Recovery from Anorexia Nervosa in Contemporary Taiwan: A Multiple-Case Qualitative Investigation from a Cultural-Contextual Perspective

2020 ◽  
pp. 136346152092032
Author(s):  
Yunung Lee ◽  
Ben C. H. Kuo ◽  
Ping-Hwa Chen ◽  
Nien-Hwa Lai

Grounded in a cultural and contextual perspective, the current study examined the lived experiences and the recovery pathways of three Taiwanese women diagnosed with various subtypes of anorexia nervosa, at varying stages of their recovery. Specifically, using a multiple-case qualitative method, this study explored the complex, dynamic interactions of sociocultural factors and forces (i.e., cultural, familial, and societal influences) that impinge upon the three Taiwanese female participants in relation to living with anorexia nervosa in contemporary Taiwan. Data were collected based on in-depth, semi-structured interviews with the participants and relevant written materials and journal entries provided by these participants. The data were first analyzed within each case and then again across all cases. Accordingly, we present the results of the study by illustrating each participant’s story and narrative of struggling with and recovering from anorexia. We then describe three main culturally-related themes that emerged from the cross-case analysis, which pertain specifically to the recovery process of the participants under the East-West ‘biculturalism’ in Taiwan: 1) anorexia as a function of the conflictual bicultural self; 2) recovery as a pathway towards an integrated bicultural self; and 3) the paradoxical roles of Chinese cultural heritage in anorexia and recovery. Findings of the study highlight the role of local cultural factors/forces, including Chinese familism, Confucianism, filial piety, face-saving, gender role prescriptions, biculturalism, Westernization, and self-relation-coordination, in affecting and shaping Taiwanese women’s struggling with anorexia. Implications and recommendations for future research and clinical interventions are discussed.

2020 ◽  
Vol 10 (3) ◽  
pp. 481-496
Author(s):  
Tiffany W.M. FONG

PurposeThis paper discusses the services and support from one of the government design-based business incubators in Hong Kong. The characteristics of a design business incubator are explained, and a multiple-case study indicates the perspectives of incubatees from different design disciplines after their graduation from the incubation programme.Design/methodology/approachThe research under discussion in this paper was based on eight design incubatees in different design disciplines within two years of incubation period, all of whom had participated in one of the government-funded business incubation programmes for designers in Hong Kong. The programme is unique because there are no other government-based incubation programmes for designers in Hong Kong. Semi-structured interviews were conducted to collect feedback from incubatees in areas ranging from terms of service to support of the incubation programme.FindingsThe services of training, mentorship and finance were found to be the most important to design start-ups. Financial support and flexible funding allocation were another important issue for design incubatees, but training in these subject areas was not included in the incubation programme. However, it was confirmed that funding provided may have helped a number of the incubatees in developing their start-up businesses as a result of the reduced financial burden and office allocation.Research limitations/implicationsThe research focused on one incubation programme because of the lack of incubation programmes for designers in Hong Kong, therefore future research which compares different types of business incubation programmes is suggested.Practical implicationsThe outcomes of the research not only identified the possible areas of development and improvement of business incubation in entrepreneurship but they will also be useful for the government, universities, institutions, designers, policy makers, entrepreneurs and practitioners. These, in addition to industry stakeholders who want to evaluate their entrepreneurship programmes and develop their plans for potential development in incubation- or entrepreneurial-related programmes or training, especially in the area of design, will find the results useful.


2019 ◽  
Vol 32 (2) ◽  
pp. 531-555 ◽  
Author(s):  
Lamia Laguir ◽  
Issam Laguir ◽  
Emmanuel Tchemeni

Purpose The purpose of this paper is to take into account Simons’ (1994) formal levers of control framework and more informal processes to examine how organizations implement and manage corporate social responsibility (CSR) activities through management control systems (MCSs). Design/methodology/approach A multiple-case study was conducted in ten large French organizations. Qualitative data were collected during in-depth semi-structured interviews with the managers who were best informed on CSR practices and MCSs. The authors then performed within-case and cross-case analysis. Findings The study shows that organizations use different MCSs to manage CSR activities directed toward their salient stakeholders – that is, employees, customers, suppliers and community. Specifically, the authors found that social MCSs are used to communicate CSR values, manage risk, evaluate CSR activities, and identify opportunities and threats. In addition, the use of MCSs to implement CSR activities is mainly driven by the need to satisfy salient stakeholder demands, manage legitimacy and reputation issues, and meet top management expectations and enhance their commitment. Last, the use of social MCSs is hindered by a lack of clear strategic CSR objectives and action plans, a lack of global standards and measurement processes for CSR, and a lack of time and financial resources. Originality/value The study addresses recent calls in the literature for research into the ways formal and informal control systems are used to implement CSR activities and provides insight that may stimulate further research.


