Narrative Themes Research Articles

Developing an mpox risk assessment matrix for social listening and infodemic insights generation

Abstract Issue Any effective response to an infodemic, requires prioritizing public health response on identified narrative themes that pose highest risk to health and well-being of populations. High-risk narratives often require more swift and far-reaching action and low-risk narratives require little or no response. Description of the problem Different countries are assigned different levels of risk to specific narratives or concerns, recognizing that for some issues there may be a large gap between the true public health threat and what is generating lots of conversations, concerns and press coverage that indicate a high degree of risk perception that may be unwarranted. WHO developed a risk matrix to apply to global analysis of questions, concerns and narratives about mpox, which resulted in biweekly infodemic intelligence reports that risk-assessed identified infodemic themes and corresponding recommendations for action. Results Risk assessment criteria were defined in the context of WHO’s global infodemic insights analysis for low, medium and high risk and positive sentiment in mpox global outbreak context before conducting the integrated analysis so that insights were reproducible and infodemic response actions were prioritized. This implemented the WHO/UNICEF training manual on 6 steps to produce an infodemic insights report, which includes tools on how to develop and apply a risk matrix for a specific public health question of concern and apply it in analysis. Lessons The approach resulted in rapid, systematic, reproducible and evidence-driven decision-making to respond to the infodemic accompanying the mpox global outbreak. Risk matrices must be adapted to the context of the public health event and the mandate of the health authority taking action. An mpox risk matrix for narratives included adaptation to reflect high-risk from stigmatizing narratives, as well as narratives circulating around or within LGBTQI+ communities. Key messages • A risk matrix must be developed and adapted to the context of each health emergency and level of health authority action. • Prioritization for rapid infodemic response based on a risk assessment is that it facilitates more effective response in a health emergency.

“I Changed After the Death”: Symptoms of Psychopathology Predict Lower Agency and Communion Themes in Loss Narratives Over 16 Months

Abstract Purpose Some individuals struggle to adjust after the death of a close other. Constructing an adaptive narrative about the loss is important to adjustment but symptoms of psychopathology may interfere with this process. We examined whether psychopathology symptoms measured 2 months after the loss of a spouse or parent predicted loss narratives with lower agency and communion themes as well as more negative emotional tone and self-event connections. Method Participants included 507 adults from the Aarhus Bereavement Study who completed psychopathology symptom measures at 2, 6, 11, and 18 months after the death of their spouse or parent. Symptom measures included prolonged grief disorder (PGD), PTSD, depression, and anxiety. Eighteen months after the death, participants wrote a narrative about the loss and answered questions about its emotional qualities (i.e., tone, self-event connections). The narratives were content coded for agency and communion themes. Results Multiple regressions showed that higher PGD symptoms at 2 months predicted less adaptive loss narratives at 18 months, even after controlling for neuroticism and age. Conclusion Individuals who experience high symptom levels are struggling to construct adaptive loss narratives. This may hinder identity changes needed to accommodate their altered life circumstances.

Oral history in geographischer Forschung: Emotionen und Verlust in Erfahrungsgeschichten ehemaliger Werftarbeiter:innen erforschen

Abstract. This article presents a spatially sensitive approach to the narratives of transformation processes, employing oral history to explore the connection between loss, emotions, and memory in the context of changing shipyard work in East Germany since 1989. The former place of work, the shipyard, serves as a central place where loss, emotions and memory condense. The method of oral history enables the subjective narration of past experiences and forms the basis for recording and analyzing narratives of experiences. Empirically, the article draws on oral history interviews with former shipyard workers to gain deeper insights into their memories, experiences and the emotional impact of the loss or impending loss of their jobs. This research contributes to understanding the social and emotional effects of transformation processes, emphasizing the importance of oral history in incorporating the subjective experiences of those affected in geographical research.

