Milieu Research Articles

Organizational silence and hidden threats to patients' dignity with schizophrenia: A qualitative study.

Maintaining patients' dignity is a key ethical requirement in healthcare and is emphasized in nursing standards. This issue is particularly significant for patients with schizophrenia because they face unique challenges such as physical and psychological difficulties, dependence on others, and social isolation, making them more vulnerable. Organizational factors can either threaten or preserve their dignity. However, there is little knowledge in this domain within the sociocultural context of Iran. This study aimed to explore the role of the healthcare organization in the dignity of patients with schizophrenia, based on the opinions of patients, healthcare personnel, and family caregivers. This qualitative study was conducted with 26 participants (16 patients, 4 family caregivers, 2 nurses, 3 psychologists, and 1 service worker) who were selected using a purposeful sampling method. The data were collected through semi-structured, in-depth face-to-face interviews until data saturation was reached. The data were analyzed via Graneheim and Lundman's method. The study protocol was approved by the Research Ethics Committee of Urmia University of Medical Sciences (IR.UMSU.REC.1401.099). Based on data analysis, participants reported the three following challenges as organizational hidden threats to patients' dignity: "Lack of facilities," "premature management," and "ineffective communication." The study findings indicated that the healthcare organization does not support the dignity of patients. Management inefficiency and lack of facilities are evident in psychiatric hospitals, and healthcare centers are not monitored based on standard criteria. Limited interactions between healthcare personnel and patients were identified as the main reasons for the neglect of patients with schizophrenia and the violation of their dignity. The results of this study can help healthcare policymakers in designing and implementing effective programs to preserve the dignity of patients with schizophrenia.

Traditional medicine use to manage hypercholesterolemia, hyperglycaemia and hypertension in Ecuador

Abstract Background Although the use of traditional medicine (TM) to manage health issues is frequently reported, clinical guidelines often overlook this practice. This study aimed to describe the frequency of TM use to control 3 cardiometabolic risk factors for non-communicable diseases (arterial hypertension, hypercholesterolemia, and hyperglycaemia, collectively referred to as CMRF here); and associated sociodemographic, economic, and clinical characteristics. Methods Descriptive cross-sectional study with a representative population of two health districts in Ecuador, one urban in southern Quito and one in a forested rural area with diverse ethnic groups in Esmeraldas. We included 602 individuals with at least one CMRF and calculated the proportion of those who reported regular use of TM (herbal or traditional remedies) to control their CMRF. We used a multivariable logistic regression model to calculate Odds Ratios for TM use according to sociodemographic, economic, and clinical characteristics. Results TM was commonly used to control CMRF in both sociocultural contexts (39.4% Esmeraldas, 31.1% Quito), often in combination with conventional medicine (CM). A notable percentage of people (33.9% Esmeraldas, 39.0% Quito) did not take any treatment for their CMRF, and the rest used CM alone. In both settings, education was significantly associated with TM use. While in Quito people with higher education were more likely to use TM (aOR 2.04, 95%CI 1.03-3.90), in Esmeraldas, it was more common among people without formal schooling (aOR 3.76; 95%CI 1.59-8.88) as well as those of younger age (aOR per year 0.97; 95%CI 0.95-0.99) and from Afro-Ecudorian ethnicity (aOR 2.13; 95%CI 1.02-4.45). Conclusions Traditional medicine is used by a significant portion of Ecuador’s population, highlighting the need for a more accessible and intercultural approach to healthcare. Key messages • The use of traditional medicine to address hypertension, hypercholesterolemia, and hyperglycaemia appears to be widespread in different sociocultural and economic contexts of Ecuador. • To promote intercultural health, understanding the diverse sociocultural patterns associated with the use of traditional medicine, often combined with conventional medicine, is crucial.

How can health practitioners support children and young people in social care?

Abstract Health practitioners are responsible for safeguarding, delivering preventive and responsive care for children and young people in social care settings. However, drivers and determinants that place children in care settings lie outside of the doctor’s office. In fact, primary care health practitioners often deal with children and young people who face or are at risk of severe neglect, abuse or vulnerability outside the care system. Recent findings from the UK’s Millennium cohort study have repeatedly demonstrated that social disadvantage in the early years accounts for more than 2/3 of health inequalities in adolescence. Professor Saxena is a practising GP with 25 years of experience of inner-city primary care and global expert on primary care of children. She will present dilemmas posed in clinical settings for health practitioners and professionals working in a broad range of areas including public health, education settings and social care. What responsibility do health professionals have when they encounter children living in social care settings? What should they be especially alert to? How can they make a difference to reduce health inequality faced by young people growing up in the care system.

