4,945 research outputs found
Transformative learning relationships and the adult educatorâs countertransference: a Jungian arts-based duoethnography
Transformative learning theory developed from Jack Mezirowâs seminal work on perspective transformation, is a predominant paradigm within adult education scholarship. Recent developments include Jungian perspectives in transformative learning that challenge the dominance of Mezirowâs rational conceptualisation and the exclusion of non-rational and unconscious aspects of learning. Whilst Jungian contributors elevate the role of the unconscious in transformative learning theory, scant attention is paid to the unconscious dynamics between educator and adult learner set within an intersubjective matrix. What is absent is any mention that feelings stirred up in the process of transformative learning might belong within a reciprocal relationship. Jung, who is arguably the pioneer of countertransference, offers a definite point of view about the importance of the subjective responses of the analyst and his/her ability to be influenced and impacted by the client. If the analyst is to transform others, then the analyst needs to be transformed. This relationship of mutual transformation is reconceptualised as a transformative learning relationship. A transformative learning relationship provides an intersubjective frame for exploring countertransferences and the emotional experience of the adult educator. The devised research method of collaborative imaginative engagement is an innovative post-Jungian extension of Jungâs method of active imagination, that involves two adult educators making and working with images of countertransference. The findings are presented as an arts-based duoethnographic portrayal of a co- individuation process between two adult educators. This duoethnographic process of co-individuation prototypes transformative reciprocity within the educator/learner relationship. This research addresses the imbalance or âone sidednessâ within transformative learning theory, that overlooks the educatorâs subjective and intersubjective experience in favour of the learnerâs experience. In doing so, the research contributes a more holistic and collaborative understanding of transformative learning that shows how both learner and educator can be inextricably bound together through a process of mutual transformation
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Mistreatment in Childbirth: A mixed-methods approach to understand the mental health sequelae of mistreatment in maternity care among a diverse cohort of birthing persons in New York City
The present study aimed to explore the objective and subjective experiences of âmistreatmentâ in maternity care in a diverse cohort of women who gave birth in New York City hospitals to identify the prevalence and risk factors of mistreatment and measure the relationship between mistreatment and mental health (Bohren et al., 2015). The study utilized a mixed-methods cross-sectional approach. To collect the quantitative data, 109 participants <1 year postpartum completed an anonymous online survey comprising a self-report measure of demographic, health and mental health information, several mental health questionnaires and two measures of mistreatment in maternity care. 8 of these participants were interviewed about their childbirth experience. The quantitative data was analyzed utilizing linear regression, moderation analysis and path analysis, and the qualitative data was thematically coded then analyzed using Reflexive Thematic (RT) analysis. These data were then triangulated using a mixed-methods model of mistreatment.
In total, 10-15% of the sample experienced mistreatment in the form of Low to Very Low respect and/or autonomy in decision making in their maternity care. Forms of mistreatment included unwanted procedures, provider pressure to undergo procedures, dismissal of womenâs concerns, racial discrimination, abandonment, and medical neglect. Approximately 25% of respondents received an unwanted intervention; this was the most significant predictor of mistreatment. This relationship was moderated by race, parity and birth plan. Black, Latinx and Hispanic women experienced the lowest levels of respect in maternity care. Mistreatment in maternity care was correlated with increased risk for postpartum mental illness: decreased respect and autonomy in childbirth was associated with increased postpartum depression and PTSD symptoms.
Eight themes were identified in the qualitative analysis: Discrimination and Unfair Treatment, Confusion and Abandonment, Disregard for Patient Autonomy, Hospital-Level Drivers of Mistreatment, Women Treated as Passive, Normalization of Mistreatment, Self-Advocacy and Vulnerability and, Reclaiming Power through Knowledge. Together, the triangulated mixed- methods data were fit to render a comprehensive âmodel of mistreatmentâ to illustrate direct and indirect relationships between mistreatment, mental health, race, trauma history, and childbirth preparation. These findings demonstrate that mistreatment is a multi-determined phenomenon that is interdependent with mental health and requires systematic measurement in healthcare treatment, the integration of anti-racist and patient-centered care and improved childbirth education for patients
An examination of the verbal behaviour of intergroup discrimination
This thesis examined relationships between psychological flexibility, psychological inflexibility, prejudicial attitudes, and dehumanization across three cross-sectional studies with an additional proposed experimental study. Psychological flexibility refers to mindful attention to the present moment, willing acceptance of private experiences, and engaging in behaviours congruent with oneâs freely chosen values. Inflexibility, on the other hand, indicates a tendency to suppress unwanted thoughts and emotions, entanglement with oneâs thoughts, and rigid behavioural patterns. Study 1 found limited correlations between inflexibility and sexism, racism, homonegativity, and dehumanization. Study 2 demonstrated more consistent positive associations between inflexibility and prejudice. And Study 3 controlled for right-wing authoritarianism and social dominance orientation, finding inflexibility predicted hostile sexism and racism beyond these factors. While showing some relationships, particularly with sexism and racism, psychological inflexibility did not consistently correlate with varied prejudices across studies.