Image of Social World in Metaphors and Narratives of Adults

The image of the social world is a predictor of social behavior and its development during stable social transitivity, i.e., COVID-19 pandemic, economic crises, local military conflicts, etc. It can also be interpreted as a variable linguistic phenomenon. However, very little empirical research has featured its integral structural and content characteristics through the prism of narratives, metaphors, and social representations. The author used the methods of thematic narrative analysis and content analysis of metaphors to identify the narrative constructions used by adult subjects to describe their image of the social world. The data obtained were subjected to frequency analysis and hierarchical cluster analysis. The experiment involved 193 respondents aged 35–49 years old, employed in the city of Rostov-on-Don, Russia. In their metaphors and narratives, they described the social world as balancing between stability and dynamism, predictability and stochasticity, as well as endowed it with differentiation in the absence of universal laws. The rationality of the metaphors reflected the age identity while the subject of biographical narratives reflected the subjective adaptation to current social processes.

Examining Stakeholders’ Prospects on the Implementation of Equity-Based Strategies in Public Secondary Schools in Tanzania

The desire to address equity issues in the education sector is a shared philosophy by a number of countries, including Tanzania. As a result, Tanzania as a country is striving to address the issue of equity in its education system through the implementation of various equity strategies. This paper therefore sought to examine stakeholders’ prospects on the implementation of equity-based strategies in public secondary schools in Tanzania. Precisely, the interest of the researchers was to explore what was being done in the selected public secondary schools to implement equity-based strategies. A mixed-methods research approach combining both qualitative and quantitative analysis approaches was employed. The study also used a multiple case study design, which allowed the selection of two case study areas i.e. Dodoma City representing the urban setting, and Kondoa district representing the rural setting. A total of One Hundred Forty-Four (144) participants from seven (7) public secondary schools were involved in the study. Data were collected through interviews and questionnaires. Quantitative data were analyzed through descriptive analysis and presented in numerical and graphical form while qualitative data were analyzed through inductive content analysis and presented in thematic form and narratives. Study findings revealed that the selected study schools were indeed implementing a number of activities towards the realization of equity and thus the prospects for implementing equity based strategies in these schools was found to be positive. For instance, activities such as the use of common and understandable language i.e., English and Kiswahili; ensuring that schools have qualified teaching staff, ensuring a supportive learning environment as well as strengthening and supporting school leadership were being implemented. Nevertheless, the study also noted that the implementation of some key factors critical for realization of equity in the schools such as incentive provision to teachers, use of appropriate technology and use of different learning styles was still weak and thus needed improvement.

Get ready: disaster preparedness and response for people with chronic illnesses living in hazard-prone Petone, Aotearoa New Zealand

PurposeThe purpose of this research is to understand how people living with chronic illness understand their healthcare needs, particularly as they can be disrupted by natural hazards events (e.g. earthquakes, flooding and landslides), which can result in chronic health conditions becoming acute. Research has shown that, because of such disruption, people with chronic illness face the greatest risk of adverse health outcomes during a disaster, placing significant demand on healthcare systems.Design/methodology/approachThe research draws on a narrative analysis of in-depth, semi-structured interviews with eight people who have a chronic illness and live in a hazard-prone location, namely Petone, Lower Hutt, Aotearoa New Zealand.FindingsTwo major narrative themes were identified: “Social Capital”, which included the three subthemes of community, social connection and support and family and friends. Tellers also experienced a strong sense of “Independence”, as demonstrated through seven subthemes that included declaration, defiance, rules, experience, acceptance, responsibility, self-surveillance and self-management.Practical implicationsPractice output from this research includes the development of fit for purpose emergency management policies and other educational resources to ensure equity, access and choice for people with a chronic illness and their communities.Social implicationsThis research produces in-depth knowledge and insight into the preparedness and response needs of people who live with a chronic illness. This is an under-research area in disaster management in Aotearoa New Zealand.Originality/valueRoutine medical treatment for people living with chronic illness can be disrupted by natural hazard events (e.g. earthquakes, flooding and landslides), which can result in chronic health conditions becoming acute. Research has shown that, because of such disruption, the chronically ill face the greatest risk of adverse health outcomes during a disaster, placing significant demand on healthcare. This research investigates how people living with chronic illness experience disaster preparedness and response while residing in a hazard-prone location, namely Petone, Lower Hutt, Aotearoa New Zealand. The study argues that it is imperative to acknowledge the experiences of people with chronic illness as they provide specific insights into their needs during a disaster.