2019 ◽  
Vol 23 (4) ◽  
pp. 551-571 ◽  
Author(s):  
Petchprakai Sirilertsuwan ◽  
Daniel Hjelmgren ◽  
Daniel Ekwall

Purpose Amidst offshoring and reshoring trends, the purpose of this paper is to explore why business practitioners, especially from the labour-intensive clothing industry, choose to manufacture some products in proximity to the high-cost European market. Moreover, the rise of sustainability concerns led us to further explore whether these reasons relate to triple bottom line (TBL): business, environment and society. Design/methodology/approach The content analysis was adopted for within-case and cross-case analysis of data from semi-structured interviews of managers from 12 clothing companies. Findings Within-case analysis showed enablers and barriers (factors) of proximity manufacturing within each company’s characteristics under TBL. Cross-case analysis showed the most-mentioned enablers (high-quality suppliers, short lead-time and fast replenishment) and barriers (expensive production cost and lack of industrial set-up and seamstresses). The findings revealed both common and different factors from existing studies. Research limitations/implications Besides being motives for companies to bring manufacturing back to Europe, the results can be used by researchers and companies to develop criteria and performance measures of manufacturing locations for enhancing the TBL sustainability. Future research may explore different locations and industries for possibilities of proximity–manufacturing generalisation. Social implications Findings show that governments could focus on eliminating barriers of proximity manufacturing and creating favourable institutional infrastructure for the European clothing industry and sustainability. Originality/value This paper highlights updated proximity–manufacturing factors from practices in relation to TBL sustainability, including support for proximity manufacturing as a practice for TBL enhancement.


Author(s):  
Johnny Yao

People’s expectations of aging are shaped by various sources and experiences. These aging expectations subsequently influence a person’s overall health and well-being. I intended to gain a deeper understanding of the various sources by which Filipino older adults attribute and reshape negative and positive expectations regarding aging. I used a multiple case study (Creswell, 2013) and enlisted eight participants who are 60 years old and older in a large metropolitan area in the Philippines and interviewed them regarding their aging expectations. I analyzed the data using cross-case analysis for comparison of commonalities and differences in the events, activities, and processes in the selected cases. Findings show that there are various sources such as personal, interpersonal, and sociocultural factors that shape aging expectations. Furthermore, those who have positive aging expectations accept that there are physical limitations but still maintain a positive outlook compared to those having negative expectations. Programs to educate people about the differences between normal and abnormal changes in old age should be implemented to clarify aging stereotypes.


2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Hannah Webb ◽  
Bethan Dalton ◽  
Madeleine Irish ◽  
Daniela Mercado ◽  
Catherine McCombie ◽  
...  

Abstract Background Admissions to intensive treatment (i.e., inpatient [IP] and/or day patient [DP]) for individuals with severe anorexia nervosa (AN) are common. Growing literature indicates potential risks and benefits of each intensive treatment approach; however, existing research has focused on patient and carer perspectives of these treatments. Also, there is scant empirical evidence available for guiding the parameters of intensive treatments for AN. We therefore explored clinicians’ perspectives and experience of supporting adults with severe AN in intensive settings. Methods We conducted twenty one semi-structured interviews with clinicians who deliver intensive treatments (i.e., IP and/or DP) for individuals with severe AN across four specialist Eating Disorder Services in the United Kingdom between May 2020 and June 2021. We asked clinicians about their views and experiences of supporting individuals with severe AN in intensive treatment settings and the challenges and opportunities associated with IP and DP treatment. Data were analysed using reflexive thematic analysis supported by NVivo software. Results Five broad and interrelated themes were identified: (1) Intensive Support; (2) The Severity of Patients’ Illnesses; (3) Hope and Recovery; (4) Which Treatment When; (5) Limited Resources; and (6) Carer Burden. We identified various similarities between the two intensive treatment approaches, including the value of intensive and multidisciplinary support and carer involvement, and the challenge of managing complex and unique needs in resource-limited intensive settings. We also found differences in the relationship of treatment to patients’ home environments, the necessity of patient motivation, and the management of risk. Conclusions Both intensive treatment settings are valued by clinicians; however, there are unique challenges and opportunities for supporting individuals with severe AN within each. Our findings suggest DP treatment may be used as an alternative to IP treatment for individuals with severe AN. However, clear questions remain over which intensive treatment setting is best suited to which patient when and should be the focus of future research.


