sense of self
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2022 ◽  
Vol 34 (4) ◽  
pp. 0-0

Patients’ emotions toward health IT can play an important role in explaining their usage of it. One form of health IT is self-managing care IT, such as activity trackers that can be used by chronic patients to adopt a healthy lifestyle. The goal of this study is to understand the factors that influence the arousal of emotions in chronic patients while using these tools. Past studies, in general, tend to emphasize how IT shapes emotions, underplaying the role of the individual user’s identity and, specifically, how central health is to the user’s self in shaping emotions. In this research, the authors argue that patients’ health identity centrality (i.e., the extent to which they consider health as central to their sense of self) can play an important role in forming their dependence on health IT by affecting their use of it directly and shaping their emotions around it.

Justin Mausz ◽  
Elizabeth Anne Donnelly ◽  
Sandra Moll ◽  
Sheila Harms ◽  
Meghan McConnell

Role identity theory describes the purpose and meaning in life that comes, in part, from occupying social roles. While robustly linked to health and well-being, this may become, however, when an individual is unable to fulfil the perceived requirements of an especially salient role in the way that they believe they should. Amid high rates of mental illness among public safety personnel, we interviewed a purposely selected sample of 21 paramedics from a single service in Ontario, Canada to explore incongruence between an espoused and able-to-enact paramedic role identity. Situated in an interpretivist epistemology, and using successive rounds of thematic analysis, we developed a framework for role identity dissonance wherein chronic, identity-relevant disruptive events cause emotional and psychological distress. While some participants were able to recalibrate their sense of self and understanding of the role, for others, this dissonance was irreconcilable, contributing to disability and lost time from work. In addition to contributing a novel perspective on paramedic mental health and well-being, our work also offers a modest contribution to the theory in using the paramedic context as an example to consider identity disruption through chronic workplace stress.

2022 ◽  
Siobhán M Griffin ◽  
Elaine Kinsella ◽  
Daragh Bradshaw ◽  
Grace McMahon ◽  
Alastair Nightingale ◽  

Predicting positive psychosocial outcomes following an Acquired Brain Injury (ABI) remains a challenge. Considerable research demonstrates that social group memberships can have positive effects on psychological well-being, particularly during life transitions. Social group memberships are argued to help people derive a sense of self. This prospective study examined if social group memberships (number of groups and connectedness with groups) could predict posttraumatic growth (PTG) in those affected by ABI. Thirty-six participants (10 females, Mage = 46.56, SD = 11.46) engaged in community rehabilitation services completed measures at two time-points. Mediation analyses demonstrated that the number of new group memberships (groups formed post-injury) predicted greater PTG at time 2, via stronger connectedness with these new group memberships (controlling for initial PTG). The observed results suggest that a focus on developing and strengthening connections with new group memberships may promote positive adjustment after brain injury.

2022 ◽  

A relative caregiver (commonly called a kinship caregiver) is rearing about 10 percent of children in the United States. While relative caregivers are typically a child’s grandparent, they can also be other relatives (e.g., aunts, uncles, siblings, cousins) or fictive kin (e.g., godparents). The most prevalent care arrangement is classified as informal, denoting an agreement voluntarily brokered between a child’s parent and relative caregivers. However, more commonly discussed in the literature is formal care, where a public child welfare entity has intervened in establishing safeguards for a child, resulting in court action that designates a child a ward of the state and authorizes placement with a relative caregiver. This dichotomous classification involves more nuanced typologies when considering the voluntary versus involuntary nature of agreements and the public versus private auspices under which they fall. For example, a child could be in an informal, private kinship care arrangement brokered by a public child welfare entity. Such distinctions are important not just for classification but because they are often associated with differential levels of support, financial provisions, public oversight, and outcomes (e.g., child well-being, permanency). While typologies vary, there are common reasons why children come to be reared by relatives, including child maltreatment, parental incarceration, physical or mental illness, addiction, death, or abandonment. For children removed from parental care for maltreatment, placement with kin tends to be preferred for most public child welfare agencies. Demographically, Black and Native children are most likely to be reared by kin. Caregivers tend to be women, unmarried, of color, and economically disadvantaged, with an average age of fifty. Kinship caregiver experiences differ, but most report satisfaction with the role and a sense of self-efficacy from ensuring that their relative’s child is safe, nurtured, feels loved, and remains connected to family. Although kinship care is considered a protective factor because children experience more favorable outcomes (e.g., stability) than their counterparts do, many caregivers report being under resourced and experiencing high stress levels. Likewise, many kinship caregivers lack knowledge and direction about legal issues, resources, and pathways to support. Safeguarding children and promoting their well-being is of paramount interest to those involved in kinship care. More recent research and state and federal laws recognize that to advance child well-being, financial provisions, services, and supports must be in place for children and caregivers. Despite significant gains in the past twenty years, the literature, well-supported programs and interventions, and policy related to kinship care remains inchoate.

