Social Movement Casework and the Law and Organizing Ideal : Toward a modified law and organizing model

En Amérique du Nord, les militants et les juristes ont longtemps cru que les avocats progressistes pourraient offrir des avantages tactiques importants aux mouvements sociaux. Cette perspective optimiste a cédé la place pendant les années 1970 à une attitude critique à l'égard des avocats et des litiges. Les chercheurs se sont interrogés sur l’efficacité d’assimiler les revendications politiques à des atteintes aux droits individuels, pour être ensuite présentées devant les tribunaux. Le litige était perçu comme source d’une influence négative qui favorise l’isolement et l’individualisme. De plus, les chercheurs ont remarqué qu’il y avait le potentiel pour les avocats militants – bien qu’ils soient bien intentionnés – d’exercer leur profession d’une manière qui pourrait donner un sentiment d’impuissance aux autres participants du mouvement social. Les premières versions de cette critique vont souvent assimiler la « stratégie juridique » avec le litige présenté devant les tribunaux judiciaires et géré par les avocats. Une réponse inspirante à cette critique a développée au début des années 2000, avec l'émergence d’un modèle de pratique que les chercheurs aux États-Unis ont nommé « law and organizing ». Des études normatives sur ce modèle offrent des arguments nuancés en faveur d’une pratique militante interdisciplinaire, partagée entre les avocats et les organisateurs. Ces études continuent à attribuer les risques d’individualisation et d’impuissance aux avocats et aux litiges. Selon ce modèle, au lieu de diriger la stratégie, les avocats travaillent en collaboration avec les travailleurs sociaux, les organisateurs et les citoyens pour planifier la stratégie du mouvement social, tout en favorisant l'autonomisation et la mobilisation de la collectivité. La présente thèse offre un examen critique de ce modèle, à travers l'une de ses tactiques bien connues: le traitement des problèmes juridiques individuels par les organisations militantes. La thèse examine les hypothèses fondatrices du modèle « law and organizing », en réinterprétant les problèmes d’individualisation et d’impuissance comme étant des enjeux reconnus dans de multiples disciplines, partout où les acteurs font de l’intervention sur une base individuelle afin de provoquer un changement systémique. La thèse soutient qu’un modèle de la pratique engagée du droit qui associe l'individualisation et l'impuissance exclusivement à la profession d'avocat risque de répondre de façon inadéquate aux deux problèmes. La recherche propose un modèle modifié qui met l'accent sur les options juridiques accessibles aux militants, tout en reconnaissant que la mobilisation et l'autonomisation sont des priorités qui sont partagées entre plusieurs disciplines, même si elles peuvent être traitées de façon particulière à l’intérieur de la profession juridique.In North America, activists and legal scholars long believed progressive lawyers could offer important tactical advantages to social movement organizations. This hopeful attitude changed in the 1970s as a critical stance toward lawyers and litigation emerged. Scholars questioned the efficacy of rights claims over mobilization in promoting systemic change. They argued that litigation was individualizing, and that well-meaning movement lawyers might use their expertise and status in disempowering ways. Early versions of this critique frequently equate legal strategy with courts and lawyers. An inspiring response to the critique developed in the early 2000s with the emergence of the law and organizing model. Prescriptive law and organizing studies offer nuanced arguments in favour of interdisciplinary practice as a defence against individualization and disempowerment, while continuing to attribute both problems to lawyers and litigation. On this model, instead of directing strategy, lawyers cooperate with social workers, organizers, lay practitioners and community members on equal terms to plan movement strategy, fostering empowerment and mobilization in the process. The present thesis critically examines the law and organizing model through one of its prominent tactics: casework in activist organizations. Focusing on social movement casework practice, the thesis considers the founding assumptions of the law and organizing model, recasting individualization and disempowerment as problems recognized by multiple disciplines engaged in casework for systemic change. The thesis argues that a law and organizing model which associates individualization and disempowerment exclusively with the legal profession may inadequately address both issues. The research proposes a modified law and organizing model which emphasizes the legal options available to activists, while contemplating mobilization and empowerment as priorities which cut across disciplines even as they may be dealt with in ways unique to the legal profession

Dive tourism in Luganville, Vanuatu: shocks, stressors and vulnerability to climate change

Luganville is a developing dive tourism destination region (DTDR) in Vanuatu, which relies on tourism. This article reports on the shocks and stressors faced by Luganville’s dive tourism sector and climate change’s exacerbation of these. The study’s methodology was based on rapid rural appraisal and case study principles, involving methods of semistructured interviews, group discussions, and personal observations. Data were analyzed using a thematic analysis approach. Key shocks identified include cyclones, earthquakes, effect on demand due to media footage, and changes to international flights. Main stressors were starfish outbreaks and environmental degradation. Unlike the indigenous communities, expatriates show little concern for the potential impact of climate change, presenting response challenges that must incorporate different perspectives to develop effective adaptation options. Special Issue : scuba diving touris

A novel cognitive behaviour therapy for bipolar disorders (Think Effectively About Mood Swings or TEAMS): study protocol for a randomized controlled trial

