Multilevel Perspectives on Community Intervention: An Example from an Indo-US HIV Prevention Project in Mumbai, India

This paper explores the meaning and applicability of multilevel interventions and the role of ethnography in identifying intervention opportunities and accounting for research design limitations. It utilizes as a case example the data and experiences from a 6-year, NIMH-funded, intervention to prevent HIV/STI among married men in urban poor communities in Mumbai, India. The experiences generated by this project illustrate the need for multilevel interventions to include: (1) ethnographically driven formative research to delineate appropriate levels, stakeholders and collaborators; (2) identification of ways to link interventions to the local culture and community context; (3) the development of a model of intervention that is sufficiently flexible to be consistently applied to different intervention levels using comparable culturally congruent concepts and approaches; (4) mechanisms to involve community residents, community based organizations and community-based institutions; and (5) approaches to data collection that can evaluate the impact of the project on multiple intersecting levels.     

Resident-Led Neighborhood Development to Support Health: Identifying Strategies Using CBPR

Evidence suggests that where people live, learn, work, and play affects a range of health outcomes for children and adults. Differential access to social, economic, and environmental supports puts some community members at greater risk, leading to disparities in health and well-being. The 2014 release of the For the Sake of All report highlighted persistent health disparities for African Americans in St. Louis, Missouri, and their social and economic impacts on the St. Louis region. This study extends this work by developing partnerships with community organizations and neighborhood residents to address health disparities. Community-based participatory research (CBPR) methods were utilized to engage partners in a 10-month research process to address community concerns that impact health. Seven community residents, neighborhood researchers, engaged in workshops to learn about the research process and used techniques to gather information to implement action strategies. Neighborhood researchers selected 14 vacant lots to implement their action plan, which included visions for repurposing the land into a community park, produced a report for dissemination, and organized a community action forum to communicate their findings. This study highlights a promising approach to promote healthy communities and health equity by empowering neighborhood residents using participatory methodologies.     

《周易》对《林兰香》叙事艺术的影响

《林兰香》是一部优秀的世情小说,它的叙事艺术有独特的风格,它模仿《易经》,采用了以“数”谋篇布局的叙事方法．《林兰香》八卷六十四回,六十四是《易经》卦数之总．《林兰香》叙事以八回作为一个单元,每八回有一个相对完整的故事或主题．这个故事或主题又往往孕育着与之不合谐乃至对立的因素．《林兰香》“倚数”结撰,其谋篇布局之法,体现了作者对人生命运的思考,在艺术上则形成了“循环往复”之美．     

Poetic Justice: Engaging in Participatory Narrative Analysis to Find Solace in the “Killer Corridor”

The author engaged with adolescents at a community‐based youth organization as “co‐researchers” to delve deeper into the lived experiences of youth of color residing in an urban neighborhood undergoing change. Participatory narrative analysis was used to empower participants to produce texts to make sense of their lives and their home, school, and neighborhood contexts. The process of engaging youth as co‐researchers and experts in issues pertaining to their own neighborhood is discussed. Nuanced analyses of poems‐as‐data is shown to be critical in informing the recent surge of interdisciplinary, community‐engaged, place‐based initiatives focused on neighborhood revitalization, violence prevention, and positive youth development.     

Please stop now,automated vehicle! – Passengers aim to avoid risk experiences in interactions with a crossing vulnerable road user at an urban junction

The success of highly automated vehicles (HAVs; SAE Level 4) will depend to a large extent on how well they are accepted by their future passengers. This is especially true for the interaction of these vehicles with other human road users in mixed traffic. In future urban traffic, passengers of HAVs will observe from a passive position how the automated system resolves space-sharing conflicts with crossing vulnerable road users (VRUs; e.g., pedestrians and cyclists) at junctions. For one such crossing-paths conflict, we investigated when passengers would want the HAV to start braking and how much perceived risk passengers accept in the interaction of their vehicle with VRUs. To this end, we conducted 1) an online video study (N = 118), 2) a driving simulator study (N = 28), and 3) a human&vehicle-in-the-loop (Hu&ViL) study at a test site (N = 10). We varied the speed of the HAV (30 km/h vs. 50 km/h), the type (cyclist vs. pedestrian), and crossing direction of the VRU (left vs. right). During the approach to the junction, passengers' task was to trigger the HAV's braking maneuver, in a first trial at the point they considered ideal and in a second trial at the last point they still considered safe enough to decelerate and come to a stop at the stop line. For each braking maneuver, we analyzed the HAV’s distance and time-to-arrival (TTA) to the VRU at braking onset, as well as passengers’ perceived risk in the VRU interaction. The results showed that most passengers preferred harmless interactions with VRUs (at the ideal braking onset time), and accepted unpleasant, but not dangerous interactions at most (at the last acceptable braking onset time). Methodologically, the results were very similar in the three different environments (online, driving simulator, real vehicle). These results clearly show that, in addition to the technical considerations of safe automated driving, passengers’ perception and evaluation of HAV driving behavior should also be taken into account to achieve a satisfying level of acceptance of these vehicles.     