A perspective on restoration with foundation plants across anthropogenic dry forests of the Southern Cone and the Sahel

Rewilding is a flexible conservation approach that may be applicable to a wide variety of ecological, historical and socio-cultural contexts. We believe that comparative socio-ecological research on woodland habitat trajectories among contexts is an excellent opportunity to consider possible rewilding approaches. Here, we draw on a comparison between arid and seasonally dry woodlands of the Sahel region of Africa and the Southern Cone of South America. The two regions, while sharing a common Gondwanan floral origin, differ in terms of subsequent biogeographical processes and have different climatic gradients. Historically, both regions were colonised, although along different models, and the Southern Cone has experienced greater land-use change and agricultural modernisation. Culturally, both regions have indigenous populations with traditional management techniques and local ecological knowledge, although attention to these topics in research and conservation has had different emphases in each region. Rewilding, focusing on charismatic animals, has been proposed and implemented in some parts of the Southern Cone, but has hardly been mentioned for the Sahel. We discuss the applicability of potential rewilding models involving key plants for each region, and what a plant-focused rewilding practice could gain from a comparative approach in the two regions.

Validated translation of telehealth and health app usability questionnaires to 8 European languages

Abstract International projects such as the Joint Action on strengthening eHealth including telemedicine and remote monitoring for health care systems for cancer prevention and care (eCAN) are implemented in countries with different languages, requiring validation of translations of standardized tools. Evaluation frameworks for telemedicine services necessarily include the patient’s perspective, i.a. on the service usability. Due to the lack of validated questionnaires in multiple European languages we sought to develop translation for the languages of the eCAN pilot countries. Based on literature review, we selected mHealth App Usability Questionnaire (MAUQ) and Telehealth Usability Questionnaire (TUQ) and developed a conceptual definition for each item. Next, we performed forward and back translation from English into the target languages, expert review, cognitive interview (CI) with 5-10 cancer or chronic disease patients per language/per questionnaire. Qualitative CI results were scored by 2 independent researchers for consistence of each item with conceptual definitions for final review by native speaker expert. We chose 8 languages (ES, GR, HU, IT, LT, NL, PT, SI) for validation. CI involved 48 respondents (29 females, 60%; 18 aged>60, 38%;23 higher education, 48%) for TUQ and 48 (22 females, 46%; 16 aged>60, 33%; 23 higher education, 48%) for MAUQ. Overall 872 (87%) of TUQ and 728 (84%) of MAUQ item answers were classified as consistent. In more than one language we identified concepts difficult to understand: consistent navigation when moving between screens, distinction between easy to use/learn, social settings. The validation process allowed us to identify opportunities to improve translation and highlighted concepts generally more difficult to understand. We provided validated translation of MAUQ and TUQ in 8 European languages for use in eCAN pilots and future telemedicine evaluation studies. Key messages • eCAN successfully validated translations of telemedicine usability questionnaires for 8 languages. • Multilingual translation validation can provide insights into concepts difficult across languages.

1.O. Scientific session: Trans & Gender-Diverse Individuals’ Mental & Behavioral Health Risks & Intervention Needs

