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This paper asserts that creativity and criticality are interlocked constructs that converge through the shared impetus of challenging existing norms, practices and relations of power. Drawing on data from a student YouTube adaptation of a play about Filipino migrants from a literature textbook, it examines how high school students in the Philippines use their linguistic, multimodal and digital resources to retell a prescribed narrative from their own perspectives and contexts. By conducting a multimodal discourse analysis of this video, this paper demonstrates how these youth engage with translanguaging and transmediation, reshaping the meanings of the primary text while imagining spaces like Canada from their own fixed locations in the Philippines. Through these creative and critical processes, they are able to challenge the boundaries of both word and world, and assert their own voices in the discourse of migration and globalization. [ABSTRACT FROM AUTHOR]

An increasing number of migration scholars have been critical of the narrative of Canada's successful immigration history, because of its neglect of colonial and discriminatory practices against Indigenous peoples and racialized minorities. This paper seeks to engage critically with this scholarship by insisting on the distinct places Indigenous peoples have in Canada's immigration history and migration narratives. By comparing various administrative programs and policies on immigration, the paper identifies the continuous marginalization and invisibility of Indigenous peoples over time. A closer look at the contemporary employment conditions of both groups highlights the administrative process of making Indigenous peoples invisible and disconnected from the wage economy, unlike migrants who are explicitly constructed as connected to it. The paper concludes with a call for further critical migration scholarship, with the examination of the history of Indigenous-settler-immigrant entanglements over time. [ABSTRACT FROM AUTHOR]

The focus of this paper is on the complex and sometimes contradictory effects of generating films with and about young people who have experienced homelessness, through participatory research. Drawing on two projects – one in Ottawa, Canada, and the other in Manchester, UK – we scrutinise two key aspects of participatory research projects that use film: first, how to appropriately communicate the complexity of already-stigmatised lives to different publics, and second, which publics we prioritise, and how this shapes the stories that are told. Through a theoretical framework that combines Pierre Bourdieu's account of authorised language with Arthur Frank's socio-narratology, we analyse the potential for generating justice versus reproducing symbolic violence through participatory research and film with homeless young people. In particular, we scrutinise the distinct role played by what we are calling first, second and third publics – each with their own level of distance and relationship to the participatory research process. [ABSTRACT FROM AUTHOR]

Authenticity is increasingly seen as a source of competitive advantage in many industries. Accordingly, authenticity work, the organizational efforts to develop and sustain believable authenticity claims, has emerged as an important organizational practice. We examined the interplay of materiality and narratives underpinning producers' authenticity work in the context of incumbent and micro-distilleries operating in the Canadian whisky industry. We found that producers' material endowments, especially central product features, anchored which authenticity claims they could credibly narrate. Other material endowments, such as key people and architectural design, were used to reinforce the integrity of authenticity claims. Our study extends our understanding of authenticity as a valued organizational resource. First, we identify two mechanisms, anchoring and reinforcement, through which materiality both constrains and facilitates organizations' authenticity narratives. Second, our research brings to the fore how audience members' experiential closeness to producers colors their perceptions of authenticity, and we show how material artifacts can enhance such closeness. Third, our findings highlight the competitive value of authenticity by unpacking how producers' material endowments may constitute a resource or a liability. [ABSTRACT FROM AUTHOR]

In this reflective paper, I interweave autoethnographic personal narrative and critical self-reflection with theoretical literature in order to engage and wrestle with decolonizing and Indigenizing my teaching and curricular practices in Canadian higher education. Acknowledging that walking this path is challenging, I seek multiple trailheads in an effort to access my hidden curriculum, my complicit knowledge, and unsettling moments that have the potential to transform me. My objective is to critically interrogate myself to prepare for respectfully and appropriately moving toward reconciliation in my relationships with Indigenous colleagues, students, and communities, and in my work as a curriculum maker. [ABSTRACT FROM AUTHOR]

