Common Themes Research Articles

Conspiracies Gone Wild: A Psychiatric Perspective on Conspiracy Theory Belief, Mental Illness, and the Potential for Lone Actor Ideological Violence

ABSTRACT Conspiracy theory belief (CTB) has been increasingly recognized as a driving force of extremist violence. This paper provides a psychiatric perspective on the phenomenon of CTB-driven violence in an effort to bridge the gap between psychiatry and terrorism studies. First, it makes a case for the growing relevance of CTB to ideologically-motivated violence and lone actor violence in particular. Next, acknowledging common themes of shadowy forces, clandestine plots, and malevolent motives, it argues that CTB can be reliably disentangled from delusional belief and examines the association between mental illness and terrorism with a critical and skeptical eye. Finally, after reviewing the association between CTB and terrorist radicalization within existing models from psychiatry and terrorism studies, it outlines five stages of ideological commitment to characterize the link between CTB and the perpetration of ideological violence. Rather than alternately “explaining” terrorism on the basis of mental illness or “blaming” it on ideological extremism depending on biased attributions, modeling ideological commitment through a normalizing cognitive and socio-epistemic framework can facilitate a less stigmatizing understanding of the link between CTB and ideologically-motivated violence.

Tragedy of the Commons in Crowd Work-Based Research

Academic scholars have leveraged crowd work platforms such as MTurk to conduct research and collect data, but the data quality crisis in crowd work has been an alarming phenomenon recently. Though prior studies have discussed data quality and validity issues in crowd work via surveys and experiments, they kind of neglected to explore the scholars’ and particularly the IRB's ethical concerns and the related policies in various ethical guidelines for crowd work-based research in these respects. In this study, we interviewed 17 scholars from six disciplines and 15 IRB directors and analysts in the U.S. and analyzed 28 research guidance documents to fill these gaps. We identified common themes among our interviewees and documents but also discovered distinctive and even opposing views regarding the approval rate, rejection, and internal/external research validity. Based on the findings, we discussed a potential Tragedy of the Commons regarding data quality deterioration and the disciplinary differences regarding validity in crowd work-based research. We further explored the origin of the data quality and validity issues in crowd work-based research. We advocated the IRB's ethical concerns in crowd work-based research be heard and respected further and be reflected in the ethical guidance for crowd work-based research. Finally, we proposed our research implications, limits, and future work.

A Survey of Knowledge and Use of Academic Library Services at a Pseudo-Satellite Location

Objective – Following a rapid increase in student population over a five-year period, Cape Breton University leased additional teaching space from a nearby cinema chain but did not account for students’ library needs. The local nature of the venue, combined with issues in transit to the main campus, created “local-distance” students. These students were surveyed on awareness and use of library resources and services to inform future services. Methods – Students whose classes were primarily located at the cinema chain were engaged in an anonymous survey regarding their knowledge and use of library services. These data were then analyzed for common themes and recommendations. Results – There were notable gaps in student knowledge and use of library resources and services, perhaps owing to the primary source of information regarding these – namely, friends, professors, and the website. The need for further outreach and onsite library workers was highlighted, as was the importance of library as space. Conclusion – While the library handled the new venue as well as possible, it is crucial for administrators involved in change management to remember that student learning involves more than individuals in a classroom seat.

The Adolescent Patient Perspective on Activity Limitations Following Sport-Related Concussion.

