Abstract
This article considers one of the philosophical sources of reflexivity, the concept of “pre-understandings” as envisaged by the German philosopher, Hans Georg Gadamer. There are a number of empirical research studies employing a Gadamerian approach, and while some authors may describe methods of examining pre-understandings and applying findings reflexively to hermeneutic enquiry, there remains a general lack of sufficient detail given over to the “how” in relation to this process. Furthermore, Gadamer describes how the “provoking” of one’s pre-understandings is required in order to make them realizable and this is rarely evident within authors’ work. As part of a hermeneutic research project exploring health professionals’ views of conscientious objection to abortion, we as a research team undertook a process of “provoking” our pre-understandings surrounding conscientious objection to abortion. This was undertaken by a preliminary discussion to examine our preunderstandings. A second discussion followed to examine if and how our pre-understandings had altered, and was conducted after the research team had read five transcribed interviews from a study on health care professionals’ perspectives of conscientious objection to abortion. By reviewing our pre-understandings, we were able to begin to make conscious what was unconscious, widening some of our initial views, being more definitive in others and in some cases endorsing our original pre-understandings. Using a reflexive process, we assimilated these findings with our research project and used it to inform our data collection, analysis and interpretation, demonstrating the application of rigor to our hermeneutic study.
Keywords
Background
Qualitative research is now firmly established in a number of health disciplines with its recent rise to prominence being outlined by Alasuutari (2010). As part of its evolution, inevitably it has become more sophisticated with an increasing number of philosophers’ work being used to underpin such studies (Fleming et al., 2003). Some 30–40 years ago many qualitative researchers were attempting to emulate criteria for rigor used by quantitative researchers. This was particularly noticeable in studies based on the work of Husserl (2009/1930), where researchers attempted to bracket or withhold their own thoughts from the data they were analyzing. However, this approach was challenged by others (Crotty, 1996) and as Levasseur (2003, p. 416) posited, “Thus, the vexing question of whether we can ever be free of our own conceptual understanding and particular historical point of view is doubted: Even if we, as researchers, can bracket our own viewpoints, what of the participants?” The reverse situation has now come to the fore with the concept of reflexivity being considered key in rigorous qualitative studies (Dodgson, 2019). Authors such as Shaw (2016), however, offer a robust critique of some of the ways in which this concept, like others before it, have become misunderstood or misapplied.
In this article, we consider one of the philosophical sources of reflexivity; the concept of “pre-understandings” as envisaged by the German philosopher, Hans Georg Gadamer (1900–2002). A central philosophical question, to which Gadamer refers, in his main work “Wahrheit und Methode” (Truth and Method) (Gadamer, 2010/1960) is: “How can understanding be gained?” Approaching this question requires, according to Gadamer, becoming aware of one’s pre-understandings because they exist before the process of understanding begins and influence emerging understandings. Becoming reflexive, therefore, is the central aspect of Gadamer’s philosophical hermeneutics. It relates to one’s pre-understanding because this is seen as the starting point where true understanding begins (Figal, 1999). Hermeneutics must start from the position that a person seeking to understand something has a bond to the subject matter that comes into language through the traditionary text and has, or acquires, a connection with the tradition from which the text speaks. On the other hand, hermeneutical consciousness is aware that its bond to this subject matter does not consist in some self-evident, unquestioned unanimity, as is the case with the unbroken stream of tradition. (Gadamer, 2006, p. 295)
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Gadamer (2010) referred to the importance of becoming aware of individual perceptions, thoughts and preconceived opinions in relation to a specific topic of interest or a situation if understanding is to be achieved. Pre-understandings characterize a person’s range of vision at a specific point in their life, which can be perceived and challenged throughout life-experiences and situations but are flexible and dynamic in their nature meaning that they can change during or after experiences that are made during reflexive processes. This explains why Gadamer attributes importance to the aspect of becoming aware of one’s pre-understandings as an initial point during the process of understanding. It respects how a person’s view can change and Gadamer suggests that in such a case an “increased understanding” is gained. Pre-understandings are, according to Gadamer, also dynamic in the way that depth of understanding can be different in each team member, related to the degree of how intensively