Objectives. This paper will explore the social history of the transnational migration of foreign-trained doctors to western countries in the post-WWII era, by examining, as a case study, South Asian-trained doctors who were first licensed in the Canadian province of Nova Scotia between 1961 and 1971.Design. This article draws on both quantitative and qualitative primary sources. First, we analyzed the 1966 and 1971 copies of the Canadian Medical Directories (CMD), the annual compendium of all licensed practitioners in the country (over 20,000 practitioners). These CMD entries were supplemented by the annual returns of ‘intended occupation’ (those designated as ‘physician’ or ‘surgeon’) of landed immigrants to Canada, as compiled by the federal Department of Manpower and Immigration. Secondly, we analyzed testimony of 26 oral histories and narrative accounts of foreign-trained doctors being compiled as part of an ongoing multiyear program of research on the immigration of foreign-trained doctors to Canada. We have interviewed 14 doctors who, at one point in their career, practiced in Nova Scotia, 8 of whom were South Asian-trained medical practitioners. These oral interviews provide personal reflections on the process of professional and social acculturation that occurred as these foreign doctors settled in Canada.Results.The results of this paper indicate that the social history of the immigration of South Asian-trained doctors to Canada in the 1960s must be seen within a larger and more complicated pattern of the international migration of health care professionals. Indeed, the demand for foreign-trained doctors in Britain was in part a reflection of the out-migration of British-born doctors who were leaving the National Health Service for Canada, the USA, and Australia. And the demand in Canada for doctors was itself a reaction to the drift of a certain number of Canadian-trained doctors for advanced training in the USA.Conclusions. In this way, this article sheds important historical perspectives on the globalization of health human resources and the complicated, multiple migrations that continue to animate international health human resources today. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this study was to explore how the migration experiences of international accounting professionals were shaped by colonial structures and how, through their interactions with other professionals, migrants hybridize their professional identities and the profession in Canada. Design/methodology/approach – A post-colonial analysis of the career narratives of international accounting professionals who migrated to Canada. Findings – This paper illustrates how explicit and formal requirements for transformation, as well as the more subtle informal demands of employers and clients, require non-Western professionals to transform personal characteristics in ways that make them more “Canadian” or “professional”. Findings show that mimicry takes many forms, with some professionals becoming “consummate mimics”, while others discuss their transition in ways that highlight resistance (“reluctant mimics”) and the demands that systematically frustrate and exclude many non-Western professionals from full participation in the “global” profession in Canada (“frustrated mimics”). Research limitations/implications – This paper contributes to the existing scholarly literature on the persistence of colonial structures in shaping the experiences of colonized people even as they migrate in search of better opportunities decades after the colonial structures have been formally dismantled. It builds on Bhabha’s (1994) work illustrating that colonial structures are susceptible to change through action and interaction. We hope this study contributes to social change by providing some insights into how mimicry, resistance and hybridization may disrupt the unreflexive enactment of colonial structures that sustain inequality. Originality/value – This study extends the literature on professional migration using a postcolonial perspective to empirically examine the lived experience of the colonial encounter and professionals transition their professional identities across borders. [ABSTRACT FROM AUTHOR]

This paper troubles seductive discourses of Canadian multiculturalism and the centrality of whiteness to national belonging, highlighting how migrant children understand and navigate assimilation. Evolving out of childhood migration stories shared by 12 interviewees in the documentary Twelve, the article addresses the ways ‘childist’ logics are used to separate childhood from the realities of race and racism. In working towards anti‐racist praxis, we address how storytelling challenges adult–child power hierarchies, exposing how childhood continues to be framed as a time of innocence, disconnected from the violence, danger and pain involved in migrating to Anglophone Canada. [ABSTRACT FROM AUTHOR]

This paper is written based on 1 child participant's (Yang) and his family's lived stories as they were shared with Guming Zhao. Three plotlines--China-related, fitting-in, and competing--are followed to see Yang narratively. JJ, Zhao's daughter, started her new schooling in Canada about the same time Zhao started her doctoral program. In this paper, Zhao thought of Yang narratively alongside JJ. She also wove her narrative inquiry journey into this paper. [ABSTRACT FROM AUTHOR]

Copyright of Culture, Health & Sexuality is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper examines how hockey is used to construct and demarcate the Canadian national community from external others, namely, the USA, Europe and Russia/USSR. The paper suggests popular nationalist narratives around the sport of hockey construct difference from external others in ways that place them in tension with state and corporate interests. Drawing on the concept of everyday nationalism, this article explores how the interplay between international competition, national identity and commercial sport has made hockey an ambiguous and contested national symbol in Canada. [ABSTRACT FROM AUTHOR]