Assessment of sport-related concussion (SRC) has begun to include patient- reported outcome measures (PROMs). However, there is a limited understanding of which health limitations are most meaningful to adolescents following SRC. To explore patient-perceived activity limitations following SRC and throughout recovery to return-to-play (RTP) and mapped according to the International Classification of Functioning, Disability, and Health (ICF) model. Longitudinal. Secondary school athletic training facilities. Fifty patients (41 males, 5 females, 4 sex not reported, age=14.9±3.5 years, grade=10.2±0.93 level) with a medically diagnosed SRC. The Patient Specific Functional Scale (PSFS) was used to assess changes in the patient's condition and the impact the injury posed on their ability to perform activities. The PSFS is a self-reported assessment of health used to identify activity limitations and rate the difficulty of performing those tasks. The PSFS was administered to patients on days 3 (D3) and 10 (D10) following SRC and at RTP. Activities impacted by injury were coded into common categories and themes by a three-person research team for subsequent analysis. The coded themes were also mapped to the ICF domains, chapters, and categories. The dependent variables were the PSFS themes, number of activities endorsed, PSFS scores, ICF domains, chapters, and categories. Descriptive analyses and frequencies were reported for the dependent variables. A total of 157 different activities were identified at D3 and coded into 28 categories that fit into six themes: activities of daily living (ADLs), cognitive and school (COG), sports and physical activity (SPA), screen time (SCR), sleep (SLP) and social (SOC). On D3, all patients (50/50) identified at least one activity limitation. The majority related to SPA (37.6%) and COG (31.2%). Sixty percent of patients endorsed activity limitations at D10, primarily in COG (38.6%) and SPA (36.6%). All (100%) response categories were mapped to the ICF, with most (75%) fitting the activities and participation (AP) domain. Our primary findings suggest that sport-related concussion influences many facets of the lives of adolescent athletes. Specifically, adolescent athletes identified activity restrictions primarily related to physical activity and sports participation.

Cultural pathways to psychosis care: Patient and caregiver narratives from Puebla, Mexico.

The current study used the McGill Illness Narrative Interview (MINI) to explore patients' (n = 6) and caregivers' (n = 3) narratives about how they identified and sought care for psychosis. Participants were recruited from an outpatient clinic at the Hospital Psiquiátrico Dr. Rafael Serrano, a public psychiatric hospital in Puebla, Mexico. All participants consented to complete semi-structured interviews in Spanish. Thematic analyses were used to inductively identify common themes in participants' narratives. The results indicated that during the initial symptom onset, most participants noticed the presence of hallucinations but did not seek help for this hallmark symptom. Participants described seeking care only when they or their ill relative exhibited escalating aggressive behaviors or physical symptoms that were interpreted as common medical problems. As participants became connected to specialty mental health services, they began to develop a conceptualization of psychosis as a disorder of aggression. For some participants, this conceptualization of psychosis as an illness of aggression contributed to their ambivalence about the diagnosis. These results can be understood using a cultural scripts framework, which suggests that cultural norms are influenced by collective understandings of normalcy and valorization of behaviors. Implications for community campaigns are discussed.

Student evaluation of an instructional video on how to use a national medicines information resource.

The objective of this project was to obtain students' perception of an educational companion video designed to increase the understanding of a national medicines information resource. An instructional video was developed to guide students in utilizing the online version of the Australian Medicines Handbook (AMH). All students enrolled in the Bachelor of Pharmacy program during 2021 were given access to this video. A cross-sectional electronic survey was administered to evaluate the video's effectiveness and its impact on students' confidence. The survey results were analysed using both descriptive and inferential statistics, in addition to qualitative analysis to identify common themes. Ethics approval was obtained prior to conducting the study. Most students (78%; n = 72/92) reported that watching the video increased their understanding. The most growth in confidence was seen by students in their first or second year of study. Fifty-four percent (n = 48/89) of students was very likely or extremely likely to recommend the video to others, and 37% (n = 33/89) of students were somewhat likely. Students found the instructional video to be useful and expressed a desire for similar content to be integrated into other facets of teaching. The audio-visual mode of delivery was regarded as effective for this context. Constructive feedback included suggestions of incorporating more advanced educational features such as how to interpret comparative medication charts and interaction checkers. The 'How to use the AMH' video is a good introductory resource for undergraduate Australian healthcare students. Our results indicate that this video would be best suited to complement the teaching of students early on in their studies.

