A Reflective Lens: Applying Critical Systems Thinking and Visual Methods to Ecohealth Research

Critical systems methodology has been advocated as an effective and ethical way to engage with the uncertainty and conflicting values common to ecohealth problems. We use two contrasting case studies, coral reef management in the Philippines and national park management in Australia, to illustrate the value of critical systems approaches in exploring how people respond to environmental threats to their physical and spiritual well-being. In both cases, we used visual methods—participatory modeling and rich picturing, respectively. The critical systems methodology, with its emphasis on reflection, guided an appraisal of the research process. A discussion of these two case studies suggests that visual methods can be usefully applied within a critical systems framework to offer new insights into ecohealth issues across a diverse range of socio-political contexts. With this article, we hope to open up a conversation with other practitioners to expand the use of visual methods in integrated research.     

Psychoneuroimmunology: The problem of the situatedness of illness and the conceptualization of healing

Psychoneuroimmunology claims to go beyond narrow biological perspectives of illness to consider behavioral components as an integral part of health and disease. The conceptualization of the embodiment of behavioral dimensions and how they may be represented in terms of interaction between the central nervous system and the immune system are therefore central theoretical issues. Psychoneuroimmunology is thus an arena in which questions about the body and person in context should come to the fore. There are multiple approaches in the psychoneuroimmunological literature, including those which attempt to address in some fashion the issue of the situatedness of illness. It is argued here that the problem of the representation of situatedness is the primary axis of tension in current research and writing in psychoneuroimmunology. Diverse attempts to represent extremely complex (and non-linear) relationships between behavioral and biological dimensions of immune system functioning drive a number of researchers, though they operate under disciplinary, institutional, and funding constraints in the U.S. which tend to work against the development of competing or radical models within psychoneuroimmunology itself.     

Can social research paradigms justify the diversity of approaches to social life cycle assessment?

Purpose

The present paper aims to offer an explanation for the diversity of methodological approaches proposed up to the present for social life cycle assessment (sLCA), tracking down its roots in the cultural and scientific heritage of social sciences and especially management sciences. A second aim is to shift the current debate on methodologies to an epistemological level, presenting the first results of an ongoing critical review about which underlying paradigms have been applied in sLCA literature.

Methods

This paper moves from the hypothesis that the diversity of positions in philosophy of science and the “multiparadigmatic” character of social sciences have had repercussions on sLCA literature since its beginnings, probably in an unconscious manner. Therefore, a discriminating reflection on the scientific and disciplinary inheritance that can represent the roots of sLCA has been conducted. The philosophy of science and the role of different research paradigms in social sciences have been deepened to provide an overview of the main elements of a paradigm (in terms of ontology, epistemology, and methodology). Finally, a brief but critical review of 133 selected scientific contributions on sLCA has been conducted to highlight which paradigms have been applied in sLCA studies.

Results and discussion

Recognizing that boundaries between paradigms are subtle and that researchers are rarely conscious of which paradigm underpins their works, a distinction between the interpretivist and post-positivist approaches used by the studies has been carried out on the basis of a text analysis conducted by identifying the main “literal” criteria. From an initial population of 209 studies, we excluded those concerning reviews of sLCA literature and those with selected criteria that were insufficient to catch the epistemological viewpoint of the authors. Among the remaining papers (133), 73 % has been ascribed to the group of interpretivism-oriented paradigms and only 24 % could be ascribed to the post-positivist one; the remaining 3 % is represented by studies with both characteristics. This data deserves some attention because, since the beginnings of sLCA methodologies, most sLCA publications explicitly suggest having the same underlying perspectives as environmental life cycle assessment (eLCA).

Conclusions

In light of the reflections carried out, we argue that it is important, before going into methodological questioning issues, to be aware of which paradigm is underlying. Indeed, in this phase of sLCA development, scholars should go beyond the simple methodological debate and recognize the “multilayered” nature of social phenomena and the multiparadigmatic characteristics of social and management sciences.

     

The Texture of the Real: Experimentation and Experience in Schizophrenia

The dominance of the neurosciences in psychiatric research raises questions about the relationship between research practices and the lived experience of mental illness. Here, I use data from a group of researchers focusing on neurocognition in schizophrenia to explore the problem of representation in psychiatric research and the forms that neuroscientific evidence assumes for those who produce it. These researchers grappled with the complexity of schizophrenia not by narrowing disease concepts to biological facts but by referencing measurement techniques to generate new versions of schizophrenia. By linking experimental findings to inchoate concepts of personhood and social experience, I found that they reframed and reinforced cultural values, including that those with schizophrenia are destined to a debased and deficient existence. I argue that cognition has emerged as an essential feature of schizophrenia not only because of its representational utility but also because of the ontological work the concept performs. In closing, I present some implications for the neurobiological and social sciences.     