This article examines how antebellum slave narratives by self-liberated individuals in the United States, which were circulated and read in Canada, are contextualized within a wider body of little-known stories about slavery in Canada. Critics have argued that antebellum slave narratives by self-liberated people are part of the Canadian literary canon, but they have not explored the connection between slave narratives and Canadian newspapers, which recirculated narratives about slavery. This article uses Gérard Genette’s concept of the paratext, functioning as the “threshold” to a text, to place a slave narrative back into the threshold of the newspaper that framed it for its religious readers. The self-liberated Wesleyan preacher and abolitionist Thomas H. Jones first arrived in Saint John, New Brunswick in May 1851, and in 1853 his narrative was reprinted in Saint John. The article shares the results of research on two religious newspapers in Nova Scotia and three popular Saint John newspapers, 1851–53, arguing that Thomas H. Jones’s The Experience of Thomas Jones, Who Was a Slave for Forty-Three Years was read within a context that gave priority to its evangelical imperatives. Through examining a wider body of newspaper narratives that feature fictional enslaved African American characters and function as moral tales for evangelical readers, this article provides a more contextual reading of Jones’s narrative in Nova Scotia. When we place booklength slave narratives back into a wider body of newspaper narratives, it problematizes an oversimplified view of Canadian antislavery divorced from other imperatives and agendas. Book-length narratives, in their US and Canadian circulation context, should be read alongside lesser-known newspaper narratives. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to investigate how service professionals involved in the provision of services to clientele who use solvents and are often without stable housing understand the process of healing and recovery in their work. Design/methodology/approach – Using a narrative methodology, semi-structured interviews were conducted with 12 human service professionals (i.e. social workers, case managers, etc.) employed in providing recovery-based services to individuals who use volatile solvents. Findings – Despite the dominant cultural story about “street addicts” and solvent users’ limited possibilities for recovery, professionals indicate that they view their clients as “just like everyone else.” The dominant storyline was that of advocating for the capability of the client group. These stories are discussed in relation to hope for professionals who provide health and housing services to clientele with complex and multi-systemic needs. Originality/value – The findings have implications for how human service providers maintain hope and purpose in their work with stigmatized populations (e.g. homeless individuals, those with alcohol or other drug-related problems). This study highlights how human service professionals make sense of their role in their work and how they maintain hope for themselves and for the recovery of the clientele they work alongside. [ABSTRACT FROM AUTHOR]

Purpose – The purpose of this paper is to explore the lived experiences of women without children experiencing housing instability and homelessness in Calgary, Canada; and narratives of what triggered their journeys were constructed according to the tenets of hermeneutic phenomenology, and suggest a framework for assisting these women. Design/methodology/approach – The design for this study is qualitative, approached through hermeneutic phenomenology rooted in Gadamerian philosophical hermeneutics (Gadamer, 2004). Hermeneutic phenomenology, as a research method has provided insight into understanding phenomena and human experiences that are important to human science professionals. Findings – The experience of homelessness for women without children started while they still lived at home, but after they lost all sense of “being at home” as a consequence of identifiable negative home experiences, such as abuse. The effects or impacts of stable childhood or adult home experiences and the implications of such in contributing to the feelings of homelessness were pervasive in the stories told by these women. Practical implications – Access to housing does not mean getting out of the feeling of homelessness, because the trauma that triggers the experience for the clients often last for a life time. Long-term engagement with the client will be synonymous to increasing the possibility that they can be stabilized permanently. Resources dedicated to these clients must be tailored to each client’s needs, with strong agency collaboration with the mainstream systems. Social implications – Community health nurses and other support workers for individuals experiencing homelessness need to build bridges with inter-professional groups to close the gap created by societal attitudes toward women and domestic abuse survivors through advocacy and education, especially in countries where women are still treated as second class citizens. Originality/value – Although there has been a considerable amount of research conducted on the determinants of homelessness and housing instabilities in women or their pathways into homelessness, the plight of women without children and their experiences while homeless have received little attention in literature. This study explored the lived experiences of women without children experiencing homelessness and narratives of what triggered their journeys were constructed according to the tenets of hermeneutic phenomenology, and suggest a framework for assisting these women. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Oncology Nursing Journal is the property of Pappin Communications and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this paper we present oral narratives focusing on schooling experiences of Canadians who lived with polio as children between 1940 and 1959. We argue that disabled students with polio received an education about the differences ascribed to them by individuals in authority (teachers, principals), by other young people, and through the dominant negative discourses of polio and normalizing, ableist practices of schooling. Using narrative accounts from participants’ interviews, we analyze their school experiences of difference: inaccessible physical and temporal spaces, bullying at school, exclusion from classes, and negotiating youth culture related to shoes, clothes and friendships. However, participants were not passive and they discussed how, along with families, they negotiated and occasionally defied normalizing processes. This research gives voice to a generation of disabled English-speaking Canadians, whose stories about school have not been heard before. [ABSTRACT FROM PUBLISHER]

This paper highlights the authors’ experiences of negotiating a curriculum of narrative inquiry identity explorations in pre-service teacher education. Attending to both teacher education students’ evolving stories to live by, as well as our stories to live by as teacher educators, shapes a meeting place for, and of, shifting identities. The authors offer autobiographical narrative accounts of narrative inquiry practices in two Canadian teacher education programs and, as a result, foreground a curriculum of narrative inquiry identity explorations as an important aspect of teacher preparation programs. [ABSTRACT FROM PUBLISHER]

This paper emerges from a comparative study of two community-based multimedia storytelling projects in Toronto and Montreal, and the multimedia narratives participants produced in those projects. Following current scholarship in visual methods that acknowledges the significance for research of the medium’s formal qualities, the authors offer the concept of ‘craftedness’ as one which might help researchers grapple with the significance of the processes of both creating and interpreting visual data. Through a study of the visual data produced in these two projects, they examine three qualities of this aesthetic experience captured in the notion of craftedness, which seem to both complicate and enable processes of self-representation and interpretation: aesthetic distance, visual excess and the visualisation of the unrepresentable. Taking seriously the craftedness of multimedia works highlights the complexities of interpreting visual data and the dilemmas of representing ourselves and others. [ABSTRACT FROM PUBLISHER]

