Societies, Volume 7, Issue 2 (June 2017) – 13 articles

In order to explore what an anthropological material culture approach to disability would comprise, we take Tim Ingold’s morphogenetic approach to life as continuously unfolding, a result of things engaged in a dance of animacy, and in processes of ‘making’ as our central point of departure. This approach allows for a continued understanding of disability’s constructed nature; however, this approach is one that has a material, and not a discursive, point of view. We will focus on footwear and explore its material and evolutionary history, and how it has been shaped throughout different historical periods and in different parts of the world. Our central understanding of a material approach to disability is one that concerns how body-objects, such as shoes, are to be remembered. Therefore, we start with research in an archive of human material culture, namely a collection of clothing and footwear, situated in North America. We will then focus on recent contemporary African and Asian engagement with prosthetic shoes for physically disabled people. These examples are then confronted with a well-known case from the Chinese cultural repertoire; namely, that of bound feet and lotus shoes. By examining many examples from across the globe, we intend to illustrate the many ways in which the body, shoes, and the ground, all correspond to each other in a dance of animacy. Disability is sometimes an instigator, and, in many cases, either a mediator or an accelerator, within this correspondence. Materially, the making and use of footwear is a central component to one being classified as a synaesthetic sentient being in the world. Shoes for disabled people are designed with the feet in mind, and their construction is a more labor-intense process than it would be for those who have lesser degrees of disability. It appears that disability is not a matter of either/or, but is instead a matter of degrees of vulnerability. The bodily function of walking, as well as shoes themselves, are articulated in space and time. Theoretically, we ask whether disability might also advance our understanding of humans beyond thinking in terms of normative standards and of the modern, given that the areas examined here involve processes of making, correspondence, and ultimately life itself. We claim that the human is to be found in the dance of animacy, shoes–feet–ground, and that disability is felt and articulated in materiality. We also claim that the posthuman, as observed in the human–machine connection, may have always existed after all. Finally, we will explain how the human and the modern can be found in the materially-made nature of disability, and we suggest that it might be better to orient future research from a transmodern perspective that contextualizes disability in multiple ways in which one might be considered to be modern. Full article

Children of imprisoned parents have a two times greater risk of health problems, including difficulties in their environment, academic and behavioural problems as well as social stigma. Focusing on children who have parents in prison has not been a priority for research. This review aims to describe current knowledge on children who have imprisoned parents in a global context and highlight areas for additional research. This review highlights the coping strategies that children of imprisoned parents use and explores interventions that exist to support children of imprisoned parents. This review employed a qualitative narrative synthesis. The database search yielded 1989 articles, of which 11 met inclusion and quality criteria. Stigmatizing children due to parental imprisonment was a widespread problem. Children’s coping strategies included maintaining distance from the imprisoned parent, normalizing the parent’s situation and taking better control over their lives through distraction, sports, supportive people and therapy. Children received the best support in school-based interventions or mentoring programmes. The overall low quality of the included studies indicates a need for further research. Full article

Whole-system approaches linking workplace health promotion to the development of a sustainable working life have been advocated. The aim of this scoping review was to map out if and how whole-system approaches to workplace health promotion with a focus on management, leadership, and economic efficiency have been used in Nordic health promotion research. In addition, we wanted to investigate, in depth, if and how management and/or leadership approaches related to sustainable workplaces are addressed. Eighty-three articles were included in an analysis of the studies’ aims and content, research design, and country. For a further in-depth qualitative content analysis we excluded 63 articles in which management and/or leadership were only one of several factors studied. In the in-depth analysis of the 20 remaining studies, four main categories connected to sustainable workplaces emerged: studies including a whole system understanding; studies examining success factors for the implementation of workplace health promotion; studies using sustainability for framing the study; and studies highlighting health risks with an explicit economic focus. Aspects of sustainability were, in most articles, only included for framing the importance of the studies, and only few studies addressed aspects of sustainable workplaces from the perspective of a whole-system approach. Implications from this scoping review are that future Nordic workplace health promotion research needs to integrate health promotion and economic efficiency to a greater extent, in order to contribute to societal effectiveness and sustainability. Full article

