The Impact of the Physical Home Environment for Family Carers of People with Dementia: A Qualitative Study

Background: The majority of people with dementia are cared for by their families at home. This study aimed to elicit family carers' perceptions on home environmental aspects and strategies with the view to identify barriers and facilitators when caring for a person with dementia at home.

Design and methods: Thirteen co-resident family carers were engaged in semi-structured in-depth walking interviews. Interviews were recorded, transcribed and analysed using thematic analysis.

Results: Home environments can pose a number of challenges and opportunities. Aspects of the architectural and interior environment (e.g. size, condition, layout and accessibility, familiarity) are perceived as important (Theme 1) as well as a plethora of environmental strategies that encourage independence and comfort at home (Theme 2). Carers' scepticism, timing, costs, property characteristics and mistrust to services are some barriers to implementing environmental strategies (Theme 3).

Conclusions: Carers improvised solutions via trial and error and need further education on strategies to create an enabling and comfortable home environment.     

Cruel Pessimism and Waiting for Belonging: Towards a Global Political Economy of Affect

Recent theorizations of affect have focused largely on Western historical, political and aesthetic contexts to distinguish between affect and emotion. Notably, these interventions offer new imaginaries to reinvigorate analysis of politics in the face of shrinking possibilities. However, much of this literature views affect as autonomous from emotion, while overlooking the political history of development and the differentiated relation to affect under colonial capitalism in other historical contexts. This paper studies subaltern engagement in activist performance in India to address these issues. It thinks through Lauren Berlant's account of the aesthetic genre and affective structure of cruel optimism, and her focus on historical contexts where people have recently lost the vision of a good life. By contrast, focusing on the historical present of those born into a pervasive and intractable sense of marginality and insecurity, I ask: what is the subject's relation to affect and activism in contexts where the loss of vision of a good life is not new under neoliberalism, but rather, reworks long-standing violence and inclusion/exclusion of colonial capitalism and nation-state histories. I argue that it is useful to understand Berlant's ‘materialist context for affect theory’ in light of uneven global histories of colonialism, development and neoliberalism. The affective experience of time is different across different spaces. As such, this paper contributes a global materialist context for affect theory, by focusing on activist theatre by a tribe called Chhara, designated ‘born criminals’ by British colonial law – a status legally denotified in 1952, but that is practically still effective in postcolonial India. Competing affective structures – sentimental optimism, cruel pessimism, betrayal and ordinary regard – shape and are shaped by Chhara negotiations with branded criminality. Ultimately, for the postcolonial subject, surviving in the neoliberal present involves vacillating among competing affective structures, only some of which generate sustained political critique.     

Cognitive Risk Factors to the Development of Anxiety and Depressive Disorders in Adolescents

This exploratory study examines cognitive risk factors, anxiety sensitivity, and positive and negative affect, as related to the development of anxiety and depression. In a mailed survey, adolescents completed the Child Anxiety Sensitivity Index and the Positive and Negative Affectivity Scale. Previous research utilized the broad and unified variable of anxiety sensitivity as a predictor of anxiety. In this study, we separate and examine the four specific factors of anxiety sensitivity: mental incapacitation concerns, social concerns, disease concerns, and unsteady concerns, and relate it to specific anxiety disorders and depression. Results indicate good convergent validity and improved divergent validity when utilizing the four factors of anxiety sensitivity as compared to using it as one construct. Results also suggest: (1) OCD and GAD share numerous similarities and (2) the importance of the role of negative affectivity in anxiety and depression. Being aware of the components of anxiety sensitivity and how they relate to specific anxiety disorders can help a social worker when rendering a diagnosis. Part of the data presented in this article was from David A. Dia’s doctoral dissertation.     

Postponement implementation in integrated production and inventory plan under deterioration effects: a case study of a juice producer with limited storage capacity

Abstract

The aim of this study is to develop a production and inventory plan for a fresh apple juice producer. During harvest season, the producer extracts premium juice from freshly picked apples and keeps an inventory of these premium apples in his temperature-controlled storage facility. The producer extracts also regular juice from regular apples purchased from third-party storages. To satisfy future demand, the producer carries inventories of juice and apple. The levels of apple inventories are constrained by the producer’s limited storage space, but he can replenish regular apples. To assist the producer in facing demand uncertainty and deterioration of apples, we develop a production and inventory plan that incorporates postponement to mitigate demand uncertainty. As postponement decisions are shaped by the cost structure of inventories, we integrate in one model the postponement decisions and the deterioration mitigation decisions that can alter the inventory costs. We build multi-period stochastic programming with recourse model to determine juice batch sizes and apple inventories that maximize the producer’s expected profit. The optimal solution illustrates the use of time and form postponements. We discuss the interactions between postponement implementation and decisions to mitigate apples deterioration. We compare the production and inventory plans with and without postponement and with and without apple deterioration. We also present sensitivity analyses for the plan under varying inventory cost and storage space.     

Caring for orphans and vulnerable children in a context of poverty and cultural Transition: A case study of a group foster homes program in Burkina Faso

This paper analyses the functional dynamic of a group foster homes-based program in Burkina Faso and its potential to meet the developmental needs of children. Data were collected through field observations, interviews, and questionnaires. Findings suggest that this community-based program combines institutional care and extended family networks. Orphaned, abandoned, and vulnerable children were brought together in foster homes, each headed by a non-relative woman and supported by the program operator. The program guaranteed the basic needs of children as specified by the Convention on the Rights of the Child. The nutritional status that is indicative of the overall well-being in emergency seems to be better than the average children of Burkina Faso, suggesting that basic vital needs of children were met. Familial ties are also developed between each family member. Children have the opportunity to interact with community, therefore preparing them for social life. Despite some limitations, mainly due to the lack of psychological support, the program achieves its objectives of caring for children and provides a familial environment for orphans. Therefore, many organizations caring for orphans in Africa through institutional settings might learn from this experience in terms of management style, parenting, and connections with relatives and community.     

