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The extreme poor in Bangladesh suffer from a particularly severe form of multidimensional poverty. Despite opportunities for investment made available by approaches such as microfinance, which could ensure future subsistence and graduation from poverty, the extreme poor continue to under-invest in long-term income-generating activities. This continued prioritisation of immediate needs perpetuates poverty, and often leads to its intergenerational transfer. While the evolving debate on multidimensional poverty has helped to unpack the structural causes behind this investment behaviour, very little literature has sought to understand the decision process itself. In this paper, we argue that investment decisions by the extreme poor are shaped by the psychological context of life in extreme poverty. We propose a psychological model of how extreme poverty—which is multidimensional as well as commonly chronic—affects the decision-making context of the individual, causing the future to be heavily discounted and inhibiting investment. The psychological impact of extreme poverty could be seen as an overarching and under-emphasised dimension of poverty itself due to its role in undermining the capability to invest, and impeding the long-term security of a household. We argue for a holistic approach to extreme poverty and wellbeing, involving a greater understanding that people’s own perceptions of agency and needs impact upon decision making for the present and the future, in this case specifically towards livelihood choices likely to stimulate productive gains. Using a case study of one demand-driven conditional cash transfer project in Bangladesh, we propose that the psychological context of extreme poverty must be addressed in order to stimulate investment. An analysis of the project’s success suggests that it was able to effectively promote investment by altering the context within which investment decisions were made. The paper concludes that effective poverty reduction programming must more directly address the psychological context of poverty and decision-making, and recommends that innovative choice architecture could provide one method of doing so.  相似文献   
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This qualitative study investigated the use of folk medicine by families for people with intellectual disability in the Philippines. Workers from Negros Occidental who support people with intellectual disability participated in semi-structured interviews. Findings show families seek the intervention of a folk healer before seeking primary healthcare support and a prosperous cultural use of folk medicine exists across the Philippines. Intellectual impairment is perceived by some Filipinos to be caused by supernatural forces. Socio-cultural constructs of intellectual disability probably influence health outcomes for this populace. If primary healthcare tools and resources for people with intellectual disability that are developed in higher-income nations are to have the potential to be transferred into other settings, understanding of attitudes towards alternative medicine is needed.  相似文献   
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The affective dimensions of poverty, including the impact of wider policy discourses and services that ‘other’ and shame people in poverty, are increasingly recognized. In response, Lister [(2013). Power, not Pity: Poverty and Human Rights. Ethics and Social Welfare, 7(2), 109–123] advocates for ‘a politics of recognition&respect’ that centralizes the voices, participation and lived experiences of those who live in poverty. This paper considers how applying Lister’s theory could improve child protection (CP) social work in England, from a human rights and social justice perspective. The paper draws on findings from an ATD Fourth World participatory research project aimed at updating the course content for a pre-existing social worker training module on poverty awareness. The project brings together families with experience of poverty and CP interventions, social work practitioners and academics.  相似文献   
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Although downsizing has become a common feature of American workplaces, the existing literature has focused on the effects of how downsizing is conducted, rather than considering how downsizing affects the experience of work for downsizing survivors. Using data from the 1997 National Employee Survey and structural modeling techniques, this study compares downsizing survivors and workers unaffected by downsizing on a variety of sociodemographic indicators, job characteristics, and organizational environment measures in order to explain the lower levels of organizational commitment among survivors. The model in which downsizing survival was directly and indirectly associated with commitment was generally supported. Survivors reported less commitment than unaffected workers. In addition, downsizing survival was positively associated with job-related stress and negatively associated with perceived organizational support, which translated into survivors' lower levels of commitment. This research suggests that organizations that downsize should consider ways to redesign work processes so as to reduce job-related stress and should engage in organizational practices that demonstrate organizational support for surviving employees.  相似文献   
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