If you are vulnerable and you know it raise your hand: Experiences from working in post-tsunami Thailand

Scientific validity has historically been measured against notions of objectivity. However, try as we might, we cannot divorce ourselves from our own personal interests and perceptions that shape the questions we ask, the theoretical filters and methods we choose, and the conclusions we make. We are all human and it is this humanness that is tested and shaped by disasters. Embracing this humanness, this paper reflects upon the experiences and challenges of undertaking longitudinal research in Thailand following the 2004 Tsunami from the perspective of a research student. These include: common logistical and planning challenges in undertaking disaster research in a cross-cultural setting and how positionality, reflexivity, reciprocity and the differing needs of the researcher and participants influence research outcomes. Particular focus is placed on the emotional toll working in unique trauma landscapes has on researchers and the associated threat of secondary trauma stress and vicarious trauma, how this influences a researcher's relationship to place and the ramifications this exchange has on the researcher as a person and their findings. I conclude by offering recommendations on how early career researchers can better prepare for and navigate the disaster landscape and adjustments their mentors and institutions can make to support them.     

The Ethics of Ethics Reviews in Global Health Research: Case Studies Applying a New Paradigm

With increasing calls for global health research there is growing concern regarding the ethical challenges encountered by researchers from high-income countries (HICs) working in low or middle-income countries (LMICs). There is a dearth of literature on how to address these challenges in practice. In this article, we conduct a critical analysis of three case studies of research conducted in LMICs. We apply emerging ethical guidelines and principles specific to global health research and offer practical strategies that researchers ought to consider. We present case studies in which Canadian health professional students conducted a health promotion project in a community in Honduras; a research capacity-building program in South Africa, in which Canadian students also worked alongside LMIC partners; and a community-university partnered research capacity-building program in which Ecuadorean graduate students, some working alongside Canadian students, conducted community-based health research projects in Ecuadorean communities. We examine each case, identifying ethical issues that emerged and how new ethical paradigms being promoted could be concretely applied. We conclude that research ethics boards should focus not only on protecting individual integrity and human dignity in health studies but also on beneficence and non-maleficence at the community level, explicitly considering social justice issues and local capacity-building imperatives. We conclude that researchers from HICs interested in global health research must work with LMIC partners to implement collaborative processes for assuring ethical research that respects local knowledge, cultural factors, the social determination of health, community participation and partnership, and making social accountability a paramount concern.     

Lessons in collaboration, four years post-Katrina

Four action researchers present a case study of a project conducted by members of a national family therapy organization and members of a local family therapy institute, which describes their efforts to collaborate with local disaster recovery workers 2 years after Hurricane Katrina. The aim of the collaboration was to create a local action research team to study best practices that strengthen resilience after disaster. The authors discuss choice points and dilemmas faced in finding collaborative partners and in clarifying what constitutes an invitation to work in a community. The case study illuminates tensions and understandings between outsiders and a community still facing the long-term effects of a disaster.     

Waimānalo Pono Research Hui: A Community–Academic Partnership to Promote Native Hawaiian Wellness through Culturally Grounded and Community‐Driven Research and Programming

Although Hawai‘i is often portrayed as an idyllic paradise and is recognized as one of the healthiest States in the United States, pervasive health disparities exist among Native Hawaiians. Similar to other indigenous populations across the globe, these disparities are linked to unjust social and economic policies rooted in colonization and historical trauma. Western‐centric efforts to address these disparities have yielded limited results. Consequently, indigenous frameworks to decolonize western‐centric research processes have emerged. The Waimānalo Pono Research Hui is an example of a community–academic partnership that uses indigenous methodologies and principles of community‐based participatory research as the foundation to engage Native Hawaiian community members in research. Monthly gatherings are held where community members and academic researchers share a meal and discuss community priorities with the goal of shaping research and programming that are rooted in Native Hawaiian values. A mission for the group has been created as well as protocols for community engagement to ensure all projects that work with the Waimānalo Pono Research Hui are ethically sound and grounded in the community's preferences, cultural knowledge, and lived experiences. Our community members continually report that the Waimānalo Pono Research Hui has positively transformed their perception of and willingness to engage in research. Similarly, university students and academic researchers express how much their knowledge about working with communities has grown and inspired them. Creating spaces for communities and researchers to build authentic relationships and engage in ongoing conversations can promote culturally grounded and community‐driven research and programming.     

