally where appropriate to investigating particular or unique cases. Group level investigations will employ repeated-measures design (changes in measures pre- and post-intervention) where possible together with cross-sectional studies. The approach will be principally quantitative, using rating scales and frequency of experiences as a way to get traction on effects across groups. RCT and blinded studies are similarly not in-scope for the outset of the research program, but we would consider such methodologies as and when they are viable and can provide better quality evidence in this domain. Neuroscientific investigation is currently not in-scope but may be considered at a later stage, dependent on its relevance to emerging research questions together with opportunities for collaboration. Stream Omega (ω): Description What is Esoteric Contemplation? The practice of contemplation - to turn one’s attention to reality to disclose its nature - is an ancient human tradition. Historically the highest and most developed practices of contemplation are ‘esoteric’, meaning the subject of the contemplation is ‘hidden’ or ‘secret’; and being such, must necessarily be considered through a sophisticated use of symbol, language and analogy. (As opposed to non-esoteric or ‘practical’ meditation that proscribes a simple strategy, such as ‘follow the breath’.) Esoteric contemplation is construed therefore as the highest cultural practice of disclosing the hidden nature of reality available to human beings. Historical examples of the teaching of esoteric contemplation include Parmenides and Incubation, Chuang Tzu and Daoism, Kukai and Shingon, Dogen and Soto Zen, and the Tibetan traditions of Mahamudra and Dzogchen, to name a few. What is Awakening? The process and culmination (often a marked moment or shift in awareness for the practitioner) of the disclosure of the nature of reality is classically known as awakening. The analogy of dreaming and waking up (hence ‘awakening’) can be used for understanding the process of esoteric practice. Before awakening, we mistake an appearance of reality for reality itself; after awakening, a direct beholding of the reality of this appearance corrects the mistake. This is analogous to being asleep and mistaking a dream for reality; but upon waking up, not only do we recognise a larger context for the dreaming, but we directly behold the reality of the dream as an appearance. Esoteric practitioners report that, just as waking up from a dream or nightmare results in relief from the imagined conditions of the dream, so too does the individual experience relief from the imagined conditions that beset her before awakening. And just as the awakening of the esoteric practitioner is an order of magnitude more profound than waking up from a night’s sleep, so too is the liberation from the apparent conditions and the attendant benefits. Historical examples of the use of awakening as an analogy for understanding the process of esoteric contemplation include Heraclitus, Gautama Buddha, the esoteric cultural figures mentioned above, and far too many others to list further. State of Research The last decade has seen a surge in investigation into meditation, studied extensively in terms of its effects on mental capacity - see Chiesa, Calati, and Serretti (2011) for review - and on brain activity (review from Tang, Holzel, and Posner, 2015). Some of this research focuses on long-term meditators, showing evidence of e.g. structural changes to the brain (Vestergaard-Poulsen et al., 2009). The vast majority of work has focused on mindfulness meditation, which is one class of meditation techniques within many. And the work on mindfulness has been taken up through certain assumptions which map particularly poorly onto the contemplation approach. Briefly, there are problems with (1) the notion of ‘mindfulness training’ to practice mental activities to strength mental capacities; (2) the notion of meditation working towards subsequent benefits rather than an opportunity to realise what is already available; (3) the reliance on existing paradigms to describe experience; (4) the focus on volume of practice over stages of realisation. These are described in Appendix 1. As a consequence, the approach taken by Structure + Purpose must be informed by research but able to proceed on its own terms: the scientific investigation of the experience and consequences of esoteric contemplation and awakening. Key Research Theme The scientific investigation of the experience and consequences of psyche understanding reality. Documenting experience of i) contemplation practice and ii) awakening, and demonstrating universal features of these using appropriate models and language. Structure Omega (ω) Research Road Map At this stage, the research road map is provisional, and its full development would need to occur as a first task of the appointed Research Director. However, this is likely to include in the earlier stages Phase I 1. 