Supporter or obstructer; experiences from contact person activities among Swedish women with breast cancer.

BACKGROUND: Swedish patient associations for breast cancer patients (PABCPs) offer patients with breast cancer unlimited meetings with a breast cancer survivor, a contact person (CP). We applied the voluntary action perspective in this interview study with members of Swedish PABCPs in order to explore how women with breast cancer experienced their contact with a CP from a PABCP. METHODS: Audio-taped narratives from 8 women were analysed using Reissman's monitoring and Gee's analysis structure. RESULTS: Three themes appeared: 1. Shared experiences give new perspectives on having cancer, 2. Feelings of isolation are a part of the identity of the illness and 3. Relations with others enable self-help. However, the relationship with the CP is sensitive to timing, correct information and understanding. CONCLUSIONS: CPs act as sounding boards and should optimally have capacity for listening, gives support and act as partner in this conversation. On the other hand, CPs should be aware that their presence and limited general medical knowledge could at times disturb the patient's psychological recovery and strengthen feelings of isolation. Thus, PABCPs must be careful in selecting CPs and offer relevant educational activities related to the themes identified herein

Theorizing norm diffusion within international organizations

International Organizations (IOs) promote and diffuse norms within world politics. This prompts the question: where do these norms come from? This inquiry analyses how IOs have been perceived within the emerging norms literature where IOs are \u27norm diffusers\u27 within the international system, and finds that the way in which IOs themselves internalize norms has not been taken into account. This poses a potentially fruitful new avenue of inquiry into why and when IOs behave as norm diffusers. An interpretation of when and why IOs internalize norms is offered by positing that IO identities are not fixed and that they are \u27norm consumers\u27 socialized by state and non-state actors.<br /

Understanding contemporary challenges to INGO legitimacy: integrating top-down and bottom-up perspectives

In recent years, INGO legitimacy has been subject to growing scrutiny from analysts and practitioners alike. Critics have highlighted a backlash against INGOs in the Global South, a growing mismatch between INGO capacities and contemporary global challenges, and diminishing support for norms such as democracy and human rights that underpin INGOs’ work. Though these problems have attracted significant attention within the academic literature, this article argues that existing explorations of INGO legitimacy have broadly conformed either to a top-down approach focused on global norms and institutions or a bottom-up approach focused on the local dynamics surrounding states and populations in the Global South. We suggest that this divide is is unhelpful for understanding the current predicament and propose a new approach, which pays closer attention to the interaction between bottom-up and top-down dimensions, and to historical context. This new approach can provide important insights into current debates about the future roles and internal structures of INGOs