American Indian Researcher Perspectives on Qualitative Inquiry About and Within American Indian Communities

It is presumed that Indigenous researchers are optimally positioned to conduct research about or within their own or other Indigenous communities. However, these researchers may still experience challenges, barriers, and distressing events that are important to identify. Qualitative inquiry may be a particularly vulnerable context for Indigenous researchers given the nature of data collection methods and an emphasis on researcher–participant relationships. This paper details the personal reflections of two American Indian (AI) researchers who carried out qualitative research focused on AI issues and/or communities. The first project examined undergraduate students’ opinions of the use of AI imagery in the form of a race‐based university mascot. The second was a study of the mental health needs of AI youth and families in an urban community. Several themes characterized both of their experiences and might be generalizable to others working in these contexts: (a) coping with racism and microaggressions; (b) the role and impact of identity politics; (c) community insider/outsider tension; and (d) managing personal distress associated with the research topics and process. These themes are discussed to illuminate ways that Indigenous researchers, engaged in research on Indigenous topics and/or with Indigenous communities, are challenged and affected by their work.     

Recruitment of first-generation Latinos in a rural community: the essential nature of personal contact

The purpose of this article is to report on the success of various recruitment activities for a behavioral observation study with Spanish-speaking Latino families in a rural community in the western United States. Recruitment activities are pivotal to research to research because the enormous impact to the quality of the sample and, thus, the quality of the answers to the questions posed by the research. Recruitment can be especially challenging for researchers working with ethnic minorities due to a historical legacy of mistreatment by researchers that has led to healthy reticence to participate in research investigations. The present research presented unique challenges in that the data collection (1) took place in a rural community, (2) sought participation of a recent immigrant population, and (3) required videotaping. Data were collected from 50 families in a western rural community. After multiple recruitment strategies were used, the research team learned that word of mouth and use of existing community resources were the most powerful recruitment strategies. However, participant reports suggest that the other recruitment strategies helped familiarize participants with the study and potentially strengthened the influence of word of mouth referrals. Important differences were found between the easy-to-recruit and the hard-to-recruit samples within this study that support engagement in multiple recruitment strategies.     

Seeing ‘the dark passenger’ – Reflections on the emotional trauma of conducting post-disaster research

This paper acknowledges ‘the [my] dark passenger’ of emotional vicarious trauma associated with conducting post-disaster research. Post-disaster research is tightly bounded by ethics and professional codes of conduct requiring us to be vigilant about the impact of our work on our participants. However, as a disaster researcher, I have been affected by vicarious trauma. ‘Direct personal’ vicarious trauma is where I experienced trauma associated with witnessing devastation making a professional separation from my objective subjects impossible. ‘Indirect professional’ vicarious trauma occurred when PhD students and others under my supervision that I sent to disaster affected places, experienced significant negative emotional responses and trauma as they interviewed their participants. In these situations, I became traumatised by my lack of training and reflected on how the emphasis on the participants came at the expense of the researcher in my care. Limited literature exists that focuses on the vicarious trauma experienced by researchers, and their supervisors working in post-disaster places and this paper is a contribution to that body of scholarship. In acknowledging and exploring the emotions and vicarious trauma of researchers embedded in landscapes of disaster, it becomes possible for future researchers to pre-empt this phenomenon and to consider ways that they might manage this.     