Abstract Transgender and gender-diverse (TGD) individuals are at a greater risk for various poor mental and behavioral health outcomes than cisgender individuals, including higher rates of suicide, psychiatric diagnoses, and behavioral health problems. For example, research has documented a seven-fold increased risk for lifetime suicide attempts among young TGD people, compared with the general population. Less is known about the age of onset of such mental and behavioral health disparities and how these disparities may vary across other intersectional socio-demographic variables. It has been well-documented that trans and gender-diverse individuals often encounter discrimination and transphobia across various social, educational, professional, administrative, and healthcare settings. This discrimination, as highlighted in the literature, frequently poses obstacles to accessing both general and trans-specific healthcare services due to experiences of discrimination (e.g., misgendering, refusal of care, lack of adequate services). The right and ability to self-determine and the accessibility to gender-affirming care without discrimination are key to closing the gap in TGD individuals’ mental and behavioral health outcomes, and for them to live authentically and thrive. Tailored and affirming mental and behavioral health interventions to reduce these health inequities are pivotal for TGD individuals to achieve the highest attainable standard of physical and mental health: a key fundamental human right. Considerable gaps in the literature remain concerning the onset and determinants of gender identity-based health disparities and healthcare approaches that are respectful, inclusive, non-pathologizing, and grounded in human rights principles for TGD individuals. This workshop intends to address these knowledge gaps by delving into the mental and behavioral health needs of TGD individuals. The workshop seeks to further foster dialogue on strategies to overcome resistance to implementing approaches that uphold the human rights and well-being of these communities. Dr. Richard Bränström (Karolinska Institutet) will present a study that explores the age at which gender identity-based disparities in psychiatric diagnoses and treatment can be first identified. Dr. Gonzales (Vanderbilt University) will examine disparities in mental health and social determinants of health among TGD individuals with private insurance. Dr. Moleiro (Lisbon University Institute) will review TGD persons’ ways of identifying with the choices and trajectories in social, legal, and affirmative healthcare processes in Portugal. Dr. Lelutiu-Weinberger (Columbia University School of Nursing) will present findings from a study that assessed tobacco use and cessation attitudes, facilitators, and barriers to quitting, and intervention components and delivery modality acceptability among TGD individuals, as well as sexual minority individuals, in Romania to inform a tailored and affirming smoking cessation intervention. Key messages • Transgender and gender-diverse are at increased risk for a variety of poor mental and behavioral health compared with the general public. • There is a critical need to foster healthcare services for transgender and gender-diverse individuals that are tailored and affirming.

Towards integration of care in Portugal: Expansion of a new management model for the NHS

Abstract Introduction In 1999, the first Local Health Unit (LHU) was created in the Northern region of Portugal to improve management, share resources and integrate care. The LHU integrated a National Health Service (NHS) hospital and primary healthcare (PHC) services located within the same geographic area and became responsible for public health activities and the provision of care. Over the next few years, 7 LHUs were created, the last one in 2012. In 2024, the government expanded this model to the entire territory, creating 39 LHUs. This research analyses the objectives, characteristics and expected outcomes of the scale-up of LHUs. Methods This study utilised a mixed methods approach based on the 6 Ps - Problem, People (policy stakeholders), Process (policy development), Price tag (Resource allocation), Paper (policies, laws, regulations), Programmes (policy implementation); and the political, social and economic setting of the Policy Circle Framework. Findings A 2015 assessment revealed that LHUs did not differ from non-LHUs in terms of access, waiting times, clinical excellency, patient safety or patient centeredness. The degree of integration of care in LHUs seemed lower compared with non-LHUs. However, there was no systematic evaluation of the creation of the first LHU. Despite this, the government announced the intention to expand LHUs to the entire national territory, which culminated with the creation of 39 LHUs in 2024 to deliver integrated care, with an emphasis on the proximity and continuity of health services and promotion. Conclusions Despite the existing knowledge gap on the impacts of LHUs in health outcomes and management efficiency, LHUs can provide opportunities to advance integrated and patient-centred care and develop strategies for managing scarce resources, including the health workforce. Nevertheless, the integration of hospitals and PHC can threaten the centrality of primary health care both in terms of delivery of care and resource allocation.

Evolvement and use of stigmatized expressions in computer-mediated communication

Abstract A stigmatized expression is featured by its potentially discrediting attributes unwanted by community members. It is heavily context-dependent, especially in computer-mediated communication (CMC), which is text-based and features abbreviations, acronyms, and creative use of punctuation. The paper discusses the perception, judgment, and use of stigmatized expressions from the socio-cognitive approach (SCA) perspective. Our theory- and data-based analysis leads to the following conclusions. First, stigmatized expressions are considered pervasive and generally detrimental, thus worthy of continuous attention. Second, their emergence and recognition arise from the mutual effort of societal and individual factors, making them dynamic, ambiguous, context-dependent, and culture-specific. Third, the mechanism of generating stigmatized expression turns out to be spiral, while the circulation seems scarcely affected by its divergent interpretations. The sociocultural context serves as a trigger and an outcome in that it facilitates the processing of stigmatized expressions and is simultaneously modified.