Territories of schooling and schooling territories in contexts of extreme urban poverty in Argentina: Between management and abjection

We are living in a time when large masses of workers have become large masses of the unemployed and, to borrow Butler’s term, their bodies constitute an army of bodies that don’t matter. This is probably one of the greatest dilemmas in our society, in the globalized world and in regions like Latin America in particular. In the framework of governmentality studies, this paper presents advances in research geared towards characterizing schooling practices in contexts of extreme urban poverty, specifically in an area on the outskirts of Buenos Aires (Argentina) with one of the highest concentrations of shantytowns. Starting in the late 1960s with the crisis in Fordism and the closing of factories, a dense population has come to inhabit these urban spaces in the midst of a process of extreme decay. I will focus, in this work, on the characteristics that I understand to distinguish the pedagogical devices and processes of subjectivation bound to the configuration of these abject territories.     

The family empowerment program: an interdisciplinary approach to working with multi-stressed urban families

The family empowerment program (FEP) is a multi-systemic family therapy program that partners multi-stressed families with an interdisciplinary resource team while remaining attached to a "traditional" mental health clinic. The rationale for this model is that far too often, families presenting at community mental health centers struggle with multiple psychosocial forces, for example problems with housing, domestic violence, child care, entitlements, racism, substance abuse, and foster care, as well as chronic medical and psychiatric illnesses, that exacerbate symptoms and impact traditional service delivery and access to effective treatment. Thus, families often experience fragmented care and are involved with multiple systems with contradictory and competing agendas. As a result, services frequently fail to harness the family's inherent strengths. The FEP partners the family with a unified team that includes representatives from Entitlements Services, Family Support and Parent Advocacy, and Clinical Staff from the agency's Outpatient Mental Health Clinic practicing from a strength-based family therapy perspective. The goal of the FEP is to support the family in achieving their goals. This is accomplished through co-construction of a service plan that addresses the family's needs in an efficient and coherent manner-emphasizing family strengths and competencies and supporting family self-sufficiency.     

Unruly grasses: Affective attunements in the ecological restoration of urban native grasslands in Australia

This paper explores affect as an ‘angle of approach’ for re/considering the work of ecological restoration in urban spaces. My focus is on the more-than-human affective dimensions of the reintroduction of native grasses in Melbourne's (Australia) urban parklands. Sara Ahmed suggests that ‘affect is what sticks or sustains or preserves the connection between ideas, values and objects’ (2010, 29), and here I extend this notion to think about the restoration of grasslands not as primarily material transformations (to which we might react), but as the recomposition of the 'ideas, values and objects' that constitute urban park naturecultures. The paper highlights the role of affective relations in the inheritance of landscapes that do not attract widespread positive affection. It employs Sara Ahmed's concept of the affect alien as a figure of nonconformity, to uncover how the affective resonances of grasslands might open new possibilities for attuning to the complex and multiple naturecultures of postcolonial lands.     

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.     

Broken Windows and Low Adolescent Prosociality: Not Cause and Consequence, but Co-symptoms of Low Collective Efficacy

The current study presents a case in which adolescent prosociality is lower in neighborhoods with greater physical disorder. Current theory provides two interpretations for such a pattern: (1) that disorder signals a threatening environment and discourages prosociality (“broken windows theory”); (2) that disorder and low prosociality are both symptoms of a weak community (i.e., low collective efficacy). A survey of 642 students from a small American city was combined with an assessment of the built environment to evaluate these two interpretations. Students were nested in 59 Census block groups. Multilevel models demonstrated that collective efficacy best explained variation in prosociality between neighborhoods, and that perceived collective efficacy best explained variation within neighborhoods. Objective and perceived disorder had no significant relationship with prosociality in these models, suggesting that disorder is not directly responsible for cross-neighborhood variation in prosociality. The paper discusses the implications for place-based interventions promoting prosociality. The results also emphasize the need for measures of social processes (e.g., collective efficacy) when evaluating “broken windows” hypotheses.