they are identified. This means that the depth of self-reflection in relation to how one’s own pre-understandings are identified, influences the depth of the understanding at which one eventually arrives. In addition, his philosophy proposes that pre-understandings exist and characterize a person’s background and that this is related to their language and tradition. Pre-understandings, therefore, cannot be excluded, which is the opposite of Husserl’s idea of reduction. Also contrary to Husserl (2009), pre-understandings should not be eliminated but provoked in hermeneutic understanding (Gadamer, 2010). This Gadamerian understanding has roots in Heidegger’s understanding of “fore-structures,” although these comprised the tenet that the way in which someone “being in the world” influenced how this person interpreted things or phenomena (Heidegger, 2001). Gadamer further introduced his idea of a “hermeneutic trained consciousness”: Rather, a person trying to understand a text is prepared for it to tell him something. That is why a hermeneutically trained consciousness must be, from the start, sensitive to the text’s alterity. But this kind of sensitivity involves neither “neutrality” with respect to content nor the extinction of one’s self, but the foregrounding and appropriation of one’s own fore-meanings and prejudices. The important thing is to be aware of one’s own bias, so that the text can present itself in all its otherness and thus assert its own truth against one’s own fore-meanings. (Gadamer, 2006, pp. 271–272) The prejudices and fore-meanings that occupy the interpreter’s consciousness are not at his free disposal. He cannot separate in advance the productive prejudices that enable understanding from the prejudices that hinder it and lead to misunderstandings. Rather, this separation must take place in the process of understanding itself, and hence hermeneutics must ask how that happens. But that means it must foreground what has remained entirely peripheral in previous hermeneutics: temporal distance and its significance for understanding. (Gadamer, 2006, p. 330)
There are various examples of empirical research employing a Gadamerian approach. While some authors describe methods of examining pre-understandings and applying findings reflexively to hermeneutic enquiry (Feeley, 2019; Geanellos, 1998; Nystrom & Dahlbery, 2001; Stenner et al., 2017; Thompson, 2018; Walshaw & Duncan, 2014), there remains a general lack of sufficient detail given over to the “how” in relation to this process. Furthermore, Gadamer describes how the “provoking” of one’s pre-understandings is required in order to make them realizable (Fleming et al., 2003), and this is rarely evident within published work. In relation to this, we argue that authors often pay “lip service” to the provoking of pre-understandings, therefore it is important to consider how pre-understandings contribute to the reflexive process of gaining understanding within hermeneutic research. As this paper is concerned with an ethical issue that continues to stir up acrimonious debate in many countries (Fleming & Robb, 2019), we feel it is particularly important that our own positions be aired and challenged throughout the research process, thus reflexivity becomes a major component of our journey toward understanding.
Aim
This paper aims to detail a process of “provoking” our pre-understandings as a research team and describes how this initiates a reflexive process to alterations in understanding within an active research project. To illustrate the process we utilize empirical data drawn from our recorded discussion of our pre-understandings related to a project on which we are currently working.
A Study Exploring Conscientious Objection to Abortion
Initially, in the examining of pre-understandings, the identifying of the research question is required (Fleming et al., 2003). In a project we are currently carrying out, we aim to answer two questions applying Gadamer’s philosophy: 1. What do health care providers understand as constituting “participation in abortion? and 2. What forms of involvement in the abortion process should health care professionals be entitled to opt out of on grounds of conscience? Such questions are emotionally charged and have the potential to be further complicated by the differing views and experiences we, as a research team, bring to the project. These views are informed by our backgrounds, as midwives and /or researchers with a psychological background, as academics and as women. Some of our team have practiced as midwives, while others have no clinical background. The team consists of five members, all women, of whom four are Roman Catholics—although only two describe themselves as practicing. Due to the heterogeneous nature of the research team, it was likely that our pre-understandings would differ, particularly as we would be bringing divergent “historical situations” to the project, situations that Gadamer views as forming the basis of all understandings (Gadamer, 1975). As such, by examining our pre-understandings and applying the resultant altered understandings reflexively to our research project, we would be “…ready to understand the possibility of a multi-plicity of relative viewpoints” (Gadamer, 1975, p. 1) surrounding our project subject of conscientious objection to abortion.