The teaching of Indigenous knowledge and perspectives in initial teacher education: a scoping review of empirical studies

ABSTRACT This scoping review examines the literature on teaching Indigenous knowledge and perspectives in Initial Teacher Education (ITE) programmes. The study explores how these programmes integrate Indigenous knowledge and perspectives into their curriculum and pedagogy to prepare teachers to work with Indigenous students and communities. The review identifies empirical studies focusing on the experiences of ITE students, faculty, and Indigenous knowledge keepers, highlighting common themes and best practices. The findings suggest that while many ITE programmes have incorporated Indigenous knowledge and perspectives into their curriculum, there is a need for greater attention to the pedagogical approaches used to teach this knowledge. There is also a need for programmes to build stronger relationships with Indigenous communities and to ensure that Indigenous knowledge is taught by teachers/educators who have received some training in consultations with the Indigenous knowledge keepers. The study highlights the importance of ongoing reflection and evaluation of ITE programmes to ensure that they are preparing the preservice teachers confident enough to embed Indigenous content in their teaching and, at the same time, meet the needs of Indigenous students and communities.

Adult Perceptions of Child Adjustment in Institutional versus Family Care in Ghana

AbstractResearch on institutional child care consistently has documented detrimental developmental outcomes. However, recent work in Ghana revealed a range in patterns of adjustment among children living in institutional care. The developmental patterns of children living in institutional care often were not significantly different from patterns seen among children living in families. A grounded-theory approach was used to understand Ghanaian adults’ perceptions of adjustment of children living in both institutional care and with families, and their beliefs about contributions to positive functioning. Qualitative semi-structured interviews were conducted with 38 caregivers, social workers, and teachers recruited from the Accra region in Ghana. Thematic analysis of responses was used to identify common themes described in the interviews. Interviews with participants revealed beliefs that children may struggle in one or more areas while still having strengths. Having basic needs met, a stable home, and a high level of adult support were the most common factors believed to contribute to positive functioning in both groups of children. Future studies or interventions targeting these areas will likely gain buy-in from stakeholders.

Physiotherapy and planetary health: a scoping review

Introduction Planetary health is deteriorating rapidly and climate change is one of the core boundaries for planetary health. Climate change is associated with worsening human health and physiotherapists are involved in managing its downstream effects on patients. Meanwhile, health care is a significant contributor to global carbon emissions. Objectives Identify and map the existing literature that explores the relationship between physiotherapy and planetary health. Methods Four databases and grey literature were systematically searched. Material was eligible if it explored physiotherapy theory or practice related to a change in the environment. Two independent reviewers screened article title and abstracts, then assessed the full-text for eligibility for inclusion. Characteristics and nature of the literature were extracted and synthesised descriptively. Results Thirty-four of 4510 outputs met the inclusion criteria. Twenty were journal publications and fourteen were available on websites. A common theme related to the concept of physiotherapy as an environmentally friendly healthcare practice (n = 8) which may be through promoting interventions that are environmentally friendly (n = 7) and encouraging sustainable practice as a profession (n = 6). Conclusion There is a strong global call for the physiotherapy profession to advocate for environmentally sustainable practice at individual and organisational realms. More empirical research on the relationship between physiotherapy and planetary health is now needed to strengthen knowledge of accessible and effective interventions to address this health crisis.

The Mythological Frontier as a Key to Understanding the Other: A Review of the “Myths from A to Z” Book Series

The authors employ the concept of the “mythological frontier” for analyzing the mythology of small communities, acknowledging that geographic and linguistic borders often do not coincide with mythological boundaries. Using philosophical anthropology, the mythological frontier helps to define the limits of the Other, enabling engagement with myth and the mythological from the periphery of contemporary consciousness.
 This paper aims to critically assess the “Myths from A to Z” series published by Mann, Ivanov, Ferber. This series covers a wide range of mythologies, including Scandinavian, Egyptian, Celtic, Indian, Greco-Roman, Sumerian, Japanese, Korean, Romanian, Slavic, Volga, and Karelian-Finnish. Myths are crucial for understanding the environment and drawing upon our cultural legacy, playing a significant role in helping individuals find meaning in the world and establish shared cultural and personal identities.
 The authors adopt various approaches to analyze the mythology of specific communities, focusing on the relationships between myth and culture, myth and fairy tale, or myth and epic. They also attempt to reconstruct comprehensive mythological systems or the historical pasts of the communities under study. A common theme across most books in the series is the self-construction and understanding of the Other (a different culture) through the “mythological frontier”, although this is not always explicitly stated.

