7,717 research outputs found
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Co-design As Healing: Exploring The Experiences Of Participants Facing Mental Health Problems
This thesis is an exploration of the healing role of co-design in mental health. Although co-design projects conducted within mental health settings are rising, existing literature tends to focus on the object of design and its outcomes while the experiences of participants per se remain largely unexplored. The guiding research question of this study is not how we design things that improve mental health, but how co-designing, as an act, might do so.
The thesis presents two projects that were organized in collaboration with the mental health charity Islington Mind and the Psychosis Therapy Project (PTP) in London.
The project at Islington Mind used a structured design process inviting participants to design for wellbeing. A case study analysis provides insights on how participants were impacted, summarizing key challenges and opportunities.
The design at PTP worked towards creating a collective brief in an emergent fashion, finally culminating in a board game. The experiences of participants were explored through Interpretative Phenomenological Analysis (IPA), using semi-structured interview data. The analysis served to identify key themes characterising the experience of co-design such as contributing, connecting, thinking and intentioning. In addition, a mixed-methods analysis of questionnaires and interview data exploring participants' wellbeing, showed that all participants who engaged fairly consistently in the project improved after the project ended, although some participants' scores returned to baseline six months later.
Reflecting on both projects, an approach to facilitation within mental health is outlined, detailing how the dimensions of weaving and layered participation, nurturing mattering and facilitating attitudes interlace. This contribution raises awareness of tacit dimensions in the practice of facilitation, articulating the nuances of how to encourage and sustain meaningful and ethical engagement and offering insights into a range of tools. It highlights the importance of remaining reflexive in relation to attitudes and emotions and discusses practical methodological and ethical challenges and ways to resolve them which can be of benefit to researchers embarking on a similar journey.
The thesis also offers detailed insights on how methodologies from different fields were integrated into a whole, arguing for transparency and reflexivity about epistemological assumptions, and how underlying paradigms shift in an interdisciplinary context.
Based on the overall findings, the thesis makes a case for considering design as healing (or a designerly way of healing), highlighting implications at a systems, social and individual level. It makes an original contribution to our understanding of design, highlighting its healing character, and proposes a new way to support mental health. The participants in this study not only had increased their own wellbeing through co-designing, but were also empowered and contributed towards healing the world. Hence, the thesis argues for a unique, holistic perspective of design and mental health, recognizing the interconnectedness of the individual, social and systemic dimensions of the healing processes that are ignited
Is Facebook Use Helping or Hurting Your Healthcare Employees During COVID?
The COVID pandemic has drastically impacted peoples’ lives and workplaces, especially those who work in healthcare and have been on the forefront battling this global health crisis. There has been great uncertainty regarding how to effectively mitigate health risks due to the pandemic, and many healthcare employees have turned to social media outlets, such as Facebook, to express their thoughts and concerns. However, social media can either play a positive or negative role depending on what type of information is transmitted and how it is perceived. Some employees are more affected by social media than others regarding the pandemic, and people cope differently with this information based on their personality. Two prominent personality traits—extraversion and neuroticism—have been tied to positive and negative affect, respectively. Based on Affective Events Theory (AET), this paper will unpack these crucial relationships to analyze two key personality dimensions of healthcare employees, extraversion and neuroticism, the moderating role of Facebook use, and outcomes at work. This paper’s purpose is to empirically investigate how, in the highly COVID affected healthcare industry, these variables impact employee mental health, counterproductive work behavior, and workplace social courage
How to Be a God
When it comes to questions concerning the nature of Reality, Philosophers and Theologians have the answers.
Philosophers have the answers that can’t be proven right. Theologians have the answers that can’t be proven wrong.
Today’s designers of Massively-Multiplayer Online Role-Playing Games create realities for a living. They can’t spend centuries mulling over the issues: they have to face them head-on. Their practical experiences can indicate which theoretical proposals actually work in practice.
That’s today’s designers. Tomorrow’s will have a whole new set of questions to answer.
The designers of virtual worlds are the literal gods of those realities. Suppose Artificial Intelligence comes through and allows us to create non-player characters as smart as us. What are our responsibilities as gods? How should we, as gods, conduct ourselves?