The Process Undertaken to Provoke Our Pre-Understandings
Following the identification of the research questions, the provoking of pre-understandings is undertaken by focusing on dialogues. This begins to make explicit what may have been previously implicit or unobserved. Dialogue is referred to by Gadamer as one way to become aware of one’s pre-understandings and is seen as an “essential” step in the process of gaining understanding (Gadamer, 2006). He discusses how dialogue provides the basis in our lives of how from a hermeneutic perspective, we relate to other persons and our cultural past, particularly via the dialogue of question and answer (Gadamer, 2006). He goes on to describe how this is, …not the residue of isolated moments, but an ongoing integrative process in which what we encounter widens our horizon, but only by overturning an existing perspective, which we can then perceive was erroneous or at least narrow. (Gadamer, 2006, p. 12)
Both audio recorded sessions lasted approximately 40 minutes and were transcribed verbatim.
The next section of this paper will discuss the provoking of our pre-understandings of conscientious objection to abortion and our emergent altered understandings. In addition, it will illustrate how these understandings reflexively shaped our research project.
The Arc of Understanding
Fleming et al. (2003) describe how reflecting upon our pre-understandings enables us to move beyond our pre-understandings to understanding the phenomenon—in this case conscientious objection to abortion. We describe the process from pre-understandings to altered understandings as an “arc of understanding” (Figure 1), a concept we have developed to illustrate the progressive, reflexive nature of gaining understanding. The arc shows how our understanding moved from an almost static beginning point, where our pre-understandings remained unprovoked, increasing to the height of the curvature where our dialogue was at its most dynamic, then descending to a finishing-point where our dialogue was diminished and our understanding altered. We propose that this “arc” captures the “journey” of understanding one undergoes as a hermeneutic researcher. However, as one can see from Figure 1, the arc is not one-dimensional, but rather it is multi-layered, depicting the many facets that contributed to our pre-understandings and in turn to our altered understandings. The facets included our personal and professional beliefs, the existing narrative that surrounds conscientious objection to abortion, and the concept of tradition, which encompasses a past of which we may not always be aware.

The arc of understanding.
From a Gadamerian perspective, the arc exemplifies the research team’s “historical situations” which underpin our understanding of conscientious objection to abortion. It should be noted, however, that our altered understandings, while emergent from the reflexivity process remain subjective in nature. Although several people may contribute to a process with their pre-understanding, the pre-understanding itself relates to their historical situations such as culture, beliefs and tradition.
Examples of our Altered Understandings
There were a number of examples in which our pre-understandings had become altered during the process of examining them. These are presented below within the themes derived from stage four of the thematic analysis.
Religion and Conscientious Objection to Abortion
In our first discussion, our pre-understandings of why health professionals conscientiously object to participation in abortion were attributed to the health professionals’ own religious beliefs “religion, it’s the key driver isn’t it?” (id 1). However, these pre-understandings did not appear to assimilate with our own personal experiences of religion, “I’m a practising Catholic. It happens that my views coincide with the Catholic Church’s. It’s not the other way round” (id 2). In effect, our pre-understandings that conscientious objection to abortion is driven by a religious context, were being challenged by ourselves. In this instance, it could be conceived that our pre-understandings were underpinned unconsciously by the apparent narrative surrounding conscientious objection to abortion and religion (Davidson et al., 2010; Pellegrino, 2002; Sepper, 2012; Weinstock, 2014) rather than our own personal beliefs and practices.
During our second discussion there was a mutual understanding that religion was not a key driver influencing conscientious objection to abortion and that it was very much influenced personally, “Interestingly enough, most people I’ve interviewed have been Catholics, but that’s not necessarily informed their beliefs around abortion. It’s their experiences…” (id 3). Our understanding had become “altered.” This altered understanding is in fact reflected in Fleming et al. (2018) systematic review of reasons for conscientious objection to abortion, where moral reasons such as respecting the importance of conscience, respecting autonomy and moral integrity needing to be respected, received the highest number of citations. In essence, by re-examining our pre-understandings this was opening us up to altered understandings regarding the connection between religion and conscientious objection to abortion. This was an important factor in relation to our interviews and interpretations during data analysis, with our views of what underpins conscientious objection to abortion being amplified.