Mapping Ethical Artificial Intelligence Policy Landscape: A Mixed Method Analysis

As more national governments adopt policies addressing the ethical implications of artificial intelligence, a comparative analysis of policy documents on these topics can provide valuable insights into emerging concerns and areas of shared importance. This study critically examines 57 policy documents pertaining to ethical AI originating from 24 distinct countries, employing a combination of computational text mining methods and qualitative content analysis. The primary objective is to methodically identify common themes throughout these policy documents and perform a comparative analysis of the ways in which various governments give priority to crucial matters. A total of nineteen topics were initially retrieved. Through an iterative coding process, six overarching themes were identified: principles, the protection of personal data, governmental roles and responsibilities, procedural guidelines, governance and monitoring mechanisms, and epistemological considerations. Furthermore, the research revealed 31 ethical dilemmas pertaining to AI that had been overlooked previously but are now emerging. These dilemmas have been referred to in different extents throughout the policy documents. This research makes a scholarly contribution to the expanding field of technology policy formulations at the national level by analyzing similarities and differences among countries. Furthermore, this analysis has practical ramifications for policymakers who are attempting to comprehend prevailing trends and potentially neglected domains that demand focus in the ever-evolving field of artificial intelligence.

Older Adult and Primary Care Practitioner Perspectives on Using, Prescribing, and Deprescribing Opioids for Chronic Pain

Guidelines recommend deprescribing opioids in older adults due to risk of adverse effects, yet little is known about patient-clinician opioid deprescribing conversations. To understand the experiences of older adults and primary care practitioners (PCPs) with using opioids for chronic pain and discussing opioid deprescribing. This qualitative study conducted semistructured individual qualitative interviews with 18 PCPs and 29 adults 65 years or older prescribed opioids between September 15, 2022, and April 26, 2023, at a Boston-based academic medical center. The PCPs were asked about their experiences prescribing and deprescribing opioids to older adults. Patients were asked about their experiences using and discussing opioid medications with PCPs. Shared and conflicting themes between patients and PCPs regarding perceptions of opioid prescribing and barriers to deprescribing. In total, 18 PCPs (12 [67%] younger that 50 years; 10 [56%] female; and 14 [78%] based at an academic practice) and 29 patients (mean [SD] age, 72 [5] years; 19 [66%] female) participated. Participants conveyed that conversations between PCPs and patients on opioid use for chronic pain were typically challenging and that conversations regarding opioid risks and deprescribing were uncommon. Three common themes related to experiences with opioids for chronic pain emerged in both patient and PCP interviews: opioids were used as a last resort, opioids were used to improve function and quality of life, and trust was vital in a clinician-patient relationship. Patients and PCPs expressed conflicting views on risks of opioids, with patients focusing on addiction and PCPs focusing on adverse drug events. Both groups felt deprescribing conversations were often unsuccessful but had conflicting views on barriers to successful conversations. Patients felt deprescribing was often unnecessary unless an adverse event occurred, and many patients had prior negative experiences tapering. The PCPs described gaps in knowledge on how to taper, a lack of clinical access to monitor patients during tapering, and concerns about patient resistance. In this qualitative study, PCPs and older adults receiving long-term opioid therapy viewed the use of opioids as a beneficial last resort for treating chronic pain but expressed dissonant views on the risks associated with opioids, which made deprescribing conversations challenging. Interventions, such as conversation aids, are needed to support collaborative discussion about deprescribing opioids.

Developing recommendations to improve identification, prevention, and response to suicide thoughts and behaviours among post-secondary students: A mixed methods study

Objective: This study aimed to generate recommendations regarding how to identify, prevent and respond to suicide thoughts and behaviors among post-secondary students. Methods: A convergent mixed-methods design with Nominal Groups Technique (NGT) was used. Post-secondary and high-school students and their caregivers generated and ranked recommendations. A Codebook Thematic Analysis approach guided analysis of the NGT-discussions and extended understanding of recommendations. Results: 88 individuals participated in 21 panels. Five key recommendations were identified: (1) increase student and staff education regarding suicide identification, prevention, and awareness of existing supports; (2) enhance rapid access to supports for those experiencing a crisis; (3) improve institutional academic supports for students following crisis; (4) reduce stigma; (5) improve communication regarding on-campus suicide. Common themes included perceived impact of attitudes, institutional barriers, and peer-support on suicide thoughts and behaviors. Conclusions: These recommendations can inform the development of student-centred interventions for improving mental health supports.