How should we be gods
Anytime algorithms for ROBDD symmetry detection and approximation
Reduced Ordered Binary Decision Diagrams (ROBDDs) provide a dense and memory efficient representation of Boolean functions. When ROBDDs are applied in logic synthesis, the problem arises of detecting both classical and generalised symmetries. State-of-the-art in symmetry detection is represented by Mishchenko's algorithm. Mishchenko showed how to detect symmetries in ROBDDs without the need for checking equivalence of all co-factor pairs. This work resulted in a practical algorithm for detecting all classical symmetries in an ROBDD in O(|G|³) set operations where |G| is the number of nodes in the ROBDD. Mishchenko and his colleagues subsequently extended the algorithm to find generalised symmetries. The extended algorithm retains the same asymptotic complexity for each type of generalised symmetry. Both the classical and generalised symmetry detection algorithms are monolithic in the sense that they only return a meaningful answer when they are left to run to completion. In this thesis we present efficient anytime algorithms for detecting both classical and generalised symmetries, that output pairs of symmetric variables until a prescribed time bound is exceeded. These anytime algorithms are complete in that given sufficient time they are guaranteed to find all symmetric pairs. Theoretically these algorithms reside in O(n³+n|G|+|G|³) and O(n³+n²|G|+|G|³) respectively, where n is the number of variables, so that in practice the advantage of anytime generality is not gained at the expense of efficiency. In fact, the anytime approach requires only very modest data structure support and offers unique opportunities for optimisation so the resulting algorithms are very efficient. The thesis continues by considering another class of anytime algorithms for ROBDDs that is motivated by the dearth of work on approximating ROBDDs. The need for approximation arises because many ROBDD operations result in an ROBDD whose size is quadratic in the size of the inputs. Furthermore, if ROBDDs are used in abstract interpretation, the running time of the analysis is related not only to the complexity of the individual ROBDD operations but also the number of operations applied. The number of operations is, in turn, constrained by the number of times a Boolean function can be weakened before stability is achieved. This thesis proposes a widening that can be used to both constrain the size of an ROBDD and also ensure that the number of times that it is weakened is bounded by some given constant. The widening can be used to either systematically approximate an ROBDD from above (i.e. derive a weaker function) or below (i.e. infer a stronger function). The thesis also considers how randomised techniques may be deployed to improve the speed of computing an approximation by avoiding potentially expensive ROBDD manipulation
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Social innovation in managing diversity: COVID-19 as a catalyst for change
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Privacy-aware Smart Home Interface Framework
Smart home user interfaces are pervasive and shared by multiple users who occupy the space. Therefore, they pose a risk to interpersonal privacy of occupants because an individual’s sensitive information can be leaked to other co-occupants (information privacy), or they can be disturbed by intrusions into their personal space (physical privacy) when the co-occupant interacts with the smart home user interfaces. This thesis hypothesises that interpersonal privacy violations can be mitigated by adapting the user interface layer and presents insights into how to achieve usable user interface adaptation to mitigate or minimise interpersonal privacy violations in smart homes.
The thesis reports two case studies and two user studies. The first case study identifies the key characteristics needed to model the rich context of interpersonal privacy violations scenarios. Then it presents knowledge representation models that are required to represent the identified characteristics and evaluates them for adequacy in modelling the context information of interpersonal privacy violation scenarios. The second case study presents a software architecture and a set of algorithms that can detect interpersonal privacy violations and generate usable user interface adaptations. Then it evaluates the architecture and the algorithms for adequacy in generating usable privacy-aware user interface adaptations. The first user study (N=15) evaluates the usability of the adaptive user interfaces generated from the framework where storyboards were used as the stimulant. Extending the findings from the usability study and expanding the coverage of example scenarios, the second user study (N=23) evaluates the overall user experience of the adaptive user interfaces, using video prototypes as the stimulant.
The research demonstrates that the characteristics identified, and the respective knowledge representation models adequately captured the context of interpersonal privacy violation scenarios. Furthermore, the software architecture and the algorithms could detect possible interpersonal privacy violations and generate usable user interface adaptations to mitigate them. The two user studies demonstrate that the adaptive user interfaces, when used in appropriate situations, were a suitable solution for addressing interpersonal privacy violations while providing high usability and a positive user experience. The thesis concludes by providing recommendations for developing privacy-aware user interface adaptations and suggesting future work that can extend this research
Living with dying children: the suffering of parents
Although the relief of suffering and emotional support are fundamental to children's palliative care, their empirical study has been limited. The research questions for this study address three areas: the lived experience of parents of dying children; how other people's responses shape the parents' lived experience; and the place of emotion and suffering in the parents' lived experience. Implementing a qualitative strategy, a collective case study was undertaken in a children's hospice in England, with fieldwork completed between March 2008 and September 2009. Data was collected with nine parents using a range of tools including a focus group, participant observation, documentary observation and individual interviews. Within-case and cross-case modified grounded theory analysis facilitated clarification of emerging themes whilst preserving individual parent voices. The findings show that parents of dying children had existential issues put at stake through the emotional experience of parenting a dying child; these included their identity, place in society, time, and relationships. Such losses could constitute suffering, but in addition they limited the parents' interaction with society so that over time both the 'quantity' and 'quality' of intersubjectivity reduced. The parents perceived that other people tended not to legitimate their lived experience. Emotion was an important influence in this process. The parents of dying children managed their emotions, particularly those of a negative nature, in everyday life and when using hospice services. As a result they expressed somewhat inauthentic accounts of their felt experience, reframed according to perceived feeling rules. This also reduced intersubjectivity and supported the delegitimation of the parental experience. In conclusion, delegitimation of the parental experience stems from feeling rules which are derived from day to day interactions and contemporary social policy. Suffering may be prevented if individual experience is legitimated through improved intersubjectivity. A key factor for this is effective communication through which observers engage with the felt emotion of the suffering individual
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Family Transitions and Home Education: Circumstances, Processes and Practices
This study investigates the processes leading certain UK families to home educate. The research focus is: What circumstances inform the transitions of families to home education? The analysis draws upon a large-scale online survey, face-to-face interviews and case studies.