Epidemiology of obesity during pregnancy in Europe: a systematic review

Abstract Background Obesity during pregnancy poses inter-generational health risks and places added burden on healthcare systems. Characterising levels of obesity during pregnancy is necessary to guide future research, policy and practice. Methods The systematic review was performed according to PRISMA guidelines. PubMed, Embase and Web of Science were searched. Studies published between 2009 and 2023 that report the prevalence of obesity during pregnancy in countries in the World Health Organization (WHO) European region were eligible. The Joanna Briggs Institute Prevalence Critical Appraisal tool was used. Two reviewers screened studies independently. A single reviewer completed data extraction and quality assessments, a second checked 20% of extractions and a third resolved disagreements. Narrative synthesis was completed. Results 100 studies reporting the prevalence of obesity during pregnancy in the WHO European region were identified. 59% from Western Europe, 36% Northern, 4% Southern and 1% Eastern. Data within the studies was collected between 1950 and 2019. 35% of studies reported national estimates, 65% regional. 39% studies had measured height and weight, 34% did not report how either were ascertained, 6% used self-report for both, 17% had self-reported height but measured weight, 4% a mixture of self-report and measurement. The smallest sample was 157 while the largest was 1,891,097. Estimated prevalence of obesity during pregnancy ranged from 2.3% (Sweden, data collected 1982-1989) to 28.3% (England, 2007). Conclusions This review identifies variation in the prevalence of obesity during pregnancy in the WHO European region. This may reflect diverse sociocultural contexts, different methodological approaches and temporal trends. There was limited evidence available for Southern and Eastern Europe. Key messages • There are high levels of obesity during pregnancy within the WHO European region. • Enhanced primary prevention and resourcing of obstetric services is needed.

Honour, Harmony and the King of Outspokenness. The Use of Stage Plays and Festive Culture in Fifteenth-Century Flemish Coastal Communities

ABSTRACT The history of fifteenth-century theatre in the Low Countries has long been studied primarily as the history of culture, literature and theatre. It has now attracted the attention of social historians and anthropologists and is being studied as an urban history of corporations, fraternities and chambers of rhetoric. That creative and art-loving activities in the Low Countries also frequently occurred in the fifteenth-century coastal communities, which largely comprised fishermen and sailors,, usually escapes the attention of historians. I argue these communities integrated drama into a survival strategy motivated by the spatial, economic and sociocultural context in which they were living.

Politics and Technology

This study aims to explain the relationship between politics and technology by specifically discussing how the Internet supports and hinders democracy. This conceptual elaboration was prompted by recent controversies about the democratic power of the Internet. The controversy is framed in three perspectives, namely the perspective of utopia, dystopia, and syntopia. By using a qualitative approach and constructivist paradigm as well as literature studies, this paper argues that the three perspectives are reductionist and simplistic. Based on their technological determinism approach, they ignore subject agency and socio-cultural context in framing the relationship between the Internet and democracy. This paper offers holistic reading that the success and failure of technology adoption in democratic practice is a product of the organic interaction between technology and subject agency as well as social, political, and cultural contexts.

FUTURE ENGLISH TEACHERS’ USE OF SELF-REGULATED LEARNING STRATEGIES IN DEVELOPING LANGUAGE PROFICIENCY

Abstract. One of the key objectives of education evaluation is to increase students’ capability in learning how to learn. For this purpose, teachers need to teach students the required knowledge and effective strategies. Self-regulation plays a major role in learning English in order to achieve setting goals. It is significant to monitor and control the behaviors and motivation in learning process. The purpose of this study was to explore English Language Teaching (ELT) pre-service teachers’ use of self-regulated learning strategies in developing language proficiency. The participants were 70 junior and senior students enrolled at the Foreign Languages Teaching Department of Khoja Akhmet Yassawi International Kazakh-Turkish University in Turkestan. This study used quantitative descriptive research design. A survey method using questionnaire was used in order to collect necessary data and analyzed descriptively using Statistical Package for Social sciences (SPSS) version 23.0. The result of this study showed that ELT pre-service teachers use different types of self-regulated learning strategies in different situations. To be precise, the record keeping and monitoring strategy was found to be used more often than the strategies, such as rehearsal and memorization, seeking social assistance, goal setting and planning, seeking opportunities to practice English and self-consequences strategies. The study determines the learners who are soon-to-be English language teachers’ perceptions of using different kinds of self-regulation strategies, therefore the results might be useful in teaching English in the language classroom.