A Systematic Review of Trauma Interventions in Native Communities

American Indian/Alaska Native and First Nations communities suffer from health disparities associated with multiple forms of trauma exposure. Culturally appropriate interventions are needed to heal current and historical trauma wounds. Although there are evidence-based trauma interventions for other populations, few have been implemented or evaluated with Native communities. Understanding the extant research on trauma interventions in Native communities is crucial for advancing science and filling gaps in the evidence base, and for meeting the needs of underserved people. In this systematic review of the literature on trauma interventions in Native communities in the United States, Canada, Australia, and New Zealand, we identified 15 studies representing 10 interventions for historical and/or current trauma. These studies involved the community to some extent in developing or culturally adapting the interventions and suggested positive outcomes with regard to historical and interpersonal trauma symptoms. However, notable limitations in study design and research methods limit both internal validity and external validity of these conclusions. Only one study attempted (but did not achieve) a quasi-experimental design, and small sample sizes were persistent limitations across studies. Recommendations for researchers include working in partnership with Native communities to overcome barriers to trauma intervention research and to increase the rigor of the studies so that ongoing efforts to treat trauma can yield publishable data and communities can secure funding for intervention research.     

The psychological sequelae of disaster stress prospectively and retrospectively evaluated

Aimed to document the psychological sequelae of a disaster in the adult (17-68 years) population of the Caribbean island of Puerto Rico, by surveying 912 persons (including 375 previously interviewed) with a Spanish version of the Diagnostic Interview Schedule. A rigorous methodology, which included both retrospective and prospective designs, was used, enabled by the occurrence of a catastrophic disaster only a year after a comprehensive survey was completed. Framed in a stress theoretical perspective, disaster effects for new depressive, somatic, and posttraumatic stress symptoms were identified, even after adjusting for demographic and methodologic factors. All the effects, however, were relatively small, suggesting that most disaster victims were rather resilient to the development of new psychological symptoms. Comparison of results with previous findings and its implications for both disaster and stress research are discussed, as well as the role of community psychologists in disaster action.     

Psychological distress in the local hillsborough or ‘host’ community following the Hillsborough football stadium diaster

This paper describes levels of psychological distress and accounts of disaster among the local host community following the Hillsborough Football Stadium disaster. Thirty-two participants were interviewed 4–6 months after the event. Rates of psychological distress symptoms were high in the sample as measured by PTSD (DSM III criteria), Impact of Events Scale (IES) and the General Health Questionnaire (GHQ-28). The study also explores the relationships between levels of exposure, levels of distress and participants' accounts of the disaster. Implications for community outreach projects after disasters are discussed.     

四川地震灾后中小学教师心理创伤评估报告

课题研究组对四川地震灾后重灾区和极重灾区的631名中小学教师创伤后应激障碍（PTSD）进行了调查,调查后对统计结果分析表明：（1）有PTSD重度症状表现的教师为18.7%;（2）极重灾区教师创伤显著高于重灾区教师;（3）青年教师的创伤要高于年长教师;（4）地震后部分教师感到内疚,无助,压抑,无信心,生命无意义,他们成为PTSD症状的易感人群     

Observer agreement, credibility, and judgment: some considerations in presenting observer agreement data

Graphical and statistical indices employed to represent observer agreement in interval recording are described as "judgmental aids", stimuli to which the researcher and scientific community must respond when viewing observer agreement data. The advantages and limitations of plotting calibrating observer agreement data and reporting conventional statistical aids are discussed in the context of their utility for researchers and research consumers of applied behavior analysis. It is argued that plotting calibrating observer data is a useful supplement to statistical aids for researchers but is of only limited utility for research consumers. Alternatives to conventional per cent agreement statistics for research consumers include reporting special agreement estimates (e.g., per cent occurrence agreement and nonoccurrence agreement) and correlational statistics (e.g., Kappa and Phi).     

