Open Dialogue: Frequently Asked Questions

Open Dialogue is an approach to working with people and their families experiencing psychosocial distress. Interest in Open Dialogue in Australia has been growing recently, raising questions about its adaption and implementation to local contexts. This article is an attempt to answer some of the frequently asked questions we have encountered in training and discussions about Open Dialogue. We attempt to provide responses to questions of how Open Dialogue is different to what is done already, how it fits with current approaches, how you know if you are doing it, whether it is passive or just about doing reflections, issues about including the social network, and concerns about the evidence base. This article aims to present a variety of viewpoints in relation to these questions and to hopefully further discussions on how Open Dialogue can be implemented and adapted to Australian health care and social care contexts.     

Life Balance and Work Addiction Among NCAA Administrators and Coaches

Intercollegiate athletics represent an industry prone to challenges of work addiction and life balance. Work addiction and life balance domains in male and female intercollegiate athletic coaches and administrators (N = 245) were examined using multiple regression analysis. Higher levels of stress/anxiety, sleep disturbance, and career satisfaction and lower levels of quality of relationships and friendships were the strongest predictors of work addiction. Counseling focused on reducing the negative aspects of work addiction, while maintaining job performance, may benefit this population.     

Changing Indigeneity Politics in Indonesia: From Revival to Projects

Through the discourse of indigeneity, rural communities around the world are joining a global network of rural justice seekers. By articulating grievances collectively, they demand state recognition while seeking support from NGOs and international development organisations. In Indonesia, the manifestation of indigenous ‘adat’ politics is no longer confined to the national struggle for the recognition of land rights, but instead, has proliferated into many localised short term ‘adat projects’. This introduction to the TAPJA special issue on adat demonstrates that both the rural poor and local elites can be the initiators or recipients of these adat projects but, at the current juncture, the latter are better positioned to benefit from such projects. The special issue shows that in Indonesia, where adat is often firmly entrenched in the state, the promotion of indigeneity claims can work in contradictory ways. Findings from across the special issue show that adat projects tend to reinforce the power of the state, rather than challenging it.     

Everything for the Children: Orphans Growing Up in Informal Adoptive Families in China

Most orphaned children in China are cared for by their extended families or become state wards under the guardianship of child welfare institutions. Some exceptions are children who are found and cared for by families in the community, without a formalized adoption or foster relationship. In some locations, institutions now accept guardianship for these children and support the informal adoptive family to continue to care for them. This article examines the outcomes for these children as they became young adults by comparing these 12 children raised within the system as they approach or have approached young adulthood (now aged 16–40 years-old). Some of the participants were either informally adopted or lived in institutional care. The results of this study found that the family environment was more conducive to the young people’s wellbeing as they approached or entered adulthood. The participants raised in informal care appeared to be treated similar to the biological children in these families. When the institution formalized the state guardianship responsibility, it also meant the families had state resources for support to protect the children’s rights to economic security, education, health care, and social participation. This practice by the institution supported the addition of informal adoption, as one step closer to permanency than foster care. Future implications include considering this option to help promote the family system assisting these children, families, and the state.     

Disparities in Healthcare Utilization Among Adults with Obesity in the United States,Findings from the NHIS: 2006–2015

Population Research and Policy Review - Few studies of disparities consider logistical hurdles faced by adults with obesity in obtaining needed healthcare. This study compared adults with obesity...     

‘Before they kill my spirit entirely’: insights into the lived experiences of American Indian Alaska Native faculty at research universities

American Indian and Alaska Natives (AIAN) comprise about 2% of the US population and 0.5% of the faculty in higher education. While scholars have documented the experiences of underrepresented minority (URM) faculty, the perspectives of AIAN faculty at elite universities are largely absent. Although AIAN faculty share many of the same barriers to success as URM colleagues, their unique status as Tribal peoples and their relationship to settler colonialism pose particular challenges and resistance strategies. Findings from a mixed methods study of 25 AIAN faculty at research universities, employing a decolonizing, survivance-oriented framework, examines their lived institutional experiences. The data yielded five themes regarding (1) institutional climate, (2) mentorship, (3) family–work balance, (4) cultural taxation and role stress, and (5) discrimination. The authors conclude that decolonization involves the repatriation of Indigenous epistemologies and Indigenous ‘place’ in the growth of science, research, and knowledge production, creating liberatory spaces within the academy.     

PREFERENCE MAPPING OF PERCEIVED INFORMATION STRUCTURE: IMPLICATIONS FOR DECISION SUPPORT SYSTEMS DESIGN

In a recent issue of this journal, Watkins [13] presented an approach for discovery of decision-maker perceptions of the complexity (dimensionality) of information items that might be supplied by a decision support system. Through use of multidimensional scaling and cluster analysis, relatively homogeneous groups of decision makers, sharing common perceptions of various information items, were formed. This prior research was referred to as a first step in suggesting that information reports could be tailored to groups of decision makers classified on the basis of common perceptions of information. The current research extends the prior study by evaluating decision maker preferences for information in a variety of decision-making scenarios in relation to the previously identified perceptions of the information. Based on the results of the study, conclusions are made which suggest that the tailoring of information to groups of decision makers should be based on both perceptions and preferences for information. Even so, it is demonstrated that the decision tasks have an impact on the preferences for information which may affect the attempt to tailor information to groups of decision makers.