Is the Treatment Worse than the Disease?: Key Stakeholders’ Views about the Use of Psychiatric Electroceutical Interventions for Treatment-Resistant Depression

Psychiatric electroceutical interventions (PEIs) use electrical or magnetic stimulation to treat psychiatric conditions. For depression therapy, PEIs include both approved treatment modalities, such as electroconvulsive therapy (ECT) and repetitive transcranial magnetic stimulation (rTMS), and experimental neurotechnologies, such as deep brain stimulation (DBS) and adaptive brain implants (ABIs). We present results from a survey-based experiment in which members of four relevant stakeholder groups (psychiatrists, patients with depression, caregivers of adults with depression, and the general public) assessed whether treatment with one of four PEIs (ECT, rTMS, DBS, or ABIs) was better or worse than living with treatment-resistant depression (TRD) and then provided a narrative explanation for their assessment. Overall, the prevalence of many narrative themes differed substantially by stakeholder group—with psychiatrists typically offering different reasons for their assessment than non-clinicians—but much less so by PEI modality. A large majority of all participants viewed their assigned PEI as better than living with TRD, with their reasons being a mix of positive views about the treatment and negative views about TRD. The minority of all participants who viewed their assigned PEI as worse than living with TRD tended to express negative affect toward it as well as emphasize its riskiness, negative side effects, and, to a lesser extent, its invasiveness. The richness of these narrative explanations enabled us to put in context and add depth to key patterns seen in recent survey-based research on PEIs.

Psychosocial and pandemic-related circumstances of suicide deaths in 2020: Evidence from the National Violent Death Reporting System.

To describe and explore variation in 'pandemic-related circumstances' among suicide decedents during the first year of the COVID-19 pandemic. We identified pandemic-related circumstances using decedents' text narratives in the 2020 National Violent Death Reporting System. We use time-series analysis to compare other psychosocial characteristics (e.g., mental health history, interpersonal difficulties, financial strain) of decedents pre-pandemic (2017/2018: n = 56,968 suicide and n = 7,551 undetermined deaths) to those in 2020 (n = 31,887 suicide and n = 4,100 undetermined). We characterize common themes in the narratives with pandemic-related circumstances using topic modeling, and explore variation in topics by age and other psychosocial circumstances. In 2020, n = 2,502 (6.98%) narratives described pandemic-related circumstances. Compared to other deaths in 2020 and to the pre-pandemic period, decedents with pandemic-related circumstances were older and more highly educated. Common themes of pandemic-related circumstances narratives included: concerns about shutdown restrictions, financial losses, and infection risk. Relative to decedents of the same age that did not have pandemic-related circumstances in 2020, those with pandemic-related circumstances were more likely to also have financial (e.g., for 25-44 years, 43% vs. 12%) and mental health (76% vs. 66%) psychosocial circumstances, but had similar or lower prevalence of substance abuse (47% vs. 49%) and interpersonal (40% vs. 42%) circumstances. While descriptive, these findings help contextualize suicide mortality during the acute phase of the COVID-19 pandemic and can inform mental health promotion efforts during similar public health emergencies.