In light of the European refugee situation, we investigate how information about others’ support influences individuals’ willingness to help. When individuals see information about other people supporting refugees, they may either be influenced by a descriptive norm, and act accordingly. Alternatively, they may perceive that others are already doing the job, and thus engage in social loafing. In an experiment (N = 132), we tested these competing predictions. Specifically, participants were exposed to a map of Germany that either indicated many or few helping initiatives across the country. In a control group, no map was shown. Subsequently, participants were asked about their willingness to help. While there was no effect between the two map conditions, results revealed that participants reported lower willingness to help in both map conditions, compared with the control group. Thus, providing information about helping projects results in social loafing, jeopardizing widespread communication strategies to increase solidarity. Full article

The aim of this article is to describe a theoretical framework, i.e., theoretical underpinnings and pedagogical principles, for leadership programs that support managers’ evidence-based knowledge of health-promoting psychosocial work conditions, as well as their capability to apply, adapt, and craft sustainable managerial work practices. First, the theoretical framing is introduced, i.e., a system theory that integrates key work conditions with a practical perspective on managerial work and organization. Second, pedagogical principles and measures for leaders’ training in integrated handling across system levels are described. Last, we present summarized results from an intervention study applying the theoretical framework and pedagogical principles. The complexity of interactions among different factors in a work system, and the variety in possible implementation approaches, presents challenges for the capability of managers to craft sustainable and health-promoting conditions, as well as the evaluation of the program components. Nevertheless, the evaluation reveals the strength of the program, in providing holistic and context-sensitive approaches for how to train and apply an integrative approach for improving the work environment. Full article

New biomedicalized forms of longevity, anti-aging ideals, and the focus on successful aging have permeated the current sociocultural and political climate, and will affect the future of aging. This article examines changing attitudes towards sexual practices and the perception of sexuality in later years, as exemplified in Erica Jong’s middle and late life works and interviews. Instead of succumbing to anti-aging culture and biomedicalization of sex in old age, Jong reveals alternative ways of exploring sexual practices in older age, and challenges a pharmaceutical market that promotes the consumption of medication to enhance the idea of virility and ‘sexual fitness’ in older men. Jong’s work undoes the narrative of decline that portrays older individuals as sexually inactive and frail, and, at the same time, shows that the interest in sexual intercourse and the erect phallus gradually becomes less important as people grow older. This qualitative narrative analysis opens the discussion for reconsideration of late-life sexuality beyond biomedical understandings of late-life sex and old age. The study also reveals how a literary approach can provide alterative and more realistic perspectives towards sexual experiences in later stages of life that can have significant implications for healthcare policy and the future of aging. Full article

Background: Based on widespread critique of the moralizing paradigm that has long characterized much of the work conducted within the field of health promotion, Steno Health Promotion Research has developed a comprehensive health promotion approach consisting of five principles that constitute the framework for a new intervention paradigm. The five principles are: (1) A broad and positive health concept; (2) Participation and involvement; (3) Action and action competence; (4) A settings perspective and (5) Equity in health. Objectives: To describe a comprehensive health promotion approach consisting of five principles; to present research and development projects based on this set of principles; and to discuss experiences and results from implementing the health promotion principles in healthcare practices. Results and conclusion: The principle approach enables consolidation of hitherto disparate approaches into a single comprehensive approach. The principles have turned out to be productive and effective “management tools” that have led to new discoveries, but also helped to identify limitations. Full article

Looking backward for a usable past has long been an instructive way to gaze into the vagaries of an uncertain future. I learned the merits of this approach training to be an historian. And as an historian interested in gerontology, I grew to appreciate the value of studying continuities and changes in human development set into motion before late life. This essay begins in the present with my imminent retirement. It then looks retrospectively at my academic career with the hope that emerging scholars can profit from the journey. Full article

Oral history provides researchers opportunities to assess narratives and compare them to existing theories of aging. Oftentimes the discussion of psychosocial theories of aging does not include the oldest-old. The purpose of this study was to assess evidence of psychosocial theories of aging within oral history narratives from a subsample of 20 centenarians from the Oklahoma 100 Year Life Oral History Project. Analysis utilized seven theories: Activity Theory, Continuity Theory, Disengagement Theory, Theory of Gerotranscendence, Modernization Theory, Selective Optimization with Compensation (SOC) Theory, and Socioemotional Selectivity Theory (SST). Researchers used content analysis to assess each oral history narrative and noted Activity Theory and Gerotranscendence had the most evidence. Most centenarians described how they were extremely active well into older adulthood. Common themes across oral history narratives indicated that centenarians maintained a preference for activity such as formal work. Centenarians also reported a readiness for death and little fear of it. In addition, increased time spent reflecting on spirituality and religion indicated changes in self-discovery. Identification of Disengagement and Socioemotional Selectivity were sparse in the transcripts. It is possible that to reach such longevity, centenarians relied on their communities and support networks to achieve this status. It is also possible that centenarians outlived individuals in their social networks who were emotionally fulfilling. Further qualitative work should assess evidence of psychosocial theories among other long-lived older adults. Full article