This paper examines how children and families of diverse ethnic backgrounds perceive, understand and treat symptoms related to functional gastrointestinal disorders (FGIDs). It is questioned how different ways of dealing with medical uncertainty (symptoms, diagnosis) may influence treatment pathways. Semi-structured interviews were conducted with 43 children of 38 family groups of immigrant and non-immigrant backgrounds. The analysis takes into account (a) the perceived symptoms; (b) the meaning attributed to them; and (c) the actions taken to relieve them. The social and cultural contexts that permeate these symptoms, meanings and actions were also examined. It is found that, in light of diagnostic and therapeutic uncertainty, non-immigrant families are more likely to consult health professionals. Immigrant families more readily rely upon home remedies, family support and, for some, religious beliefs to temper the uncertainty linked to abdominal pain. Furthermore, non-immigrant children lead a greater quest for legitimacy of their pain at home while most immigrant families place stomach aches in the range of normality. Intracultural variations nuance these findings, as well as family dynamics. It is concluded that different courses of action and family dynamics reveal that uncertainty is dealt with in multiple ways. Family support, the network, and trust in a child's expression of distress are key elements in order to tolerate uncertainty. Lastly, the medical encounter is described as a space permeated with relational uncertainty given the different registers of expression inherent within a cosmopolitan milieu. Narrative practices being an essential dynamic of this encounter, it is questioned whether families’ voices are equally heard in these clinical spaces. [ABSTRACT FROM PUBLISHER]

Copyright of Canadian Social Work Review / Revue Canadienne de Service Social is the property of Canadian Association for Social Work Education and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper will examine literature focused on meditation and visualization, and their impact on mental and physical health. A key aspect of this examination includes understanding the defined meanings of both meditation and visualization. Specifically, the authors explore concepts of human consciousness, including mindfulness, quantum physics realities, and controlling mental imagery in neurology. These ideas provided the conceptual framework to study the effectiveness of meditation and visualization through an 8-week program for female university students, experiencing stress, anxiety, and sadness. Initial qualitative data analysis employed a thematic analytic approach. Preliminary findings, such as increased self-awareness and decreased anxiety, are discussed alongside existing literature that confirms the value of meditation and visualization approaches towards improved health. [ABSTRACT FROM AUTHOR]

Fathers tend to be excluded and ‘invisible’ participants in the child welfare system. We interviewed fathers with ‘looked after’ children in a child protection system in Western Canada. They wanted active roles in children's lives and to become engaged fathers, whether the children were theirs by birth or not. Their stories exposed the strategies they used to convince social workers that they were ‘good enough’ fathers. In the telling, they revealed the barriers they surmounted to create meaningful relationships with these children. In this paper, we focus on the stories fathers used to describe their involvement in caring for children. These were: ‘misrepresented dad’; ‘survivor dad’; ‘mothering father’; ‘denied identity dad’; and ‘citizen dad’. We conclude that the fathers' narratives depict a complex typology that transcends the ‘good father’–‘bad father’ binary that informs practice and consider how social workers can involve fathers more effectively in child welfare practice by actively listening and drawing on their strengths. [ABSTRACT FROM PUBLISHER]

This paper is a discussion of how Arab Muslim Canadian women perceive themselves as women, the factors influencing their gender perceptions, and if that may have changed as a result of living in two cultures: Arab Muslim and Canadian. The nine Arab Muslim women interviewed were exposed to life and education in their own societies as adults and then experienced life and education in Canada. These women were interviewed to ascertain their gender perceptions and the factors influencing their views. The findings of the study, through Arab Muslim Canadian women's narratives, show that the faith of these Arab Muslim Canadian women heavily influenced the way they perceive themselves as women and their role in society. This research indicates that Arab Muslim women are negotiating their cultural, religious, and personal identities and that these negotiations operate in complex ways. In addition, for some of the participants, certain aspects of cultural traditions may have influenced the way they perceive themselves as women. For other Arab Muslim women, the experiences and the opportunities that became available through their education in Canada were regarded as significant in their lives and perceptions. [ABSTRACT FROM AUTHOR]