Participation in Abortion
As a research team, during our first discussion, we found our pre-understandings difficult to articulate in relation to what actually constitutes “participation” in abortion. This was predominantly observed in relation to the subject of “referral,” which would include a health professional “recommending” a woman to abortion services. The subject of referral, however, is complex, and not entirely clear within the UK’s Nursing and Midwifery Council guidance for example (NMC, 2019). This was to an extent reflected in our discussion, “Would I object to referring somebody? I think that’s where my beliefs become a bit fluid. I don’t honestly know…” (id 2). From this, one could postulate that our pre-understandings were proving “challenging” to provoke. Upon revisiting the role of referral within participation in abortion in our second discussion, we presented more definitive views, in that referring a woman to abortion services was constituted as participation in abortion. In effect, our pre-understandings had now been provoked and our dialoguing with the data and each other for a second time had been the catalyst. This is commensurate with Gadamer’s belief that all understanding exists and is waiting to be “provoked” (Gadamer, 2006); yet it also illustrates the complexities of making conscious what is unconscious and how this act is not readily undertaken in a single transaction. As a research team, we had begun to view what constitutes participation in abortion from a broad rather than potentially narrow lens, a concept referred to earlier as enabling a “widening of horizons” (Gadamer, 2010, p. 1). This widening of our horizons would contribute to what Gadamer (2006) perceives as a “fusing of horizons,” with participation in abortion being interpreted through both our own and our participants’ eyes. Gadamer (2006) also describes how it is by being “open” to the language of new experiences that enables us to learn from them and it could be construed that by displaying this pre-requisite of “openness” within our dialogues that our pre-understandings eventually came to the fore.
Guidelines on Conscientious Objection to Abortion
The iterative process of examining our pre-understandings was illustrated in relation to the project’s aim of developing national guidelines for health professionals pertaining to conscientious objection to abortion. This was not a subject that had been referred to at all in our first discussion. However, from our second discussion it was evident that we had harbored pre-understandings concerning guidelines and that they had seemingly not been provoked during the first discussion, I suppose we thought, “Oh yes, it’ll be this, this and this,” and now I’m thinking, “Actually, no, let’s respond to what the clinicians are telling us.” It’s perfectly acceptable, probably, to still have a grey area” (id 3). Interestingly, it was evident during our second discussion that our pre-understandings were being both provoked and altered, illustrating the dynamic nature of the process of examining pre-understandings. This also encapsulates us entering what is often described as the “hermeneutic circle” (Gadamer, 2006), where when seeking understanding, one moves from the whole to the part and back again. Cyclically, as researchers, we were moving back and forth between becoming conscious of our own pre-understandings and then our altered understandings, which would contribute to an eventual shared understanding with our participants surrounding conscientious objection to abortion. However as Hopkins et al. (2017) describe, this eventual shared understanding “…is still tentative” (p. 23), illustrating the ongoing nature of gaining understanding. Assimilating the findings of this process with our project, our altered understandings were becoming less prescriptive, recognizing the need for flexibility, which would inevitably affect the interpretation of data in relation to the development of guidelines.
Personal Beliefs on Abortion
Our own personal beliefs concerning abortion were also explored during discussions. In a subject as emotive as conscientious objection to abortion, it was important to recognize and respect the differences in our beliefs concerning abortion and our motivations underpinning them. Our beliefs could be seen to be polarized, “…I couldn’t condone abortion…Because I believe it is a life…” (id 2) “…I believe that women have got the right to choose abortion, whether I believe the reasons for the abortion doesn’t come into to it” (id 3). Critically, our personal beliefs concerning abortion had the potential to “hijack” our study and one of the aims of exploring our pre-understandings was to ensure that we did not get “stuck” in the ethics of abortion and so challenge the legality of conscientious objection and abortion. By provoking our pre-understandings concerning abortion per se, we were able to recognize their potential impact on our study, but also to “move on” and focus on our research questions. One could argue that here we were undertaking the process of “bracketing” as discussed earlier in this paper, which in relation to pre-understandings Nystrom and Dahlberg (2001) interpret as the “withholding” of prejudices in order to be open to new understandings (or “altered understandings” as we define them). However, we would argue that to suspend, withhold or bracket out our pre-understandings concerning abortion would be somewhat impossible, as the subject of abortion is highly emotive and so the “isolating” of our personal perspectives was recognized as being unrealistic. Furthermore, our pre-understandings were motivated by both personal and professional experiences which in some cases were long held and as such would be challenging to separate, thus our aim was to make our pre-understandings explicit and to integrate them reflexively into our project enabling a more rigorous approach to data collection, analysis and interpretation.
