Personal Context Research Articles

The relationship of paternalistic leadership and organizational commitment

Paternalistic leadership is reported to have a favourable correlation with employee organisational commitment. This commitment is provided in exchange for the paternalistic leaders' care, attention, and protection of employees in both professional and personal contexts. Nonetheless, numerous further research have identified a negative tendency in this association. This research employed a Systematic Literature Review (SLR) utilising PRISMA as the principal procedure, identifying 16 articles published from 2014 to July 2024 that investigate the correlation between paternalistic leadership and organisational commitment. This relationship is delineated through two frameworks: firstly, paternalistic leadership induces varying degrees of employee organisational commitment; secondly, organisational commitment serves as a mediator between paternalistic leadership and other variables. From these two schemes, it is evident that (i) a positive correlation exists between benevolence and moral leadership and organisational commitment, albeit with variations in the types of commitment elicited by these leadership dimensions; (ii) authoritarian leadership elicits a negative reaction towards two forms of organisational commitment (affective and normative) among employees, while inducing a marginally positive response towards continuance commitment; and (iii) organisational commitment as a mediator exhibits a "inconclusive" effect.

Fostering entrepreneurial ambitions in the UAE: A comprehensive study among undergraduate students

The purpose of this study is to analyze how the entrepreneurial mindset, social context, and entrepreneurial ambitions of university students in the United Arab Emirates (UAE) have progressed over time in terms of starting their businesses. The research aims to investigate the evolution of the entrepreneurship mindset, considering the implementation of educational and governmental policies over the past decade to promote entrepreneurship among UAE university graduates. To collect primary data and evaluate the impact of the studied variables on the dependent variable “entrepreneurial ambitions,” a self-created questionnaire was used. The results reveal a positive correlation between personal context variables and entrepreneurial ambitions, as well as between personality traits and entrepreneurial ambitions. Furthermore, the study demonstrates the constructive effect of education, government policies, and capital availability on fostering entrepreneurial ambitions in the UAE.

Sustainable Development through Competence-Based Education Strategy: Empowering Learners’ Progression for Self-Reliance

Competence-based education strategies have become a crucial element in modern educational environments, playing a vital role in guiding learners toward self-reliance. By prioritizing the acquisition of specific skills and knowledge, these approaches facilitate the development of practical abilities essential for independent success. Through a focus on mastery of competencies and their real-world application, learners cultivate a deeper understanding, self-sufficiency, and effective problem-solving skills, ultimately enhancing their capacity for lifelong learning and adaptability. As learners progress through competence-based programs, they build the confidence and skills necessary to navigate their educational and career trajectories with increased autonomy, thereby fostering a more self-reliant and empowered future. This review highlights the significance of integrating Self-Directed Learning Theory with competence-based education strategies, leading to enhanced learner autonomy, effectiveness, and adaptability in both personal and professional contexts. Keywords: Competence, Education, Learners, Self-Reliance, Sustainable, Development, Progression, Strategy

Evolving dementia care: An explorative study on the lived experience of older adults living with dementia in nursing homes using observational and biometric sensor data.

This study explores the lived experiences of older adults with dementia in Dutch nursing homes, focusing on daily activities and emotional responses. With a growing number of older adults with dementia, gaining a deeper understanding of their lived experience is imperative. Using a mixed-method narrative approach involving observations, informal interviews, and physiological monitoring through wearable sensors, the study engaged eight participants in psychogeriatric wards across two Dutch nursing homes. Observations and interviews aimed to provide context to daily activities, while wearable sensors tracked emotional responses through heart rate (HR) and heart rate variability (HRV). Key activities included eating, drinking, communication, mobility, and inactivity. Positive experiences were consistently observed during eating and drinking and communication, respectively influenced by the nursing home's social and organizational structures and social and personal contexts. In contrast, mobility and inactivity exhibited diverse physiological responses, reflecting a range of stress, concentration, or relaxation. This study offers valuable insights into the lived experiences of older adults with dementia in nursing homes. It highlights the generally positive nature of eating and drinking, shaped by social and organizational factors. Communication's impact varies with individual context. The study also reveals a complex interplay of emotions during activities related to mobility and inactivity, as evidenced by diverse physiological responses. Regarding implications for dementia care, the study emphasizes the need to redefine 'inactivity' as 'under-stimulation,' assess appropriate (in)activity levels, and acknowledge the significance of the nursing home's physical and organizational context. This redefinition should distinguish between 'physical' and 'mental' inactivity, address concerns related to under-stimulation, and cater to individual preferences. Recognizing the residents' restricted environment and reliance on care professionals and volunteers underscores the urgency of tailored approaches. Addressing these implications can provide fresh perspectives for evolving dementia care, creating a more supportive environment that promotes well-being.