Purpose: The authors answer calls for research on the experiences of international professionals' career transitions by investigating how highly skilled immigrants make sense of their career changes in the host country's labor market. Design/methodology/approach: The authors report on a qualitative, inductive and elaborative study, drawing on sensemaking theories and career transitions literature and nine semi-structured reflective interviews with highly skilled Canadian immigrants. Findings: The authors identified four career change narratives: mourning the past, accepting the present, recreating the past and starting fresh. These narratives are made sense of in a transnational context: participants contended with tensions between past, present and future careers and between relevant home and host country factors affecting their career decisions. Participants who were mourning the past or recreating the past identified more strongly with their home country professions and struggled to find resources in Canada. In accepting the present and starting fresh, participants leveraged host country networks to find career opportunities and establish themselves and their families in the new environment. Originality/value: A transnational ontology emphasizes that immigrants' lives are multifaceted and span multiple national contexts. The authors highlight how the tensions between the home and host country career contexts shape immigrants' sensemaking narratives of their international career change. The authors encourage scholars and practitioners to take a transnational contextual approach (spatial and temporal) to guide immigrants' career transitions and integration into the new social environment. [ABSTRACT FROM AUTHOR]

Objective: This paper offers a reflection on temporal routines that underscore daily work life and work transitions. Participants: This reflection includes views of a Canadian student who examines work transitions through lived experiences and observation of the Chilean work/home routine. Method: A narrative reflection on lived experience is used to examine 9 to 5 work transitions. Results: There is a blending of work and daily life routines that provide a balance for workers in Chile and there are differences across countries in the valuing of work and daily life routines. Conclusions: Narrative reflections about work and work transitions can highlight differences at the macro level that can yield personal insights into challenges in transitioning into work for new immigrants. [ABSTRACT FROM AUTHOR]

Aim To determine which characteristics of academic leadership are perceived to be necessary for nursing deans to be successful. Background Effective leadership is essential for the continued growth of the discipline. Method A qualitative study using semi-structured interviews with 30 deans (academics in universities who headed a nursing faculty and degree programmes) was conducted in three countries - Canada, England and Australia. The conversations were analysed for leadership attributes. Result Sixty personal and positional attributes were nominated by the participants. Of these, the most frequent attribute was 'having vision'. Personal attributes included: passion, patience, courage, facilitating, sharing and being supportive. Positional attributes included: communication, faculty development, role modelling, good management and promoting nursing. Conclusion Both positional and personal aspects of academic leadership are important to assist in developing a succession plan and education for new deans. Implications for nursing management It is important that talented people are recognised as potential leaders of the future. These future leaders should be given every chance to grow and develop through exposure to opportunities to develop skills and the attributes necessary for effective deanship. Strategic mentoring could prove to be useful in developing and supporting the growth of future deans of nursing. [ABSTRACT FROM AUTHOR]

Recovery from serious mental illness can be conceptualised in a number of ways, some more helpful to clients than others. This paper aimed to show that the clinical model of recovery, based on symptom relief, return to function, and freedom from hospitalisation, is a limited one and that a holistic approach is needed. The author has chosen to narrate her own story. She is a Chinese immigrant from Hong Kong to Canada suffering from bipolar illness, who was hospitalised several times and, eventually, achieved full recovery. The recovery of the author illustrates the limitations of the clinical model of recovery. Her story demonstrates the importance of the principles of empowerment, as achieved through self-management, social support, meaningful occupation, and spiritual fulfilment. The empowerment model of recovery is recommended for the use of mental health professionals, with special attention to individual client factors such as culture and gender. [ABSTRACT FROM AUTHOR]

Abstract: Despite the significant literature as well as energy devoted to ethical review of research involving human subjects, little attention has been given to understanding the experiences of those who volunteer as human subjects. Why and how do they decide to participate in research? Is research participation viewed as a form of social responsibility or as a way of obtaining individual benefits? What if anything do research subjects feel they are owed for participation? And what do they feel that they owe the researcher? Drawing on in-depth individual interviews conducted in 2006 and 2007 with 41 subjects who participated in a variety of types of health research in Canada, this paper focuses on subject perspectives on responsibility in research. Highlighting the range of ways that subjects describe their involvement in research and commitments to being a ‘good’ subject, we present a typology of narratives that sheds new light on the diverse meanings of research participation. These narratives are not mutually exclusive or prescriptive but are presented as ideal types typifying a set of circumstances and values. As such, they collectively illuminate a range of motivations expressed by human subjects as well as potential sources of vulnerability. The typology adds a new dimension to the literature in this area and has significant implications for researchers seeking more human-subject centred approaches to research recruitment and retention, as well as research ethics boards trying to better anticipate the perspectives of prospective participants. [Copyright &y& Elsevier]

