A systematic review of systematic reviews to improve maternal mental health and well-being

Objective: to identify non-invasive interventions in the perinatal period that could enable midwives to offer effective support to women within the area of maternal mental health and well-being.

Methods: a total of 9 databases were searched: MEDLINE, PubMed, EBSCO (CINAHL/British Nursing Index), MIDIRS Online Database, Web of Science, The Cochrane library, CRD (NHS EED/DARE/HTA), Joanne Briggs Institute and EconLit. A systematic search strategy was formulated using key MeSH terms and related text words for midwifery, study aim, study design and mental health. Inclusion criteria were articles published from 1999 onwards, English language publications and articles originating from economically developed countries, indicated by membership of the Organisation for Economic Co-operation and Development (OECD). Data were independently extracted using a data collection form, which recorded data on the number of papers reviewed, time frame of the review, objectives, key findings and recommendations. Summary data tables were set up outlining key data for each study and findings were organised into related groups. The methodological quality of the reviews was assessed based on predefined quality assessment criteria for reviews.

Findings: 32 reviews were identified as examining interventions that could be used or co-ordinated by midwives in relation to some aspect of maternal mental health and well-being from the antenatal to the postnatal period and met the inclusion criteria. The review highlighted that based on current systematic review evidence it would be premature to consider introducing any of the identified interventions into midwifery training or practice. However there were a number of examples of possible interventions worthy of further research including midwifery led models of care in the prevention of postpartum depression, psychological and psychosocial interventions for treating postpartum depression and facilitation/co-ordination of parent-training programmes. No reviews were identified that supported a specific midwifery role in maternal mental health and well-being in pregnancy, and yet, this is the point of most intensive contact.

Key conclusions and implications for practice: This systematic review of systematic reviews provides a valuable overview of the current strengths and gaps in relation to maternal mental health interventions in the perinatal period. While there was little evidence identified to inform the current role of midwives in maternal mental health, the review provides the opportunity to reflect on what is achievable by midwives now and in the future and the need for high quality randomised controlled trials to inform a strategic approach to promoting maternal mental health in midwifery.

Paranoia and self-concepts in psychosis: A systematic review of the literature.

The purpose of the present study was to review systematically, research exploring the relationship between self-concepts and paranoia in psychosis. A literature search was performed by two independent raters in relevant databases (MedLine, PsychInfo and Web of Science) and articles meeting the inclusion criteria were cross-referenced. Following scrutiny according to inclusion criteria, 18 studies were selected for review. A narrative synthesis of findings, in which methodological variability is discussed, is presented relative to three key areas: the nature of the relationship between paranoia and self-concepts; the association between paranoia and discrepancies in self-concepts; the nature of the relationship between paranoia and self-concepts when other, dimensional aspects of these constructs are taken into account. The systematic literature review indicated relatively consistent findings, that paranoia is associated with more negative self-concepts when measured cross-sectionally. Results are somewhat more mixed in regards to research on paranoia and self-concept discrepancies. Studies investigating dimensional aspects of self-concepts and paranoia yield findings of particular interest, especially in regards to the association indicated between instability of self-concepts and paranoia. Limitations in research and of the present systematic review are discussed. Clinical and theoretical implications of findings are outlined and possible directions for future research are suggested.

The Essence of Feeling a Sense of Community: A Hermeneutic Phenomenological Inquiry With Middle School Students and Teachers

