Dylan Kneale, Patrick Sholl, Chris Sherwood and Jessica Faulkner
The purpose of this paper is to explore how minority stress and the experience of societal level hostility towards lesbian, gay and bisexual (LGB) people and their relationships…
Abstract
Purpose
The purpose of this paper is to explore how minority stress and the experience of societal level hostility towards lesbian, gay and bisexual (LGB) people and their relationships may have impacted upon their relationships and relationship histories.
Design/methodology/approach
This paper introduced the minority stress framework and examines the relationship histories of a small cohort aged 50 at the last sweep of data collection.
Findings
The minority stress framework states that societal level hostility will lead to unequal treatment and psychological distress among minority groups, which could impact on their relationships histories. In these data, those people we identify as being LGB were significantly more likely to have had a higher number of cohabiting partnerships, were less likely to have had longer-term cohabiting relationships, and were less likely to be in a relationship at age 50. This is despite LGB people placing an equal importance on partnership and marriage. These results are accompanied by caveats, but the authors conclude that if minority stress does impact upon relationships, it is upon the stability and length of relationships.
Practical implications
Compared to older LGB couples, opposite sex couples, are more likely to have been in receipt of peer and especially familial support for their relationship, particularly around times of relationship crisis. Additionally, for those same sex couples that did approach professional sources of support, such as couple counselling, heteronormative and even hostile attitudes from counselling providers may have meant that experienced and informed support was not available when needed. The findings therefore pose a challenge to service providers to ensure that relationship support and allied services are available and adapted to meet the needs of older LGB people, whose previous contacts with these service providers may have been substantially less than positive, and whose need for relationship support may be greater.
Originality/value
The needs of older LGB people and their relationships are often overlooked. The use of a small sample of cohort data to examine these issues provides new insight into the way in which older LGB people may age differently to non-LGB people.
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Sam Robertson, Helen Leigh-Phippard, Donald Robertson, Abigail Thomson, Jessica Casey and Lucy Jane Walsh
This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact…
Abstract
Purpose
This study aims to explore the experiences of peers working in a range of roles within a single NHS mental health service. This study also aims to provide evidence of the impact of existing support, organisational structure and culture around peer working and provide recommendations for a Good Practice Guide for Peer Working. Peer roles require lived experience of mental health conditions and/or services. While the impact on them of using their own lived experience is not fully understood, anecdotal evidence suggests that peer workers may experience a greater emotional impact than other mental health workers. Burnout and retention are particular concerns.
Design/methodology/approach
This was a two-stage study using focus groups and reflexive thematic analysis in Stage 1. The key themes formed the basis of the Stage 2 workshop, which provided recommendations for a Good Practice Guide. The study team consisted of peer researchers with lived experience, supported by a Lived Experience Advisory Panel.
Findings
There is a perceived lack of support and an increased peer burden for peer workers. Recommendations included relevant ongoing training and development; support and supervision; and organisational cultural change.
Originality/value
Working within a peer-led co-production framework, this study contributes to the development of the evidence base for peer emotional labour. Based on the findings, a Good Practice Guide for Peer Working is being developed to promote good practice for the development of future peer worker roles.
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This paper sets out to analyse both the dominant constructions of childhood and the prevailing sexual scripts embedded in international reports on the sexualisation of childhood…
Abstract
Purpose
This paper sets out to analyse both the dominant constructions of childhood and the prevailing sexual scripts embedded in international reports on the sexualisation of childhood debate.
Approach
Four international reports from the United Kingdom, Australia and the United States are analysed using Foucauldian Discourse Analysis whereby the sexual subjecthoods made available to children and images of childhood itself can be interrogated.
Findings
This paper finds that a broad-brush approach to sexualisation renders consumption and embodiment as ‘sexualised’ and problematic. Gender remains unproblematised and sexuality as an issue is palpable by its absence. The reports show a lack of attention to the voices of children and a denial of their moral agency. Innocence is constructed as a fundamental yet unstable feature of childhood which requires protection from the insidious external forces of 21st century sexual cultures. Childhood thus functions as a motif for the state of society as a whole.
Value
Identifying the dominant constructions of childhood, sexualisation, gender and sexuality, by analysing how these concepts are defined, understood and talked about within international responses to the issue of the sexualisation of childhood, light can be shed upon the sanctioned ways made available to ‘do’ sex, gender and sexuality and to ‘be’ a child, a boy, a girl, a ‘sexual’ or a ‘sexualised’ being. In addition, this enables evaluation of the ways in which images of the child are mobilised for policy and political agendas and how childhood functions as both a barometer for, and symbol of, the well-being of a society.