The effect of social retelling on event recall

ABSTRACT Retelling an event in a social setting often means talking about it less factually than we might if trying to recall it as accurately as possible. These distortions that arise from socially oriented retellings could affect the ability to later recall the same event accurately. Does retelling a story in a social situation impair memory compared to not retelling it at all? Or could retrieving the memory, even with a socially oriented mindset, still improve memory? We explored social retelling's effect on memory in a two-session study. Participants heard two stories twice and, after a distractor task, retold the stories according to one of three randomly assigned conditions: social retelling (retell the stories as if talking to friends), accuracy retelling (retell the stories as accurately as possible), or no retelling. A day later, everyone retold the stories as accurately as possible. Participants in the accuracy retelling group included more specific details in their session two retellings than did the social retelling group, which included more specific details than the no retelling group. Elaborations in session two did not differ across groups. Findings suggest retelling a story in a social situation benefits memory, though not as much as retelling a story accurately does.

Depression Goes Social Media

Looking at the hashtag #depression on Instagram, this article examines how the topic is presented and which effects this may have. As a sample shows, the hashtag is often used by people from the field of counselling/therapy, but also by micro-influencers. Posts offer information, advice and self-disclosure, aiming at affected individuals and their social surroundings. It can be assumed that the phenomenon has positive effects both for people posting through the chance of communication and networking and for affected recipients, especially as most other posts on Instagram present people very positively and provoke social comparison. Of course, the hashtag can also be misused for attention-seeking, and misinformation is also conceivable. Despite the potential of art for mental well-being, artistic works are hardly used, which may be due to the difficulty of creating such posts—but could represent interesting options in the future, especially through image generation using artificial intelligence.

“Your crisis is our crisis; we take those on!” Exploring the profound role of spiritual diversity in social work

ABSTRACT Spiritual Diversity (SD) is transformative when integrated into the epistemic context and practice. SD’s transformative potential can significantly enhance clients’ quality of life when harnessed. The profound lived experiences of social workers must be unearthed to embrace spiritual diversity as a holistic resource fully. Therefore, this study aimed to delve into the lived experiences of social workers, explore the profound role of spiritual diversity, and uncover diverse perspectives in different social work contexts. Seven in-depth, semi-structured Zoom interviews with spiritually informed social workers were conducted. Using Interpretative Phenomenological Analysis (IPA), the exploratory comments and observations of the participants were drawn. The study generated 122 codes from the data and developed fourteen emergent themes. These themes were then clustered into four major themes: 1. Spiritual turn among social workers, 2. Spirituality as a strength-based mechanism, 3. Creating access to spiritual resources, and 4. Increased vitality in the healing process. Demonstrating the seamless integration of the spiritual diversity approach and critical discourse on social work practices, this study adds to the growing body of research that underscores the benefits of a spiritual diversity approach in social work settings.

Prevalence of psychiatric disorders among the adult population in a rural community of Jammu, India: a cross-sectional study

BackgroundMental health is crucial for overall well-being, but rural areas often face difficulties in accessing mental health services and understanding psychiatric disorders.AimThis study aimed to address these issues by assessing the prevalence of psychiatric disorders among adults in rural Jammu and examining how socio-cultural and demographic factors are related to these disorders.MethodsA sample of 1,016 adults from rural Jammu was surveyed using the Mini International Neuropsychiatric Interview (MINI). Data were collected through house-to-house visits conducted by trained investigators. Descriptive and inferential statistics, including frequency distribution and odds ratio, were employed to analyze the data respectively.ResultsOverall, 20.67% of the participants had a psychiatric disorder. Alcohol dependence was the most common condition, affecting 12.30% of the individuals, followed by generalized anxiety disorder at 3.14%. The study found significant associations between psychiatric disorders and several factors. Specifically, older people were more likely to have psychiatric disorders, with an odds ratio of 3.7 [2.07-6.59]. Married individuals also had a higher likelihood of experiencing psychiatric disorders (OR: 2.3 [1.55-3.54]). Those with less schooling were at an increased risk, with an odds ratio of 7.77 [2.31-26.09], and people from lower socioeconomic backgrounds were more likely to have these disorders as well (OR: 5.1 [2.4-10.5]).Discussion and conclusionThe findings underscore the complex association between socio-demographic factors and mental health outcomes in rural areas of Jammu region. Addressing these disparities requires targeted interventions and policies that account for the unique socio-cultural contexts of rural populations. By understanding the specific challenges faced by these communities, policymakers and healthcare providers can develop more effective strategies to enhance mental health services and promote well-being.

