Suchergebnisse

I Co-operative Processes and the Production of Scientific Knowledge -- The Theoretical Significance of Co-operative Research -- The Practical Management of Scientists' Actions: The Influence of Patterns of Knowledge Development in Biology on Cooperations Between University Biologists and Non-Scientists -- II Collaborations Between Scientists and Non-Scientists at the Grassroots -- Cooperation Between Medical Researchers and a Self-Help Movement: The Case of the German Retinitis Pigmentosa Society -- The Knowledge Interests of the Environmental Movement and Its Potential for Influencing the Development of Science -- The Scientist, the Fisherman and the Oyster Farmer -- What We Have Learned from the Amsterdam Science Shop -- III Collaborations in National Contexts -- The Orientation of the Public Sciences in a Post-Colonial-Society: The Experience of India -- Workers' Faculties and the Development of Science Cadres in the First Decade of Soviet Power -- Intellectuals in Social Movements: The Experts of "Solidarity" -- IV Collaborations and the Emergence of New Scientific Fields -- Social Change, Trade Union Politics, and Sociology of Work -- Social Sciences and Political Projects: Reform Coalitions Between Social Scientists and Policy-Makers in France, Italy, and West Germany -- Attracting Audiences and the Emergence of Toxicology as a Practical Science -- Epilogue -- The Causes and Consequences of Collaborations Between Scientists and Non-Scientific Groups.

Exposure to violence, vulnerability due to lack of shelter, alienation due to stigma, the experiences of severe mental illness (SMI) and subsequent institutionalization, make homeless persons with SMI uniquely susceptible to trauma exposure and subsequent mental health consequences. This study aims to contribute to the development of culturally sensitive interventions for identifying and treating trauma in a population of homeless persons with SMI in Tamil Nadu, India by understanding the manifestations of trauma and its associated consequences in this population. Free-listing exercises followed by in-depth interviews were conducted with a convenience sample of 26 user-survivors who have experienced homelessness or were at risk of homelessness, and suffered from SMI. Topics explored included events considered to be traumatic, pathways to trauma, associated emotional, physical and social complaints, and coping strategies. Results indicate discrepancies in classification of traumatic events between user-survivors and the Diagnostic and Statistical Manual of Mental Disorders. Traumatic experiences, particularly relating to social relationships and poverty, mentioned by user-survivors did not match traditional conceptualizations of trauma. Positive coping strategies for trauma included being mentally strong, knowledge and awareness, whereas the main negative coping strategy is avoidance. User-survivors attributed their experiences of homelessness and SMI to past traumas. Differing views of trauma between user-survivors and mental health professionals can lead to misdiagnosis and under-recognition of trauma in this population of homeless persons with SMI.

Abstract Background Secondary school can be a stressful period for adolescents, having to cope with many life changes. Very little research has been conducted on the mental health status of secondary school pupils in South East Asian countries, such as Vietnam. The study aimed to explore perceptions of mental health status, risk factors for mental health problems and strategies to improve mental health among Vietnamese secondary school students. Methods A qualitative design was used to address the main study question including: six in-depth interviews conducted with professionals (with two researchers, two psychiatrists, and two secondary school teachers) to learn about their experience of mental health problems among secondary school pupils; 13 focus group discussions (four with teachers, four with parents, and five with pupils); and 10 individual in-depth interviews with pupils who did not take part in the FGDs, to reflect on the collected data and to deepen the authors' understanding. All interviews and FGDs were audio-taped, transcribed and analyzed for the identification of emerging issues using qualitative techniques of progressive coding, analytic memoing and ongoing comparison. Results Our study confirms the need to pay attention to mental health of pupils in Vietnam. Depression, anxiety, stress, suicidal thoughts and suicide attempts were seen as major problems by all stakeholders. Mental health problems were mainly associated with academic pressure, resulting from an overloaded curriculum and pressure from teachers and parents to succeed. The study found that pupils' mental health demands interventions at many levels, including at the level of government (Ministry of Education and Training), schools, communities, families and pupils themselves. Conclusions Vietnamese secondary school pupils feel that their mental health status is poor, because of many risk factors in their learning and living environment. The need now is to investigate further to identify and apply strategies to improve students' mental health.

Increasingly, children are seen as social actors who are knowledgeable about issues that concern their lives, both in research and policymaking. However, this approach is not without challenges, particularly in relation to sensitive topics like poverty. One key challenge relates to how to involve children effectively so that their stories are actually listened to and acted upon by policymakers. This article reflects on the potential of photovoice as a method to make explicit children's narratives about their lives and to inform policymakers of children's perspectives. We involved two groups of children living in contexts of poverty and deprivation in urban areas of the Netherlands, supporting them to refine their narrative and presentation through photography. The children were brought into contact with policymakers after they had gained experience as photographers and experiential experts. The policymakers found their narratives compelling, and there is evidence that the children's perspectives were taken on board in local government. Exhibition of the photographs using a specially designed table was also found to be an effective addition to the photovoice method. We conclude that photovoice can be successfully used to facilitate dialogue between children and policymakers, but that its use requires time, creativity and reflexivity.

Abstract Background The rapid evolution in disease burdens in low- and middle income countries is forcing policy makers to re-orient their health system towards a system which has the capability to simultaneously address infectious and non-communicable diseases. This paper draws on two different but overlapping studies which examined how actors in the Zambian health system are re-directing their policies, strategies and service structures to include the provision of health care for people with chronic conditions. Methods Study methods in both studies included semi-structured interviews with government health officials at national level, and governmental and non-governmental health practitioners operating from community-, primary health care to hospital facility level. Focus group discussions were conducted with staff, stakeholders and caregivers of programmes providing care and support at community- and household levels. Study settings included urban and rural sites. Results A series of adaptations transformed the HIV programme from an emergency response into the first large chronic care programme in the country. There are clear indications that the Zambian government is intending to expand this reach to patients with non-communicable diseases. Challenges to do this effectively include a lack of proper NCD prevalence data for planning, a concentration of technology and skills to detect and treat NCDs at secondary and tertiary levels in the health system and limited interest by donor agencies to support this transition. Conclusion The reorientation of Zambia's health system is in full swing and uses the foundation of a decentralised health system and presence of local models for HIV chronic care which actively involve community partners, patients and their families. There are early warning signs which could cause this transition to stall, one of which is the financial capability to resource this process.

This article considers how social capital can contribute to poverty alleviation at the micro-level, based on an analysis of the documentary evidence provided by theoretical perspectives and empirical studies. Across countries and contexts, micro-credit, agricultural production and marketing, environmental protection and knowledge networking are linked to productive social capital. Four mechanisms to strengthen social capital are identified: structural opportunity to meet, 'know-how' of social interaction, sense of belonging and an ethos of mutuality. We envision that opportunities within the development practice exist to foster such mechanisms, and recommend in-depth studies to enhance our understanding of social capital production mechanisms.