Making the Most of Mindfulness-Based Stress Reduction: Participant Feedback Reveals Strengths and Challenges

Mindfulness-Based Stress Reduction (MBSR) offers comprehensive instruction to clients in three forms of meditation: the body scan, sitting meditation, and gentle hatha yoga. Clinical experience suggests that participants may express a preference for one mode of practice over others. However, little research has addressed this question or explored participants’ experience of nonspecific factors such as group discussion and teacher personality. In this paper, we aimed to shed light on these open questions in two ways. First, we present quantitative and qualitative post-test data from a nonclinical sample of 181 participants who completed course evaluation forms at the end of an 8-week MBSR program. Second, we share clinical insights and lessons learned over several years teaching MBSR in a community-based program. On evaluation forms, participants reported meaningful improvements in well-being following MBSR and evaluated the nonspecific elements of the course as highly useful. Although they rated all three forms of meditation as beneficial, there was a preference for the body scan and sitting meditation over yoga, and for audio-guided over self-guided practice. Qualitative feedback reflected themes related to learning different forms of meditation, developing an independent practice, meditating with a group, adding additional sessions, and appreciation for the course. Survey findings, taken together with existing research and clinical impressions, support recommendations to address participant preconceptions about the different forms of meditation, encourage meditation practice without audio guides, pay attention to the level of individual participation, discuss how to carve out time to meditate, and promote participants’ development of an ongoing meditation practice. We illustrate these points with case examples and clinical vignettes.     

Utilizing Participatory Mapping and GIS to Examine the Activity Spaces of Homeless Youth

Although previous studies have informed our understanding of certain aspects of youth homelessness, few studies have critically examined the spatial and social environments utilized by youth as they navigate life on the streets. This study employed participatory mapping and Geographic Information Systems (GIS) to examine the activity spaces of homeless youth as they relate to sense of community and psychological well‐being. Participants were 28 youth experiencing homelessness in Portland, Oregon, USA. Results suggest that youth engage most frequently in service‐related activities, and their activity participation is significantly associated with sense of community and psychological well‐being. The utility of innovative participatory methods for better understanding the diverse experiences of homeless youth is discussed alongside examination of their practical implications.     

Individual,Housing, and Neighborhood Predictors of Psychological Integration Among Vulnerably Housed and Homeless Individuals

The current longitudinal study evaluated the individual, housing, and neighborhood characteristics predictive of feeling psychologically integrated within one's neighborhood among a population of homeless and vulnerably housed individuals. Participants were recruited at homeless shelters, meal programs, and rooming houses in Ottawa, Canada and participated in three in‐person interviews, each approximately 1 year apart. Prospective and cross‐sectional predictors of psychological integration at Follow‐up 1 and Follow‐up 2 were examined. There were 397 participants at baseline, 341 at Follow‐up 1 and 320 at Follow‐up 2. A hierarchical multiple regression uncovered several significant predictors of psychological integration. The most salient and common predictors were being older, having greater social support, living in high quality housing, and residing in a neighborhood with a positive impact. Implications for service provision and policy advancements are discussed.     

Twenty Years Post‐genocide: The Creation of Mental Health Competence among Rwandan Survivors Through Community‐based Healing Workshops

Twenty years after the genocide, many Rwandans still suffer from the psychological wounds of the past. The country's mental health agenda is based on individualised and psychiatric approaches that help some but cannot be provided on a large scale. Further, many reconciliation initiatives have been based on public testimonies, which have been shown to be potentially re‐traumatising, leading to calls for small‐scale community‐based approaches to healing, which constitute a middle way between individualised and public approaches. Drawing on the concept of ‘mental health competence’ (Campbell and Burgess, 2012), this study evaluates one such approach: the Life Wounds Healing workshops offered by the African Institute for Integral Psychology. Twenty‐one semi‐structured interviews were conducted with former workshop participants, staff members and the institute's founder to investigate their views on how these workshops can help genocide survivors. The results suggest that the workshops succeed in creating mental health competence by establishing a safe social space for people to open up, increasing people's critical understandings of the processes of pain — and potential for healing — that informs behaviour change, generating bonding social capital and offering participants' income‐generating possibilities. Copyright © 2015 John Wiley & Sons, Ltd.     