HARROWING J.N., GREGORY D.M., O'SULLIVAN P.S., LEE B. & DOOLITTLE L. (2012) A critical analysis of undergraduate students' cultural immersion experiences. International Nursing Review Purpose: This paper is concerned with the impact of an international health promotion experience on the understanding of culture among university students. Such immersion experiences are often cited as a strategy to prepare nurses for culturally appropriate practice. We describe students' epistemic movements over time with respect to cultural perspectives prior to, during and after a field study in Malawi. Design: Data were collected at three time points from students in undergraduate nursing ( n = 14) and non-nursing ( n = 8) programs at a Canadian university. Two essays narrating participants' understanding of culture were submitted by consenting class members. A subgroup of nine participants (four nursing students, five from other disciplines) completed a third narrative following a subsequent field study course in Malawi. Method: Using narrative analysis, themes and structures in the participants' writing were identified and located within a constructivist or essentialist paradigm of cultural understanding. Findings: Overwhelmingly, students' narratives were initially portrayed and informed by an essentialist understanding of culture. Later narratives demonstrated varying degrees of epistemic movement towards more constructivist viewpoints. Narratives that initially exhibited constructivist characteristics tended to display strengthened convictions in that paradigm. Conclusion: We challenge the claim that an international immersion experience immediately transforms participants into cultural experts; our evidence suggests that students experienced existential growth, but their understanding of culture did not change as a result of their brief stay in a different cultural context. Cultural immersion is a phenomenon that requires more critical analysis and systematic investigation to determine how such experiences contribute to learning about culture among nursing students. [ABSTRACT FROM AUTHOR]

Copyright of Deviance et Societe is the property of Medecine et Hygiene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Increasingly, palliative care is being referred to as an essential programme and in some cases as a human right. Once it is recognized as such, it becomes part of the lexicon of social justice in that it can be argued that all members of society should have access to such care. However, this begs the question of how that care should be enacted, particularly in rural and remote areas. This question illustrates some of Friedrich Hayek's critiques of social justice. Hayek has likened social justice to a 'moral stone' arguing that social justice is meaningless to the extent that society is impersonal and as such cannot be just, only those individuals who make up that society can be just. When responsibility for justice is assigned to an impersonal society, ideas of social justice can become a clarion call for whom no one is directly accountable. This opens the door for questionable macro-level political agendas that have no capacity to enact the ideal, and worse, may suppress individual moral acts towards the desired end. Further, acts of interference at the macro level with the ideal of equal opportunity run the risk of disadvantaging other members of society. Instead, he has argued that a better approach lies in finding ways to induce and support individual moral acts that promote the human good. Hayek's arguments are particularly compelling for rural palliative care. In this paper we draw upon data from an ethnographic study in rural palliative care to illustrate the potential misfit between the ethical ideal of palliative care as expressed by rural participants and the narratives of social justice. [ABSTRACT FROM AUTHOR]

This article explores contemporary social work's uneasy and ambivalent relationship with its Christian origins by use of the concept of narrative. The argument is organized in three parts: first, the concept of narratives is used to describe the dominant secularization story in social work and identify some of the emerging alternative narratives. Second, the article explores in greater detail particular themes from historians of religion in Canada that challenge the interpretations and assumptions contained in the dominant secularization narratives of social work. Third, the article discusses the implications of these alternative narratives in one particular area that is currently relevant to social work— human rights—and shows how it has become captive to the secular narrative. The paper concludes with implications and challenges both for Christians and non-Christians in social work. [ABSTRACT FROM AUTHOR]

In this paper I explore the role of popular Canadian immigration narratives in shaping the experiences and subjectivities of immigrants to Canada, and the ways in which immigrants negotiate these narratives to construct their experiences and identities. My research is based on ethnographic fieldwork and interviews conducted with Colombian immigrants to Canada residing in London, Ontario. I identify two narratives that characterize Canadian discourse on immigration, and explore how Colombian newcomers both apply and challenge these two narratives in talking about everyday experiences and challenges. I show that i) hegemonic immigration narratives are a powerful lens through which Colombian newcomers construct their experiences and identities, and that ii) newcomers manipulate these narratives to negotiate between the representations of immigrants in mainstream discourse and their desired self-representations. [ABSTRACT FROM AUTHOR]

This article examines the emotional terrain and discursive frames that govern the constitution of those subject to the "dangerous offender" (DO) designation in Canada. Focusing on the emotion of remorse, we discuss four narratives involving individuals who went through the DO hearing process, gaining significant media attention. Asking what role Indigeneity and other factors play in how the media discuss the emotional comportment of DOs, we examine the persistence of particular discursive frames in these narratives, and the counter-frames that challenge or disrupt dominant understandings of what it is appropriate to feel. The expression of emotion, and its interpretation, can be critical to the outcome of cases, criminalized people/survivor stigmatization, and normalization of punishment and may also motivate community mobilization and prompt policy change. Yet, emotion, and how it may be performed and interpreted differently, is not well understood or discussed in these narratives. [ABSTRACT FROM AUTHOR]