Author(s):  
Ole Mathorne ◽  
Natalia Stambulova ◽  
Rob Book ◽  
Louise Kamuk Storm ◽  
Kristoffer Henriksen

The aim of this study was to explore 11 case examples of successful talent development collaborations between sport federations, municipalities, and local clubs in Denmark in order to identify potential shared features of successful collaborations. We hypothesized that each case example would be unique, but that they would also share features that could be organized to provide practitioners with a model to guide the improvement of their practice. Grounded in the holistic ecological approach, the study was designed as a multiple case study to facilitate a cross-case analysis. Three Danish sport federations (handball, ice hockey, and swimming), nine municipalities, and eleven local clubs participated in the study, and the data was generated from 23 semi-structured interviews with stakeholders. Analysis led to the construction of six shared features of successful interorganizational collaboration organized into: (1) a list of features (SFIC-TD) with positive and opposite pole descriptors and three categories: collaborative philosophy, collaborative decisions, and collaborative actions, and (2) an applied framework termed the pyramid model for optimization of interorganizational collaboration in talent development (PIC-TD) which illustrates how the abovementioned categories lead to collaborative outcomes. Developing a shared philosophy of talent development was found to be a foundational starting point for successful collaboration between relevant organizations on the micro- and macro-level to improve the local athletic talent development environment.


Author(s):  
Fikret Korur ◽  
Ali Eryilmaz

This study identified the process of interaction between students’ motivation and characteristics of two physics teachers: one who exhibited effective physics teacher characteristics frequently and one who exhibited the characteristics rarely. The two case teachers were selected to predict contrasting and comparable results. The data gathered from the semi-structured interviews, follow-up interviews, direct observation, video recordings, and field notes were analyzed both by single case and by cross-case analysis to strengthen the findings from two case teachers. Findings indicated that teachers’ characteristics like enthusiasm and giving examples from daily life increased students’ motivation by increasing their attention and willingness to participate in the classroom discussion. Even though a teacher frequently exhibited the effective characteristics by providing every opportunity for their learning, students wanted a classroom environment where they could stay calm and be more passive. The students did not like to be constantly forced by the teacher to share their views. In the lesson of a teacher who rarely exhibited the effective characteristics, students demanded a classroom environment where they could be more active. The students were not satisfied when their teacher avoided asking questions or had difficulty in solving the problems. Students, in general, resisted the teacher’s behaviors or characteristics when the teachers exhibited inconsistent behaviors.


Author(s):  
Zakaria Lissaneddine ◽  
Younès El Manzani ◽  
Mostapha El Idrissi

Digital transformation has become a key concern for many enterprises that social media now occupy an important place more than ever in the managerial strategies. The human resources (HR) function is considered as one of the organizational dimensions that have taken advantage of these digital platforms, especially for the employer branding purposes. This chapter aims to explore the practices that enterprises in Morocco use to manage their employer brand through social media to attract potential candidates, retain recruits, and limit turnover. To achieve this research objective, a multiple case study was carried out with managers from four customer relation centers through semi-structured interviews. The findings highlight the existence of digital ambassadorship and e-reputation oversight practices. Finally, this chapter also provides some managerial recommendations and future research directions.


2020 ◽  
Vol 26 (3/4) ◽  
pp. 247-262 ◽  
Author(s):  
Jan Terje Karlsen ◽  
Morten Emil Berg

Purpose This paper aims to study the influence of project managers’ signature strengths on project team resilience. Design/methodology/approach The authors performed a qualitative multiple case study design to explore the research question. Open-ended interviews, site visits, observations and documents were the data sources. The authors used character strengths and virtues within positive psychology as a theoretical framework in the data analysis. Findings The main finding of this study is that the project manager’s use of signature strengths influences the resilience of the project team. The cross-case analysis revealed four signature strengths – leadership, open-mindedness, persistence and hope – that influenced team resilience in all three studied cases. Research limitations/implications Future research should investigate other organizations, types of projects and countries so that the findings may be generalized. Practical implications This paper provides managers and teams with useful insights on signature strengths and team resilience. The findings stress the importance of managers being aware of their signature strengths and knowing how to use them. As the working situation today is often more complex, uncertain and difficult than ever, it is important to have resilient managers and teams. Originality/value This study contributes to increased knowledge on signature strengths and team resilience.


SAGE Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 215824402110710
Author(s):  
Atif Saleem Butt

The novel COVID-19 (coronavirus) has created havoc and massive disruption to firms’ business operations. While much literature has recently emerged on how this pandemic outbreak has affected the firms. Limited empirical studies to date exist on what actions firms are employing to reduce the spread of COVID-19 and further ensure business continuity. Our study attempts to fill this gap in management literature. This study employs a multiple case study methodology. Overall, 36 semi-structured interviews with eight different based in China were undertaken. Results reveal that Chinese firms are employing six distinct actions to control the spread of COVID-19 while ensuring that the business continues to run to its maximum capacity. In particular, firms are educating employees on the symptoms of COVID-19, implementing strict screening protocols, applying agile IT systems, revising their cash flow policies and conducting global scenario planning to mitigate the spread of COVID-19. This study concludes by discussing its implications for theory, alongside limitations and future research directions.


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