Qualitative Insights and Methodological Challenges: Next Steps in Research on Low-Income Fathering

For decades, researchers have struggled to assess the characteristics and lived experiences of low-income men on the margins of their families. Recent initiatives, such as the Fatherhood Research Initiative, the DADS project, and related multi-site evaluations, have resulted in promising longitudinal data on low-income men's parenting behavior and subsequent effects on their children's development and well-being. However, limitations that linger in this research urge consideration of new approaches to the study of low-income fatherhood. In this chapter we identify four areas for critical consideration in research on low-income fathers and their children. We explore the range of qualitative tools that are available to address these challenges and discuss potential methodological innovations, including mixed methodological and multidisciplinary approaches in the study of low-income fathering.     

Participatory Research Approaches and Social Dynamics that Influence Agricultural Practices to Improve Child Nutrition in Malawi

The Soils, Food and Healthy Communities project in Malawi uses an interdisciplinary participatory approach to improving child nutrition with resource-poor farmers. The overall research question is: Can legume systems improve soil fertility, food security, and child nutrition? Over 2000 farmers are now experimenting with legume systems in the region. While this article examines the social issues that mitigate the potential success of legume options tested by the farmers, it does not aim at discussing extensively the complex web of interactions between soil fertility, food security, and nutritional status of children. Instead, its focus is on the research process, and more specifically on the social dimensions and participatory approaches, which influenced farmers’ adoption of organic matter technologies and legume options. The Farmer Research Team was critical in mobilizing community interest in changing agricultural practices to improve child health, but faced challenges in village politics and workload. The linkage with child nutrition was a major reason for increased adoption of legumes, and gender relations played a key role in the adoption. A deeper understanding of the limits of participatory approaches helped to develop innovations that may be replicated elsewhere, such as inclusion of grandmothers and a farmer apprenticeship program.     

Community-based participatory research and integrated knowledge translation: advancing the co-creation of knowledge

Background

Better use of research evidence (one form of “knowledge”) in health systems requires partnerships between researchers and those who contend with the real-world needs and constraints of health systems. Community-based participatory research (CBPR) and integrated knowledge translation (IKT) are research approaches that emphasize the importance of creating partnerships between researchers and the people for whom the research is ultimately meant to be of use (“knowledge users”). There exist poor understandings of the ways in which these approaches converge and diverge. Better understanding of the similarities and differences between CBPR and IKT will enable researchers to use these approaches appropriately and to leverage best practices and knowledge from each. The co-creation of knowledge conveys promise of significant social impacts, and further understandings of how to engage and involve knowledge users in research are needed.

Main text

We examine the histories and traditions of CBPR and IKT, as well as their points of convergence and divergence. We critically evaluate the ways in which both have the potential to contribute to the development and integration of knowledge in health systems. As distinct research traditions, the underlying drivers and rationale for CBPR and IKT have similarities and differences across the areas of motivation, social location, and ethics; nevertheless, the practices of CBPR and IKT converge upon a common aim: the co-creation of knowledge that is the result of knowledge user and researcher expertise. We argue that while CBPR and IKT both have the potential to contribute evidence to implementation science and practices for collaborative research, clarity for the purpose of the research—social change or application—is a critical feature in the selection of an appropriate collaborative approach to build knowledge.

Conclusion

CBPR and IKT bring distinct strengths to a common aim: to foster democratic processes in the co-creation of knowledge. As research approaches, they create opportunities to challenge assumptions about for whom, how, and what is defined as knowledge, and to develop and integrate research findings into health systems. When used appropriately, CBPR and IKT both have the potential to contribute to and advance implementation science about the conduct of collaborative health systems research.

     

Researching ethnicity,identity, subjectivity: anything but the four-lettered word

This article gives a frank account of how anthropological research on Cape Verdean migrant experiences of parenthood in Portugal developed from avoiding the use of the analytical concept of ‘race’ to encountering ‘race’ as a category of practice in fieldwork and discusses the implications of this for analysing the data. Although the aim of the research was to look beyond categorizations, in order to explore the emotional dimensions of lived experience, the effects of ‘racial automatisms’ upon migrant subjectivities cannot be ignored. Racist effects are nonetheless distinguished from racist intentions. The ethnography elucidates the political potential of ‘race’ to foment critical reflection upon the relationship between an individual's personal and collective identities.     

