On artistic and cultural generations in Northeastern Tibet

Beginning in the 1980s, and continuing for over three decades since, a particular generation of Tibetans from the Northeastern Tibetan region known as Amdo, and particularly from the northern parts of China’s Qinghai province, has proven extremely productive. Why has this generation, born primarily between 1959 and 1967, been so incredibly successful? This article examines the contextual factors that may have contributed to the incredible success of this generation. This ranges from the policies and circumstances that affected their births, and the state of the cultural field at the time they reached adulthood. Personal experience narratives, autobiographies, and scholarly studies then reveal how this generation was able to access the intellectual field. Finally, I briefly discuss how the Amdo Tibetan intellectual field compares with other Tibetan and ethnic experiences in the People’s Republic of China.     

Evaluating the heterogeneity of street life and homelessness in adolescent research

Researchers of homelessness have been careful to delineate the heterogeneity of adolescent homelessness and street involvement when defining and differentiating street life experiences around the globe. Understanding these experiences poses challenges to researchers as adolescents across these locations come to the street at various stages of transition and homelessness yet share similarities. In this article, we review homeless research to understand both the heterogeneous characteristics and experiences adolescents have when they become involved in street life and homelessness around the world, as well as the similarities and differences they globally share. We review and compare general definitions of street life and homelessness presented in observations of young people on the street in the developed and developing worlds. We then explore interrelated characteristics outlined by researchers across these studies and locations, namely, the homeless status of street life participants and their socialization to street life as well as their network affiliations. Although this collected body of work reveals a complex heterogeneity of street involvement among all those that participate, it also shows how the young and street involved around the globe share these commonalities with one another which challenges the frameworks and classifications that guide contemporary global research among the homeless.     

The Popular Kids Don't Matter: Centrality and Influence on Adolescent Behavior

This study examines the widely held belief that socially central individuals are disproportionately influential in their networks. Using data from the National Longitudinal Study of Adolescent Health, it models the association between four behavioral outcomes and two distinct specifications of the behaviors' relationship to network prominence. This study finds little evidence that sociometrically central individuals are more influential than randomly chosen peers from the same network when predicting drinking, smoking, and sports participation. Students resemble their peers in systematic ways, but it is unlikely that this is because central students serve as a reference for the group or because students adjust their actions based on the social rewards that they observe given their position in a social network.     

Disabled or differently-enabled? Dyslexic identities in online forum postings

This study presents a novel exploration into how people with dyslexia construct personal identities within anonymous, unsolicited, postings to an online discussion forum. An interpretational phenomenological analysis suggested three key identities: learning-disabled, differently-enabled and societally-disabled. These are discussed in terms of the extent to which they draw differentially on a discourse of disability as opposed to one of individual difference. The identities are to an extent malleable and overlapping according to context. Postings suggested overall that while some contributors constructed themselves as differently-enabled and celebrated dyslexia-related abilities, others sensed themselves having a disabled identity imposed upon them. Dyslexia is perceived as negatively construed within a society which promotes literacy and cognitive acuity as essential aspects of educational and social competence and where learning differences are poorly tolerated. In addition, this study highlights the potential of online forum contributions in the study of social influences in under-researched groups.     

Decisions,Science, and Values: Crafting Regulatory Alternatives Analysis

Emerging “prevention‐based” approaches to chemical regulation seek to minimize the use of toxic chemicals by mandating or directly incentivizing the adoption of viable safer alternative chemicals or processes. California and Maine are beginning to implement such programs, requiring manufacturers of consumer products containing certain chemicals of concern to identify and evaluate potential safer alternatives. In the European Union, the REACH program imposes similar obligations on manufacturers of certain substances of very high concern. Effective prevention‐based regulation requires regulatory alternatives analysis (RAA), a methodology for comparing and evaluating the regulated chemical or process and its alternatives across a range of relevant criteria. RAA has both public and private dimensions. To a significant degree, alternatives analysis is an aspect of product design; that is, the process by which private industry designs the goods it sells. Accordingly, an RAA method should reflect the attributes of well‐crafted product design tools used by businesses. But RAA adds health and environmental objectives to the mix of concerns taken into account by the product designer. Moreover, as part of a prevention‐based regulatory regime, it implicates important public values such as legitimacy, equity, public engagement, and accountability. Thus, an RAA should reflect both private standards and public values, and be evaluated against them. This article adopts that perspective, identifying an integrated set of design principles for RAA, and illustrating the application of those principles.     

Capturing temporal dynamics of fear behaviors on a moment‐to‐moment basis

Identifying patterns of fearful behaviors early and accurately is essential to identify children who may be at increased risk for psychopathology. Previous work focused on the total amount of fear by using composites across time. However, considering the temporal dynamics of fear expression might offer novel insights into the identification of children at risk. One hundred and twenty‐five toddlers participated in high‐ and low‐fear tasks. Data were modeled using a novel two‐step approach. First, a hidden Markov model estimated latent fear states and transitions across states over time. Results revealed children's behavior was best represented by six behavioral states. Next, these states were analyzed using sequence clustering to identify groups of children with similar dynamic trajectories through the states. A four‐cluster solution found groups of children varied in fear response and regulation process: “external regulators” (using the caregiver as a regulation tool), “low reactive” (low reaction to stimulus), “fearful explorers” (managing their own internal state with minimal assistance from the caregiver), and “high fear” (fearful/at‐caregiver state regardless of task). The combination of analytic tools enabled fine‐grained examination of the processes of fearful temperament. These insights may help prevention programs target behaviors that perpetuate anxious behavior in the moment.     

Development of the Emergency Department Senior Abuse Identification (ED Senior AID) tool

Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.     

Tracing disorder across theories of autism,empathy, and mental health care

Abstract

Categories of mental disorders are generally understood through a biomedical paradigm of clinical research, diagnosis, and intervention. Here, diagnoses operate as professional tools, facilitating care organization and information exchange across diverse social contexts. In this article, I focus on how the diagnosis of autism-spectrum disorder operates in this manner. Autism conceived as a biomedical disorder is then contrasted with proposals by the neurodiversity movement, who understand core qualities of autism as alternative expressions of otherwise normal processes of brain development. Finally, I supplement these conversations with insights from Gerald Edelman’s theory of neural plasticity and Felix Guattari’s paradigm of ethico-aesthetic care. Understood together, these allow mental disorders and community care generally to be reconceived in terms of networks of expressive, embodied, and dynamically embedded rhythms that transcend individual persons. This serves, additionally, to illustrate a concept of empathy that traverses neurological, psychological, and sociocultural domains.     

What is a person‐centred approach? Familiarity and understanding of individualised funding amongst carers in New South Wales

Person‐centred approaches place individuals with a disability at the centre of decision making, with their carers and family invited to be partners in the process. Rather than being required to fit within existing service programs, person‐centred approaches enable individuals to choose the support options that best meet their needs. In order to facilitate this, person‐centred approaches will be accompanied by the introduction of individualised funding. This means the individual will be provided with funding to purchase services of their choosing. Given these significant changes occurring in the disability sector, Carers NSW surveyed informal carers of people with a disability to identify what they knew about person‐centred approaches and how they felt about their introduction. Survey results indicate that there is a need to increase the capacity and willingness of carers significantly in order to engage with person‐centred approaches and individualised funding. Carers require targeted and comprehensive information about these concepts in order to understand fully the changes occurring within the disability sector. These findings also indicate specific areas that need to be addressed in order to increase carers' awareness of these concepts and also to address existing negativity and confusion.