Documents found
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3691.More information
Through in-depth interviews with 22 university and college faculty who taught during COVID in 2020, this study examines symbolic violence and symbolic nonviolence in higher education using the post-qualitative method, thinking with theory. The concept of symbolic nonviolence, the intentional and systemic practice of recognizing and absorbing symbolic violence to transform the habitus, resulted from this study. During an inequitable pandemic which caused low grades, plagiarism, and exiting, faculty practiced three types of symbolic nonviolence: non-academic support, academic adjustment, and disciplinary superpowers, which increased communication and social support for students, provided services that institutions were unable to provide, remediated students academically, adjusted academic expectations to be more suitable to pandemic learning, and taught students how to transform the world using tools unique to their disciplines. Symbolic nonviolence practices have the potential to transform the reproduction of exclusionary practices in the institution of higher education, improving academic success and social mobility.
Keywords: COVID, College teaching, symbolic violence, symbolic nonviolence, thinking with theory, post-qualitative, Bourdieu, Kingian nonviolence
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3692.More information
For this special theme issue, the editors ask, “the creation of human-centred workplaces or workers running out of breath?” To answer this question, we chose to discuss the challenges related to work and employment over the next decade with the arrival of the industrial revolution 4.0, also known as Industry 4.0. We have the goal of answering the following question: “And what if Industry 4.0 proves to be a period where the pendulum swings back in favour of workers in the 21st century?” Our discussion of this question is organized around three challenges related to the management of human resources: the demographic reality, the need for investment and training, and, at the heart of this paper, that the political climate will likely influence national, regional, and local governance. This governance will affect workplace organization, in turn impacting people and their relationship to work. The ability of workers and their representatives to act requires a shared diagnosis of the nature of problems and solutions. All that will be negotiated, as much as with employers as with the various political entities, will depend on the willingness of each of the parties to be able to listen to and respect each other.
Keywords: Révolution 4.0, portrait générationnel, disparité, marché du travail, syndicat
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3693.More information
Objectives To describe the different issues surrounding the integration of peer support workers (PSW) and family peer support workers (FPSW) into early intervention for psychosis services (EIS): their roles, the impacts of these interventions for patients, their families, and treatment teams, as well as the challenges and facilitators of this process.Method This article, co-authored with PSW and FPSW, presents a description and discussion of the experience of implementing peer support and family peer support in EIS in Québec, supported by a perspective of a review of the scientific and grey literature published in French or English in the last twenty years.Results Eight of the 36 scientific articles and two of the 14 grey literature publications selected were specific to early intervention for psychosis; the remainder were on mental health intervention. These publications put into context the experience described by clinicians, PSW and FPSW, and illustrated by clinical vignettes. Different modalities of peer support have demonstrated a positive impact on young people with early psychosis: it contributes to the improvement of self-esteem, quality of life, emotional well-being and can facilitate the rehabilitation process and reduce hospitalizations. Family peer support can reduce the stigma surrounding mental health problems, foster hope and a sense of belonging, increase knowledge of the illness and its treatment, and promote better coping strategies by family members. Nevertheless, many challenges have been identified during the integration of peer support and family peer support within clinical teams: planning and funding the implementation of services, defining their roles in EIS, training, clinical supervision, etc. These challenges need to be identified and addressed quickly in order to optimize care for youth and their families. Various strategies have been proposed for the successful implementation of peer support in EIS, which remains limited in Quebec and in the French-speaking world. It requires the participation and support of all stakeholders, including health professionals, managers and decision makers.Conclusion Peer support and family peer support emphasizes lived experience as expertise, recognizing the contribution of people with psychosis and their families as sources of support and models for recovery. This perspective fits well with the philosophy advocated by EIS. This promising intervention, which has been put forward by various national policies or guides, would benefit from being rapidly implemented on a larger scale in Quebec EIS and in the French-speaking world. This would make it possible to study the positive impacts described for service users and their families with more rigorous research designs and larger samples.