Managing alterity from within: the ontological turn in anthropology and indigenous efforts to shape shamanism

The ontological turn is gaining momentum among many anthropologists today, evidenced by multiple debates and symposia in recent years addressing the role of ontological approaches within the discipline. Equal to the force of the ontological turn are the growing number of passionate critiques that question everything from the ethnographic and historical integrity of this body of work to its intellectual motivations and political effects. This article commends ontologists for bringing greater attention to the crucial role of spirits in many people's lives and for their efforts to gain deeper understandings of different realities. Yet we also agree with critics in their identification of various troubling tendencies in prominent ontologists’ analyses. We highlight how many of these disturbing inclinations emerge through ontologists’ attempts to connect their ethnographic analyses to Eduardo Viveiros de Castro's theory of multinaturalist perspectivism. Finally, we analyse one of the favourite research topics of those associated with the ontological turn – shamanism – in one of the regions most often heralded as an oasis of radical alterity – the Amazon – in a way that specifically aims to avoid the problematic orientations we identify. Specifically, we describe a series of historical changes in the relationships between shamans and indigenous leaders to draw attention to how relationships to shamanic power/knowledge are unevenly distributed, actively debated, and co‐constructed through changing historical and political contexts.     

Participatory Development and Community-Based Conservation: Opportunities Missed for Lessons Learned?

This paper traces the evolution as well as key elements, and provides examples of implementation of participatory development and community-based conservation, two concepts that resemble distant cousins in the intersecting worlds of development assistance and environmental conservation. The paper examines the connections between the concepts, the implications of participatory development for community-based conservation, and the reasons for the differences in their conceptualization and implementation. The paper is based on a review of the literature in both fields and on the authors' research and experience with participatory development and community-based conservation. Several keys to understanding the disconnection between the concepts emerge; intellectual and pragmatic origins of and impetus for the concepts, the expertise and interests of their promoters, and the differing emphasis on participation as means versus end. Results may inform our understandings of why many participatory approaches to conservation have failed to achieve meaningful participation in practice.     

Improving outcomes for ill and injured children in emergency departments: protocol for a program in pediatric emergency medicine and knowledge translation science

Background

Implementation of evidence-based mental health assessment and intervention in community public health practice is a high priority for multiple stakeholders. Academic-community partnerships can assist in the implementation of efficacious treatments in community settings; yet, little is known about the processes by which these collaborations are developed. In this paper, we discuss our application of community-based participatory research (CBPR) approach to implementation, and we present six lessons we have learned from the establishment of an academic-community partnership.

Methods

With older adults with psychosis as a focus, we have developed a partnership between a university research center and a public mental health service system based on CBPR. The long-term goal of the partnership is to collaboratively establish an evidence-based implementation network that is sustainable within the public mental healthcare system.

Results

In building a sustainable partnership, we found that the following lessons were instrumental: changing attitudes; sharing staff; expecting obstacles and formalizing solutions; monitoring and evaluating; adapting and adjusting; and taking advantage of emerging opportunities. Some of these lessons were previously known principles that were modified as the result of the CBPR process, while some lessons derived directly from the interactive process of forming the partnership.

Conclusion

The process of forming of academic-public partnerships is challenging and time consuming, yet crucial for the development and implementation of state-of-the-art approaches to assessment and interventions to improve the functioning and quality of life for persons with serious mental illnesses. These partnerships provide necessary organizational support to facilitate the implementation of clinical research findings in community practice benefiting consumers, researchers, and providers.     

Holism vs. Reductionism: Do Ecosystem Ecology and Landscape Ecology Clarify the Debate?

The holism-reductionism debate, one of the classic subjects of study in the philosopy of science, is currently at the heart of epistemological concerns in ecology. Yet the division between holism and reductionism does not always stand out clearly in this field. In particular, almost all work in ecosystem ecology and landscape ecology presents itself as holistic and emergentist. Nonetheless, the operational approaches used rely on conventional reductionist methodology.From an emergentist epistemological perspective, a set of general 'transactional' principles inspired by the work of J. Dewey and J.K. Feibleman are proposed in an effort to develop a coherent ontological and methodological semantics.     

Children as ethnobotanists: methods and local impact of a participatory research project with children on wild plant gathering in the Grosses Walsertal Biosphere Reserve,Austria

Background

Ethically sound research in applied ethnobiology should benefit local communities by giving them full access to research processes and results. Participatory research may ensure such access, but there has been little discussion on methodological details of participatory approaches in ethnobiological research. This paper presents and discusses the research processes and methods developed in the course of a three-year research project on wild plant gathering, the involvement of children as co-researchers and the project’s indications for local impact.

Method

Research was conducted in the Grosses Walsertal Biosphere Reserve, Austria, between 2008 and 2010 in four research phases. In phase 1, 36 freelist interviews with local people and participant observation was conducted. In phase 2 school workshops were held in 14 primary school classes and their 189 children interviewed 506 family members with structured questionnaires. In phase 3, 27 children and two researchers co-produced participatory videos. In phase 4 indications for the impact of the project were investigated with questionnaires from ten children and with participant observation.

