Community-Based Collaboration in Support of Older Persons

This study describes the processes for community-based collaboration in support of the older person living in the world of HIV/AIDS in South Africa. Secondary data from study from 333 older persons (> 60 years) and 28 leaders of community agencies of and for health and wellbeing were thematically analyzed. Findings suggest that older persons are resources in community partnership for ameliorating the impact of HIV and AIDS. This would be the case even as the older people may be living with HIV or AIDS.     

Maternal conceptions of the parenting role and mother–child collaborative behaviours in at-risk context

This study investigated to what extent mothers' conceptions of the parenting role drive mother–child collaborative behaviour as well as expert ratings on maternal practices. It also investigated whether there is any direct link between mother and child behaviours and expert ratings. Self-report measures for maternal conceptions and observed mother–child behaviours in the shopping task were obtained from a sample of 75 at-risk mothers with a child 8 to 12 years old. Social workers reported on mothers' negligent, coercive and resilient practices. Structural equation models showed that high power conception had a negative influence on mother and child's collaborative efforts, whereas reciprocity and parental support conceptions had a positive influence. Reciprocity, low power and parental support schemas consistently predicted experts' view on maternal practices. However, only mother's passivity predicted negatively expert ratings on resilient practice, indicating that expert views were mostly derived from mothers' reflections on their parenting role. Results suggested ways for improving experts' assessment of parental capacities and the use of intervention programmes to promote mothers' positive conceptions and actions.     

Good design as design for good: exploring how design can be ethically and environmentally sustainable by co-designing an eco-hostel within a Mayan community

Designers acknowledge that their skills can assist the visualization and materialization of a desirable future and have gone as far as proposing that design can achieve societal change. Designing for a better world is associated with decreasing environmental depletion impacts while making good for both people and the environment, if possible. Evidently, this is a space where design deals with ethical matters, defining what is good or questioning if good has a universal meaning. This paper discusses the case of Aalto LAB Mexico's (ALM) Eco-hostel project, a practical and ethical design exploration. It shares the impressions of the design team when co-designing with(in) the Mayan community of ‘20 de Noviembre’ (20 Nov), located in Calakmul, Campeche, México. The Eco-hostel project was proposed as an element which can play a central role in achieving betterment of several aspects of the community's daily life. Several of those aspects were communicated by the inhabitants of 20 Nov, and some others were identified by ALM's experts. Whereas some universal principles were applicable to the construction, the context-centred approach of ALM generated a unique proposal, conceptualized to achieve harmony with the local environmental and cultural conditions.     

As they like it – culture-centred counsellor education in the context of Aotearoa New Zealand: a play on bicultural pluralism

Against a backdrop of social struggles to rebalance power between colonisers and indigenous peoples, counsellor education at a university in Aotearoa New Zealand is undergoing a transformation. This article explores the creation and application of a framework that results from listening to the voices of indigenous peoples and counselling stakeholders. What is created is a form of bicultural pluralism – bicultural because the indigenous and coloniser have worked together to build cultural bridges, and pluralistic because the framework can be applied to all cultural groups equally. Our goal is to advance community wellness by increasing the capacity of counsellors to work effectively and cross-culturally, thus extending the health resource they can provide to the whole nation.     

Metatherapeutic communication: an exploratory analysis of therapist-reported moments of dialogue regarding the nature of the therapeutic work

The purpose of the study was to investigate the nature of metatherapeutic communication (MTC), defined as dialogue between therapists and clients on the nature of the therapeutic work and the means by which it can be of greatest help to clients. Twelve counselling psychologists, working pluralistically with 35 clients experiencing depression, described on post-session forms moments of negotiation and collaboration around the therapeutic work. Two main dimensions of MTC were identified: the subject matter of the MTC and the temporal focus of the MTC. In addition, MTC varied by the time at which it took place. These findings provide a framework for understanding the nature of MTC in counselling and psychotherapy, and the opportunities for implementing it in practice.     