In contemporary times, there is a compelling need to understand the nature of positive community relationships that value diverse others. This dissertation is a hermeneutic phenomenological inquiry into the essence of what it means to feel a sense of community. Specifically, I explored this phenomenon from the perspective of middle school teachers and students through the following questions: What meanings do students and teachers ascribe to feeling, experiencing, and developing a sense of community in their classes? To what extent do students’ and teachers’ ideas about feeling a sense of community include the acceptance of individual differences? Together these questions contributed to the overarching question, what is the essence of feeling a sense of community? As the data pool for the research, I used 192 essays and 218 posters from students who had been asked to write or draw about their visions of a positive classroom community where they felt a sense of community. I conducted 9 teacher interviews on the topic as well. My findings revealed one overarching ontology, Being-in-Relation, which outlined a full integration between individuality and community as a “way of being.” I also found five attributes that are present when individuals feel a sense of community: Supporting Others, Dialogue, An Ethic of Respect and Care, Safety, and Healthy Conflict. Contributions from this research include extensions to the literature about community; clarity for those who wish to establish a strong foundation of community relationships within formal and non-formal educational programs; insight that may assist educators, leaders, and policy makers within formal educational systems; and an opportunity to consider the extent to which the findings may point toward broader implications.

L'image entre réflexion et représentation. Aby Warburg et Walter Benjamin

Pour la pensée humaine, l’image a toujours constitué une interrogation laissée sans réponse définitive : de l’interdit biblique à la possibilité technologique infinie, l’image a traversé des étapes conceptuelles complexes et hétérogènes. Aujourd’hui, on conçoit l’image comme une présence incontournable de l’existence quotidienne et comme une forme de réflexion mystérieuse. Cette thèse propose une analyse de la vision sur l’image chez Walter Benjamin et Aby Warburg à travers quelques concepts essentiels : image de pensée, survivance, espace de pensée, coupure, représentation de l’histoire. Située énigmatiquement entre les arts visuels et la pensée philosophique, l’image devient un sujet de réflexion à la fin du 19e siècle et au début du 20e siècle; les deux penseurs mentionnés ont été les premiers à interroger les valeurs conceptuelles de l’image et à chercher de l’évoquer en tant que spectre de la pensée. Les morceaux aphoristiques et les articles critiques de Benjamin rencontrent discrètement les études esthétiques de Warburg au point où l’idée de l’image amorce toute réflexion. Pour l’imaginaire contemporain, les structures conceptuelles bâties par Benjamin et Warburg constituent des éléments dominants dans l’engrenage réflexif atonal d’aujourd’hui. Lorsque le Denkraum (espace de pensée) et le Denkbild (image de pensée) gèrent la dynamique de la philosophie de Benjamin et Warburg, le Nachleben (survie) et la coupure nuancent le grand tableau de l’histoire (Geschichtsdarstellung). L’analyse comparatiste de ces concepts aboutit à la conclusion que l’image est intimement et paradoxalement liée à la vision de l’histoire; en fait, l’image n’est qu’une représentation de l’histoire qui, à son tour, se représente dans chaque image.

The Higher Education Academy Engineering Subject Center

The engineering subject center provides support for engineering students and staff in higher education at university. The website provides articles helping students in a large range of subjects, such as book reviews for a variety subjects, support in writing reports or essays and personal development in subject areas and university life in general.

Privacy and Security - background grey literature online

Background reading for coursework to prepare a technical report as part of the orientation phase. These items are business documents (i.e. grey literature) which might be read as a prelude or complement to finding information in peer reviewed academic publications. grey literature links and articles to be used in preparation of technical report. See also overview guidance document for this assignment http://www.edshare.soton.ac.uk/8017/

Only connect: an annotated bibliography reflecting the breadth and diversity of systems thinking

The field of systems thinking is both broad and diverse. This paper tries to provide assistance to outsiders wishing to find out what systems thinking is and also to insiders interested in exploring areas of the systems movement other than their own. A selection of books, papers and articles is given. Each has a full reference and a brief annotation, this being an account of, and a critical comment on, its content. The selection does not aim to be definitive or authoritative and obviously displays the predilections of the authors. However, the hope is that it will convey a sense of the intellectual and practical endeavours that, to the authors, constitute systems thinking and that it may aid the exploration of the range of holistic ideas that people have found useful in thinking about and acting in the world.