Filmmaking as a Tool for Investigating the Positive Spatial Experiences of Disabled People.

Current studies at the intersection between architecture and disability focus on addressing the immediate needs of disabled individuals and often overlook the potential of built environments to create positive experiences. Additionally, conventional approaches for investigating disabled people's spatial experiences often fail to capture the inherent nuanced sensory and emotional aspects. This paper describes the process of filmmaking and the use of film to explore its contributions and limitations in the understanding on how personal and contextual factors influence individuals' positive spatial experiences. The film Places and Small Pleasures, produced by the Cluster for Spatial Inclusion at the Royal Danish Academy in collaboration with Nossell & Co, serves as a case study for a reflective inquiry. The filmmaking process involved participant interviews, transcript analysis, storyboarding, shooting, editing, and final screening. The analysis of the interviews with four selected participants revealed key spatial attributes and contextual phenomena contributing to their described positive experiences. Four distinct narratives emerged, highlighting the participants' diverse bodily conditions, emotions and feelings in their favorite places. Representations of their experiences through the film incorporated verbal and non-verbal cues, their bodily reactions, and contextual phenomena, offering an immersive sensory richness for the viewers. By capturing the embodied experiences of the four participants within their personal and spatial contexts, the filmmaking process enhanced understanding and empathy, enriching disability studies and fostering academic discourse in this domain through positive stories.

Extension of the 3 × 2 achievement goal model to university concert band performance

The purpose of this study was to determine the extent to which the 3 × 2 achievement goal model describes the goal orientations of university band students in two performance contexts. Students ( N = 183) enrolled in four concert band ensembles at two universities completed a goal orientation questionnaire, once in reference to personal music performance goals and once in reference to music performance goals as members of their university concert bands. The questionnaire, translated from the sports domain for use with musicians, measured the six goal orientations of the 3 × 2 achievement goal model: task-approach, task-avoidance, self-approach, self-avoidance, other-approach, other-avoidance. Results of confirmatory factor analyses indicate satisfactory fit of the six-factor model in the personal and ensemble contexts. In both contexts, the 3 × 2 model demonstrates better fit to the university band student data than ten alternative models. The model also demonstrates construct reliability and validity. Discussion includes evaluation of model fit differences between performance contexts. Future study of musician’s goal orientations could benefit from participant-level analysis and further examination of performance context differences. Continued development of a 3 × 2 achievement goal model scale for musicians could further bolster goal orientation research in the music domain.

Informal caregivers’ roles and needs regarding shared decision-making in severe aortic stenosis

ObjectiveTo provide insight into experiences, preferences and needs of informal caregivers (ICs) regarding shared decision-making (SDM) in severe aortic stenosis (AS) of patients ≥ 70 years, and the effect of the level of perceived SDM on ICs’ quality of life (QOL) and distress. MethodsMultiple methods study consisting of a questionnaire at baseline and 3-month follow-up and focus groups. ResultsNinety-nine ICs (67.6 ± 11.7 years) completed the baseline questionnaire, eighty-two ICs the follow-up questionnaire, ten ICs (70.6 ± 12.6 years) participated in two focus groups. ICs perceived that identifying them as discussion partners and addressing patients’ daily lives were least discussed with professionals (26.3 %; 59.6 %). Most ICs (63.9 %) preferred a collaborative decision-making (DM) role. The level of perceived SDM was positively associated with baseline QOL social relations (p = .038), and follow-up QOL psychological health (p = .048) and environment (p = .024). ICs experienced three roles in SDM: supporters in DM, stimulators in clarifying patient’s personal context, and DM partners. ConclusionICs play valuable roles in SDM for severe AS, but feel professionals do not consistently identify them as discussion partners. Practice implicationsProfessionals should involve ICs in SDM for discussing older patient’s QOL and personal context, which can inform personalized decisions regarding severe AS treatment.

