Oncology healthcare professionals (HCPs) and cancer patients often have difficulties in navigating conversations about sexual changes and concerns due to cancer and its treatments. The present study draws on Discursive Psychology to analyze how the topic of sexuality is raised and managed in Dutch oncological consultations. Our corpus consists of 28 audio recordings. We analyzed the discursive practices used by cancer patients and oncology HCPs and to what effect. Patients, on the one hand, employ vagueness, pronouns, and ellipses, while HCPs attribute talk to others and use generalizations, and speech perturbations. Through these practices they collectively keep the topic of sexuality at a distance, thereby constructing it as a delicate topic. Moreover, we explicate the norms related to sexual behavior that cancer patients and oncology HCPs orient to in their talk. Finally, we address ways in which oncology HCPs can open the door on discussing sexual changes with their patients.
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Het magazine Bouwen aan Binding belicht het essentiële thema van studentenwelzijn en binding. Dit magazine biedt een diepgaande kijk op hoe we het welzijn en de binding van onze studenten kunnen versterken, door de lens van actuele projecten zoals de Studentenwelzijnsmonitor en de SaP Radar Methode voor de inzet van Students as Partners, tot initiatieven voor inclusieve Studentsucces Centra. Het benadrukt het belang van een gemeenschap waarin elke student zich gewaardeerd, gehoord en ondersteund voelt. Bouwen aan Binding is gemaakt door leden van het Inholland Consortium NPO. In deze publicatie staan de complete interviews die biij het magazine horen.
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PURPOSE: The purpose of this study was to gain insight into how low back pain (LBP) patients conceptualize the construct of expectations regarding treatment.METHODS: This study was nested within a mixed-method randomized clinical trial comparing three primary care interventions for LBP. A total of 77 participants with LBP lasting longer than 6 weeks were included; semi-structured interviews were conducted querying patients about their expectations for treatment. Also factors influencing their expectations were explored. Interviews were administered following enrollment into the study, but prior to study treatment. Two researchers independently conducted a content analysis using NVIVO 9 software.RESULTS: LBP patients' expectations could be categorized in two main domains: outcome and process expectations, each with subdomains. Patients expressed expectations in all subdomains both as values (what they hoped) and probabilities (what they thought was likely). In multiple subdomains, there were differences in the nature (positive vs. negative) and frequency of value and probability expectations. Participants reported that multiple factors influenced their expectations of which past experience with treatment appeared to be of major influence on probability expectations.CONCLUSION AND RECOMMENDATIONS: This study showed that LBP patients' expectations for treatment are multifaceted. Current measurement instruments do not cover all domains and subdomains of expectations. Therefore, we recommend the development of new or improved measures that make a distinction between value and probability expectations and assess process and/or outcome expectations covering multiple subdomains. Some of the influencing factors found in this study may be useful targets for altering patients' treatment expectations and improving health outcomes.
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Events play an increasingly big role in our society. Whereas events were mainly considered entertainment in the past, the social function of events is becoming more and more apparent, in particular, in the field of social bonding and in creating a feeling of solidarity.During an event, visitors identify with a theme or topic, and interact with each other about it. Thanks to social media, they can continue these interactions online, which leads to a hybrid network of individuals sharing the same interests. Eventually, this may lead to forming new communities, who communicate with each other both online and offline. However, it is not clear yet how exactly these new communities are being created.This PhD research studies the online and offline interaction rituals of various events and online communities. Through interviews and participating observations at events such as Redhead Days and the Elfia fantasy event, processes are mapped out that result in forming communities at and around events.Partner: Tilburg University
-Chatbots are being used at an increasing rate, for instance, for simple Q&A conversations, flight reservations, online shopping and news aggregation. However, users expect to be served as effective and reliable as they were with human-based systems and are unforgiving once the system fails to understand them, engage them or show them human empathy. This problem is more prominent when the technology is used in domains such as health care, where empathy and the ability to give emotional support are most essential during interaction with the person. Empathy, however, is a unique human skill, and conversational agents such as chatbots cannot yet express empathy in nuanced ways to account for its complex nature and quality. This project focuses on designing emotionally supportive conversational agents within the mental health domain. We take a user-centered co-creation approach to focus on the mental health problems of sexual assault victims. This group is chosen specifically, because of the high rate of the sexual assault incidents and its lifetime destructive effects on the victim and the fact that although early intervention and treatment is necessary to prevent future mental health problems, these incidents largely go unreported due to the stigma attached to sexual assault. On the other hand, research shows that people feel more comfortable talking to chatbots about intimate topics since they feel no fear of judgment. We think an emotionally supportive and empathic chatbot specifically designed to encourage self-disclosure among sexual assault victims could help those who remain silent in fear of negative evaluation and empower them to process their experience better and take the necessary steps towards treatment early on.
Zowel binnen als buiten de paardensector is de aandacht voor paardenwelzijn aan het toenemen. Dit blijkt uit one-issue topics als aandacht voor toegang tot water in periode van droogte en meer activistische aandacht voor bijvoorbeeld excessen in de springsport. De Nederlandse paardensector heeft veel draagvlak in de maatschappij en wil dat behouden. Ontwikkelingen als een Keurmerk Paarden Welzijn worden breed gedragen in de georganiseerde paardenhouderij. Echter, de paardenhouderij is niet volledig georganiseerd en het beoordelen van paardenwelzijn wordt niet altijd objectief gedaan wanneer het dezelfde paardensector is die het welzijn van de paarden moet waarborgen. De praktijk vraagt om een onafhankelijke expertraad voor paarden die advies kan geven over paardenwelzijn gerelateerde onderwerpen. Stakeholders binnen of buiten de paardensector (maatschappelijke organisaties / NGO’s) kunnen dit advies bij de raad aanvragen. De organisatie en inrichting van de onafhankelijke expertraad voor paarden is de onderzoeksvraag van dit KIEM-2021 project. Eerste uitgangspunt voor een advies is dat de leden het advies geven op basis van (wetenschappelijke) feiten en hun eigen (internationale) expertise bezitten. Overige eisen zoals: organisatiestructuur, inbedding in of een nieuwe plek in de paardensector en werkwijzen worden beantwoord door het KIEM onderzoek. Het onderzoek wordt uitgevoerd door middel van interviews met verschillende stakeholders zowel binnen als buiten de paardensector.
