From Interactions to Institutions: Microprocesses of Framing and Mechanisms for the Structuring of Institutional Fields

Despite the centrality of meaning to institutionalization, little attention has been paid to how meanings evolve and amplify to become institutionalized cultural conventions. We develop an interactional framing perspective to explain the microprocesses and mechanisms by which this occurs. We identify three amplification processes and three ways frames stack up or laminate that become the building blocks for diffusion and institutionalization of meanings within organizations and fields. Although we focus on “bottom-up” dynamics, we argue that framing occurs in a politicized social context and is inherently bidirectional, in line with structuration, because microlevel interactions instantiate macrostructures. We consider how our approach complements other theories of meaning making, its utility for informing related theoretical streams, and its implications for organizing at the meso and macro levels

Patients’ and practice nurses’ perceptions of depression in patients with type 2 diabetes and/or coronary heart disease screened for subthreshold depression

Background Comorbid depression is common in patients with type 2 diabetes (DM2) and/or coronary heart disease (CHD) and is associated with poor quality of life and adverse health outcomes. However, little is known about patients’ and practice nurses’ (PNs) perceptions of depression. Tailoring care to these perceptions may affect depression detection and patient engagement with treatment and prevention programs. This study aimed to explore patients’ and PNs’ perceptions of depression in patients with DM2/CHD screened for subthreshold depression. Methods A qualitative study was conducted as part of a Dutch stepped-care prevention project. Using a purposive sampling strategy, data were collected through semi-structured interviews with 15 patients and 9 PNs. After consent, all interviews were recorded, transcribed verbatim and analyzed independently by two researchers with Atlas.ti.5.7.1 software. The patient and PN datasets were inspected for commonalities using a constant comparative method, from which a final thematic framework was generated. Results Main themes were: illness perception, need for care and causes of depression. Patients generally considered themselves at least mildly depressed, but perceived severity levels were not always congruent with Patient Health Questionnaire 9 scores at inclusion. Initially recognizing or naming their mental state as a (subthreshold) depression was difficult for some. Having trouble sleeping was frequently experienced as the most burdensome symptom. Most experienced a need for care; psycho-educational advice and talking therapy were preferred. Perceived symptom severity corresponded with perceived need for care, but did not necessarily match help-seeking behaviour. Main named barriers to help-seeking were experienced stigma and lack of awareness of depression and mental health care possibilities. PNs frequently perceived patients as not depressed and with minimal need for specific care except for attention. Participants pointed to a mix of causes of depression, most related to negative life events and circumstances and perceived indirect links with DM2/CHD. Conclusion Data of the interviewed patients and PNs suggest that they have different perceptions about (subthreshold) depressive illness and the need for care, although views on its causes seem to overlap more

Forgone, but not forgotten: Toward a theory of forgone professional identities

Through an inductive, qualitative study, I developed a process model of how people deal with professional identities they have forgone by choice or constraint. I show that, when forgone professional identities are linked to unfulfilled values, people look for ways to enact them and retain them in the self-concept. I further identify three strategies that people use to enact foregone professional identities: (1) real enactment (i.e., enacting the forgone identity through real activities and social interactions either at work or during leisure time), (2) imagined enactment (i.e., enacting the forgone identity through imagined activities and interactions, either in an alternate present or in the future), and (3) vicarious enactment (i.e., enacting the forgone identity by observing and imagining close others enacting it and internalizing these experiences). These findings expand our conceptualization of professional identity beyond identities enacted through activities and interactions that are part of formal work roles, and illuminate the key role of imagination and vicarious experiences in identity construction and maintenance

The timing of gold mineralization across the eastern Yilgarn craton using U–Pb geochronology of hydrothermal phosphate minerals

The highly mineralized Eastern Goldfields of the eastern Yilgarn craton is an amalgamation of dominantly Neoarchaean granitoid-greenstone terranes and domains that record a history of early rifting, followed by westward directed collision with initial arc formation, collision and clastic basin formation, and final accretion to the western Yilgarn proto-craton between 2.66 and 2.60 billion years ago. The gold deposits that define this region as a world-class gold province are the product of orogenic processes that operated during accretion late in the tectonic history, after initial compressional deformation (D1–D2) and the majority of granitoid magmatism. Minor gold was also deposited throughout the entire tectonic history in magmatic-hydrothermal-related systems. However, such mineralization (mostly < 0.3 g/t gold) is nowhere economic unless it overprints, or is overprinted by, much higher-grade orogenic gold lodes.Robust SHRIMP U–Pb geochronology of gold-related hydrothermal xenotime and monazite supports structural studies that gold mineralization occurred during late transpressional events (D3–D4), shortly before cratonization. However, westward migration of collision and accretion produced a complementary diachroneity in the timing of gold mineralization of 5 to 20 m.y. between c. 2.65 Ma in the east (including Laverton District, Kurnalpi Terrane) to c. 2.63 Ma in the west (including Kalgoorlie Terrane) across the eastern part of the craton. The robust geochronology refutes previous suggestions that significant gold mineralization events extended from DE to D4 in the evolution of the orogen and that the Kalgoorlie gold deposits formed over a period of 45 m.y. The crustal continuum model is applicable within terranes where orogenic gold depositional events were penecontemporaneous, but must be modified to account for diachroneity of orogenic events and gold mineralization across the Eastern Goldfields