Bastard moon : essays on Chinese-Australian writing

A timely collection of essays and interviews which starts by exploding the myth that the earliest Chinese immigrants to Australia 'suffered in silence' and ends on a question of crucial relevance to contemporary cultural studies: How do people of various races and cultures, especially intellectuals from Third World cultures, face a globalised future increasingly dominated by Western forces and Western systems of thought?

Dancing and listening : Odissi across cultures

I want to take the opportunity afforded by this conference on post-colonial writing to reflect upon the oral aspects of the transmission of knowledge in a research interview.I want to view the interview as a singular event of narration. I want to use the theme or 'content' of my interview with a young Bengali-Australian dancer to draw attention tothe interview 'form'. The interview occurred because of my interest in how this dancer had come to learn Odissi dance, how knowledge of Odissi had passed to her. In retrospect, I am trying to see myself as someone to whom, through the face-to-face interview, knowledge was 'passed' orally, not textually. I am trying to think about it in terms of some of the principles of orality discussed by Walter Ong (1982), and through the concept of 'enunciation' which foregrounds not the content of a statement but the 'position of the speaking subject in the statement.'

Dance is an oral culture. It is a set of practices transmitted from body to body. You cannot learn dancing from a book. The western researcher however learns a lot about dance of other cultures from books and articles. From my own reading I have been alerted to, and become conversant with, many of the complex negotiations of gendered, historical, national, class and aesthetic meanings at work in Classical Indian Dance practices.

I learned something of the limits of literacy, however, through the experience of interviewing Sunita (not her real name) about her learning and background in Odissi dance. She has had Odissi knowledge passed on to her in a quasi-traditional guru-sisya relationship. Her authority is in her dancing - she now embodies Odissi dance in her person - and her experience is in the oral modes of transmitting dancing knowledge. Through her telling me, through remembering out loud she was reenacting or rehearsing the 'orality' of her dance knowledge.

In my conversation with Sunita, then, wasn't it a question not of what she might say about Odissi, of what discourses she might deploy, but of what she as the subject of her own enunciations might say to me? It was also a question of how I might have listened to her and what I was able to hear.

Historiographic foodways: a survey of food and drink histories in Australia

This essay is a survey of the field of food and drink history in Australia since the 1970s. It discusses the range of research and picks out key historiographic aspects: the search for an Australian cuisine; regional food cultures; connection between sources and historical interpretation; and the interdisciplinarity of food and drink history. It suggests that as food and drink histories have broadened beyond a search for culinary traditions and a gastronomic sensibility, so our understanding of food and drink in Australian history has deepened. It also argues that food and drink history is more than textual knowledge in books and articles: television programs and exhibitions held in museums and libraries, for example, have enhanced our understanding of food and drink histories.

Ecological determinism in Australia : tracing the legacy of McHarg downunder and its key precedents

Ecological planning, as advocated by Ian McHarg, filtered extensively through North America following the publication of Design with Nature (1965). The integrated design and planning approach was also advanced by numerous graduates of McHarg's studios at the University of Pennsylvania where this approach was extensively trialled and proven. While a clear synthesis and theoretical framework was articulated and reinforced through a plethora of projects, monographs, and articles, the majority of these perspectives were North American, lacked clarity about the translation of the approach into legal strategic and statutory planning instruments, nor shed light upon what transpired in Australia. This paper reviews the development of the Conservation Plan created for the southern Mornington peninsula in Victoria, Australia, as well as its intent, structure and internal workings as a successful model of ecological statutory planning, in the context of the wider WPRPA activities that draws directly from the McHarg theory. Known as the Conservation Plan for the southern Mornington Peninsula in Victoria, a revolutionary planning structure devised in the early 1970s by several Australian proponents. The Conservation Plan continues in operation today curating a high scenic valued landscape protecting it from intrusion from the growing metropolitan city of Melbourne thus fulfilling its objectives of landscape quality conservation whilst still permitting sympathetic building and land use growth. Contextually, the Conservation Plan appears to be only statutory equivalent translation of the approach internationally other than the Pinelands Commission planning processes in New Jersey.