BACKGROUND: Existing psychological therapies for bipolar disorders have been found to have mixed results, with a consensus that they provide a significant, but modest, effect on clinical outcomes. Typically, these approaches have focused on promoting strategies to prevent future relapse. An alternative treatment approach, termed ‘Think Effectively About Mood Swings’ (TEAMS) addresses current symptoms, including subclinical hypomania, depression and anxiety, and promotes long-term recovery. Following the publication of a theoretical model, a range of research studies testing the model and a case series have demonstrated positive results. The current study reports the protocol of a feasibility randomized controlled trial to inform a future multi-centre trial. METHODS/DESIGN: A target number of 84 patients with a diagnosis of bipolar I or II disorder, or bipolar disorder not-otherwise-specified are screened, allocated to a baseline assessment and randomized to either 16 sessions of TEAMS therapy plus treatment-as-usual (TAU) or TAU. Patients complete self-report inventories of depression, anxiety, recovery status and bipolar cognitions targeted by TEAMS. Assessments of diagnosis, bipolar symptoms, medication, access to services and quality of life are conducted by assessors blind to treatment condition at 3, 6, 12 and 18 months post-randomization. The main aim is to evaluate recruitment and retention of participants into both arms of the study, as well as adherence to therapy, to determine feasibility and acceptability. It is predicted that TEAMS plus TAU will reduce self-reported depression in comparison to TAU alone at six months post-randomization. The secondary hypotheses are that TEAMS will reduce the severity of hypomanic symptoms and anxiety, reduce bipolar cognitions, improve social functioning and promote recovery compared to TAU alone at post-treatment and follow-up. The study also incorporates semi-structured interviews about the experiences of previous treatment and the experience of TEAMS therapy that will be subject to qualitative analyses to inform future developments of the approach. DISCUSSION: The design will provide preliminary evidence of efficacy, feasibility, acceptability, uptake, attrition and barriers to treatment to design a definitive trial of this novel intervention compared to treatment as usual. TRIAL REGISTRATION: This trial was registered with Current Controlled Trials (ISRCTN83928726) on registered 25 July 2014

Subclinical Tuberculosis Disease-A Review and Analysis of Prevalence Surveys to Inform Definitions, Burden, Associations, and Screening Methodology.

While it is known that a substantial proportion of individuals with tuberculosis disease (TB) present subclinically, usually defined as bacteriologically-confirmed but negative on symptom screening, considerable knowledge gaps remain. Our aim was to review data from TB prevalence population surveys and generate a consistent definition and framework for subclinical TB, enabling us to estimate the proportion of TB that is subclinical, explore associations with overall burden and program indicators, and evaluate the performance of screening strategies. We extracted data from all publicly available prevalence surveys conducted since 1990. Between 36.1% and 79.7% (median, 50.4%) of prevalent bacteriologically confirmed TB was subclinical. No association was found between prevalence of subclinical and all bacteriologically confirmed TB, patient diagnostic rate, or country-level HIV prevalence (P values, .32, .4, and .34, respectively). Chest Xray detected 89% (range, 73%-98%) of bacteriologically confirmed TB, highlighting the potential of optimizing current TB case-finding policies

Medulloblastoma has a global impact on health related quality of life: Findings from an international cohort.

BackgroundUnderstanding the global impact of medulloblastoma on health related quality of life (HRQL) is critical to characterizing the broad impact of this disease and realizing the benefits of modern treatments. We evaluated HRQL in an international cohort of pediatric medulloblastoma patients.MethodsSeventy-six patients were selected from 10 sites across North America, Europe, and Asia, who participated in the Medulloblastoma Advanced Genomics International Consortium (MAGIC). The Health Utilities Index (HUI) was administered to patients and/or parents at each site. Responses were used to determine overall HRQL and attributes (ie specific subdomains). The impact of various demographic and medical variables on HRQL was considered-including molecular subgroup.ResultsThe majority of patients reported having moderate or severe overall burden of morbidity for both the HUI2 and HUI3 (HUI2 = 60%; HUI3 = 72.1%) when proxy-assessed. Self-care in the HUI2 was rated as higher (ie better outcome) for patients from Western versus Eastern sites, P = .02. Patients with nonmetastatic status had higher values (ie better outcomes) for the HUI3 hearing, HUI3 pain, and HUI2 pain, all P < .05. Patients treated with a gross total resection also had better outcomes for the HUI3 hearing (P = .04). However, those who underwent a gross total resection reported having worse outcomes on the HUI3 vision (P = .02). No differences in HRQL were evident as a function of subgroup.ConclusionsBy examining an international sample of survivors, we characterized the worldwide impact of medulloblastoma. This is a critical first step in developing global standards for evaluating long-term outcomes

Structural and Functional analysis of the GABARAP interaction motif (GIM)

© 2017 The Authors. Published under the terms of the CC BY 4.0 license. Through the canonical LC3 interaction motif (LIR), [W/F/Y]-X 1 -X 2 -[I/L/V], protein complexes are recruited to autophagosomes to perform their functions as either autophagy adaptors or receptors. How these adaptors/receptors selectively interact with either LC3 or GABARAP families remains unclear. Herein, we determine the range of selectivity of 30 known core LIR motifs towards individual LC3s and GABARAPs. From these, we define a GABARAP Interaction Motif (GIM) sequence ([W/F] -[V/I]-X 2 -V) that the adaptor protein PLEKHM1 tightly conforms to. Using biophysical and structural approaches, we show that the PLEKHM1-LIR is indeed 11-fold more specific for GABARAP than LC3B. Selective mutation of the X 1 and X 2 positions either completely abolished the interaction with all LC3 and GABARAPs or increased PLEKHM1-GIM selectivity 20-fold towards LC3B. Finally, we show that conversion of p62/SQSTM1, FUNDC1 and FIP200 LIRs into our newly defined GIM, by introducing two valine residues, enhances their interaction with endogenous GABARAP over LC3B. The identification of a GABARAP-specific interaction motif will aid the identification and characterization of the expanding array of autophagy receptor and adaptor proteins and their in vivo functions