Starting from Beck’s concept of reflexivity, the paper investigates differences in risk perception regarding wireless technologies expressed by older people living in Romania and Catalonia (Spain). We combine evidence from conversations held with older individuals in different research projects together with an ad-hoc media content analysis. Our research reveals that seniors’ discourses were consistent with the media prominence of different types of risks in each country. Results show that seniors’ discourses on health risks relate to the way the media discussed them, with Romanian participants, in contrast to older people from Catalonia, expressing no concerns about electromagnetic radiation. Also, Romanian seniors were more concerned about the risk to others—younger family members—whereas seniors in Catalonia were more concerned about their own risks. Seniors from Romania made more references to the country’s development. We discuss aging futures in societies with different risk perceptions. As the media presents the risks associated with digital technologies in differing lights, people’s perceptions are formed accordingly. Also, in countries where technology is perceived as good per se, the techno-optimistic discourse would be reinforced not only by the media but also by the groups exposed to the highest social pressure towards technology adoption—for example, seniors. Full article

The trajectory of participation in health research by community social actors worldwide has been built on a history of community participation from the Ottawa Charter Health Promotion call for community mobilization, to the emancipatory educational philosophy of Paulo Freire, to social movements and organizing for health and social justice. This paper builds on this history to expand our global knowledge about community participation in research through a dialogue between experiences and contexts in two prominent countries in this approach; the United States and Brazil. We first focus on differences in political and scientific contexts, financing, and academic perspectives and then present how, despite these differences, similarities exist in values and collaborative methodologies aimed at engaging community partners in democratizing science and knowledge construction. We present three case studies, one from the U.S. and two from Brazil, which illustrate similar multi-level processes using participatory research tools and Freirian dialogue to contribute to social mobilization, community empowerment, and the transformation of inequitable societal conditions. Despite different processes of evolution, we observed a convergence of participatory health research strategies and values that can transform science in our commitment to reduce health and social inequities and improve community wellbeing. Full article

Background: The Norwegian National government has developed public health policies that reflect health promotion principles, and these are particularly reflected in the recent Public Health Act (PHA). The counties (CMs) have been given a central role in the implementation of the PHA, and in this paper we explore how the CMs fill this role. Methods: Qualitative as well as quantitative data have been applied; a survey, a document study and personal interviews have been conducted. Results: The findings show that the CMs find it challenging to influence all sectors to change the focus from classical lifestyle issues to a focus on the social determinants of health. The Directorate of Health has the main responsibility for implementing the PHA, but the signals from the Directorate are not always consistent. The Directorate still launches campaigns and interventions to improve diets and stimulate physical activity, without launching them in the context of the PHA. Conclusion: The CMs regard the supporting role toward the municipalities as their highest priority. However, they find it hard to anchor and integrate the principles of the PHA. They explain this partly with the sectorised government organisation. Full article

There is an increasing amount of evidence suggesting youth sports clubs are an important setting for health promotion. Adolescents in sport club settings can benefit from exposures of positive and negative consequences to health. To better understand the sport club context and coaches’ health promotion activity in substance use prevention, this study compares sport club members with non-members aged between 14–16 years old on their experience and use of alcohol, smoking and snuff and coaches’ health promotion activity on substances. Methods: Adolescents (n = 671) from sports clubs and from matched schools (n = 1442) were recruited in this study. Multiple binary logistic regressions were performed on substance use. Results: Higher prevalence of substance use was associated with discussions of substances, often held by coaches. Significantly fewer girls who are sport club members had experiences in alcohol, smoking or snuff than their non-member counter-parts, the differences among boys varied by substance. Fewer sport club members experienced smoking than non-members. More boys used snuff than girls. Conclusions: The most salient points for health promotion were that girls who were sport club members used fewer substances and for boys the picture was more complicated. Coaches could be using reactive strategies through informal learning to address substance use in clubs, although more effective training on substance use for coaches is needed. Full article