Understanding the secondary system of therapeutic alliance in autism interventions from the perspectives of parents and caregivers

This study utilized a sequential explanatory mixed-methods design in understanding the secondary system of therapeutic alliance from the perspectives of parents and caregivers of children with autism. In the quantitative phase, data from the accomplished questionnaires of 124 parent–caregiver dyads were collected and analyzed. Four factors extracted from the literature: treatment attitude, treatment compliance, level of stress, and perceived autism severity were examined as possible predictors of parent–therapist alliance, caregiver–therapist alliance, and parent–caregiver alliance. In the qualitative phase, eight parent–caregiver dyads (who both scored high in their alliance with therapist, alliance with each other, treatment attitude, treatment compliance, and level of stress) were interviewed to probe on their experiences of alliance-building, parenting, and caregiving. The integration of both quantitative and qualitative data led to the formulation of a conceptual framework that explains how the factors influence the secondary system of therapeutic alliance. These findings emphasize that tapping into the personal experiences of parents and caregivers can help in identifying what they value in a working, therapeutic relationship. Moreover, communication, skills training, and feedback among therapists, parents, and caregivers are essential to enhance positive attitude toward treatment, promote compliance to treatment recommendations, and address sources of personal stress. Nevertheless, this study calls for future studies to build into the factors associated with the systemic therapeutic alliance and to implement intervention programs that may target issues relating to attitude toward treatment, compliance to treatment, and experience of parental and caregiver stress.

Politics of alliance in the farmers’ march to Parliament in India

On 30 November 2018 tens of thousands of Indian farmers marched to Parliament and demanded a special session to discuss the deepening agrarian crisis. The protest march to Parliament was only the latest in a series of protest marches which had been organized by an umbrella group of over 200 farmers’ organizations from all over India. Moreover, for the first time, an alliance of different activist groups, political parties, trade unions and students had cohered to support the farmers and their cause. Despite its political, empirical and theoretical significance, research on the formation of alliances has gained scant attention in sociological research. Based on original research, this article suggests alliance building should be understood with reference to political opportunities, processes of meaning attribution and framing, and as a strategy, which facilitates worthiness, unity, numbers and commitment (WUNC displays, as outlined by Charles Tilly).

Gambian election presages authoritarian turn

Significance His main rival, Ousainou Darboe, placed a distant second with just under 28%. The result relates more to popular rejection of Darboe and savvy alliance-building than a popular endorsement of Barrow’s five years in office, which have been marred by scandals and broken electoral promises. Impacts Without a term limit for the presidency, Barrow is now poised to prolong his stay in office. The continued presence of regional forces will mitigate a coup risk. Barrow will apply the recommendations of the Truth, Reconciliation and Reparations Commission (TRRC) selectively to protect close allies.

From the Local to the State

Chapter 6 examines the campaign by Voices of Youth in Chicago Education (VOYCE) to pass SB100, the strongest state law at the time designed to combat the school-to-prison pipeline. It highlights the role of high school students in leading a struggle for their own liberation. It identifies key elements of VOYCE’s organizing strategy—elements that groups used across the country: personal storytelling to bring a human face and moral force to policy campaigns; participatory action research to demonstrate the systemic nature of racial inequities; and alliance building to provide greater resources to organizing efforts led by those most impacted. It also shows how the SB100 campaign emerged through an interaction between authentic, bottom-up concerns of VOYCE youth of color and national-level learning from the experiences of organizing groups across the country.

The World of Uncertainty: Is America Losing Its Leverage Towards a Looming New China–Russia Alliance?

The recent deterioration of US–China and US–Russia relations has stumbled the formation of a better world order in the 21st century. Washington’s concerns of the “great power realignment”, as well as its Manichean battle against China’s and Russia’s “illiberal regimes” have resulted in the activated alliance-building efforts between Beijing and Moscow, prompting the Biden administration to consider some wedging strategies. Despite their coordinated preparation to deter the US power, the Chinese and Russian leaderships seek to avert a conflict with Washington by diplomatic means, and the characteristic of their partnership is still leaving a “window of opportunity” for the United States to lever against the establishment of a formal Sino–Russian alliance.

Protest Demobilization In Post-Revolutionary Settings: Trajectories To Counter-Revolution And To Democratic Transition

This article examines two outcomes of demobilization in post-revolutionary contexts, democratic transition and counter-revolution. Complementing elite-driven approaches, we argue that the way demobilization ends is conditional upon the capacity of challengers to promote enduring alliances. Following a paired controlled comparison, we analyse two cases, Egypt and Tunisia and processes of alliance building and fragmentation preceding the 2013 coup d’Etat in Egypt, and the adoption of a new Constitution in 2014 in Tunisia. Data from semi-structured and in-depth interviews were collected through fieldwork in multiple localities of Egypt and Tunisia between 2011 and 2019. Results show that the fragmentation of the challengers’ coalition in post-revolutionary Egypt contributed to a counter-revolution while, in Tunisia, challengers’ alliances rooted in the pre-revolutionary period lasted throughout the phase of demobilization and supported a democratic transition. We conclude by discussing some alliance-based mechanisms accounting for a democratic transition: intergroup trust-building, brokerage and ideological boundary deactivation.