Contesting Notions of Cultural Purity: Analysis of Yvonne Owuor’s Dust and The Dragonfly Sea

There is usually a pronounced tendency to venerate one's ethnic or communal culture and to abominate any perceived intrusions of other people's cultures. Trumpeting the pristineness of communal roots, traditionalists spread the belief in the mythic purity of their past and the intolerance of anyone or anything foreign that threatens its further existence. They feel duty-bound to protect the traditional culture from foreign influences. They do not appreciate mixed ethnic and cultural heritage; they think of themselves as pure in their ethnic and cultural origins. They are not open to borrowing foreign ideas and institutions that are considered the basis of contemporary cultures. Yet, there is always a masked recognition of mixed heritage. Cultural debates cannot be divorced from foreign influences. This study explores the contestation of the notions of cultural purity in Owuor's Dust and The Dragonfly Sea. Through the construction of narratives of experience, the lived and told stories re-imagined in the two literary works emphasize the diversity of cultural identities that are negotiated within personal, historical, and situational contexts. The study acknowledges that literature is a mirror of society, and contemporary literary works not only provide a lens through which the question of cultural construction can be understood. This study examines Yvonne Owuor's two novels to explore her representation of these post-colonial debates on cultural purity. The objective of this study is to demonstrate how notions of cultural purity are contested in Dust and Dragonfly Sea. The study employs the post-colonial literary theory. The main characters' experiences in Owuor's Dust and The Dragonfly Sea demonstrate that cultural purity is a mirage. The phrase 'cultural purity' is in itself oxymoronic. No culture can be divorced completely from other cultures. A culture contains many influences from other cultures. Even that which is considered a traditional or single culture has adopted a trait or practice from another in the past. Resistance to change, as exhibited in some traditional cultures emanating from the fear of extinction, are misgivings that hardly last for long. These so-called traditional cultures do not lose all their characteristics; rather, they borrow things from other cultures and evolve to accommodate new realities. The results of this study will be particularly significant because it will serve as a key reference point for post-colonial scholars with biases towards cultural fluidity.

Communicative Language Teaching and Contextual Teaching and Learning: Challenges and Prospects in Chinese High-School English Education

This paper explores two widely employed language teaching methods in second and foreign language education: Communicative Language Teaching (CLT) and Contextual Teaching and Learning (CTL), and analyzes their applicability in Chinese high-school English curriculum. CLT primarily focuses on developing students' "communicative competence", which encompasses linguistic, sociolinguistic, textual, and strategic abilities. CTL, on the other hand, emphasizes connecting academic knowledge to students’ personal, social, and cultural contexts, helping them understand and apply what they learn in real-life situations. While the goals of both CLT and CTL align with the objectives of the Chinese high-school English curriculum, which aims to enhance students' ability to use language effectively in real-life contexts, there are significant challenges in implementing these approaches in practice. Major obstacles include an exam-oriented educational system, teacher-centered classroom models, large class sizes, and insufficient teacher training in both CLT and CTL methods. The paper concludes that although CLT and CTL have the potential to enhance students' language competence, their widespread and effective application in Chinese high-school English classrooms remains limited due to these barriers.

Providing Context to the "Unknown": Patient and Provider Reflections on Connecting Personal Tracking, Patient-Reported Insights, and EHR Data within a Post-COVID Clinic

COVID Long Haul (CLH) is an emerging chronic illness for which the healthcare system continues to seek a common understanding of symptoms, diagnosis, and treatment. CLH experiences can differ drastically, necessitating personalized care plans. Because patients interact with different clinicians during their CLH journey, it becomes important to ensure interoperability and understand clinical relevance of different data that can support clinicians in making appropriate recommendations. We conducted qualitative research where we interviewed 13 patients, conducted a focus group with 8 clinicians, and analyzed care plan follow-up records. We report patient and clinician expectations from and interactions with clinic data. We uncover logistical challenges, personal contexts, and health barriers impacting patient compliance. As researchers embedded in the clinical system, we identify the potential of using multiple patient data streams to support personalized treatment and clinical decisions. We discuss technology design opportunities and provide actionable recommendations for improving clinical workflows and cross-provider collaboration.

Resilience in the Population of Cusco in Times of COVID-19

The COVID-19 pandemic has profoundly impacted the world, leading to millions of infections, deaths, and crises. In Cusco, Peru, this complexity has altered social structures and interpersonal relationships. This study aimed to explore human adaptation strategies developed during the pandemic in Cusco. A non-probabilistic sample of 40 adults from the province's eight districts was interviewed using phenomenological and ethnomethodological methods. Data were collected through in-depth interviews and analyzed using Atlas Ti software. Results indicate that the pandemic has changed personal and social characteristics, reflected in altered moods, worries, and priorities. Participants reported increased awareness of their vulnerability, heightened solidarity with others, and shifting family roles that necessitated new forms of coexistence, often with distorted responsibilities. Interpersonal communication became limited, relying heavily on technology, and there was a rise in individual responses, including the use of natural and chemical remedies. Overall, the study concludes that Cusco's inhabitants have developed various adaptation strategies to confront the pandemic, significantly impacting their personal lives and social contexts.

