Narrative Methods for Differential Diagnosis in a Case of Autism

Diagnosis is rarely a straightforward process. This is especially so in psychiatry, where diagnoses are not based on organic biomarkers (e.g., blood tests). Diagnosis can be particularly complicated for children, whose symptoms must be disentangled from typical developmental processes. In this paper, we examine how clinicians use narrative as a method for differentiating a child's autism from a possible co‐morbid seizure disorder. Our approach is conversation analysis, and we show that narrative is a pervasive and endogenous practice for producing warrantable diagnostic knowledge about patients and, as such, forms part of what we term “the practical epistemology of clinical work.”     

Understanding Parental Grief as a Response to Mental Illness: Implications for Practice

ABSTRACT

Parents who are raising children with mental illness struggle with feelings of grief and loss. Kubler-Ross' (1969 Kubler-Ross , E. ( 1969 ). On death and dying . New York : Scribner . [Google Scholar]) stages of grieving (denial, anger, bargaining, depression, and acceptance) are examined as experienced by parents raising children with chronic mental illness. Practice implications for social workers who are working with children and their parents are discussed. Acknowledging and understanding parental grief, while providing emotional support, leads to a more effective working partnership. This collaboration of parents and social worker can result in more effective treatment for the child with mental illness. Examples from one of the co-author's personal experiences are included.     

Military Deployment of an Adult Child: Ambiguous Loss and Boundary Ambiguity Reflected in the Experiences of Parents of Service Members

ABSTRACT

This study explored the experiences of parents of service members, military family members who are often overlooked even though they are likely a vital source of support for their military adult-children. Reflections on deployment of military adult-children were gathered from 21 parents in semistructured group interviews. A framework of ambiguous loss, boundary ambiguity, and ambivalence was used to analyze comments reflecting pre-deployment, deployment, and post-deployment experiences. Pre-deployment anticipation of leave-taking was associated with boundary ambiguity and ambivalence for parents, tempered by safety concerns. During deployment ambiguity in parental role expectations and parameters complicated parents’ attempts to manage physical absence and maintain psychological presence. Post-deployment challenged parents with ambiguous psychological presence and disruption of family boundaries, complicated by changes associated with the effects of war.     

Lesbians Grieving the Death of a Partner: Recommendations for Practice

ABSTRACT

Spousal loss is a common event that has been associated with risk of depression, anxiety, and loneliness. Practitioners working with lesbians need comprehensive clinical guidelines that integrate research about lesbian partner loss with contemporary views of grief and bereavement. Using this literature, we make recommendations for clinical practice that address the possible contributions of several factors—social support, emotional closeness, relationship satisfaction, disclosure or non-disclosure of sexual identity and the relationship, faith and/or spirituality, and meaning-making—to the grieving process and positive psychological adjustment of lesbians grieving the death of a partner.     

Fear of missing out,feeling of acceleration,and being permanently online: a survey study of university students’ use of mobile apps in China

We argue that the usage of mobile apps could be understood in the context of being permanently online. That is, contrary to functionalist theories, the usage of mobile apps is not simply an outcome based on the user’s rational needs and goals but also reflects the new state of being in the online world of the mobile Internet environment. Following this approach, in this study we review the emerging concept of being permanently online, as well as two key influential factors: the fear of missing out (FOMO) and the feeling of acceleration. We then use the survey data collected from university students in Shanghai, China (N?=?687) to examine the relationships between FOMO, the feeling of acceleration, being permanently online, and two types of mobile apps usage (i.e. WeChat and O2O life service apps). The results showed that in controlling for other variables, FOMO, the feeling of acceleration, and being permanently online were significantly related to mobile apps usage. In particular, FOMO was positively related to being permanently online. These empirical findings demonstrate the significance of examining mobile app usage from a new theoretical perspective, and they indicate that this approach deserves further attention in the research on this topic.     