Keywords: pair-aidance, pair-aidance famille, santé mentale, premier épisode psychotique, patient-partenaire, programme d'intervention précoce, rétablissement, peer support, family peer support, mental health, first episode psychosis, patient partner, early intervention services, recovery
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3694.More information
Objectives This article aims to synthesize the critical stages in the development of early detection and intervention services (EIS) for psychosis over the past 30 years, and to review key literature on the essential components and effectiveness of these programs.Method We conducted a narrative review of the literature on the international development of EIS leading to its endorsement as a service delivery model for young people with first-episode psychosis (FEP). We also reviewed various international and Canadian guidelines to identify consensus about the essential components of EIS for psychosis and their effectiveness. Challenges to the implementation of these different essential components are presented, along with practical solutions to addressing them. A particular emphasis is placed on implementing EIS in the Quebec context.Results Based on a model developed in the early 1990s, EIS for psychosis have now been disseminated worldwide and are deployed on a large scale in some regions, such as the United Kingdom and Quebec. The model's gradual expansion has been facilitated by efforts to identify its main objectives and the components essential to achieve them, and by several studies demonstrating its effectiveness.Along with an important philosophical shift to optimism and hope, EIS have typically focused on the twin aims of reducing treatment delay (or the duration of untreated psychosis) and enhancing engagement in specialized, phase-specific, developmentally appropriate treatment. A meta-analysis (published in 2018) demonstrated the superiority of EIS for psychosis compared to standard treatment on several outcomes including hospitalizations, relapse of symptoms, treatment discontinuation, and vocational and social functioning. Based on these studies and expert consensus, many jurisdictions around the world have developed guidelines to ensure compliance with essential components that are associated with the effectiveness of EIS, while accounting for their contextual realities. The components that have been prioritized include outreach to enable early identification and referral; rapid access to care and youth-friendly services; a range of biopsychosocial interventions (pharmacotherapy, cognitive behavioral therapy, psychoeducation, family interventions, integrated substance use interventions, employment and educational support); a shared-decision making approach; and the intensive case management approach adapted to FEP, which are all delivered by an interdisciplinary team. There is also increasing acknowledgement of the value of continuous evaluation that informs treatment decision-making and quality improvement. Conclusion EIS for psychosis have developed gradually and research has demonstrated its effectiveness. Disseminating the model in ways that ensure fidelity to its core values and the implementation of its essential components is needed to ensure effectiveness; and instill hope for recovery and improve the quality of lives of young people with psychosis and their families.
Keywords: intervention précoce, détection précoce, premier épisode psychotique, composantes essentielles, implantation de programme, early intervention, early detection, first-episode psychosis, essential components, program implementation
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3695.More information
Along other breakthroughs in computer sciences, such as artificial intelligence, virtual characters (i.e. digitally represented characters featuring a human appearance or not) are foreseen as potential providers of mental healthcare services. However, their current use in clinical practice is marginal and limited to an assistive role to help clinicians in their practices. Safety and efficiency concerns, as well as a general lack of knowledge and experience, may explain this discrepancy between the expected (sometimes futuristic) and current use of virtual characters. An overview of recent evidence would help pinpoint the main concerns and challenges pertaining to their use in mental healthcare. Objective This paper aims to inform relevant actors, including clinicians, on the potential of virtual characters in mental healthcare practices and to raise awareness on societal challenges regarding their use.Method A narrative literature review was conducted to summarize basic and clinical research findings, and to outline an in-depth discussion on various societal caveats related to the inclusion of virtual characters.Results Basic studies highlight several characteristics of the virtual characters that seem to influence patient-clinician interactions. These characteristics can be classified into two categories: perceptual (e.g. realism) and social features (i.e. attribution of social categories such as gender). To this day, many interventions and/or assessments using virtual characters have shown various levels of efficiency in mental health, and certain elements of a therapeutic relationship (e.g. alliance and empathy) may even be triggered during an interaction with a virtual character. To develop and increase the use of virtual characters, numerous socioeconomic and ethical issues must be examined. Although the accessibility and the availability of virtual characters are an undeniable advantage for their use in mental healthcare, some inequities about their application remain. In addition, the accumulation of biometric data (e.g. heart rate) could provide valuable information to clinicians and could help develop autonomous virtual characters, which raises concerns over issues of security and privacy. This paper proposes some recommendations to avoid such undesirable outcomes.Conclusion Due to their promising features, the inclusion of virtual characters will no doubt be increasingly prevalent in mental healthcare services. All involved actors should thus be informed about specific challenges raised by such breakthroughs. They should also actively participate in discussions regarding the development of virtual characters in order to adopt unified recommendations for their safe and ethical use in mental healthcare.