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Diane Crone, Phil Tyson and Jessica Holley
This paper provides a summary of the current state of knowledge on the use of physical activity as an adjunctive treatment in schizophrenia. There is a well documented…
Abstract
This paper provides a summary of the current state of knowledge on the use of physical activity as an adjunctive treatment in schizophrenia. There is a well documented relationship between physical activity and mental health, which is reflected in numerous health policy recommendations for practice, in both the promotion of mental health and in the treatment of mental health problems. In schizophrenia, this association is also recognised, and research has suggested that participation in physical activity regimes can have beneficial effects on positive and negative symptoms, psychological well‐being and anxiety and tension. However, a neglected area of research is in the potential for physical activity to remediate the cognitive deficits in schizophrenia. Physical activity has been shown to enhance cognitive function in a wide variety of clinical and non‐clinical populations, however this body of research has not yet extended to schizophrenia populations. The authors argue that this should be a future priority.
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Jessica Aquino and Kathleen L. Andereck
This paper aims to examine volunteer tourism (VT) experiences of three stakeholder groups in Rio de Janeiro, Brazil. The guiding research question is: how does VT influence…
Abstract
Purpose
This paper aims to examine volunteer tourism (VT) experiences of three stakeholder groups in Rio de Janeiro, Brazil. The guiding research question is: how does VT influence marginalized communities from the perspectives of different stakeholders? This study was developed to address a need for further research that critically looks at the social impacts of VT in vulnerable communities and analyze the nature of VT by reviewing concepts related to sustainable tourism and social representation theory (SRT).
Design/methodology/approach
Using a phenomenological approach, this study is founded on SRT to understand the lived experiences of VT and the perceptions of its impacts on favela (slum) communities. This paper describes and interprets these meanings with a high degree of depth and richness using interviews, observation and document analysis. The experiences of community residents, voluntourists and non-governmental organization (NGO) staff are considered.
Findings
Study findings indicate that the different groups expressed several benefits and obstacles to VT. Voluntourists had a difficult time interpreting what influences VT has in general for the community focusing more inwardly on their personal experiences. Community residents experienced VT differently than the other groups. They identified the most benefits from VT and felt that they had the ability to create representations of themselves and of their community overall. NGOs expressed positive aspects of VT such as more community participation but noted concerns with voluntourists’ commitment.
Originality/value
This study is one of few to consider and compare the VT perceptions of three different stakeholder groups in vulnerable communities.
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The introductory chapter in the volume offers a rationale for bringing together, in an edited collection, contributions from authors who emphasize the continued relevance of…
Abstract
The introductory chapter in the volume offers a rationale for bringing together, in an edited collection, contributions from authors who emphasize the continued relevance of mentoring in academia. The focus of mentoring in the volume is on enabling academics to orient their practice towards the Sustainable Development Goals (SDGs); the introduction highlights the selection of SDGs discussed, as well as critically reflective responses to these in existing literature. The structure of the volume and of individual chapters is mapped for the benefit of readers. The volume is a hybrid text, combining academic scholarly reflection with narrative vignettes and with dialogue excerpts, to illustrate more fully SDG-oriented mentoring practices and experiences. The principles underpinning the writing methodology and the sources which have helped shape these principles are discussed here. As well as unpacking the writing methodology, the introductory chapter spotlights three core texts on mentoring which informed the volume at proposal stage and throughout the writing process. A personal note on mentoring from the volume editor is followed by a ‘pause and reflect’ section, which offers questions for the reader to consider when engaging with some or all the chapters in the volume.
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Disabled women are reported to be between twice and five times more likely to experience sexual violence than non-disabled women or disabled men; when these are hate crimes they…
Abstract
Background
Disabled women are reported to be between twice and five times more likely to experience sexual violence than non-disabled women or disabled men; when these are hate crimes they compound harms for both victims and communities.
Purpose
This user-led research explores how disabled and Deaf victims and Survivors most effectively resist the harm and injustice they experience after experiencing disablist hate crime involving rape.
Design/methodology/approach
Feminist standpoint methods are employed with reciprocity as central. This small-scale peer research was undertaken with University ethics and supervision over a five year period. Subjects (n=522) consisted of disabled and Deaf victims and Survivors in North of England.
Findings
The intersectional nature of violence against disabled women unsettles constructed macro binaries of public/private space violence and the location of disabled women as inherently vulnerable. Findings demonstrate how seizing collective identity can usefully resist re-victimization, tackle the harms after disablist hate crime involving rape and resist the homogenization of both women and disabled people.
Practical implications
The chapter outlines inequalities in disabled people’s human rights and recommends service and policy improvements, as well as informing methods for conducting ethical research.
Originality/value
This is perhaps the first user-led, social model based feminist standpoint research to explore the collective resistance to harm after experiencing disablist hate crime involving rape. It crossed impairment boundaries and included community living, segregated institutions and women who rely on perpetrators for personal assistance. It offers new evidence of how disabled and Deaf victims and Survivors can collectively unsettle the harms of disablist hate crime and rape and achieve justice and safety on a micro level.