Eating heritage: caste,colonialism, and the contestation of adivasi creativity

ABSTRACT

This paper uses a multiple colonialisms approach to study cultural production in India and argue that coloniality is not a casteless structure of violence. In discursive and planning rhetoric, ‘creativity is in India’s DNA.’ This discourse incites the poor to harness and develop their tangible and intangible cultural heritage in order to feed themselves. Foregrounding anti-caste, Dalit scholarship in conversation with extant formulations of decolonial aesthetics focuses urgent attention on the fact that caste domination and violence structure inter-state political systems of development planning and post/colonial state discourses of heritage that claim to feed the caste-oppressed poor with their own creativity. This article attends to the political histories and critiques of Indigenous Chhara performance artists because their expressive cultures foreground anti-caste struggles against simultaneous state erasure and capture of Indigenous creativity. Against planning’s compensatory solution of eating heritage, anti-caste scholarship and the creative politics of Budhan Theatre refute the apparent castelessness of what counts as creativity and heritage, demonstrating that optimistic global creative economy discourses actually rely upon caste and colonial histories to entrench caste-based definitions of heritage within international and national development regimes. Budhan Theatre’s decolonizing cultural production avoids the mistakes of postcolonial scholarship and its erasure of caste histories. They prompt a multiple colonialisms approach which refuses labels of postcolonial or settler colonial states to privilege instead attention to the actually existing contemporary ways in which caste violence structures inter-state systems of violence, policies, and discourses.     

Disabling Spaces and Spatial Strategies: Feminist Approaches to the Home Environment of Family Caregivers of People with Dementia

ABSTRACT

The home environment becomes very important for family caregivers of people with dementia as a place of safety, retreat and care provision. Using a gender-based perspective, the authors analyzed thirteen interviews with family caregivers to understand how they perceived their home space. The data was analyzed thematically with the help of adjacency diagrams. Our analysis identified three main themes: compact layout, spatial flexibility, and the wider neighborhood. Given the gendered nature of caring, the findings are discussed drawing on the work of feminist architects regarding the home environment. The authors argue that feminist architectural approaches can usefully inform spatial strategies regarding dementia, ageing friendly housing, accessible living and the wellbeing of the caregiver. Different bodies and users’ needs should be at the epicenter of design, as opposed to conventional design and the current practices by developers, which may create a series of disabling spaces.     

Introduction: Cultural production under multiple colonialisms

ABSTRACT

In this introduction to the special journal issue, we elaborate a multiple colonialisms framework that allows us to examine the complex relationalities of multiple and converging colonial relations in historical and contemporary contexts within which cultural production does its work. Through examples of cultural production from the Americas and Asia, Special Issue contributors analyse rarely-recognized sites of colonialism that bear a palimpsestic relationship to other articulations that are more commonly legible as colonialism. Such an approach makes new analytical connections and gives greater depth to conventional theorizations of coloniality and decolonization. We also illustrate the centrality of the scholarship of Indigenous, Black, and Dalit-Bahujan scholars to the framework, especially the ways in which their work challenges our collective and accumulated racialized and colonial unknowings and illuminates what often remains unthinkable in conventional analyses of cultural production and the colonial contexts of their making. Overall, rather than analytically imply pluralism and equivalence among varied colonialisms, we argue that a multiple colonialisms framework enables cultural studies scholarship to dwell on the relationality, contradictions, and incommensurabilities generated within converging structures and multiple articulations of colonial and racialized violence across spaces. Weaving the various contributions into the framework, we invite readers to consider what histories, structures, and relationships help to explain why actually existing colonialities remain illegible as such in the particular context of each paper, and what that implies for solidarity and decolonization struggles. We hope that highlighting the specific creative methodological practices and significant spatial and temporal rethinking that a multiple colonialisms approach can generate incites conversations about how we might enrich theorizations of coloniality and decolonization.     

Determinants of domestic waste input use in urban agriculture lowland systems in Africa: The case of Yaoundé in Cameroon

This paper suggests policy actions for safe urban and peri-urban agriculture and domestic waste recycling in urban lowland areas of Africa, in particular, in lowland areas of the capital of Cameroon, Yaoundé. We identify the explanatory variables of recycling domestic waste and their use in three selected lowland areas. Data were collected between August and September 2005 among 126 farmers. Results show that the factors contributing to the adoption of recycled fresh and decomposed kitchen waste are: vegetable production, the distance between the house and its crop field and the use of livestock waste. The factors contributing to the adoption of recycled livestock wastes are the age of the farmers, the distance between the house and its crop field, the educational level of farmers and land size. Young farmers are more likely to adopt recycled livestock wastes, and short distances between houses and crop fields are more likely to contribute to the adoption of both recycled kitchen waste and recycled livestock wastes. In this context, the implementation of transfer stations for domestic waste, inside or next to lowland areas, appears to be an adequate solution of transport and sanitary constraints faced both by farmers and municipalities in Africa.