Patterns of shared meaning across personal narratives surrounding experiences with palliative care, serious illness, and the end of life

Prior observations of persistent public misconceptions and negative beliefs surrounding palliative care have led to extensive calls for public education on palliative care. Yet, the development of effective initiatives to improve public perceptions of palliative care is still hindered by a lack of research providing a deeper, contextualized understanding of the way people perceive and give meaning to palliative care. This study therefore set out to explore patterns of shared meaning across personal narratives surrounding experiences with palliative care, serious illness, and the end of life. These narratives were collected during a broad public engagement initiative on palliative care in Flanders, Belgium which included a call to share personal stories surrounding palliative care (which 72 persons did) as well as a Citizens' Forum in which 24 persons engaged in live conversations on palliative care. Reflexive thematic analysis was used to analyze the personal narratives and yielded four axes of meaning: 1) ‘Sense of Support’, describing feeling supported or abandoned on multiple levels with key elements of open and empathetic communication, being informed and listened to; 2) ‘Being-in-Time’, incorporating a renewed sense of temporality and the weight of uncertain prognosis; 3) ‘Constituting a Sense of Self while Coping with Life-Threatening Illness’, involving concerns surrounding role adjustments and posthumous reputation; and 4) ‘Going Through the Process of Dying’, unique to bereaved individuals' narratives, highlighting the importance of being informed during the dying process and honoring the wishes of the dying person. Together, these axes illuminate how both positive and stigmatized views on palliative care are shaped by broader patterns of meaning attribution, deeply ingrained in personal and social contexts. The identified narrative elements can play a crucial role in improving the content, reach, and impact of future public communication and education on palliative care, effectively enhancing public receptivity and engagement.

Hearts and minds: a community-based systems diagram exploring mental health following a cardiac event

Abstract Background/Introduction Following an acute cardiac event, individuals commonly face multiple emotional and mental health challenges. For many people, this change in their mental health will resolve over time. However, one in five will go on to develop major depressive disorder. The development of major depressive disorder is a complex co-morbidity that, if left unchecked, can increase the risk of subsequent cardiac events and mortality. Systems thinking methodology offers a novel approach to investigating factors that contribute to mental health following a cardiovascular event. Purpose This project aims to (1) unravel the complex system influencing mental health after a cardiac event and (2) pinpoint priorities for supporting individuals' mental well-being following a cardiac event. Methods Group model building workshops using Deakin University’s purpose-built STICKE software were conducted over Zoom to explore the interrelationships contributing to mental health following a cardiovascular event. Twelve participants, including consumers (n = 3) and healthcare professionals (n = 9) from across Australia, engaged in two 1.5-hour workshops. Guided by the prompt "Reflect on factors influencing a person’s mental health post-cardiac event", participants worked together to construct a systems diagram. This facilitated exploration, visual mapping, and identification of factors and priority areas influencing mental health post-cardiac event. The diagram was then analysed using the theoretical domains framework. Results The STICKE diagram developed demonstrates the interplay of various factors impacting mental health across the cardiac healthcare journey at both patient and system levels (see Figure 1). Using the theoretical domains framework, eight domains were identified: knowledge, skills of healthcare professionals, environmental context, personal context, emotional response to event and recovery, social influences, behavioural regulation, and beliefs about individual capacity. Knowledge (including health literacy and staff training), environmental context (addressing gaps in care and navigating the system), and social influences (such as social isolation) were domains that were consistently raised in the workshop (see Figure 2). Stakeholders also identified the following key priority areas: highlighting the need for additional support for staff and intervention to increase health literacy and knowledge around mental health. Conclusion(s) Supporting mental health post-cardiac events is a multifaceted challenge requiring a comprehensive community-level intervention, particularly in the initial weeks post-hospitalisation. The insights gained from this study will inform the co-design of an intervention aimed at increasing health literacy and knowledge around mental health following a cardiovascular event.

