Planning for community: understanding diversity in resident experiences and expectations of social connections in a new urban fringe housing estate,Australia

Master-planned estates are a major source of new housing for growing cities. Much research finds these residential developments lack genuine social connections between residents despite marketing of ‘close-knit’ community. Selandra Rise is a new residential development on the urban fringe of Melbourne, Australia. The estate was planned with a focus on community infrastructure and resident well-being. The resident population was younger and more culturally diverse than most other master-planned community case studies. A longitudinal research design was used to explore resident understanding, experiences and needs relating to place-based community. Interviews were conducted with residents before moving to the estate and 9–18 months after moving. Some residents considered community as an amenity provided by the master-planned environment that did not require their social participation. Others aspired to make social connections with neighbours but had varying levels of success. Past experiences which contributed to aspirations for connecting with local community, and the ways that these aims were realised or hindered, are discussed. Understanding diverse resident expectations of community and insights from their lived experience are used to make recommendations for planning new neighbourhoods and designing community development programmes.     

Ticking Boxes and Changing the Social World: Data Collection and the New UK General Practice Contract

The new General Medical Services contract was introduced into general practice in the UK in 2004, and it links pay to performance far more than in the past. As a result, accurate data collection about patients and the care that they receive is now not only important for good patient care but also to prove that targets are being met. The use of electronic records and information technology has thus become much more sophisticated. This article reports the results from an ethnographic study of the early stages of the new contract in two general practices. As expected, electronic data collection had increased in importance in both practices, with consequences both for clinician–patient interactions and for the structures and processes in the practices, as uniform data collection instruments are put in place that privilege ‘hard’ biomedical data that can be easily coded above ‘softer’, more patient-centred information. Roles and responsibilities had been changed to reflect the needs of the new systems, and new software applications allowed increased surveillance of both doctors’ and nurses’ performance; both of these had an impact on patterns of authority in our study practices. Furthermore, the structural changes that were found acted to embed the new ways of working, ensuring their reproduction in the future. In spite of these effects, we found little opposition to or critical reflection on the changes, and the doctors in our study continued to view their improved computer systems as neutral recording devices. The implication of these findings is discussed.     

Care without coercion – mental health rights,personal recovery and trauma‐informed care

Australian mental health services continue to use involuntary measures in response to consumers' mental distress. Regardless of the intent behind these practices, the experience of being forced to receive treatment, be secluded or restrained is traumatic and can cause further distress and harm. Other parts of the health or social service system have shifted to approaches that emphasise agency, social context, prevention, and rights. Three frameworks currently used in mental health services – human rights, personal recovery, and trauma‐informed – are consistent with a shift away from the use of force. We applied these frameworks to the text of the National Standards for Mental Health Services 2010 to analyse the degree to which it reflects a shift. We also analysed the public text of speakers' notes from the Care Without Coercion Conference 2012 concerning lived experiences of force in mental health services. The analysis highlights force in many aspects of policy. The findings have implications for directions of change, including freedom from violence; support for decision making; access and choice about community and inpatient options; safety and risk management; and greater understanding of current policy frameworks through engagement with people with lived experience about the options and impact of support processes that exclude the use of force.     

Supporting the Sexual Rights of Women Living With HIV: A Critical Analysis of Sexual Satisfaction and Pleasure Across Five Relationship Types

In the context of human immunodeficiency virus (HIV), a focus on protecting others has overridden concern about women’s own sexual well-being. Drawing on feminist theories, we measured sexual satisfaction and pleasure across five relationship types among women living with HIV in Canada. Of the 1,230 women surveyed, 38.1% were completely or very satisfied with their sexual lives, while 31.0% and 30.9% were reasonably or not very/not at all satisfied, respectively. Among those reporting recent sexual experiences (n = 675), 41.3% always felt pleasure, with the rest reporting usually/sometimes (38.7%) or seldom/not at all (20.0%). Sex did not equate with satisfaction or pleasure, as some women were completely satisfied without sex, while others were having sex without reporting pleasure. After adjusting for confounding factors, such as education, violence, depression, sex work, antiretroviral therapy, and provider discussions about transmission risk, women in long-term/happy relationships (characterized by higher levels of love, greater physical and emotional intimacy, more equitable relationship power, and mainly HIV-negative partners) had increased odds of sexual satisfaction and pleasure relative to women in all other relational contexts. Those in relationships without sex also reported higher satisfaction ratings than women in some sexual relationships. Findings put focus on women’s rights, which are critical to overall well-being.     