Personality profiles of 263 occupations.

While personality trait assessments are widely used in candidate selection, coaching, and occupational counseling, little published research has systematically compared occupations in personality traits. Using a comprehensive personality assessment, we mapped 263 occupations in self-reported Big Five domains and various personality nuances in a sample of 68,540 individuals and cross-validated the findings in informant ratings of 19,989 individuals. Controlling for age and gender, occupations accounted for 2%-7% of Big Five variance in both self-reports and informant reports. Most occupations' average Big Five levels were intuitive, replicated across rating methods, and were consistent with those previously obtained with a brief assessment in a different sociocultural context. Often, they also tracked the Occupational Information Network database's work style ratings and clustered along the International Standard Classification of Occupation's hierarchical framework. Finally, occupations with higher average levels of the personality domains typically linked to better job performance tended to be more homogeneous in these domains, suggesting that jobs with higher performing incumbents are often more selective for personality traits. Several personality nuances had intuitive occupational differences that were larger than those of the Big Five domains (explaining up to 12% variance) and replicated well across rating methods, providing more detailed insights into how job incumbents vary in personality. We provide an interactive application for exploring the results (https://apps.psych.ut.ee/JobProfiles/) and discuss the findings' theoretical and practical implications. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Strengthening Community Resilience in the Face of Environmental and Economic Challenges in Southeast Mexico

Objective: The problems in the sustainable management of natural resources in their fishing practices in the community of Aztlán Quinta Seccion Palomillal in Tabasco, Mexico, are analyzed to develop community solutions and improve sustainability and socioeconomic results. Theoretical Framework: It is based on the theory of sustainability (World Commission on Environment and Development, 1987, p. 43), the natural resources management model (Natural Resources Commission, 2012, p. 3) and the theory of participatory research (Reason & Bradbury, 2008, p. These frameworks are the context in which fishing practices are developed in the community, serving as a relevant case study for southeastern Mexico, facilitating the analysis of the problems and proposed solutions. Method: A qualitative case study design focused on community-based participatory research was applied, involving key community actors, including fishermen and leaders of the fishing cooperative. Data collection was through semi-structured interviews, focus groups and participant observation. The interviews were designed to learn about challenges in resource management, while focus groups facilitated discussions about possible solutions. Participant observations were carried out during community meetings and the sociocultural and environmental context. Results and Discussion: The problems of sediment accumulation, the presence of invasive species, the lack of adequate infrastructure and low educational levels were identified. There is an urgency to implement strategies that combine traditional knowledge with modern practices to improve the sustainability of fishing activities. The importance of community participation is highlighted. Research Implications: It has significant practical and theoretical implications for sustainable resource management in rural fishing communities and can be applied in other similar rural contexts and contributes to the theoretical development of community-based participatory research. Originality/Value: An innovative community-based participatory research approach is applied for sustainable natural resource management in a rural fishing community, replicable for sustainable resource management in vulnerable contexts.

Realizacja edukacji zdrowotnej w szkołach podstawowych i ponadpodstawowych z perspektywy doświadczeń i oceny studentów

Health education is an essential component of health promotion, constituting a process through which individuals and communities learn to prioritize and maintain their own and others’ health. Furthermore, it constitutes a pedagogical and didactic process conducted at all levels of education. It is unfortunate that, given that health education is integrated into other teaching subjects in Poland, there may be considerable doubt as to its reliable implementation and effectiveness. This article presents the findings of a study conducted among students regarding their experiences and perceptions of the implementation of health education at the primary and secondary school levels. The findings of the research demonstrate that health education was implemented in only 30% of cases at both levels of education. Furthermore, the content of these instances was limited to traditional topics related to a healthy lifestyle, without consideration of the numerous other factors that contribute to human health. Consequently, there is a pressing need to introduce health education as a separate subject, taking into account the socio-cultural and environmental contexts.

Interpretation of modern literary texts: the role of socio-cultural context in teaching Russian as a foreign language

Interpretation of modern literary texts: the role of socio-cultural context in teaching Russian as a foreign language