Acceptability and experiences of real-time continuous glucose monitoring in adults with type 2 diabetes using insulin: a qualitative study

Abstract Aims To explore the lived experiences of initiating real-time continuous glucose monitoring (rt-CGM) use in individuals with type 2 diabetes using insulin. Methods Twelve semi-structured interviews were conducted amongst individuals with type 2 diabetes taking insulin who were enrolled in the 2GO-CGM randomised controlled trial and had completed 3 months of rtCGM. Interviews were transcribed verbatim and analysed to identify common themes regarding their experiences. Results The interviews revealed three key themes: i) rtCGM as a facilitator of improved health behaviours; ii) the acceptability of rtCGM systems compared to capillary blood glucose testing; and iii) barriers to the continual usage of rtCGM technology – including: connection difficulties, longevity of the sensors, and local cutaneous reactions to the sensor adhesive. Conclusion Adults on insulin with type 2 diabetes find rtCGM systems widely acceptable, and easier to engage with than traditional self-monitoring of capillary blood glucose.

The economics of libraries

The present article describes recent developments related to the study of libraries in the field of economics. In terms of scope, there is considerable variation in economic applications, with research themes ranging from cost–benefit analyses to the impacts of libraries on educational outcomes, for example. In terms of approaches, the vast majority of articles in the field correspond to empirical studies employing library data, although there is some variation in terms of aggregation. In general, a first look at this burgeoning literature divides its main contributions into two broad sets: (1) one focused on the long-term effects of public libraries over economic outcomes and (2) another focused on the use of libraries as naturally occurring laboratories for the test of economic theories. Although there is not a common theme underlying the majority of contributions here surveyed, there are still sizable opportunities for economists – and social scientists, in general – who want to explore the research potential of libraries.

(081) Enhancing Treatment for Patients with Medically Unresolved Persistent Sexual Dysfunction: What can be Learnt from Mixed Methodology Evaluation-Research?

Abstract Introduction Introduction: In adult healthcare delivery worldwide, medically unresolved persistent physical symptoms (uPPS) are of significant concern (Bermingham et al., 2010; Sumathipala, 2007), with patients often requiring an enhanced therapeutic approach (Nimnuan et al., 2001; Dwamena, et al., 2009). When routine medical care is not achieving desired patient outcomes for Unresolved Persistent Sexual Symptoms (uPSS) (erectile dysfunction (ED), rapid ejaculation (RE), genital pain and diminished sexual desire), the evidence for the best practice is limited. More research is needed in this area and whilst RCTs remain the gold standard in evidence-based medicine, there are limitations. At present there is no international consensus on the use of mixed method research parameters in studies involving patients with uPPS. Sexual Medicine teams are ideally placed to develop an enhanced approach to their own uPSS sufferers. We share our experience of an evaluation-research process and report its use, adaptations, and important findings. Objective Objectives: To present our experience of Realist Evaluation methodology in developing a cross-modality consultation model: Engaging the adult patient with uPSS. Methods Methods: Following NHS ethical approval using RAMESES standards (Wong et al., 2013), we conducted mixed method data comparisons by 3 stages: 1. A wide scoping of the literature, 1990–2014, 2. A Realist Literature Synthesis (2001–2014) of efficacy or effectiveness of Short-term Psychodynamic Psychotherapy (STPP), compared through common themes of engagement with Cognitive Behavioural Therapy (CBT) for uPPS. 3. Demographics, referral sources, length of history and clinical intervention outcomes were extracted from an established NHS psychosexual service. The comparative literature findings were used to develop a common-factor thematic analysis of 24 full transcripts from four adult prospective consecutive cases. Validated measures of wellbeing and symptoms severity with goal attainment measures supported further. Results Main Results: A synthesis of the literature from stages 1. and 2., supported by clinical experience, led to a succinct definition for the majority of adult uPPS sufferers within which the uPSS cohort is embraced. A Realist equation, ‘Context plus Mechanism = Outcomes’, developed across the case data showed the simple means of discovering the unique precipitating, predisposing, and perpetuating factors of the individual’s uPSS (an approach potentially transferrable to other uPPS). Further, the extraction of common factors perpetuating the uPSS over time plus an accessible set of collaborative principles of engagement for disabling these, substantiated the consultation model. Of the measures, personal goal attainment improvements over time in therapy were the most aligned to the transcript analyses showing improved subjective outcomes and personal satisfaction. Conclusions Conclusions: The literature synthesis revealed the paucity of high-quality mixed method research into uPPS talking therapy interventions and none for heterogenous uPSS. This was the first use of an enhanced evaluation-research methodology in this context. Due to the data emerging from the embedded cases it was possible to construct the foundational cross-modality consultation model. At the time of the study, the lack of available clinical service comparator limits the generalisation of our findings to uPPS. Our experience shows from the systematically developed outcome data that realist evaluation can be used appropriately, requiring further research. Disclosure No.