Thoughts on the Beginnings of Psychoanalyses

Musing on the topic of initiating analyses, I began asking myself, what do we experience and what do we mean when we commonly say “an analysis unfolds”? Hans Loewald understood the rhythms of psychic development as coming into being, and that an analysis (when it works) also seems to follow that pattern. This paper will focus on appreciating the new within the old in the analytic process as a way to illustrate narrative and behavioral themes in the analytic dialogue. It will explore how these themes relate to the creativity of analytic unfolding from an initial matrix of psychically overdetermined uncertainties. Analyst, supervisor, and patient can all notice and experience shifts of new forms intermingling with the old. This trope will be clinically expanded and examined (1) with materials from a candidate’s first analytic case, (2) with a vignette from a seasoned analyst’s beginning case; and (3) a Covid-era beginning treatment. A clinical footnote (dubbed by the author’s supervisees “The Balsam Sign”) describes a nonverbal mime in the office of a new development occurring within the familiar verbal communication, which may signal a patient’s readiness to accept a recommendation to begin an analysis.

From Elitism to Civilianization: The Mobilization of "Civilian Hero Narratives" in Public Crises

Initiating large-scale social mobilization in public crisis management is a unique advantage and an effective means for the state to prevent and resolve major risks, but due to the extreme lack of cases of positive social mobilization in crises, the mechanism of achieving effective social mobilization is not clear, and there is an urgent need for the theoretical and practical communities to summarize empirical experiences of achieving positive social mobilization in crisis management. Based on this, through the empirical analysis of the rescue cases of Chongqing mountain fire, we find that the media's "civilian hero" narrative in crisis management breaks the rigid pattern of "hero deification" and "elite propaganda" in traditional disaster reports, and is based on the "civilian hero" character narrative, "emotional mobilization" narrative theme and "individual presentation" perspective strategy, which is able to construct a public crisis "heroism" faith consensus, social mobilization resonance and common action. The media's "civilian hero" narrative has become a precise fulcrum for prying the lever of social mobilization, providing a new path for modern social crisis management.

Music, Exile, and Edward Said: An Interview with Layale Chaker

Abstract The following interview with Layale Chaker, conducted on 14 September 2023, delves into her unique journey as a Palestinian-Lebanese composer, highlighting the pivotal role of music in shaping her sense of “home” following the Lebanese Civil War. Drawing from her diverse musical upbringing, spanning community choirs to formal conservatory education, Chaker elucidates the disparity between institutional training and the lived musical experiences of the Arab world, informing her quest for authenticity in composition. Chaker recounts her involvement with the West-Eastern Divan Orchestra, founded by Daniel Barenboim and Edward Said, juxtaposed with her decision to pursue an individual artistic trajectory. Central to the conversation is her composition “En Présence de l'Absence – Homáge à Edward Saïd,” revealing a deeply personal connection to Said's legacy and a nuanced exploration of his ethos through music. The interview culminates with insights into Chaker's forthcoming opera, “Ruinous Gods,” co-crafted with playwright Lisa Schlesinger. Addressing the profound trauma of refugee children afflicted with uppgivenhetssyndrom (resignation syndrome), the opera promises a poignant musical narrative probing themes of parenthood, displacement, and societal obligation. Set for premiere at the 2024 Spoleto Festival USA, Chaker's work continues to blend artistry with advocacy, offering a resonant reflection on human resilience and responsibility.

“The mother seems to traumatize her child”: Examining empathy, denial, and responsibility in day-to-day encounters of families and staff in immigration detention in Canada

This paper examines encounters of mothers and their children with detention facility staff during our fieldwork in immigration detention centres in Canada. We sought to understand how detainees and institutional staff understand each other and their roles within the broader system. Using a critical ethnographic frame that views the inner psychic worlds of subjects as contingent upon larger systems of power and oppression we organize our data around narrative and content themes. Our findings suggest that guards and staff see their roles as protectors of children, even as they communicate implicitly that these families are risks. Further, we propose that staff tend to project the aggressor onto the Other, in this case, migrant mothers, as a way to cope with the moral distress of witnessing the suffering of detained children, and with the burden of potential complicity. By describing how empathy, denial and responsibility are negotiated in these custodial spaces, we analyze the ways these micropolitical encounters can illuminate larger trends in the representation and reception of migrants with important implications for mental health care and border control practices and policy more broadly.