The Community Child Health Network Life Stress Interview: a brief chronic stress measure for community health research

Background and Objectives: Chronic stress is implicated in many theories as a contributor to a wide range of physical and mental health problems. The current study describes the development of a chronic stress measure that was based on the UCLA Life Stress Interview (LSI) and adapted in collaboration with community partners for use in a large community health study of low-income, ethnically diverse parents of infants in the USA (Community Child Health Network [CCHN]). We describe the instrument, its purpose and adaptations, implementation, and results of a reliability study in a subsample of the larger study cohort. Design and Methods: Interviews with 272 mothers were included in the present study. Chronic stress was assessed using the CCHN LSI, an instrument designed for administration by trained community interviewers to assess four domains of chronic stress, each rated by interviewers. Results: Significant correlations ranging from small to moderate in size between chronic stress scores on this measure, other measures of stress, biomarkers of allostatic load, and mental health provide initial evidence of construct and concurrent validity. Reliability data for interviewer ratings are also provided. Conclusions: This relatively brief interview (15 minutes) is available for use and may be a valuable tool for researchers seeking to measure chronic stress reliably and validly in future studies with time constraints.     

From Victim to Perpetrator of Trauma: Lived Experiences of Gang-Involved Urban Refugee Youth in Kenya

Somali children and youth in displacement are exposed to prolonged trauma and chronic violence. In spite of a striking link among trauma, gang activities, victimization, and perpetration of violence, however, few studies have been conducted with Somali refugee youth in low-resource urban settings. This qualitative study demonstrates how prolonged trauma shapes ecological conditions of refugee life that induce vulnerable youth to forge support systems through gang membership and violence. The accession of the challenges, from loss of family, to discrimination and police brutality, and to chronic impoverishment, forces the high-risk refugee youth to replicate the various forms of violence to which they have been exposed to survive. Undergoing such chronic and cumulated trauma, these youth continue to normalize and become further desensitized to violence. The systems perspective of this study expands understanding of the intersection of trauma and gang membership and implies the need for an expanded approach to trauma and understanding of the complexities of gang involvement, beyond posttraumatic stress disorder treatment and clinical intervention.     

Conduites évaluatives des cyber-étudiants à l’université : rôle du sentiment de communauté

Our study aims to describe and explain the diversity of students’ evaluative conducts according to socio-technical characteristics of their courses setting (face-to-face/e-learning) but also to sense of community. Our survey results based on a questionnaire administered to 195 students confirm our hypothesis. They show that e-learners are more satisfied with their training than face-to-face students are. Moreover, they point out that sense of community has a positive impact on e-learners satisfaction and on the way, they give meaning to their training according to their different spheres of activities. However, the influence of sense of community on those both dimensions is less straight to face-to-face students.     

和而不同——全球化情境下伦理文化发展的黄金定律

随着经济全球化发展,世界文化发展的矛盾冲突日益凸显。全球化与本土化之争如火如荼,“西方中心论”愈演愈烈。本文通过对文化的历史发展及内在本质的探析,认为伦理文化发展始终以中国儒家文化的“和而不同”为黄金定律。     

Social representations of health and illness: the case of the Chinese community in England

This paper reports results from a qualitative study on social representations of health and illness among the Chinese community in England. It is assumed that representations of health and illness are grounded in cultural frameworks and are constructed through communication, social interaction and the practices of daily life. Our findings show that in spite of differences related to age and degrees of acculturation, Chinese people in England share a common representational system with respect to health and illness. This system is based on the traditional notions of “balance” and “harmony” between the interdependent forces of Yin and Yang. Health results from balance, whereas illness is brought about by disequilibrium. It is through these traditional Chinese concepts that Western biomedical knowledge is incorporated, producing a mixed representational field where Chinese and Western knowledge co‐exist. This representational field is transmitted through the most fundamental dimensions of culture: food, language and kinship relations. We conclude by showing that social representations of health and illness are inseparable from the struggles over identity experienced by the Chinese people in England. Copyright © 1999 John Wiley & Sons, Ltd.     

The Neighbourhood Youth Inventory: development and validation

This paper describes the development and validation of an inventory to uncover youths' experiences in their neighbourhoods. The Neighbourhood Youth Inventory (NYI) was developed from conversations with youths in Grades 7, 9 and 11. This paper reports the psychometric analyses of the NYI. Responses from 934 youths (511 urban, 423 rural) to the NYI resulted in a four‐factor solution. This solution was stable across responses from youths in Grades 7, 9 and 11, and for urban and rural youths. Cronbach alphas ranged from 0.64 to 0.94. Construct, convergent and discriminant validity of the NYI subscales are demonstrated. Using the NYI we will be able to assess youths' experiences within their neighbourhoods, which may contribute to a more ecological understanding of healthy developmental outcomes beyond family, peer and school environments. Copyright © 1999 John Wiley & Sons, Ltd.