This doctoral research highlights Indigenous women's experiences of stress and postpartum depression (PPD) through secondary quantitative analysis of the Public Health Agency of Canada's Canadian Maternity Experiences Survey (2009) and qualitative Indigenous maternity narratives. Indigenous women's responses to the survey demonstrate that Indigenous women experience 1.9 times higher odds of PPD and are 1.5 times as likely to be diagnosed with depression prior to pregnancy, compared to Canadian women. Indigenous women are also 1.3 times as likely to experience higher levels of stress and 3.3 times as likely to experience three or more stressful life events. While the survey demonstrates higher rates of stress and PPD, it is not culturally or contextually relevant. Therefore, Indigenous maternity narratives from 10 Indigenous mothers in 2015 further contextualize experiences of stress and PPD to include narratives related to adverse social determinants of health and impacts of colonialism. The research includes a discussion on the limitations of previous maternity research and the limits of clinical-medical assessments and diagnosis of stress and PPD in Indigenous populations. The research concludes with recommendations for additional maternity experiences research and ways to support Indigenous women, infants and children, birth partners, families, and communities. [ABSTRACT FROM AUTHOR]

In 2014, Québec became the first province in Canada to allow medical assistance in dying (MAID) by adopting the Act Respecting End‐of‐Life Care. This was, and still is, an important policy change. It involves a singular and highly moral issue that generated debates spanning over a longer period than that specific to the law's development and adoption. Using French and English newspapers' renderings of these debates in Québec between 2005 and 2015, this study deconstructs MAID's journey in the province into four periods, each characterized by a specific narrative: flexible precaution, legal hypocrisy, accountability imperative, and ineluctable adaptation. These four narratives allow us to better understand MAID's framing process as they reveal the underlying rationales of three overarching frames covering the 2005–2015 period: the legal frame, the social progress frame, and the service provision frame. [ABSTRACT FROM AUTHOR]

In Essex County, in Secret Path (his collaboration with Gord Downie), in Roughneck, and in his creation of the indigenous Canadian superhero Equinox for Justice League United: Canada, Jeff Lemire highlights a vision of the Canadian 'north' as transformative space. In Lemire's hands, 'the north' is where Chanie Wenjack's historical reality (Secret Path), Derek and Beth Ouelette's personal demons (Roughneck), and Miiyahbin Marten's life as an ordinary indigenous teen in Moose Factory, Ontario (Justice League United Volume 1: Justice League Canada) all undergo a transformation which speaks to shifting perceptions of identity, responsibility, and belonging in Canada. The north becomes a site where Lemire (and Lemire's readers) directly confront how even a deliberate act of intended reconciliation between settlercolonial and indigenous peoples can effectively colonize the space in which it occurs. All three works, in different ways, deploy rhetorical strategies to minimize the 'collateral damage' that is probably unavoidable, and even perhaps necessary, in the articulation of the kind of anticolonial dialogue toward which Lemire's work is oriented. [ABSTRACT FROM AUTHOR]

Both specialized domestic violence (DV) courts and batterer intervention programs were developed to more adequately address intimate partner abuse and recidivism; however, little research has studied them concurrently. The current research examined clinical outcomes and police-reported recidivism in 382 men mandated to attend the Calgary Counselling Centre's Responsible Choices for Men's (RCM) groups between 1998 and 2009, before and after a specialized DV court was established in 2001. The study examines associations between categorical demographic and criminal justice variables, most of which were not correlated with post-group recidivism. Before the specialized court was implemented, 45 RCM members reported significantly more clinical issues at pretest than the 282 RCM members after court implementation (all scores adjusted by social desirability), although the effect sizes were negligible. Regarding group outcomes, depression, anxiety, and self-esteem (adjusted for social desirability) significantly improved on average for all RCM members irrespective of court implementation. Before the specialized DV court was developed, recidivism occurred after RCM program completion for a large proportion of men (41.2%), compared with only 8.2% after court implementation, a significant difference with a moderate effect size. The recidivism results are interpreted in the context of the significant justice and community collaborations entailed in creating the specialized DV court. [ABSTRACT FROM AUTHOR]

Background: The impact of long‐term conditions is the "healthcare equivalent to climate change." People with long‐term conditions often feel they are a problem, a burden to themselves, their family and friends. Providers struggle to support patients to self‐manage. The Practical Reviews in Self‐Management Support (PRISMS) taxonomy lists what provider actions might support patient self‐management. Objective: To offer providers advice on how to support patient self‐management. Design: Semi‐structured interviews with 40 patient‐participants. Setting and participants: Three case studies of primary health‐care organizations in New Zealand and Canada serving diverse populations. Participants were older adults with long‐term conditions who needed support to live in the community. Main outcome measures: Qualitative description to classify patient narratives of self‐management support according to the PRISMS taxonomy with thematic analysis to explore how support was acceptable and effective. Results: Patients identified a relationship‐in‐action as the mechanism, the how by which providers supported them to self‐manage. When providers acted upon knowledge of patient lives and priorities, these patients were often willing to try activities or medications they had resisted in the past. Effective self‐management support saw PRISMS components delivered in patient‐specific combinations by individual providers or teams. Discussion and conclusions: Providers who establish relationships with patients can support them to self‐manage and improve health outcomes. Delivery of taxonomy components, in the absence of a relationship, is unlikely to be either acceptable or effective. Providers need to be aware that social determinants of health can constrain patients' options to self‐manage. [ABSTRACT FROM AUTHOR]