An Analysis of Narrative Relationships in Animal Farm

The purpose of this paper is to explore in depth the narrative relationships in George Orwell's classic work Animal Farm. By analyzing the novel's narrative structure, character setting, plot development, theme and symbolism, as well as narrative technique and language style from multiple perspectives, it reveals the profound political and social allegory behind the work, analyses the methods of global analyze and micro analyze in the novel, further analyses the novel's writing characteristics, and discusses the wonderful use of these coherent relationships and rhetorical techniques in the novel. An analysis of the narrative relationships in Animal Farm not only reveals the profound political and social allegory of the work, but also demonstrates author George Orwell's remarkable literary talent and profound insight. By analysing various aspects of narrative structure, character setting, plot development, theme and symbolism, as well as narrative technique and language style, this paper provides readers with a comprehensive and in-depth understanding of Animal Farm.

A Prospective Qualitative Inquiry of Patient Experiences of Cognitive Functional Therapy for Chronic Low Back Pain During the RESTORE Trial.

Cognitive functional therapy (CFT) is a person-centered biopsychosocial physiotherapy intervention that has recently demonstrated large, durable effects in reducing pain and disability in people with chronic low back pain (CLBP). However, exploration of the treatment process from the patients' perspectives, including the process of gaining control and agency over CLBP, is relatively understudied in this patient population. This qualitative study explored the experiences of eight participants from the RESTORE trial through longitudinally following their experiences, including interviews during baseline, mid-treatment, end-treatment, and 12-month follow-up. Data were analyzed according to a narrative approach. Findings described the overarching narrative themes of "The Journey to Self-Management." Within this overarching narrative, four distinct narratives were identified, beginning with "Left High and Dry," capturing the experience of isolation and abandonment with CLBP before commencing CFT, and concluding with three narratives of the experience of CFT from the start of treatment through to the 12-month follow-up. These included "Plain, Smooth Sailing," describing a journey of relative ease and lack of obstacles; "Learning the Ropes and Gaining Sea Legs," capturing an iterative process of learning and negotiating setbacks; and "Sailing Through Headwinds," describing the experience of struggle to gain agency and control over CLBP through CFT. Clinicians treating individuals with CLBP can use these insights to more effectively facilitate self-management, and people living with CLBP may find resonance from the narrative themes to support their journeys.

The Narrative Subject of Law: An Introduction to and Outline of a Long-Awaited Turn in Law

Abstract In this article, we argue that the current concept of the legal subject should be expanded to include narrative identity, in other words that the narrative subject of law should be recognised. With this aim in mind, we firstly (i) identify the philosophical assumptions and tools necessary to articulate the thesis of homo narrans. We find them in Martin Heidegger’s work Being and time, where he made a groundbreaking contribution to twentieth-century philosophy by deconstructing the concept of the subject. Then (ii) we discuss the key theoretical-legal assumptions and tools related to the legal turn we advocate, and finally (iii) we indicate – provisionally and in broad outline – the key consequences of recognising the narrative legal subject of law in the justice system.

Research on Chinese Hero Films from the Perspective of Film Narratology

From the perspective of film narratology, a comparative analysis of Chinese hero films reveals how many films use narrative techniques to construct heroic phenomena. Based on Chinese history, mythology, legends, or modern backgrounds, they shape heroic images with national characteristics and the spirit of the times, better disseminate culture and inherit spirit, and play a positive role in shaping national identity and cultural confidence. Based on this, this article mainly focuses on the research content of Chinese hero films from the perspective of film narratology, briefly describing the historical development, narrative structure, narrative themes and symbols of Chinese hero films, and comparing and analyzing the narrative structures, themes and techniques in different hero films, in order to provide corresponding reference for relevant personnel.