Analysis Of Audience Reception To Youtube Content One Percent-Indonesian Life School (In The Video Susah Ngobrol Karena Pemalu? Cara Mengatasi Kecemasan Sosial)

Social media serves as a communication tool tailored to users' needs and as a platform for disseminating health education messages to internet users. Satu Persen – Indonesian Life School utilizes its YouTube account to convey messages focusing on education and lessons not taught in schools. In this study, Stuart Hall's theory is employed to analyze how audiences respond to the educational messages from Satu Persen – Indonesian Life School in the contexts of dominant hegemonic position, negotiated position, and oppositional position. The research findings indicate that the audience consuming content from the Satu Persen – Indonesian Life School YouTube account in the video "Susah Ngobrol Karena Pemalu? Cara Mengatasi Kecemasan Sosial" have varied receptions. Seventeen informants interpret the message in a dominant hegemonic manner, one informant negotiates the position, while none interpret the message in an oppositional hegemonic position. Most informants respond positively to the content presented by the Satu Persen – Indonesian Life School YouTube account because they are able to adapt media messages to their culture, perspectives, and personal experiences. Overall, the informants align with the message conveyed by the Satu Persen – Indonesian Life School YouTube account, although they adjust one part of the message to fit their personal context. The informants, as audience members of the Satu Persen – Indonesian Life School YouTube account, perceive the figures appearing in the video as experts in the field of education, represented through the shared video content on YouTube

Exploration of Student Experiences and Perceptions of Self and Peer: Implications for Tailoring Supports.

Doctor of Physical Therapy (DPT) students have reported learning new behaviors, enhanced self-awareness, and personal and professional growth during their first year of DPT school. The purpose of this study was to explore in greater depth, through semistructured interviews, the student perceptions of self-identity and social identity. Seventeen early second-year DPT students from 3 universities. This investigation is an extension of a larger multisite study. Qualitative interviews were employed to enable the use of a constructivist lens to explore the importance of personal context in participants' experiences during the first year of DPT school. Students across programs shared similar characteristics and experiences. Three themes emerged: DPT students share common perceptions of themselves and classmates; sociocultural experiences shaped their actions and perceptions of self; and students recognized the need to change to be successful. The voices of the older second-career students and racially minoritized students were uniquely different from other participants. Doctor of Physical Therapy student experiences are similar across programs except for older students and racially minoritized students. Early professional identity formation was noted as well. A richer understanding of the personal characteristics, influential sociocultural factors, and student perceptions of self and classmates could enable educators to customize supports and educational strategies to help students understand the role their past and present experiences play in shaping their professional identities.

Language Dominance and Cultural Identity Predict Variation in Self-Reported Personality in English and Spanish Among Hispanic/Latino Bilingual Adults

Language is a fundamental aspect of human culture that influences cognitive and perceptual processes. Prior evidence demonstrates personality self-report can vary across multilingual persons’ language contexts. We assessed how cultural identification, language dominance, or both dynamically influence bilingual respondents’ self-conception, via self-reported personality, across English and Spanish contexts. During separate English and Spanish conditions, 133 Hispanic/Latino bilingual participants (70 female) completed the Big Five Inventory of personality. We used language use and acculturation surveys completed in both languages to calculate participants’ relative language dominance and identification with U.S.-American and Hispanic culture. Participants reported higher levels of agreeableness, conscientiousness, and neuroticism in English relative to Spanish. Language dominance predicted cross-language differences in personality report, with higher extraversion reported in participants’ dominant language. Within each language, greater endorsement of U.S.-American identity was associated with higher extraversion and conscientiousness and lower reported neuroticism. Agreeableness report in both languages was positively predicted by Hispanic identification. Our results clarify existing literature related to language and cultural effects on personality report among U.S. Hispanics/Latinos. These findings could inform assessments of self-relevant cognitions across languages among bilingual populations and hold relevance for health outcomes affected by cultural processes.

Successful strategies for preventing and controlling violence against people with intellectual disabilities: a scoping review

BackgroundViolence against people with intellectual disabilities is unfortunately a reality all over the world, as they are one of the populations most vulnerable to various forms of aggression. Assertive prevention and control measures are crucial to tackle and reduce this problem. The aim of this study was to map and summarize the main measures for preventing and controlling domestic violence against people with intellectual disabilities. MethodsThis was a scoping review conducted in accordance with the JBI guidelines. The databases consulted were: National Library of Medicine (PubMed); Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science; Excerpta Medica DataBASE (EMBASE); Latin American and Caribbean Health Sciences Literature (LILACS) and SCOPUS. Studies included in this review reported on strategies to address domestic violence against people with intellectual disabilities, published in the last ten years, in Portuguese, Spanish or English.ResultsA total of 11 studies were included in this review. Six studies had high methodological quality and five had moderate. Cognitive-behavioral intervention programs, educational technologies and/or auxiliary tools, along with the full participation of people with intellectual disabilities in domestic violence prevention measures are appropriate strategies for dealing with this issue.ConclusionDomestic violence against people with intellectual disabilities is relatively unexplored in the health-field scientific literature. Prevention and control measures should be developed with the active involvement of people with intellectual disabilities, generating engagement and knowledge. Preventive measures should be adapted to the personal context and conditions of individuals with special needs, such as those with persistent or chronic mental disorders.