The proposed randomized controlled trial aims to evaluate an Acceptance and Commitment Therapy intervention to reduce sexism through enhanced psychological flexibility. Overall, findings provide mixed support for the utility of flexibility-based skills in addressing complex societal prejudices. Research should continue examining flexibility integrated with socio-cultural approaches to promote equity
Life on a scale:Deep brain stimulation in anorexia nervosa
Anorexia nervosa (AN) is a severe psychiatric disorder marked by low body weight, body image abnormalities, and anxiety and shows elevated rates of morbidity, comorbidity and mortality. Given the limited availability of evidence-based treatments, there is an urgent need to investigate new therapeutic options that are informed by the disorderâs underlying neurobiological mechanisms. This thesis represents the first study in the Netherlands and one of a limited number globally to evaluate the efficacy, safety, and tolerability of deep brain stimulation (DBS) in the treatment of AN. DBS has the advantage of being both reversible and adjustable. Beyond assessing the primary impact of DBS on body weight, psychological parameters, and quality of life, this research is novel in its comprehensive approach. We integrated evaluations of efficacy with critical examinations of the functional impact of DBS in AN, including fMRI, electroencephalography EEG, as well as endocrinological and metabolic assessments. Furthermore, this work situates AN within a broader theoretical framework, specifically focusing on its manifestation as a form of self-destructive behavior. Finally, we reflect on the practical, ethical and philosophical aspects of conducting an experimental, invasive procedure in a vulnerable patient group. This thesis deepens our understanding of the neurobiological underpinnings of AN and paves the way for future research and potential clinical applications of DBS in the management of severe and enduring AN
NURSING AND MIDWIFERY STUDENTSâ LENS: CONNECTING THEORETICAL KNOWLEDGE WITH CLINICAL PRACTICE: AN INTERPRETATIVE PHENOMENOLOGICAL STUDY
Aim: To explore and critically analyse the strategies employed by final-year BSc pre-registration nursing and midwifery students at an inner London university to connect theoretical knowledge with clinical practice, to promote their learning and professional development. Background: Navigating the theory-practice gap has been a significant challenge for nursing and midwifery students. While there are many perspectives from academics and clinicians, how theoretical knowledge is connected with clinical practice is rarely discussed and studied from the studentsâ perspectives. Design: Interpretative phenomenological analysis was used to understand nursing and midwifery students' experiences in connecting theoretical knowledge with clinical practice. Rather than attempting to establish objective truth, this thesis focused on participantsâ subjective experiences. Method: This study employed a qualitative research design. The data was obtained using semi-structured interviews and analysed using an inductive approach. The study population included (n=12) pre-registration nursing and midwifery students enrolled on a Bachelor of Science programs. Findings: Four themes emerged (1) Complexity of embodied knowledge; (2) Sensing the meaning of personal and professional learning; (3) Demographic attributes and self-understanding; (4) Sense-making of COVID-19. Conclusion: The process by which pre-registration nursing and midwifery students connect theoretical knowledge with clinical practice is complex and multifaceted. It intersects with other factors and cannot be understood in isolation. This interconnectedness necessitates a thorough examination of all the variables involved
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Cancer Care in Pandemic Times: Building Inclusive Local Health Security in Africa and India
This is a book about improving cancer care in Africa and India that is a child of its pandemic times. It has been collaboratively researched and written by colleagues in Kenya, Tanzania, India and the UK, working within a cross-country, multidisciplinary research project, Innovation for Cancer Care in Africa (ICCA). Since this was a health-focused research project, ICCA researchers during the pandemic not only continued to work on the cancer research project but were also called upon by their governments to respond to immediate pandemic needs. In combining these two concerns, for improving cancer care and responding to pandemic needs, our original project aims have been challenged, deepened and reworked. ICCAâs initial collaborative research focus includedâagainst the grain of most global health literatureâthe potential role of enhanced local production of essential healthcare supplies for improving cancer care in African countries. The pandemic experience has strikingly validated these earlier findings on the importance of industrial development for health care. The pandemic crystallised for researchers