Semiotics and Narrative: A Reading into Dr. TAI EL HADDAOUI’s Book, The Discourse of Storytelling and Image

This article examines the axes of the book’s structure and the author’s strategy, with a particular focus on the semiotic component in the analysis of poetry and the narrative component in the analysis of the novel. The study also presents the underlying laws inferred from the scrutiny of the relationship between passions and things, emotionality and material reality, in the contemporary Moroccan poetry corpora. Additionally, the research sheds light on the narrative theme, textual content, and discourse construction in the novel Take Her. I Don't Want Her by Kuwaiti novelist Laila Al-Othman.

Personal Storytelling and Subjective Narratives of Local Reporters through Private Newsletters

ABSTRACT This study explores the emergence of personal, subjective narratives in private, digital newsletters, focusing on the SIDINL network’s role in transforming citizens into local news reporters in Sub-Saharan Africa. By analysing cases of newsletters in Nigeria and Cameroon, this study investigates how these local reporters can develop a distinctive personal style of reporting, engaging with niche Western audiences in an informal and affective manner. It highlights the significance of personalised storytelling in conveying the nuanced realities of local communities, emphasising the power of subjective voices in enriching the global conventional understanding of social and environmental issues. Through this lens, the study underscores the potential of these carefully monitored digital platforms in facilitating a deeper, interactive connection between local reporters and their small niche audiences, fostering a stronger sense of empowerment through shared narratives and discussions between the local people and the external audience.

Towards New Methodology for Cross-Validation of Clinical Evaluation Scales and Functional MRI in Psychiatry.

Objective biomarkers have been a critical challenge for the field of psychiatry, where diagnostic, prognostic, and theranostic assessments are still based on subjective narratives. Psychopathology operates with idiographic knowledge and subjective evaluations incorporated into clinical assessment inventories, but is considered to be a medical discipline and, as such, uses medical intervention methods (e.g., pharmacological, ECT; rTMS; tDCS) and, therefore, is supposed to operate with the language and methods of nomothetic networks. The idiographic assessments are provisionally "quantified" into "structured clinical scales" to in some way resemble nomothetic measures. Instead of fostering data merging and integration, this approach further encapsulates the clinical psychiatric methods, as all other biological tests (molecular, neuroimaging) are performed separately, only after the clinical assessment has provided diagnosis. Translational cross-validation of clinical assessment instruments and fMRI is an attempt to address the gap. The aim of this approach is to investigate whether there exist common and specific neural circuits, which underpin differential item responses to clinical self-rating scales during fMRI sessions in patients suffering from the two main spectra of mental disorders: schizophrenia and major depression. The current status of this research program and future implications to promote the development of psychiatry as a medical discipline are discussed.

Stylization of Oral Elements in the Novel Women. Voices. By Jasmina Musabegović

This paper aims to analyze and interpret the linguistic and stylistic means by which the world of the novel Women. Voices. by Jasmina Musabegović is built. The paper analyzes and interprets the novel’s spoken language stylization, as its main stylistic feature. It is based on the assumption that orality, as a linguistic-stylistic feature of the novel, is primarily realized at the syntactic-stylistic level. In this direction, the elements of expressive syntax, such as spoken (oral) sentence length, elliptical, nominative, and fragmented sentences, as well as syntactic repetitions and accumulations, are especially explored. The mentioned syntactic-stylistic means are investigated to point out their stylistic potential in the revitalization of the tonal, rhythmic, intonation, and intensity values of the spoken language, based on which novelistic voices are generated as the narrative subject of the novel. Also, exclamatory and expressive interrogative sentences are explored in the paper as significant means of conveying emotional-expressive (affective) and intensifying the semantic values of a sentence. In doing so, it is particularly indicated that interrogative sentences, in addition to appearing as elements of expressive syntax, have a significant opening (cataphoric) value in developing the novel's narrative content. In addition, the paper points out the stylistic possibilities and values of the vernacular idiom in the stylization of novelistic expression with folk expression.