Home educators are regularly portrayed as operating outside the accepted, or even acceptable, norms of society and the education system. Parents seeking inclusion for their children can instead find themselves and their children excluded in - and outside - school. The thesis blends Turner’s liminal theory and Bronfenbrenner’s bioecological systems model to develop a unique analytical framework that gives voice to participants’ circumstances and insights into to their marginalisation and transitions. This framework additionally provides a lens for schools to better understand their relationships with families, to meet institutional, professional and ethical responsibilities in a timely way.
Findings reveal what are cumulative, sometimes protracted, and traumatic processes, leading to discord, crisis and eventual schism between families and schools. These processes, and the fractured relationships that result, can push families to home educate. Sequences of events take on aspects of a metaphorical ritual, with discernible stages in what can be considered a social drama, where initially liminal actors move from discord through crisis to develop a sense of community and more confident home education practice.
Recommendations focus on inclusivity - to help schools prevent the escalation of discord with parents who have become very worried about their children’s progress and wellbeing, and for local and national education departments to develop more co-productive relationships with the families they serve
Power in the health service : The effects of reorganisation on professions and bureaucracies
The National Health Service (NHS) has been analysed predominantly in terms dictated by a systems/functional model of organisational behaviour. Decision-making processes which did not comply with this model were regarded as pathological or dysfunctional. This study takes a different stance and looks at District Health Authorities (DHAs) to see if the NHS can be better understood by accepting Lukes' conception of a "third dimension of power". The study is not focussed around conflicts of interest because the third dimension of power involves situations in which "real" interests may remain unknown. Power may prevent conflicts becoming apparent and interests becoming realised. Because, however, Lukes had suggested that interests may become realised during periods of change, the study focusses on the restructuring which began with reorganisation of the NHS in 1982. The parts played by medical professionals, administrative staff, nursing staff, and lay-members on DHAs are examined and demonstrate the extent to which their activities were influenced by one another and by their external political environment, notably the Conservative government. The mechanisms of power used during the period 1982-1985 when new management structures were established and then replaced by a further reorganisation of management are examined. This shows the extent to which these new management changes became accepted as legitimate and how the legitimation process began with the 1982 reorganisation. Lukes' third dimension of power is confirmed as too restrictive a conception and that power is more subtle than even he had proposed. Nor is it always repressive or manipulative
Changing discourses and mediation in the Israeli-Palestinian conflict : towards the Declaration of Principles 1993.
This thesis focuses on the role of mediators in the process of discursively constructing the dominant narrative erecting the Israeli-Palestinian conflict. In seeking to concentrate on specific mediation processes in the conflict, culminating in the Declaration of Principles, research reveals the highly interactive nature of changing discourses, underpinned by a complex, political process of textual interweaving and overlap that defines the conflict. Much of the literature addressing mediation theory builds on a positivist epistemology which separates fact from value and unquestioningly proceeds from the premise that words mirror the world they describe. Within such a context, mediators remain external to the conflict either arbitrating or facilitating negotiations between the protagonists, but never becoming part of it, contributing to its construction. The application of discourse analysis to the study of mediation challenges this core premise, arguing that any intervention necessarily involves a process of reinterpretation or re- definition of the conflict, engendered by the mediator him or herself. Underpinned by a process of change, the conflict is impinged upon by a plethora of external as well as internal parties to the conflict. These interventions generate a new discourse which interacts with other narratives within the same discursive realm or domain. In this thesis, the term `discourses' refers to those narrative structures in place which enable or constrain political movement in a particular direction at a particular moment in time. Identifying a highly interactive discursive process removes the spotlight away from a narrow and exclusionist conceptualisation of mediation as pertaining to the immediate forum in which negotiations between protagonists and a third party unfold, towards a broader, more inclusive understanding of what the process entails
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