Results

Children participated in various ways in the research process and the scientific output and local impact of the project was linked to the phases, degrees and methods of children’s involvement. Children were increasingly involved in the project, from non-participation to decision-making. Scientific output was generated from participatory and non-participatory activities whereas local impact - on personal, familial, communal and institutional levels - was mainly generated through the participatory involvement of children as interviewers and as co-producers of videos. Creating scientific outputs from participatory video is little developed in ethnobiology, whereas bearing potential.

Conclusions

As ethnobotanists and ethnobiologists, if we are truly concerned about the impact and benefits of our research processes and results to local communities, the details of the research processes need to be deliberately planned and evaluated and then reported and discussed in academic publications.

     

The “capacity to reason” in conservation biology and policy: the southern elephant seal branding controversy

Modern environmental research is typically governed by a number of protocols designed to embrace the epistemological and ethical values of society. These protocols evolve in response to changing values, and few disciplines in environmental science have received as much attention as biological conservation. This paper describes the events leading to a controversy regarding a particular research technique used to investigate the cause of a long-term population decline of southern elephant seals (Mirounga leonina) at Macquarie Island, south of Australia – hot-iron branding of individuals. We discuss procedures and protocols that were in place at the time the controversy erupted, the subsequent reflection of the researchers and authorities involved, and the steps taken to avoid future occurrences. Our treatment of the issue is framed within a discussion of modern ethical philosophy, and our aim is to identify the true source of the controversy. We offer several suggestions as to how such events can be avoided in the future, and provide a model framework for incorporating changing ethical values into important biological conservation objectives.     

SMT and TOFT Integrable After All: A Reply to Bizzarri and Cucina

In a previous paper recently published in this journal, we argue that the two main theories of carcinogenesis (SMT and TOFT) should be considered as compatible, at the metaphysical, epistemological and biological levels. In a reply to our contribution, Bizzarri and Cucina claim we are wrong since SMT and TOFT are opposite and incompatible paradigms. Here, we show that their arguments are not satisfactory. Indeed, the authors go through the same mistakes that we already addressed. In particular, they confuse reductionism, as an ontological frame, and genetic determinism, as a causal pathway. Beside, they make an inadequate use of the Kuhnian notion of paradigm shift. Finally, we confirm our previous conclusion: there is no strong argument to totally abandon the somatic mutation theory. It describes a partial causal pathway, compatible with the one proposed by TOFT.     

Using Community-Based Participatory Research Principles to Develop More Understandable Recruitment and Informed Consent Documents in Genomic Research

BackgroundHeart Healthy Lenoir is a transdisciplinary project aimed at creating long-term, sustainable approaches to reduce cardiovascular disease risk disparities in Lenoir County, North Carolina using a design spanning genomic analysis and clinical intervention. We hypothesized that residents of Lenoir County would be unfamiliar and mistrustful of genomic research, and therefore reluctant to participate; additionally, these feelings would be higher in African-Americans.MethodologyTo test our hypothesis, we conducted qualitative research using community-based participatory research principles to ensure our genomic research strategies addressed the needs, priorities, and concerns of the community. African-American (n = 19) and White (n = 16) adults in Lenoir County participated in four focus groups exploring perceptions about genomics and cardiovascular disease. Demographic surveys were administered and a semi-structured interview guide was used to facilitate discussions. The discussions were digitally recorded, transcribed verbatim, and analyzed in ATLAS.ti.

Results and Significance

From our analysis, key themes emerged: transparent communication, privacy, participation incentives and barriers, knowledge, and the impact of knowing. African-Americans were more concerned about privacy and community impact compared to Whites, however, African-Americans were still eager to participate in our genomic research project. The results from our formative study were used to improve the informed consent and recruitment processes by: 1) reducing misconceptions of genomic studies; and 2) helping to foster participant understanding and trust with the researchers. Our study demonstrates how community-based participatory research principles can be used to gain deeper insight into the community and increase participation in genomic research studies. Due in part to these efforts 80.3% of eligible African-American participants and 86.9% of eligible White participants enrolled in the Heart Healthy Lenoir Genomics study making our overall enrollment 57.8% African-American. Future research will investigate return of genomic results in the Lenoir community.     

Star Wars: About Anthropology,Culture and Globalisation1

This paper explores the connection between debates within anthropology and larger political processes affecting the universities frequently relating to contemporary globalisation. Such connection is important in order to evaluate some directions in critical reflection within the discipline. It is claimed that anthropological positions concerning ‘fieldwork’ and ‘culture’, often devalued in the climate of current discourse, are significant epistemologically for the discipline and important for its radical potential as offering a continual challenge to the hegemony of metropolitan thought. This kind of challenge may be lost in certain redirections in anthropological approaches that often seem to be more dictated by the managerial revolution in universities than otherwise realised.