Towards an End-to-End Personal Fine-Tuning Framework for AI Value Alignment

This study introduces a novel architecture for value, preference, and boundary alignment in large language models (LLMs) and generative AI systems, accompanied by an experimental implementation. It addresses the limitations in AI model trustworthiness stemming from insufficient comprehension of personal context, preferences, and cultural diversity, which can lead to biases and safety risks. Using an inductive, qualitative research approach, we propose a framework for personalizing AI models to improve model alignment through additional context and boundaries set by users. Our framework incorporates user-friendly tools for identification, annotation, and simulation across diverse contexts, utilizing prompt-driven semantic segmentation and automatic labeling. It aims to streamline scenario generation and personalization processes while providing accessible annotation tools. The study examines various components of this framework, including user interfaces, underlying tools, and system mechanics. We present a pilot study that demonstrates the framework’s ability to reduce the complexity of value elicitation and personalization in LLMs. Our experimental setup involves a prototype implementation of key framework modules, including a value elicitation interface and a fine-tuning mechanism for language models. The primary goal is to create a token-based system that allows users to easily impart their values and preferences to AI systems, enhancing model personalization and alignment. This research contributes to the democratization of AI model fine-tuning and dataset generation, advancing efforts in AI value alignment. By focusing on practical implementation and user interaction, our study bridges the gap between theoretical alignment approaches and real-world applications in AI systems.

Holistic support framework for doctors training as rural and remote general practitioners: a realist evaluation of the RVTS model.

To develop theory about how and why the supervision and support model used by the Remote Vocational Training Scheme (RVTS) addresses the professional and non-professional needs of doctors (including many international medical graduates) who are training towards general practice or rural generalist fellowship while based in the same rural or remote practice. We conducted a realist evaluation based on the RAMESES II protocol. The initial theory was based on situated learning theory, networked ecological systems theory, cultural theory and geographical narcissism theory. The theory was developed by collecting empirical data through interviews with 27 RVTS stakeholders, including supervisors, participants and RVTS staff. The theory was refined using a project reference and a stakeholder advisory group and confirmed using individual meetings with experts. Theory about how the contexts of person, place and program interacted to address professional and non-professional needs. The RVTS program offers remote access to knowledgeable and caring supervisors, real-time tailored advice, quality resources and regular professional networking opportunities, including breaks from the community. It worked well because it triggered five mechanisms: comfort, confidence, competence, belonging and bonding. These mechanisms collectively fostered resilience, skills, professional identity and improved status; they effectively counteracted the potential effects of complex and relatively isolated work settings. This theory depicts how a remotely delivered supervision and support model addresses the place and practice challenges faced by different doctors, meeting their professional and non-professional needs. The participants felt valued as part of a special professional group delivering essential primary health care services in challenging locations. The theory could be adapted and applied to support other rural and remote doctors.

The Necessary Rapprochement of Negative Affectivity, Personality Disorder, and Depression.

The relationship between depression and personality has long been a topic of interest in the fields of psychiatry and psychology, but consensus remains elusive. This lack of consensus poses a significant challenge in both diagnosis and treatment, especially in situations when otherwise effective therapies for depression fail. Our article aims to address this issue by reviewing the historical and recent conceptualizations of the relationship between depression and personality pathology. Specifically, we focus on the trait domain of negative affectivity found in the International Classification of Diseases, 11th Edition (ICD-11) and the Alternative Model for Personality Disorders (AMPD) as a connecting link between the two phenomena. We review recent empirical studies evaluating the association of negative affectivity, personality, and depression, along with investigations of the relationship between depressive disorders and personality disorders. Additionally, we describe the Hierarchical Taxonomy of Psychopathology (HiTOP) and the AMPD as organizing frameworks for understanding depression within a broader personality framework. Based on the available evidence, we propose that depressive disorders must be assessed within the context of the patient's personality in order to maximize treatment outcomes. Ultimately, this integrated approach can guide clinicians in developing unified treatment protocols and facilitate early detection and intervention for factors contributing to depression in order to minimize treatment resistance.