Beyond abjection: Exploring narratives after premenstrual dysphoric disorder

Abstract

Qualitative research on the experiences of those living with premenstrual dysphoric disorder (PMDD) is limited. Utilising the material–discursive–intrapsychic (MDI) framework, the purpose of the study was to privilege the voices present within individuals who have moved into a space of recovery, management, or transformation of PMDD, and explore these narratives. The study involved seven, in-depth narrative interviews. The data were then analysed using the Listening Guide, a feminist, poststructural method used to capture the polyphony of perspectives surrounding PMDD experiences. The analysis generated two broad narrative themes, with four subsequent voices under each: (a) “within abjection”—the voice toward the Other, the voice silenced, the voice of anger, the voice of agency; and (b) “beyond abjection”—the voice of action, the voice of surrender, the voice of resistance, the voice of reembodiment. Significant findings from the research involved identifying the movement toward a space of recovery, management, or transformation of PMDD as attainable, with PMDD being a negotiable and therefore plastic experience for participants. Further, the participant accounts of dismissive, uninformed, and harmful treatment from medical providers were heard; experiences which led participants toward self-help options for PMDD management.