2022 ◽  
Vol 9 ◽  
Zhengyue Jing ◽  
Shiya Zhang ◽  
Nan Zhang ◽  
Mei Sun ◽  
Chengchao Zhou

Purpose: Physical examination is a key component of child health management. Migrant children are a vulnerable group with lower healthcare service utilization, and this study aims to explore the effect of parental social integration on the physical examination service utilization for young migrant children under 6 years old in China.Method: This study conducted a secondary data analysis of the 2014 National Internal Migrant Dynamic Monitoring Survey in China. A total of 2,620 participants were included in this study. A total of 22 indicators were selected to measure social integration. Multivariate logistic regression was used to explore the association between parental social integration and physical examination use of young migrant children.Results: More than half (66.4%) of the migrant children aged 0–6 years had used free physical examination. Parental social integration, especially structural integration, was associated with the physical examination utilization of migrant children. Specifically, those migrant children's parents who had medical insurance (P < 0.05; OR = 1.29), who had participated in local activities (P < 0.001; OR = 1.98), who had registered local residents as neighbors (P < 0.05; OR = 1.34), and who had a deep sense of self-identity (P < 0.05; OR = 1.09) were more likely to take children to use physical examination.Conclusions: This study provided evidence that parental social integration was associated with migrant children's physical examination utilization, and this association was multifaceted, lying in the dimensions of economic, structural, and psychological integration. Improving the social integration of migrant parents would be effective to enhance the migrant children's healthcare service utilization.

Kathleen Ann Riddell

Based on in-depth interviews, this article examines the relationships fans develop with John Lennon and Johnny Cash. Fan attachments consist of an initial curiosity, to a more profound emotional bond or relationship with “religious” underpinnings. An externalized sense of self and the concept of a product of popular culture doing the work of religion highlight how fans develop relationships because they see more of themselves in the celebrity than do other fans. The notion of gradual development of an interpretive lens helps explain how these shifts happen over time. I conclude by considering what degrees of fan attachment say about the relationship between celebrity fandom and religion.

2022 ◽  
pp. 174165902110591
Kjetil Hjørnevik ◽  
Leif Waage ◽  
Anita Lill Hansen

Despite the strong relationships evidenced between music and identity little research exists into the significance of music in prisoners’ shifting sense of identity. This article explores musicking as part of the ongoing identity work of prisoners in light of theory on musical performance, narrative and desistance and discusses implications for penal practice and research. Through the presentation of an ethnographic study of music therapy in a low security Norwegian prison we show how participation in music activities afforded congruence between the past, the present and the projected future for participants by way of their unfolding musical life stories. Complementing existing conceptualisations of music as an agent for change, our study suggests that musicking afforded the maintenance of a coherent sense of self for participating prison inmates, whilst offering opportunities for noncoercive personal development. We argue that research into musicking in prison offers fruitful ways of tracing how the complexities inherent in processes of change are enacted in everyday prison life, and that it can advance our knowledge of relationships between culture, penal practice and desistance.

2022 ◽  
Vol 7 ◽  
pp. 6
Mira Leonie Schneiders ◽  
Constance R.S. Mackworth-Young ◽  
Phaik Yeong Cheah

Background: The first national COVID-19 lockdown in the United Kingdom between March to July 2020 resulted in sudden and unprecedented disruptions to daily life. This study sought to understand the impact of COVID-19 non-pharmaceutical interventions (NPIs), such as social distancing and quarantine, on people’s lived experiences, focusing on social connections and relationships. Methods: Data were generated through 20 in-depth online and telephone interviews, conducted between May and July 2020, and analysed using thematic analysis informed by an ecological framework. Results: Findings show that the use of NPIs impacted social relationships and sociality at every level, disrupting participant’s sense of self; relationships with their partners, household members, neighbours, and communities; and polarising social and political views. However, experiences of personal meaning-making and reflection, and greater social connectedness, solidarity, and compassion – despite physical distance – were also common. Conclusions: Participant’s lived experiences of the first UK lockdown underscore the interconnectedness of relationships at the individual, community and societal level and point towards the important role of trust, social cohesion, and connectedness in coping with pandemic stress and adversity. Where infectious disease prevention measures rupture sociality, support for social connection at every relational level is likely to help build resilience in light of ongoing COVID-19 restrictions.

2022 ◽  
Vol 12 ◽  
Sverre Varvin ◽  
Ivana Vladisavljević ◽  
Vladimir Jović ◽  
Mette Sagbakken

Most studies on refugee populations are organized around trauma-related issues and focus on explaining pathological factors. Few studies are anchored in general developmental psychology with the aim of exploring normal age-specific developmental tasks and how the special circumstances associated with forced migration can influence how developmental tasks are negotiated. This study is part of a larger mixed method study seeking to identify resilience-promoting and resilience-inhibiting factors, on individual and contextual levels, among asylum seekers and refugees on the move (passing through Serbia) and settled in reception centers in Norway. A strategic sample of 20 adolescent and young adult refugees/asylum seekers during flight in Serbia (10) and after arrival in Norway (10) was chosen from a sample of 178 refugees interviewed in depth in Serbia and at receptions centers in Norway. The sample reflects the focus of this paper, which is to explore adolescent and young adult refugees/asylum seekers’ psychological and social needs and resources during flight to and after arrival in the host country, including how developmental tasks are negotiated. Through qualitative analysis, experiences associated with the developmental changes the participants experienced before, during, and after flight are contextualized. Their sense of self, their relationships with their families and their perceptions of their situation as adolescents or young adults in a highly unpredictable situation are presented in the light of relevant theory and findings from similar refugee studies. All the participants have fled from dangerous and intolerable situations in their home countries. They describe extreme dangers during flight in contexts that are unpredictable and where they feel lonely and unsupported. Most have unmet psychosocial needs and have received little support or help for their mental health issues during flight or after arrival in Norway. Suggestions for interventions and resilience-promoting actions are given based on the findings of the study.

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