1. 2. 2. 3. 3. 1. 2. 3. Literature search Review with subject matter experts Formalisation of broad research plan for Phases II & III Phase II 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 1. 2. 3. 4. 5. Design data collection procedure Determine data analysis procedure Identification of relevant valid measures Development of bespoke metrics including piloting Trialing of methodologies Phase III 1. 1. 1. Participant recruitment 2. 2. 2. Data collection 3. 3. 3. Data analysis 4. 4. 4. Interpretation and write-up of results 5. 5. 5. Evaluate next research steps in light of findings This provisional map bears similarities to the Alpha Road Map, and the following details focus on what is distinct to this stream of research. Phase 1 - Direction Literature search The primary focus of literature review will be existing mainstream literature on meditation, searching databases using search terminology focused on common operalisations (mindfulness, wellbeing, attention). This will provide a systemic overview of the findings and scope of research methodology within research into meditation. This formalised literature review will be accompanied by supplementary searches to identify broader research that speaks to the themes of meditation, contemplation and wisdom. These searches are likely to be ad-hoc and opportunistic in nature rather than systemic. Databases Science Direct, Springerlink, PsychSource and Google Scholar, with further supplementary searches through other databases (e.g. the Social Science Research Network, the Director of Open Access Journals, PLOS, Scientillion and others as necessary). Review with subject matter experts Analogous to Alpha. Formalisation of broad research plan for Phases II & III Analogous to Alpha. Phase II and III The broad direction of Phases II and III, as currently conceived, will resemble those outlined for the Alpha stream of research on dialectic contemplation. Areas of likely difference include: • ¥ • ¥ ¥ A greater focus on exploratory, descriptive research to understand both the breadth, and the consistency, of experiences that arise during contemplation ¥ As a consequence, qualitative methods are likely to be in particular demand in the early stages of this research stream Requirements Resources The charity will need to fund a minimum of one role, that of Research Director. They will be instrumental in the development of a full Research plan, as discussed above, which will also clarify the appropriateness of further posts (eg Research Assistant) and a budget plan based upon needs. The charity will also need to develop a secure online data collection for the deployment of surveys and other data collection processes. This site could potentially also be used for promotion of S+P findings. FurtherA areas that charity will make expenditures will include: • ¥ • ¥ • • • • ¥ ¥ ¥ ¥ Salaries and employee overheads for additional roles as appropriate Participant payments where appropriate (for example, when working with student populations or remote samples through tools such as Amazon Mechanical Turk) Sourcing of scientific experts Equipment for data collection and analysis, including software Attendance at scientific conferences Licensing for access to scientific databases and literature A provisional budget is outlined in the accompanying excel sheet. Structure and Supporting Bodies Together with the board of trustees and those employed within the charity, Structure + Purpose will also benefit from the formation of a scientific advisory board. This board will be used to guide the activities of the charity, both from a process perspective (signposting developments in scientific best practice) as well as ideas on direction of scientific questions and how to best place the products of the research into dialogue with the wider research community. Recruiting such a board also gives the opportunity to form an ethics committee for approval of research proposals to be undertaken within S+P. (Research that involved other institutions such as universities would require approval through their systems.) Director Role An outline role description follows, which would need to be reviewed, ratified and amended by the board. The director must have A track record of publication in peer-reviewed literature. A background in psychological sciences, preferably to PhD level. The director should be able to Assimilate and interrogate scientific literature across traditional domain boundaries Produce well-designed scientific research, including • ¥ • ¥ • ¥ Developing well-posed questions that form testable hypotheses, Selecting and appropriately using methodology