Exploring interhemispheric collaboration in older compared to younger adults

Physical and Name Identity letter-matching tasks were used to explore differences in interhemispheric collaboration in younger and older adults. To determine whether other factors might also be related to across/within-hemisphere processing or visual field asymmetries, neuropsychological tests measuring frontal/executive functioning were administered, and comparisons were made for participants split into low and high efficiency groups based on performance on the letter-matching tasks. A Task by Across/Within interaction was found for both groups, but with a stronger within-hemisphere advantage for the Physical Task and a weaker across-hemisphere advantage for the Name Task for older participants. More efficient groups and better performers on several neuropsychological tasks showed a reduced across-hemisphere advantage for the Name Identity task. Findings suggest that computational complexity, specific task demands, and perhaps trade-offs between age-related changes in gray and white matter all contribute to whether processing loads are distributed across or within hemispheres as we age.     

The Paradigm Shift to True Collaboration with Families

Target four of the National Agenda for Achieving Better Outcomes for Children and Youth with Serious Emotional Disturbance focuses on collaborating with families to improve service delivery and results for their children. Moving toward this goal has necessitated the continuation of a paradigm shift that brought out this target as an important one in the first place, and that has highlighted the difference between family-focused and family-driven approaches. We discuss the history of the paradigm shift, the progress that has been made toward this goal of making families full collaborative partners in the care of their children, the elements and examples of effective systems of care, and the distance still to traverse toward fully realizing the goal of this strategic target.     

The experience of counselling for female clients with anorexia nervosa: A person‐centred perspective

Anorexia nervosa is a serious and potentially life‐threatening condition, which has been studied from a range of theoretical perspectives. However, the relevance of person‐centred theory and practice in relation to anorexia nervosa has not previously been explored in the literature. The purpose of this study was to understand the experiences of clients who had received counselling for anorexia nervosa, and to set these experiences against the backdrop of person‐centred theory. The study is based on intensive heuristic analysis of interviews with five clients who had completed counselling for anorexia nervosa within the previous three months. Collaboration between the researcher and the participants led to an identification of two of the six ‘core’ conditions identified by Rogers as being of real importance to clients with anorexia: unconditional positive regard and congruence. The context in which counselling is offered was also of crucial significance to these clients. Implications for practice are discussed.     

A Study of Pastoral Care,Referral, and Consultation Practices Among Clergy in Four Settings in the New York City Area

Clergy (N = 179) in the catchment areas of four hospitals in New York and Connecticut were surveyed about their pastoral care activities. Factor analysis revealed two separate sets of problems presented in pastoral counseling, with respect to clergys ratings of their competence to address them. The first factor included grief, death and dying, anxiety, and marital problems, in descending order of frequency. The second factor consisted of depression, alcohol/drugs, domestic violence, severe mental illness, HIV/AIDS, and suicide. Clergy were significantly less confident of their ability to deal with Factor 2 problems, yet clergy rarely consulted with mental-health professionals about either type of problem. Less than half of the clergy had training in Clinical Pastoral Education, but those who did tended to feel they were more competent to deal with both types of problems. On average, clergy devoted 3.7 hours per week to visiting patients and nearly 55% said they were definitely more likely to refer a patient to a hospital with a pastoral care department.     

Diverse Phases of Collaboration: Working Together to Improve Community-Based HIV Interventions for Adolescents

Although alliances between community-based organizations (CBOs) and university-based evaluators provide opportunities to enhance community-based interventions, such partnerships may be fraught with challenges and obstacles. This paper focuses on the "story" behind a collaborative partnership between a Latino-focused CBO and a team of university-based evaluators that was formed to evaluate HIV prevention interventions for Mexican American female adolescents and gay/bisexual/questioning (GBQ) Latino male adolescents. A developmental trajectory of the partnership is detailed, with a focus on the creation and enhancement of a reciprocal and mutually beneficial relationship. In tracing this history, the paper explores challenges that were faced and presents ways in which the partnership attempted to overcome obstacles. Recommendations are offered to assist in the formation and maintenance of collaborative partnerships between CBOs and university-based evaluators/researchers.