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While the involvement of service users in mental health research has increased, a review of the literature suggests that this apparent increase in involvement does not necessarily…
Abstract
While the involvement of service users in mental health research has increased, a review of the literature suggests that this apparent increase in involvement does not necessarily coincide with service users having a ‘louder voice’ or greater control over service delivery.The purpose of this investigative study was to explore the barriers and support systems for service user‐led research within a local NHS trust. The study focused on an original research project that set out to be service user‐led by designing and piloting an evaluation tool to measure satisfaction with care planning across the trust. The paper describes a qualitative methodology that captured stakeholder's experiences of why the original project did not reach its intended conclusion. Interviews were conducted with a range of professionals and service users, alongside participant observations of steering group meetings. Data were analysed using a grounded theory approach that led to the identification of key lessons for those intending to involve service users in research in the future. The findings suggest that there are many support systems that can assist service user‐led research, but there are still too many barriers to implementing it effectively; in particular, processes surrounding ethical approval and the stigma attributed to such research by some professional staff.The lessons learned are presented to assist in the education and training of mental health service user researchers or professionals who are conducting research collaboratively with service user colleagues.
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Wendy Bryant, Geraldine Vacher, Peter Beresford and Elizabeth McKay
The modernisation of mental health day services has been shaped by concerns about the social exclusion of people with enduring mental health problems. Initiatives have emphasised…
Abstract
The modernisation of mental health day services has been shaped by concerns about the social exclusion of people with enduring mental health problems. Initiatives have emphasised the use of mainstream facilities and an individualised approach. In contrast, service users have sought to safeguard opportunities for peer support in safe places. This participatory action research brought together service users, staff and others involved, to explore how these different views could be transformed into modernised services. The research took place in an outer London borough from 2003‐2007, using varied methods to explore social networking, including a visual method, action research groups and individual interviews. The research was designed and adapted to enable the involvement of people with different capacities and interests. Each stage generated findings for local modernisation, pointing to the importance of a safe space, service user knowledge of social and recreational activities and how self‐help groups develop and thrive. The final reconfiguration of local services reflected these research outcomes. Credible and useful outcomes can be achieved from collaborative research, allowing time and creating opportunities to shape interpretations of policy. Emerging initiatives are more likely to reflect service user perspectives and receive their support.
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– The aim of the research is to assess the extent and value of mental health service user (MHSU) involvement in research in England.
Abstract
Purpose
The aim of the research is to assess the extent and value of mental health service user (MHSU) involvement in research in England.
Design/methodology/approach
This is a knowledge review, including academic and “grey” literature, and documented testimonial evidence.
Findings
The involvement of MHSUs in mental health research has become mainstream. There is clear evidence that involving MHSUs in research adds value. Four gaps in the literature were identified. First, a lack of evidence from non-service-user researchers about their experience of working with MHSUs. Second, a lack of recognition that anyone involved in research may hold more than one role. Third, failure to treat carers as separate from MHSUs, or – often – to include them at all. Fourth, a lack of understanding that MHSUs may have a useful role to play in research on topics other than mental health.
Research limitations/implications
The literature would benefit from some evidence about non-service-user researchers’ experiences of working with MHSU researchers. Carers should be recognised much more widely as different from MHSUs and with a valid role to play in mental health research from their own perspectives. MHSU researchers, and carer researchers, should be offered opportunities for involvement in research on topics other than mental health.
Practical implications
The evidence shows that involving service users in research can benefit everyone involved and the research itself. The process can be challenging for all concerned. However, there is now plenty of guidance about how to involve service users in research for maximum benefit to all (e.g. Faulkner, 2004b; SURGE, 2005; Morgan, 2006; Tew et al., 2006; Kotecha et al., 2007; Schrank and Wallcraft, 2008, pp. 243-247; Leiba, 2010, pp. 160-169; Armes et al., 2011; Morrow et al., 2012, p. 114). This guidance should be consulted by researchers, funders, ethics committees, and other stakeholders at the earliest possible stage of any relevant project.
Social implications
It is essential to recognise and acknowledge that anyone involved in research may hold more than one role. Embracing multiple and mutable identities is not an easy process, as the literature shows, and attempts to do so are likely to produce resistance at every level. Nevertheless, the example of the survivor researchers suggests that doing this has the potential to enrich our individual and collective experience, and therefore society as a whole.
Originality/value
The paper is written by an independent researcher who is also a carer for people with mental health problems: a viewpoint which is rarely found in the literature. The literature suggests that power imbalances and identity issues are at the root of most difficulties and gaps. Social identity and categorisation theory offers a useful theoretical perspective. The paper will be of value to anyone interested in mental health research, whether as a student, service user/survivor, researcher or teacher.