Moving Smiles: The Role of Dynamic Components for the Perception of the Genuineness of Smiles

Three experiments were conducted to examine whether the temporal dynamics of Duchenne-smiles influenced the perception of smile authenticity. Realistic computer-generated Duchenne-smiles that varied in their onset- and offset-durations (Experiment 1), or only in their offset-duration (Experiment 2), or in both their onset- and apex-durations (Experiment 3), were created using Poser 4 software. Perceived genuineness varied monotonically with the duration of each manipulated dynamic component. The results are in accordance with Ekman and Friesens (1982) observations regarding the duration of smiles of enjoyment, which suggest that each dynamic component has a distinct duration range that can influence the perceived genuineness of smiles.We wish to thank Jesse Spencer-Smith for sharing the AU morph targets that have been developed in the context of his research.     

Domesticating technology for shared success: collective enactments of World of Warcraft

In this paper, we analyse processes of domestication as collective enactments, using online game playing of World of Warcraft as a case. We study how groups of players – guilds – develop practices and sense-making with respect to the technologies they use in their shared endeavours in raids to battle monsters. Previous studies of domestication have mainly focused on single-actor strategies and relatively little attention have been given to the impact of concerns for particular domestication outcomes, for example in competitive situations or with goals related to efficiency. This paper contributes to domestication theory by analysing what we call collective domestication in a performance-oriented setting, to see how domestication may produce compatible outcomes for individuals that need to act together. The paper is based on a one-year participant observation and qualitative interviews with players. Three types of players were identified – hardcore, casual and moderate – representing three rationales of play: a high level of performance, social benefits, or a combination of the first two. In the analysis, we compare how these three types of player groups’ domesticated the game. A main finding is that collective enactments of technology need extensive managerial efforts unless the group share a coherent and uncontested rationale for playing, thus being a moral community.     

Pivot to Telehealth: Narrative Reflections on Circle of Security Parenting Groups during COVID‐19

In response to COVID‐19 hygiene and physical distancing restrictions, our service rapidly shifted to delivering Circle of Security‐Parenting? (COS‐P) groups via telehealth. In this article we report the perspectives and experiences of the group facilitator and the parents who received the intervention during the COVID‐19 pandemic. We use semi‐structured, qualitative interviews to explore the advantages, challenges, and positive impacts of the online parenting group from the perspectives of the group leader and the five group participants. Participants’ narrative reflections show that they were satisfied with the convenient and engaging online delivery of the program and would recommend it to other parents. Parents reported significant improvements in their parenting and greater awareness of their strengths and struggles. The online delivery of COS‐P resulted in more efficient service delivery, greater attendance rates, and adherence to the model. The stressors on the experienced facilitator, due to the abrupt transition and multiple technical and communication challenges, may have been mitigated by supervisor and collegial support, as well as careful preparation for herself and the participants. Future research should investigate the effectiveness of online versus face‐to‐face delivery of the intervention, including what works for whom.     

Culture,boundary, and identity: a comparison of practices between two online punk communities in China

This article analyzes how digital technology can shape cultural practice in Chinese online communities. By using the concepts of boundary and identity, it explores the formation of two online punk communities in China, created by those who are interested in punk music originating from Anglo-American countries. Drawing on data from participant observation and 10 in-depth interviews, this article first reviews literature on Internet culture in China, online communities, boundaries, and identity. It then focuses on the differing practices of the two online punk communities. A discussion is subsequently provided concerning how boundaries are constructed in online communities through the exclusion that is enabled by the technological platform. An analysis of how the members identify themselves with online communities and form punk subcultures encouraged by the boundaries of their respective communities is then presented towards the end of the article. It is through this process that the members empower themselves in their relationships with the surrounding society.     