(023) Mechanical Therapy After Inflatable Penile Prosthesis: A Scoping Review

Abstract Introduction While inflatable penile prosthesis (IPP) allows reliable axial rigidity, common complaints perceived are shorter penis and reduced glans engorgement. Pre-operative factors, such as vasculogenic erectile dysfunction (ED) or corporoglandular morphology, provide a convenient explanation. However, post-operative factors are more recently being interrogated. Post-IPP mechanical therapy protocols, like vacuum erection devices (VED), are being instituted to ameliorate these complaints. The physiological rationale is to improve perfusion of residual erectile tissues and limit cavernous fibrosis/pseudo-capsule formation. This has been hypothetically explained by upregulating endothelial nitrous oxide synthase release, decreasing hypoxia inducible factor and tissue growth factor 1. Post-IPP maximal inflation protocols similarly resulted in a more capacious and compliant tunica albuginea and capsule. Objective To assess the utility of post-IPP mechanical therapy in addressing common post-operative complaints and enhance prosthetic erection. Methods Intervention: Post-op mechanical therapy Population: Men with IPP for ED, with/without Peyronie’s disease (PD) Inclusion Criteria: Articles published in English with full-text available Search Strategy: Literature search was performed in June 2023 using Medline, PubMed, Embase and Scopus. PubMed search included “Mesh” protocols and “free text” to correctly capture study population. Articles relating to the intervention were identified with free text search searches (“VED,” “vacuum erection device,” “vacuum constriction device,” “penis pump,” “mechanical therapy,” or “rehabilitation”). Review Type & Analysis: While a systematic model was initially adopted, a scoping model was ultimately chosen given the limited available literature & variable outcome measures. In this way, we sought to identify knowledge gaps and scope of current literature to guide further studies in this field. Higher-powered analyses were not possible due to inter-study outcome measure variability. Results Initial search strategy retrieved 81 non-duplicate studies with 30 selected for initial screening after search limitations. Ultimately, 5 satisfied inclusion criteria after full-text review and were divided into 3 categories according to post-IPP protocol employed: Early activation (1), Maximal inflation (2,3) and VED (4,5) (Table 1). A common theme encountered was that mechanical therapy improved post-IPP penile length and girth, compared to immediate post-operative measurements. Only one study used a control group who had their device activated for the first time after 4 weeks. The intervention employed in this study was device activation immediately after surgery, left 80% inflated and deflated at 3 weeks, then full erection at night for 3 further weeks. Compared to the control, at maximum inflation, penile length mean was 3.28cm longer and circumference was 1cm greater. In each of these studies, the differences reported were statistically significant. This was also associated with an increased number of pumps required to achieve full inflation over time, irrespective of mechanical protocol used. Articles that reported IIEF-5 and EDITS scores demonstrated a statistically significant improvement over time with post-op intervention. Conclusions Within limits of the included studies, post-implantation mechanical therapy appears to be useful in improving penile dimensions and patient satisfaction over time. The correlation with increasing number of pumps implies that compliance of the tunica albuginea and residual cavernous tissue may play a role in the pathogenesis of shorter penis post-IPP. Further high-powered studies in this area are warranted. Disclosure No.