Influences on Conscientious Objection to Abortion
During our discussions, it was evident that for those of us who had been practicing midwives, our clinical experience contributed to the forming of our pre-understandings, “…mine is now very much shaped by clinical practice. I can’t really remember what my thoughts were (on conscientious objection to abortion) before that you know” (id 1). In addition, the non-clinicians among us began to reflect accordingly upon the discussions of the midwives, for example when the midwives described the “misuse” of conscientious objection to abortion in practice by colleagues in order to reduce their workload. This was something to which the non-clinicians had not been exposed and illustrates how by examining pre-understandings within a group setting, that they can be shaped by exposure to one another. Thus, we would contend that our process of reviewing our pre-understandings was both of “provoking” and also “developing” them from an intersubjective perspective. However, it should be noted that for those of us who were clinicians, our pre-understandings would not have been influenced wholly by clinical practice. As discussed by Geanellos (1998, p. 240), this would have been “…co-determined” with “tradition” and “language,” concepts alluded to earlier in this paper, that inform one’s background and subsequent pre-understandings (Gadamer, 2006). Accordingly, the non-clinicians among us would interpret the discussions surrounding clinical practice and conscientious objection to abortion using their own “tradition,” which would inform their subjective pre-understandings. Furthermore, the use of “language” among the midwives would be used by the non-clinicians to contribute to their own pre-understandings.
Pre-Understandings and Positionality
Our discussions revealed that by provoking one’s pre-understandings, “positionality,” i.e. the “stance” the researcher takes within a study and the impact it subsequently has upon it, is also explored and reflected upon (Van Leeuwan et al., 2017). Although the focus of this paper is on our pre-understandings, positionality was an important factor within this research project, given the heterogeneous nature of the research team and the sensitivity of the topic we were researching. It is acknowledged that the exploration of our positionality was closely linked to the process of provoking our pre-understandings. This was evidenced in that the researchers who were midwives among us had had exposure to conscientious objection to abortion in their clinical practice, which in some cases contributed to their pre-understandings. From this, the midwives represented themselves as “insiders” within the study, with the non-clinicians typifying themselves as “outsiders,” concepts reported by previous authors (Stenner et al., 2017). By acknowledging the differing positions we have within our research team, we were able to reflect upon the relationships they have with our pre-understandings and subsequent altered understandings. Importantly, this link between pre-understandings and positionality also resonates with Gadamer’s view that all understanding is underpinned by one’s “historical situation,” a situation that is constantly evolving, encompassing the past, present and future (Gadamer, 2006).
Impact of the Study on Provoking Our Pre-Understandings
Although it is evident that by provoking our pre-understandings we were able to begin to make conscious what was unconscious, it can also be argued that our pre-understandings were not always “peripheral” as Gadamer (2006) describes. For some of us, it was only by undertaking the project per se that we began to develop our pre-understandings. “…until this project I’ve always just had a blanket sort of approach to it (conscientious objection to abortion) whether it’s right or wrong full stop” (id 4). Therefore, the very involvement in the project was contributing to “shape” the researchers’ views, leading to altered understandings. This was not an isolated observation, as other researchers during the discussions would describe how they “hadn’t given thought” to certain areas until now. Gadamer (2006) sees this as us already holding pre-understandings, and it is only by confronting or provoking them that we began to give them recognition.