and policymakers an often overlooked phenomenon: global health security is built on the foundations of strong local health security. We argue in this book that new analytical thinking from social scientists and others is required on how to build local health security. We use the âlensâ of original research on cancer care in East Africa and India to build up an understanding of the scope for the development of stronger synergies between local health industries and health care, in order to strengthen local health security and develop tools for policy making. The rethinking and reimagining presented here is required for different African countries, for India and the wider world, and this research on cancer care has taught us that this imperative goes much wider than infectious diseases
Introduction to Psychology
Introduction to Psychology is a modified version of Psychology 2e - OpenStax
Conflict to Cooperation: An Axiological Analysis of Collaborative Resource Stewardship in the Nisqually River Watershed
195 pagesHere I evaluate collaborative stewardship planning in the Nisqually River Watershed to see how values about human-nature relationships are represented in watershed stewardship practices. To do so, I review planning documents and testimonial sources with a conceptual framework that studies environmental values by combining approaches from hermeneutic phenomenology with the conceptions of human-nature relationships outlined by the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES). Looking at the data this way shows more precisely how values are represented within and influence the efficacy of planning outcomes. This study investigates relatively unexplored factors in socioecological decision-making and resulting stewardship practices. Enhancing our understanding of how resource conflicts happen and are resolved, and how values inform the process/outcome of collaborative stewardship practices is incumbent for coping with and overcoming future environmental challenges around the world. Such studies are necessary for successfully navigating present and future contradictory uses and identities associated with resource conflicts. In this work I trace how contexts of conflict become cooperative, demonstrate how values emerge in Nisqually planning contexts, while showing how hermeneutic phenomenology and IPBES are helpful for both studying and practicing collaborative stewardship
An American Knightmare: Joker, Fandom, and Malicious Movie Meaning-Making
This monograph concerns the long-standing communication problem of how individuals can identify and resist the influence of unethical public speakers. Scholarship on the issue of what Socrates & Plato called the âEvil Loverâ â i.e., the ill-intended rhetor â began with the Greek philosophers, but has carried into [post]Modern anxieties. For instance, the study of Nazi propaganda machines, and the rhetoric of Hitler himself, rejuvenated interest in the study of speech and communication in the U.S. and Europe. Whereas unscrupulous sophists used lectures and legal forums, and Hitler used a microphone, contemporary Evil Lovers primarily draw on new, internet-related tools to share their malicious influence. These new tools of influence are both more far-reaching and more subtle than the traditional practices of listening to a designated speaker appearing at an overtly political event. Rhetorician Ashley Hinck has recently noted the ways that popular culture â communication about texts which are commonly accessible and shared â are now significant sites through which citizens learn moral and political values. Accordingly, the talk of internet influencers who interpret popular texts for other fans has the potential to constitute strong persuasive power regarding ethics and civic responsibility.
The present work identifies and responds to a particular case example of popular culture text that has been recently, and frequently, leveraged in moral and civic discourses: Todd Phillipsâ Joker. Specifically, this study takes a hermeneutic approach to understanding responses, especially those explicitly invoking political ideology, to Joker as a method of examining civic meaning-making. A special emphasis is placed on the online film criticisms of Joker from white nationalist movie fans, who clearly exemplify ways that media responses can be leveraged by unethical speakers (i.e., Evil Lovers) and subtly diffused. The study conveys that these racist movie fans can embed values related to âtrolling,â incelism, and xenophobia into otherwise seemingly innocuous talk about film. While the sharing of such speech does not immediately mean its positive reception, this kind of communication yet constitutes a new and understudied attack on democratic values such as justice and equity. The case of white nationalist movie fan film criticism therefore reflects a particular brand of communicative strategy for contemporary Evil Lovers in communicating unethical messages under the covert guise of mundane movie talk
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