and data analysis fit for purpose Familiarity with both qualitative and quantitative research methods Work well with other people • ¥ • ¥ • ¥ • ¥ Comfortable working with human participants from a variety of backgrounds, including via interview Work collaboratively and take on board input from others Comfortable directing, supporting and guiding other members of staff when appropriate Able to develop networks beyond S&P with other institutions and individuals Communicate • ¥ • ¥ Articulate scientific ideas in writing to make them accessible to experts and a general audience alike Able to present at scientific meetings Create and strategise • ¥ • ¥ • ¥ Able to generate ideas and hypotheses Integrate findings into models and theoretical structures, to be tested and as tools for generating further ideas Facilitate the development of Structure and Purpose, e.g. through working with partners, developing new research directions The director must care about Reaching a greater understanding of contemplation and wisdom Honouring the dignity of research participants High ethical standards in conducting research The sharing of scientific information in the most open and beneficial way Program Designer An outline role description follows, which would need to be reviewed, ratified and amended by the board. The program designer must have Professional experience and expertise in both esoteric and dialectic contemplation A broad understanding and familiarity with research in contemplation and related subjects An understanding of research program design and methods The program designer should be able to Contribute to the production of well-designed scientific research, including • ¥ • ¥ Developing well-posed questions that form testable hypotheses, Familiarity with both qualitative and quantitative research methods Work well with other people • ¥ • ¥ • ¥ • ¥ Comfortable working with human participants from a variety of backgrounds, including via interview Work collaboratively and take on board input from others Comfortable directing, supporting and guiding other members of staff when appropriate Able to develop networks beyond S&P with other institutions and individuals Communicate • ¥ • ¥ Articulate scientific and contemplative ideas in writing to make them accessible to experts and a general audience alike Able to present at scientific meetings Create and strategise • ¥ • ¥ Able to generate ideas and hypotheses Facilitate the development of Structure and Purpose, e.g. through working with partners, developing new research directions The program designer must care about Reaching a greater understanding of contemplation and wisdom Honouring the dignity of research participants High ethical standards in conducting research The sharing of scientific information in the most open and beneficial way Appendix 1 - Mindfulness Critique (1,2) Training Much research considers mindfulness as a training, itself a slippery term. In much research the training refers to the idea of mindfulness meditation as a workout for the mind, involving, for instance, repeated practice and improvement in i) sustained attention, ii) monitoring, iii) disengagement from distractors and iv) re-engagement with target of attention (this list from Antoine Lutz’s 2008 model). Training also implies instrumentality, such as the notion of mindfulness training for producing wellbeing or resilience. But when it comes to contemplation practice as described by experienced practitioners, neither sense of ‘training’ captures the phenomena. Contemplation practice proposes that the benefits of contemplation are a result of participating in a nature already available to us, and that the process is one of effortless growth through this participation as opposed to something gained through the application of a practical strategy with considerations of dosage and effort made. In addition, the practice is the purpose, as an opportunity for realisation of important truths about the world. As such the “training framing” closes off many important ways of looking at contemplation. (3) Fit into paradigms The thrust of research to date has sought to understand contemplation-related experience by rendering it equivalent to experiences from established scientific paradigms. Making sense of one experience in terms of another (such as via analogy) can be a useful scientific enterprise. But in this case, of what practitioners describe as truly exceptional experiences, a rush to familiarisation holds the risk of flattening out, even obscuring, what we are trying to describe. (4) Volume of Practice In addition, the programs of research have focused overwhelmingly on duration or volume of practice, and neglected the phenomenal experience of contemplation practitioners. These report, rather than a cumulative effect of practice, a series of breakthroughs or awakenings that have profound effects on their relation with the world and the contents of their mind. There is increasing evidence that meditation techniques framed as mindfulness cannot be relied upon to consistently produce the outcomes claimed, and that rather than producing increases in cognitive resources and ameliorating stress, can lead practitioners into unexpected and sometimes alarming areas, as attested to in recent articles. Appendix 2: References Cited References Chiesa, A., Calati, R., & Serretti, A. (2011). Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review. Grimes, P., & Uliana, R. L. (1998). Philosophical midwifery: A new paradigm for understanding human problems with its validation. Costa Mesa, CA: Hyparxis Press. Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163–169. http://doi.org/10.1016/j.tics.2008.01.005 Tang, Y.-Y., Hölzel, B. K., & Posner, M. I. (2015). Traits and states in mindfulness meditation. Nature Reviews Neuroscience, 17(1), 59–59. Vestergaard-Poulsen, P., van Beek, M., Skewes, J., Bjarkam, C. R., Stubberup, M., Bertelsen, J., & Roepstorff, A. (2009). Long-term meditation is associated with increased gray matter density in the brain stem. Neuroreport, 20(2), 170–4. Indicative papers from the Expository Writing Literature Graf, M. C., Gaudiano, B. A., & Geller, P. A. (2008). Written emotional disclosure: A controlled study of the benefits of expressive writing homework in outpatient psychotherapy. Psychotherapy Research : Journal of the Society for Psychotherapy Research, 18(4), 389–399. Pennebaker, J. W. (1997). Writing About Emotional Experiences as a Therapeutic Process. Psychological Science, 8(3), 162–166. Pennebaker, J. W. (2004). Writing to heal: A guided journal for recovering from trauma and emotional upheaval. New Harbinger Publisher. Pennebaker, J. W., & Chung, C. K. (2011). Expressive writing and its links to mental and physical health. The Oxford Handbook of Health Psychology, 78712, 417–437. Richards, J. M., Beal, W. E., Seagal, J. D., & Pennebaker, J. W. (2000). Effects of disclosure of traumatic events on illness behavior among psychiatric prison inmates. Journal of Abnormal Psychology. Indicative papers from the Coaching Literature Baron, L., & Morin, L. (2009). The coach-coachee relationship in executive coaching: A field study. Human Resource Development Quarterly, 20(1), 85–106. Gyllensten, K., Palmer, S., Martin, R. L., Fillery-Travis, A., & Lane, D. (2006). Does coaching work or are we asking the wrong question? International Coaching Psychology Review, 1(1), 24–36. Kampa-Kokesch, S., & Anderson, M. Z. (2001). Executive coaching: A comprehensive review of the literature. Consulting Psychology Journal: Practice and Research, 53(4), 205–228. Passmore, J., & Fillery-Travis, A. (2011). A critical review of executive coaching research: a decade of progress and what's to come. Coaching: An International Journal of Theory, Research and Practice, 4(2), 70-88. Theeboom, T., Beersma, B., & van Vianen, A. E. M. (2014). Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 9(February 2015), 1–18. Indicative papers about Self-Reflection Bauer, J. J., McAdams, D. P., & Sakaeda, A. R. (2005). Crystallization of desire and crystallization of discontent in narratives of life-changing decisions. Journal of Personality, 73(5), 1181–1214. Enz, K. F., and Talarico, J. M. (2016) Forks in the Road: Memories of Turning Points and Transitions.Appl. Cognit. Psychol., 30: 188–195. doi: 10.1002/acp.3176. Higgins, E. T. (1996). The “self digest”: Self-knowledge serving self-regulatory functions. Journal of Personality and Social Psychology, 71(6), 1062–1083. Kray, L. J., George, L. G., Liljenquist, K. a, Galinsky, A. D., Tetlock, P. E., & Roese, N. J. (2010). From what might have been to what must have been: counterfactual thinking creates meaning. Journal of Personality and Social Psychology, 98(1), 106–118. Maitlis, S., & Sonenshein, S. (2010). Sensemaking in crisis and change: Inspiration and insights from weick (1988). Journal of Management Studies, 47(3), 551–580. Obodaru, O. (2012). The self not taken: How alternative selves develop and how they influence our professional lives. Academy of Management Review, 37(1), 34–57. Oyserman, D., Bybee, D., & Terry, K. (2006). Possible selves and academic outcomes: How and when possible selves impel action. Journal of Personality and Social Psychology, 91(1), 188–204. Strike, V. M., Rerup, C., Beamish, P., Carney, M., Carberry, E., Christianson, M., … Zietsma, C. (2010). Mediated Sensemaking. Family Enterprise Research Conference. Thomsen, D. K., & Jensen, A. B. (2007). Memories and narratives about breast cancer: Exploring associations between turning points, distress and meaning. Narrative Inquiry, 17(2), 349–370.