Snowball sampling: using social networks to research non‐heterosexual women

This paper explores snowball sampling, a recruitment method that employs research into participants' social networks to access specific populations. Beginning with the premise that research is ‘formed’, the paper offers one account of snowball sampling and using social networks to ‘make’ research. Snowball sampling is often used because the population under investigation is ‘hidden’ either due to low numbers of potential participants or the sensitivity of the topic, for example, research with women who do not fit within the hegemonic heterosexual norm. This paper considers how the recruitment technique of snowball sampling, which uses interpersonal relations and connections between people, both includes and excludes individuals. Following this, the paper contends that due to the use of social networks and interpersonal relations, snowball sampling (in)forms how individuals act and interact in focus groups, couple interviews and interviews. Consequently, snowball sampling not only results in the recruitment of particular samples, use of this technique produces participants' accounts of their lives. Doctoral research with (rather than on or for) 28 non‐heterosexual women is used to examine the inclusions and exclusions of snowball sampling and how interpersonal relations form research accounts.     

Adult children of parents with mental illness: navigating stigma

The experiences of children who live with parental mental illness are becoming increasingly recognized. However, there remains a limited body of knowledge in relation to an individual's longer term experiences. This study sought adult children's experiences of childhood parental mental illness. It generated reflections of 13 adult children who had lived with parents with mental illness during their childhood. The narrative design of the study facilitated a voice for participants. The paper presents one main theme of the findings. The findings offer a unique insight into childhood awareness of social stigmas and children's behavioural changes to avoid disclosure of parental mental illness. Participants noted that they were aware of social stigmas associated with mental illness during their childhood. This contributed to their fear of disclosure to others that fuelled a culture of familial secrecy, reinforcing the children's own sense of difference. Further work is required to enhance community understanding about the familial journeys of parental mental illness and the impact of negative‐natured stigmas.     

Designing field experiments which are subject to representation bias

The term 'representation bias' is used to describe the disparities that exist between treatment effects estimated from field experiments, and those effects that would be seen if treatments were used in the field. In this paper we are specifically concerned with representation bias caused by disease inoculum travelling between plots, or out of the experimental area altogether. The scope for such bias is maximized in the case of airborne spread diseases. This paper extends the work of Deardon et al. (2004), using simulation methods to explore the relationship between design and representation bias. In doing so, we illustrate the importance of plot size and spacing, as well as treatment-to-plot allocation. We examine a novel class of designs, incomplete column designs, to develop an understanding of the mechanisms behind representation bias. We also introduce general methods of designing field trials, which can be used to limit representation bias by carefully controlling treatment to block allocation in both incomplete column and incomplete randomized block designs. Finally, we show how the commonly used practice of sampling from the centres of plots, rather than entire plots, can also help to control representation bias.     

Beyond rural idylls: Imperfect lesbian utopias at Michigan Womyn’s music festival

Whilst rural idylls have dominated some discussions of rural social difference, little attention has been paid to rural utopias. Imagined, material and discursive experiences of utopian rural ideals are critically examined in this paper. It takes as its focus the Michigan Womyn’s Music Festival - an annual US womyn-only festival - in order to understand the mutual construction of empowering rural spaces and non(hetero)normative women’s bodies. The first part of the paper moves away from the current focus on ‘rural idylls’ to understand social difference and ruralities, and argues that the notion of ‘rural utopia’ is a useful framework to reconsider rural possibilities for those considered ‘other’ to dominant (heterosexual) hegemonies. The context of the festival and qualitative empirical research methodologies are explained. In the second part of the paper four themes that arose from this research are explored. Firstly, the ‘free expression’ of sexualities, including sex and relationships is seen as creating a ‘slice of lesbian rural utopia’ at Michfest. Secondly, rural utopian understandings of Michfest as womyn’s space where diverse bodily aesthetics are celebrated are compared and contrasted to urban spaces, and particularly the gendered embodiments of ‘everyday’ life. Third, while womyn’s bodies may contest heteronormative performances of femininity, they also reiterate normative and embodied versions of ‘women’, creating womyn’s space through the controversial ‘womyn-born-womyn’ entry policy. Fourth, rural tensions are examined around the negotiation of work (voluntary and paid). The paper concludes by arguing that a focus on imperfect (lesbian) utopias furthers our understanding of gender, sexuality and rurality.