The City as a Sexual Laboratory: The Queer Heritage of the Chicago School

This article documents the pioneering—and largely overlooked—sociological studies of sexuality undertaken by scholars at the University of Chicago during the first decades of the twentieth century. Focusing primarily on their investigations of a wide range of non-normative sexualities, including prostitution, cross-racial sexuality and homosexuality, it argues that these studies provided the foundation for a radical new understanding of sexuality that emphasized the social context and meaning of sexual practices and types, rather than their biological or psychological determination. Finally, it demonstrates the forgotten centrality of these studies to the establishment of the field of urban sociology by explicating the sexual subtext of several key concepts from the so-called Chicago School, including natural areas, concentric zones of urban development, mobility, social personalities and the marginal man.     

On sources and narratives in historical social science: a realist critique of positivist and postmodernist epistemologies

Critics of the interdisciplinary enterprise of historical sociology commonly contend that the narrational accounts of past social phenomena provided by historians are inadequate to the task of theory-building and testing. In support of this negative assessment, opponents will adduce informational deficiencies in the available data (the standard positivist appraisal of historical evidence), or cite the interpretive anarchy that seemingly prevails at the narrative phase of emplotment (the skeptical, postmodernist contention that historiographic texts 'construct' rather than veridically represent the events they artfully contrive to signify). Both of these lines of criticism are unbalanced, and therefore seriously misleading as regards the epistemic foundations of historical-sociological inquiry. The 'social authenticity' and 'informational density' of historical evidence does allow for veridical reconstructions of the past, while the reflexive interpretive protocols of source criticism and the sociology of knowledge can be deployed to provide warrant for discriminating arbitrations between competing theories and narratives. The various epistemological deformations in the study of human affairs that have been encouraged by the old idiographic-nomothetic polarity - chronic ahistoricism within the social sciences, the atheoretical predilections of much conventional historiography - are rectifiable through the consolidation of a fully integrated sociological history, a unified and inclusive historical social science.     

Childhood studies,children's politics and participation: perspectives for processes of democratisation

ABSTRACT

From the early Frankfurt School through to the work of Manuel Castells, there has been a rich body of work on the cleavage between technological and social developments of the twentieth century in respect of the consequences for the constitution of subjectivity. However, little attention is paid to the role of children during their childhoods in attempts to bridge this gap beyond discussions about the democratic actors children will become when they are adults. This paper argues that only the full integration of children, during their childhoods, into democratic development of societies will prevent the deepening of the rift between technological and social progress. The paper traces the correspondence between the new childhood studies and those concepts of politics and politicisation which can support social progress towards an emancipatory social perspective undergirded by particular and democratisation of all areas of everyday life. Drawing on Bourdieu and ideas of participation as action, the paper critically examines the various mechanisms by which children are conventionally excluded from democratic participation and then explores how a deeper consideration of agency in childhood and social actorship opens up alternative mechanisms of inclusion and the concomitant expansion of the concept of democracy.     

Toward a critical sociology of lifestyle migration: reconceptualizing migration and the search for a better way of life

This article places under critical and reflexive examination the theoretical underpinnings of the concept of lifestyle migration. Developed to explain the migration of the relatively affluent in search of a better way of life, this concept draws attention to the role of lifestyle within migration, alongside understandings of migration as one stage within the ongoing lifestyle choices and trajectories of individual migrants. Through a focus on two paradigms that are currently at work within theorizations of this social phenomenon – individualization and mobilities – we evaluate their contribution to this flourishing field of research. In this way, we demonstrate the limitations and constraints of these for understanding lifestyle migration; engaging with long‐standing debates around structure and agency to make a case for the recognition of history in understanding the pursuit of ‘a better way of life’; questioning the extent to which meaning is made through movement, and the politics and ethics of replacing migration with mobilities. Through this systematic consideration, we pave the way for re‐invigorated theorizing on this topic, and the development of a critical sociology of lifestyle migration.     