The Community Psychologist as Critical Friend: Promoting Critical Community Praxis

Community‐engaged researchers have a responsibility to community partners to get beyond the traditional researcher stance to take on the active role of critical friend. On the basis of my own community research experiences in the USA, in this article, I argue that there is added value in taking on the practice of critical friendship to encourage a higher degree of critical reflection and critical practice in our partners and in our work together. In the context of long‐term, trusting relationships with community partners, researchers can play the role of critical friend working together to shape critical community praxis on the basis of critical theorizing, critical reflection, and a shared commitment to working for social justice. Those trying to make a difference in communities are often isolated and can benefit from opportunities for dialogue with other community practitioners within a critical frame of reference. Although not without risks and challenges, stepping into this role allows us to put into sharper relief the gap between community practice that challenges injustice and practice that maintains it. Copyright © 2014 John Wiley & Sons, Ltd.     

Facilitating Recovery from Disaster-Work Experiences

Over the past ten years, increasing attention has been given by both employers and researchers to the psychological problems which can be experienced by first-line disaster workers. These developments are briefly charted. Following a discussion of the nature of psychological trauma, the role of the professional counsellor is explored in connection with (a) preparing rescue and emergency staff for working in a disaster situation, (b) supporting them at the scene of a disaster, and (c) providing psychological assistance in the days and weeks after a disaster. Attention is then turned to the kind of preparation and self-management that might be called for in the counsellors who offer such support.     

Alone Again: John Zubek and the Troubled History of Sensory Deprivation Research

In the 1950s, sensory deprivation research emerged as an influential new field for behavioral science researchers, supported by the intelligence community. Within a few years, deprivation research had become ubiquitous; images of sensory deprivation were invoked to explain a wide range of phenomena, from religious revelations to the very structure of psychoanalysis. Yet within a decade and a half, this field of research became implicated in cases of torture and abuse. This article examines the history of University of Manitoba psychologist John Zubek, who remained one of the final researchers still conducting sensory deprivation research in the 1970s. It raises questions on how might it be possible to successfully and cautiously perform controversial research.     

The use of indigenous interviewers in a study of latino men who have sex with men: A research note

The use of indigenous researchers has long been practiced in ethnographic research; a similar use of indigenous personnel has not been as commonly undertaken in interview studies of men who have sex with men (MSM). This research note reports on the use of indigenous interviewers in a study of Latino MSM’s perceptions about sexual relationships and behaviors. The full study explores sexual relationships among Latino MSM, and HIV risk behaviors undertaken by a population of MSM residing in a community in southern California. This research note describes both the strengths and limitations that arise from employing indigenous interviewers for improving the overall quality of sensitive data. Benefits discussed include improved access to an otherwise highly restricted group, enhanced rapport-building capabilities, and greater understanding of language unique to the study population. Limitations discussed include the use of previously untrained interview personnel and age and gender issues.     

Gender Differences in the Effects of Community Violence on Mental Health Outcomes in a Sample of Low-Income Youth Receiving Psychiatric Care

Previous research suggests that community violence impacts mental health outcomes, but much of this research has not (a) distinguished between different types of community violence, (b) examined gender differences, and (c) focused on youth living in urban poverty. The current study addresses these questions. Participants were 306 youth (23 % girls) and one parent/guardian receiving outpatient psychiatric services for disruptive behavior disorders in a large urban city. Youth and parents reported on youth’s experience of different types of community violence (being a direct victim, hearing reports, and witnessing violence), and whether violence was directed toward a stranger or familiar. Outcomes included youth externalizing, internalizing, and posttraumatic stress symptoms assessed via parent and youth reports. Being a direct victim of violence accords risk for all mental health outcomes similarly for both boys and girls. However, gender differences emerged with respect to indirect violence, such that girls who hear reports of violence against people they know are at increased risk for all assessed mental health outcomes, and girls who witness violence against familiars are at increased risk for externalizing mental health symptoms in particular. There are gender differences in violence-related mental health etiology, with implications for intervention assessment and design.     

The counsellor as researcher: Boundary issues and critical dilemmas

Some of the ethical issues that emerged during a study of adult male survivors of childhood sexual abuse are reviewed Some cases where boundary issues became problematical, and the dilemmas faced in working within a person-centred, qualitative approach, are discussed. Considerations for counselling researchers and their trainers when undertaking research are examined