(250) A Case Study with an Egyptian Transgender Woman's Transitioning Phases

Abstract Introduction Transgender individuals face numerous challenges in their journey to affirm their gender identity. In Egypt, transgender individuals face additional challenges due to social and legal constraints. This case study aims to provide an in-depth look at the transitioning phases of an Egyptian transgender woman, including the challenges she faced and the support she received. Objective The objective of this study is to investigate the transitioning phases of an Egyptian transgender woman in her thirties, including demographic history, social and legal constraints, past traumas, psychiatric management, medical and surgical procedures, and outcome. Methods This study will use a case study approach, focusing on a single Egyptian transgender woman. Data will be collected from interviews with the participant, as well as with her family members, friends, and healthcare providers. The interviews will cover topics such as demographic history, social and legal constraints, traumas, psychiatric management, medical and surgical procedures, and outcome. Written consent was acquired from the participant, her family and all involved parties. Conflict of Interest: the author declares that he was the psychotherapist for the participant before, during and after the transition, the psychotherapy was ended 4 years ago Results The data collected from the interviews will be analyzed using thematic analysis to identify common themes and patterns related to the participant’s transitioning phases. The analysis will focus on the challenges faced by the participant, as well as the support she received from her family, friends, and healthcare providers. Conclusions This case study aims to provide valuable insights into the transitioning phases of an Egyptian transgender woman. By identifying the challenges faced by the participant and the support she received, this research can inform the development of strategies for improving the health and well-being of transgender individuals in Egypt. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: rakhawy hospital for mental health.

Recent Trends in Creativity Research: An Analysis of Keywords in Four Prominent Creativity Journals

ABSTRACT Although there have been several analyses of creativity scholarship and its changing emphases over time, these patterns and their trajectory over time have not been analyzed at a journal-by-journal level. Yet creativity journals are not interchangeable, and understanding how they differentially cover core topics can offer insight into the growing field of creativity studies. This study analyzed the listed keywords for articles published in four major creativity journals based on fifty coded thematic areas. Overall, education/K-12, creative problem-solving/creative cognition, research methodology, analytic thinking/reasoning, and cognitive flexibility/divergent thinking were the most common keyword themes. Several differences in the twenty most common keywords emerged across the four journals; some were expected (e.g. Psychology of Aesthetics, Creativity, and the Arts was high on aesthetics/psychology of art and Thinking Skills and Creativity was high in education/K-12) and others were not (e.g. Journal of Creative Behavior was high on creative products/outcomes and Creativity Research Journal was high on business/organizations). Regression analyses revealed several weak keyword trends across time (e.g. increases in research methodology and creative self/self-beliefs). Together, these results provide researchers a view of what has been recently been published in the field and how specific journals vary, albeit with the caveat that journal leadership often changes.

“She is Like a Sister to Me”: Children’s Lived Experience with Their Dog

ABSTRACT This study aimed to explore the relationship between children and dogs through their cohabitation, highlighting the ways children experience, interpret, and give meaning to the role of the dog in their everyday lives. Thirteen children (6 females, 7 males) aged 7–12 years from Thessaloniki, Greece, who had been living with a dog for at least the past three years, participated in the study. From September 2018 to June 2019, we conducted a series of semi-structured interviews with each child and also used supplementary means of data collection, such as photographs, drawings, videos, and diaries. The interviews were recorded and subsequently transcribed. Hermeneutic phenomenological analysis was applied to illustrate the participants’ reflections on their experiences of living with a dog. From the analysis, the three most common themes identified were that dogs: (a) facilitate routines and habits, (b) contribute to family dynamics, and (c) provide emotional support in daily life. The study findings give insight into dog–child relationships, as well as evidence regarding children’s lived experiences through the fundamental supportive role of the dog as a transitional object.