LGBTQI+ icons between resistance and normalization: looking for mediatization of emotions in hashtags

ABSTRACT

The mediatization of emotions emerges as an affordance of social media, the study of which involves paying attention to digital practices and to the construction and expression of public affection. This happens both for the great events and for the daily demonstrations of support or its denial. In this article we work on the phenomenon of the mediatization of emotions linked to two LGBTQI+ icons and expressed in hashtags on Twitter. Placing it in a specific context – the one of well-known television characters who have declared their homosexual orientation or transgender identity. The objective is to understand if the cloud of feelings they have created on Twitter is to be attributed to a true globally mediatized emotional exchange, or just an expression of emotions on the social media, and discover which emotional dynamics, linked to the LGBTQI+ world, they express.     

Expertise and experience: a deliberative system of a functional division of labor for post-normal risk governance

Public policy is increasingly facing human-made risks in various domains (technology, environment, energy, food, health, security, etc.) that pose new challenge for risk governance. These risks induce cognitive, evaluative and normative challenges that result from uncertainty and ambiguity. This necessitates a new interplay between the state, experts, stakeholder groups, and the public at large. We confront the notion of risk governance with theories of deliberative democracy: How can societies develop deliberative institutions and processes for governing risks more effectively and how can society be better involved in risk governance? We argue that a deliberative system with a functional division of labor that assigns specific tasks to and recognizes specific competences in experts, stakeholder groups, and citizens facilitates an appropriate integration of scientific and experiential substance. We argue that the integration of expertise and experience can be conveyed by differentiated deliberation by expert, stakeholders, and the public, which produces better outcomes than the classical risk analysis approach in many regulatory systems. To this end, we combine theory, normative conceptualization, and institutional practicability.     

A first generation critic comes of age: Reflections of a critical gerontologist

This paper reflects upon the direction and evolution of my scholarly endeavors as a sociologist of four decades in the field of aging, with thoughts on the future direction of this work and the challenges for the larger field. The perspective presented is located within two frameworks of active debate: the sociology of knowledge(s) [Gouldner, A. 1970. The Coming Crisis of Western Sociology. New York: Basic Books] and public sociology, which is one of the four major types of sociology identified by Burawoy [Burawoy, M. (2005, 2007). A call for public sociology. In D. Clawson, R. Zussman, J. Misra, N. Gerstel, R. Stokes, & R. L. Anderton (Eds.), Public Sociology. Berkeley: University of California Press.], also including traditional professional sociology, policy sociology, and critical sociology.     

Tell Me a Story: A Review of Narrative Assessments for Preschoolers

The use of narrative assessments in mental health research with young children has increased significantly over the last 15 years. This article reviews 13 empirically validated narrative assessments for preschool populations. The reviewed instruments assess children’s attachment relationships, moral values, separation anxiety, pro-social behavior, object relations and depression, among other constructs. The authors present an analysis of each instrument including a discussion of its methodological rigor, and point to needed directions in the field. These narrative assessment instruments provide researchers and clinicians with insight into the internal worlds of young children, offering windows into a difficult-to-assess population.     

Breaking the taboo: a history of monetary financing in Canada, 1930–1975

Monetary financing – the funding of state expenditure via the creation of new money rather than through taxation or borrowing – has become a taboo policy instrument in advanced economies. It is generally associated with dangerously high inflation and/or war. Relatedly, a key institutional feature of modern independent central banks is that they are not obligated to support government expenditure via money creation. Since the financial crisis of 2007–2008, however, unorthodox monetary policies, in particular quantitative easing, coupled with stagnant growth and high levels of public and private debt have led to questions over the monetary financing taboo. Debates on the topic have so far been mainly theoretical with little attention to the social and political dynamics of historical instances of monetary financing. This paper analyses one of the most significant twentieth‐century cases: Canada from the period after the Great Depression up until the monetarist revolution of the 1970s. The period was a successful one for the Canadian economy, with high growth and employment and manageable inflation. It offers some interesting insights into the relationship between states and central banks and present‐day discussions around the governance of money creation.