Clients' relational conceptions of conjoint couple and family therapy quality: a grounded formal theory.

Based upon a qualitative metasynthesis of 49 articles centered on clients' experiences of their conjoint couple and family therapy, the investigators constructed a grounded formal theory of Clients' Relational Conceptions of Conjoint Couple and Family Therapy Quality. The theory suggests from pretherapy conceptions to posttherapy reflections, clients' perceptions of conjoint couple and family therapy quality appear to consist of clients' constructed meanings regarding a series of interrelated relationships between clients and their therapists and therapy environments, between clients and themselves, between clients and other family members, and between process and outcome both inside and outside therapy. Within and across these relationships, clients appear to focus on expectations, connections, balance, and change when evaluating the quality of their clinical experiences.

Perceptions of a multiple kidney transplant recipient: understanding a fragile life.

This mixed classical and interpretive biographical study investigates the experience of living with a chronic illness as perceived by a wife and mother who is a multiple kidney transplant recipient. This article highlights her efforts to address challenges associated with this illness, and at the same time, improve her individual worth through ongoing, lifelong learning process.