Vaccine alliance building blocks: a conjoint experiment on popular support for international COVID-19 cooperation formats

The design principles of institutions that visibly and significantly affect citizens’ lives are likely to be politically salient. Popular support for these principles is in turn crucial for institutional viability and effectiveness. Transboundary pandemics are a case in point. Understanding citizens’ preferences regarding the design of international alliances set up to mass-produce and distribute vaccines is likely to determine citizens’ subsequent cooperation with vaccination campaigns. This study explores Germans’ preferences for international COVID-19 vaccine alliance design principles. We conducted a conjoint experiment at a recurring cognitive moment in many pandemics’ cycles, between the initial outbreak and a more devastating but still-unknown second wave, when infection rates were very low, yet no policy solutions had been developed. We analyzed preferences regarding four building blocks: (1) alliance composition (size; EU-centrism), (2) alliance distribution rules (joining cost; vaccine allocation), (3) vaccine nationalism (cost per German household; coverage in Germany) and (4) vaccine producer confidence (origin; type). Distribution rules, political ideology and personal perceptions of pandemic threat matter little. But a larger alliance size and dominant EU-country composition increase alliance support. And vaccine nationalism is key: support increases with both lower costs and larger coverage for own-nation citizens. Moreover, support goes down for Chinese and American producers and increases for Swiss and especially own-nation producers. In sum, a realist and technocratic outlook is warranted at the cognitive stage in pandemic cycles when no solutions have been found, yet the worst already seems to be over, as national self-interest reigns supreme in popular attitudes.

Building a Cancer Coalition: A co-design framework for evaluating regionalism in the South Pacific

Background Cancer is a significant problem for the South Pacific region due to a range of complex and unique health challenges caused by shared social, environmental and economic factors. Currently gaps in diagnosis, treatment and palliative care are significant, and while governmental commitment is strong, economic constrains limit health system strengthening. Collaboration, alliances and partnerships in cancer control have been successful in resource constrained settings. A regional approach has therefore been recommended as an effective solution to addressing many of the challenges for cancer control in the South Pacific. However, comprehensive and appropriate information detailing how to effectively scope and establish a multi-national or regional coalition is scarce. This study therefore aimed to 1) create a Coalition Development Framework, and 2) use the Framework to co-design a South Pacific Cancer Control Coalition through consultation with key cancer control stakeholders working within Fiji, New Caledonia, Papua New Guinea, Samoa and Tonga. Results Analysis of the consultations with key cancer control stakeholders identified overwhelming appetite and support for a South Pacific Cancer Control Coalition. This paper details the following six coalition development outputs: coalition design and purpose, strategic imperatives, structure, South Pacific foundations, barriers and facilitators to coalition establishment and ongoing operations, priorities for action. Concurrent evaluation of the Coalition Development Framework using theory of change revealed the framework to be an effective mechanism to drive engagement, discovery, unification and action in alliance-building. Conclusions A regional Coalition to drive cancer control in the South Pacific has significant support among key Pacific stakeholders. Likewise, design and scope of the Coalition has been synthesised and mapped to guide feasible and appropriate establishment. Importantly our results also describe the effective implementation of a Coalition Development Framework in an applied setting, to guide future use. If momentum is continued, and a regional South Pacific Coalition established, the benefits in reducing the burden of cancer within the region will be substantial.

Therapists’ Contributions to the Alliance in Home-Based Family Treatment: The Role of Alliance Building Behaviors, Personality, and Clinical Experience

Alliance is a robust contributor to the outcome of adult, youth, and family therapy, but little is known about therapists’ contributions to the alliance in conjoint family treatment. We investigated the predictive value of therapists’ personality, clinical experience and observed alliance building behaviors for mid-treatment alliance as reported by therapists and family members. Participants were 77 parents and 21 youth from 57 families receiving home-based family treatment from 33 therapists. Therapist openness to experience and agreeableness as well as therapists’ in-session engagement and emotional connection behaviors predicted more positive therapists’ and family members’ reports of the alliance. Therapist neuroticism, extraversion and conscientiousness predicted more negative alliance-reports. In-session safety behaviors also predicted more negative alliance-reports, but this finding was only significant for therapists’ and not family members’ reports of the alliance. Clinical experience did not predict quality of alliances. We conclude that training and supervision of family therapists could benefit from focusing on emotional connection with and active engagement of family members in treatment, and from increasing self-awareness of the impact of their personality on alliances with family members.