Tuning Clinical Recruitment around Cultural Taboos in a Human Microbiome Study

ABSTRACT

Human microbial communities are bodies of microorganisms that reside in or on different body parts. Importantly, they have been found to affect human health. However, scientific research on human microbial communities has created new challenges for human subject recruitment. First, individuals are asked to collect samples of bodily substances that can be seen as repulsive (e.g. feces and urine). Second, because scientists want to understand how human microbial communities evolve over time, individuals are asked to commit to a regular sample collection for extended periods of time. A longitudinal qualitative study of the work of scientists, physicians, research staff, and study coordinators involved in a human microbiome research project has found that these actors can bypass some aspects of these recruitment and retention challenges through ‘tuning work’. Tuning work is a collaborative process where professionals agree to adjust their practices towards shared goals. Such professionals reconfigure their work practices, personal routines, and the study protocol in an effort to obviate cultural taboos against handling bodily substances. The burden of long-term participation provides fewer opportunities for tuning work for these professionals, however. As such, long-term commitment by human subjects remains a recruitment and retention obstacle.     

Evaluating Addictions Counseling Programs: Promoting Best Practices,Accountability, and Advocacy

Program evaluation offers several benefits to addictions counselors, including identifying best practices, providing accountability to stakeholders, and advocating for minority client populations. This article reviews the benefits of addictions counseling program evaluation and outlines main steps in the evaluation process.     

A brief episode of psychosis: Elli's story

This paper explores the notion of a GP practice as a ‘secure base’, suggesting that greater attention could usefully be paid to the importance of attachment relationships in primary care. If professionals feel secure and respected within ‘the practice’ then ‘the practice’ itself is more likely to be able to function as a ‘secure base’ for its patients. It is suggested that this concept could be developed further to provide a conceptual framework for practices to examine their function as therapeutic organizations. A short resumé of John Bowlby's attachment theory is outlined. Illustrations are given of how different attachment styles – secure, avoidant, ambivalent or disorganized – might affect patient care. A case of a mother (with postnatal depression) and her infant is considered in detail to illustrate the value of early intervention in a mother-infant relationship. Professionals are also attached to the practices where they work and the author reflects on his own retirement from being a GP (after 35 years). Finally, the paper describes another case – of a patient who was able to relive, and possibly repair, some of her earlier traumatic childhood separations through her relationship and parting from her GP as retirement approached.     

Perceived Work Competency and Sex Role Conflict: An Empirical Study

The present study examined sex role conflict, perceived work competency, and motivational needs among a broad sample of 298 working women and men (135 men, 163 women) at different hierarchical levels to see what possible gender differences existed in relationships among the variables. Correlation analysis and analysis of variance indicated that the female subjects had significantly higher levels of sex role conflict than the men, but a similar sense of work competency. Sex role conflict and perceived work competency were found to be negatively linked for the women but not for the men. Significant relationships were found between certain motivational needs and both sex role conflict and sense of work competency.     

A Trauma-Informed Call to Action: Culturally Informed,Multi-Disciplinary Theoretical,and Applied Approaches to Prevention and Healing,Part II

The prevalence of trauma and its negative impact on humankind have created a burgeoning awareness of the need for systems that are trauma-informed across the lifespan. A collaborative project with the National Partnership to End Interpersonal Violence (NPEIV) sought out research as a call-to-action to mitigate the impact of trauma. The following is Part II of an introduction to a special double-issue focused on theoretical and applied approaches to using trauma-informed care in multi-disciplinary, mental and physical health, criminal justice, school-based, and community settings. Consideration is given to essential issues such as resilience, self-care, and intersectional cultural awareness. Introspective exploration of biases was encouraged to address barriers to implementing trauma-informed care.     

Organization-Level Predictors of Sustained Social Movement Participation

Long‐term sustained participation represents one of the most important resources available to community organizations and social movement organizations (SMOs). The participatory literature on community and SMOs has identified a host of individual‐level factors that influence participation beyond initial engagement, and has more recently identified contextual factors that influence participation. This study builds upon current understandings of participation in SMOs by examining how sustained participation in movement activities is affected by two qualities of SMO settings: repertoire of organizational activity, and equality of staff contact with organization members to cultivate and facilitate individual participation. To this end, we employ multi‐level regression techniques to examine longitudinal data on participation within 50 local chapters of a national congregation‐based community organizing federation. We find that the conduct of organizational activities previously shown to increase levels of participation among individual persons does not necessarily lead to increases in aggregate or organization‐level participation. Further, we find that conditions of unequal staff contact among organization members represent a notable drag on organization‐level participation over time. Our findings suggest that organizers and organizational leaders may well see greater levels of participation in their organizations by simply re‐distributing resources and opportunities more equitably within their organizations.     

Exploring Daily Religious/Spiritual Activities Among Older Couples: Religious/Spiritual Influence Moderating the Effects of Health Symptoms on Marital Interactions

Using data from 191 later-life couples across 14 days, patterns of husband and wife religious/spiritual activities were explored, as well as how those activities predicted daily marital processes and how they moderated the links between daily physical symptoms and marital interactions. Husband and wife reports of religious/spiritual influence were linked with their own positive and negative marital interactions (“actor” effects). However, only husband religious/spiritual influence was linked with wife marital interactions (“partner” effects). Religious/spiritual influence moderated the link between symptoms and marital interactions for wives. Findings suggest a buffering effect of religious/spiritual activities on daily symptoms for older married wives.     

On classifying abduction

We can witness the recent surge of interest in classifying different patterns or types of abduction. Many philosophers have suggested their own classifications emphasizing different aspects of abduction. Such a development is remarkable, in view of the fact that until quite recently the focus of the research on Peircean abduction was to identify its logical form. Another agenda in the recent attempts to classify abduction is whether to allow non-explanatory abductions. In order to resolve these two closely related issues, I propose to examine how Peirce would have responded to them. In particular, I suggest to do this in connection with Peirce's another life-long project, the classification of sciences. In this examination, it will be shown that Peirce struggled with the problem of conflating induction and abduction. I shall discuss how this problem influenced both Peirce's views on the interrelationship between abduction, deduction, and induction on the one hand, and his many classifications of sciences on the other. Also, the implication of the fundamental change in Peirce's views of abduction, deduction, and induction to the problem of the classification of sciences will be uncovered. Finally, I shall discuss whether inference to the best explanation is abduction. Insofar as this problem has bearing on the two controversial issues in classifying abduction, my negative answer will demonstrate that classifying abduction is yet to get off the ground.     

A Begrudging,Recalcitrant Academic Observes What She's Learning: Distance Learning in Leadership Formation

Neither advocacy nor condemnation of distance learning, this essay offers observations and critical reflection on four years' longitudinal engagement with distance learning pedagogies for formation in higher theological education. Instead, readers are invited to curiosity, communal‐institutional discernment, and intense ambivalence. Theological, pedagogical, contextual, and ethical concerns are examined, as well as potential opportunities for innovation amidst age‐old practical theological challenges. A moral imperative emerges for those within and outside historic faith traditions, and some plausible impacts on educational and communal life are explored, especially faculty grief.     

Formation for the Whole Church: A New/Old Vision of Theological Education in the 21st Century

This article offers a proposal for a vision of theological education beyond the boundaries of training and teaching for traditional professional ministry roles. Particular attention will be given to the idea of education as formation and the shared role academic institutions have with congregations. Implications for reshaping definitions of student and faculty will be explored.