Applying Our Understandings Reflexively
By exploring our pre-understandings we widened some of our initial views, which reduces potentially narrow interpretations being employed within our research project and decreases us coming to what Van Leeuwan et al. (2017) describes as a “pre-determined horizon” (p. 4). In other cases we were able to be more definitive in our pre-understandings, particularly concerning the area of referral, where our pre-understandings were initially difficult to internalize. These, however, tended to relate more to the rights and wrongs of abortion rather than the rights of the health professionals to object. The various shifts in our pre-understandings emphasize the dynamic nature of being inside Gadamer’s “hermeneutic circle,” which was particularly evident after exposure to our dialogues with our data and second discussion. This inevitably points to our altered understandings being further altered as our project progresses, illustrated by Gadamer who states “…if one understands at all, one understands differently” (Gadamer, 2010, p. 301). It should be noted that not all of our “shifts” in pre-understandings were radical, indeed, some exhibited little or no change. However, in relation to the latter, by provoking our pre-understandings this has the propensity to endorse original understandings.
As discussed in the introduction to this paper, Gadamer’s idea of pre-understandings is not well-defined. Unlike previous authors and Gadamer himself, throughout this paper our pre-understandings are not referred to as “prejudices” or “bias.” This was a deliberate decision, in order to reduce the negative connotations that can be associated with pre-understandings when using this terminology. This is similar to Van Leeuwan, Linyuan and Week’s description of pre-understandings as being “…a constructive contribution rather than a source of bias.” (Van Leeuwan et al., 2017, p. 3) and to Stenner and colleague’s discussion of pre-understandings contributing to facilitating interpretations, “…allowing for a more complete understanding” (Stenner et al., 2017, p. 331). Furthermore, we described our understanding as being “altered” in acknowledgment of the iterative process of developing and gaining understanding
By provoking our pre-understandings we have been able to “legitimatise our subjectivity” (Van Leeuwan et al., 2017, p. 8). In turn, by examining how we have assimilated our pre-understandings into this research project, we have been able to demonstrate what Thompson (2018) describes as the “inter-play between pre-understandings and interpretation” (p. 575). We have also realized Gadamer’s requirement of detailing process as well as findings and by exploring our pre-understandings and making it explicit how they influence our study, we have contributed to the associated need for trustworthiness and transparency within qualitative research (Fleming et al., 2003).
Limitations
This process of identifying pre-understandings and reflexively merging the resultant findings into a research project is not without its limitations. The process used was applicable to a team of researchers and a single researcher would need to adapt this. Fleming et al. (2003) suggest dialogue with a colleague, while Van Leeuwan et al. (2017) discuss employing the use of a critical friend to explore pre-understandings. In addition, due to time and resources, the pre-understandings discussions were limited to two and were reviewed during part of our data collection period. Additional data collection and time will most likely reveal further alterations in understandings that can contribute to our project.
Conclusion
This paper has illustrated an approach to examining pre-understandings within hermeneutic research. It has shown that by provoking our pre-understandings concerning conscientious objection to abortion, this has at times led to altered understandings surrounding the subject. By focusing reflexively on this process, we have demonstrated how our pre and altered understandings have contributed to our research project and that by examining our own pre-understandings this, in turn, elucidates a deep level of understanding surrounding our project topic. Without this process, we would argue that only a superficial understanding may be gained. This paper adds to an existing yet limited body of knowledge concerning the “how” in relation to provoking and examining pre-understandings, in addition illustrating how findings influence the undertaking of a research project. It highlights the central role pre-understandings have in relation to reflexivity within hermeneutics, a role that should, in our opinion, be made explicit and detailed by researchers when undertaking hermeneutic research. Moreover, we believe our process can be adapted by all researchers in order to provoke and appraise their subjective knowledge, which would enable them to utilize this knowledge productively within their studies. We would also reiterate, however, that while we have examined our pre-understandings and made use of our altered understandings within our research project, due to the dynamic and iterative nature of understanding this process is ongoing and is to be continued…
Footnotes
Acknowledgments
The authors would like to express their thanks to the health professionals who participated in the interviews.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Economic and Social Research Council grant number ES/R008841/1 supported this study.