Keywords: personnages virtuels, avatars, agents virtuels, santé mentale, psychothérapie, virtual characters, avatars, virtual agents, mental health, psychotherapy
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3696.More information
Mayotte's coral reefs (342 km2), mangroves (8, 46 km2) and seagrass beds (7,60 km2) provide important ecosystem services of which the most important are the coastal protection, carbon sequestration, water purification and fish biomass production. The quantity and quality of these services have been decreasing steadily for several years and should continue to do so if no action is taken to contain anthropogenic pressures. The coral cover of the fringing reefs and the barrier reef has thus declined respectively by 60 % in 15 years and 15 % in 8 years, while the pioneer front of Sonneratia for mangroves has declined by 13 % in 6 years. As for the water quality, it suggests a degraded state of seagrass beds. The estimated annual value of these services amounts to EUR 151 million. This value would then rise to EUR 188 million if the ecosystems were in pristine conditions. This article shows that the preservation of coastal ecosystems is essential from an economic point of view.
Keywords: Valeurs d'usage indirect, services écosystémiques, récifs coralliens, mangroves, herbiers, Mayotte, Océan indien, Indirect use values, ecosystem services, coral reefs, mangroves, seagrass, Mayotte, Indian Ocean
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3697.More information
This article is the result of an introductory two-year case study project that investigated community libraries supported by the not-for-profit organization Libros Para Pueblos (LPP) in the state of Oaxaca, Mexico. Libros Para Pueblos (LPP) is a largely volunteer-run library organization based in the capital city of Oaxaca de Juarez. In order to analyse the work of LPP we used Mostert & Vermeulen's (1998) nine areas for evaluation of community libraries. Over the past 20 years, the number of libraries the organization supports has grown from two to more than 70 throughout the state. The work that has facilitated this growth is carried out by a small Mexican staff, along with an Executive Committee and a Board of Directors made up of Americans and Canadians living in Mexico. The work is both time consuming and demanding, but it is fuelled by a positive reading ideology that is a result of memories of childhood reading. This motivation is shared by a network of 11 Mexican Regional Volunteer Coordinators who train and support local library workers. The local workers are often doing their tequio, which is a social requirement of working for one or two years in public service. We argue that the success of LPP libraries is influenced by: 1) an organizational structure that mandates Mexican leadership at the Executive level and in paid staff positions; 2) initiation from local representative; 3) the unique and complex socialist community configurations of the Oaxacan region; 4) a community of retirees who volunteer at many levels; and 5) national and international donations.
Keywords: Bibliothèques communautaires, Mexique, Oaxaca, bénévolat, culture de la lecture, Community libraries, Mexico, Oaxaca, volunteerism, reading culture
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3698.More information
In this article, we share findings from an analysis of Ontario Catholic school board policy documents (N = 179) containing Canada’s newest human rights grounds: gender expression and gender identity. Our major finding may be unsurprising—that Ontario Catholic boards are generally not responding to Toby’s Act (passed in 2012) at the level of policy, as few boards have added these grounds in a way that enacts the spirit of that legislation. While this finding is likely unsurprising, our study also yielded findings that unsettle any facile binary of “Catholic boards/bad” and “public secular boards/good” in relation to gender diversity. We also leverage our findings to suggest a striking possibility for a vigorous and doctrinally-compatible embrace of gender expression protections in Catholic schools, if not gender identity protections. We argue that fear of gender expression protections may stem from an erroneous conflation of “gender expression” with “gender identity” when these are in fact separate grounds—a conflation that is also endemic within secular Ontario school board policy; this doubles as a conflation of gender expression with “transgender,” as the latter is unfailingly linked with gender identity human rights. We make a series of recommendations for policy, and a case for Catholic schools embracing their legal duty to provide a learning environment free from gender expression discrimination without doctrinal conflict and arguably with ample doctrinal support, so that students of all gender expressions can flourish regardless of whether they are or will come to know they are transgender.
Keywords: expression de genre, gender expression, identité de genre, gender identity, transgender, transgenre, Ontario, Ontario, conseils scolaires, school boards, policy, politiques, Loi Toby, Toby's Act, droits de la personne, human rights