Fibromyalgia is a chronic illness with primary symptoms of widespread pain and fatigue. Social media applications have become a recent resource allowing individuals with fibromyalgia to interact in a virtual community devoted to the illness. This study explores how such a community develops and maintains itself on Instagram and the ways it creates social capital for its users. Data are derived from Instagram posts and open-ended questionnaires completed by users living with fibromyalgia who use the application. Using content analysis and semiotic methodology, the study analyzes the diverse ways in which users shared their experiences with fibromyalgia, the management of its symptoms, and issues encountered in accessing health care systems. Instagram aids in the development of a community by facilitating intimate and supportive interactions about the illness and the creation of personalized day-to-day narratives accessible to all. Norms of trust, acceptance, and reciprocity characterize the diversity of interactions in this community. [ABSTRACT FROM AUTHOR]

Background: Idiopathic pulmonary fibrosis has an uncertain and rapid trajectory after diagnosis. Palliative care is rarely utilized, although both patients and caregivers experience a distressingly high symptom burden. Most patients die in hospital. Aim: The purpose of this study was to explore bereaved caregivers' experiences and perceptions of an early integrated palliative approach implemented at a Multidisciplinary Interstitial Lung Disease Clinic. Design: A narrative approach was used, with thematic and content analysis of open-ended interviews. Setting/participants: The clinic is located in a large western Canadian city. Caregivers of deceased patients were recruited through purposive sampling. The eight participants were either spouses or adult children. Results: Five major themes were identified: Having a Terminal Disease; Planning Goals and Wishes for Care; Living Life and Creating Memories; Feeling Strain and Responsibility; and Nearing the End. Caregivers had little understanding of prognosis prior to advance care planning conversations at the clinic. Advance care planning conversations enabled caregivers to know and support patients' goals and wishes. Caregivers described feeling informed, prepared, and supported when death was near. They expressed neither distress nor anxiety related to patients' symptoms or strain of relationships. Conclusion: Collaboration and close communication among caregivers, respirologists, and home care enabled effective symptom management and out of hospital deaths. Patients and caregivers had opportunities to enjoy events, create memories, determine preferences, and make plans. Further research on an early integrated palliative approach in Idiopathic Pulmonary Fibrosis is warranted related to quality of life, experience with death and dying, and caregiver bereavement. [ABSTRACT FROM AUTHOR]

This study examines how, in the words of Appadurai, “locality emerges in a global world” (Appadurai, 1996, p.18). Specifically, it articulates the nature of information practices in the lives of 14 newcomers to Canada who have migrated from the Philippines to the medium‐size city of Winnipeg. Using a qualitative and exploratory approach, this study applies a transnational lens to this area of research to make explicit the detailed activities and outcomes of newcomer information practices, in particular drawing out the dimensions and implications of newcomers' participation within and across local and global social networks, translocal information landscapes, and across their settlement trajectories. The result is a Translocal Meaning Making process that describes how newcomers come to make sense and use information across distinct and sometimes contradictory information spaces. Our findings suggest that migrant information practices shift across space and time and are constituted both individually, through cognitive and affective processes, and socially, through shared imaginaries, through interactions within and across translocal information landscapes, and through complex deterritorialized networks of people and resources. [ABSTRACT FROM AUTHOR]

HPV-associated anal cancer is one of the most prevalent non-AIDS defining cancers affecting gay men living with HIV. Drawing on interviews with 25 HIV-positive gay men living in Toronto in 2017, we explored their responses to anal cancer as a comorbidity risk and the necessity of preventative screening. These participants had previously been screened for anal cancer through a clinical trial. The majority of our sample did not initially consider anal cancer a health priority. They relied on narratives of living with HIV - that is, on their HIV biographies - to make sense of anal cancer’s significance given their self-described lack of knowledge. This included references to personal-level narratives of the biographical disruption and revision associated with a HIV diagnosis, as well as reflections on community-level and socio-historical trends in the HIV epidemic. Drawing on these narratives, some started to accept anal cancer as a significant comorbidity risk, while others remained ambivalent. Those who began to accept anal cancer as significant integrated it into their HIV biographies to present anal cancer as a threat to the ontological security they have gained managing HIV in an era of effective treatment and to position themselves as pragmatic, responsible health-seekers. Others drew on their HIV biographies to vocalise resistance to chronic risk and medicalisation. Our analysis points to the fundamental role narratives play on everyday risk perception practices, health decision-making and, for those managing a chronic illness, on securing ontological security and presenting a coherent self-identity under conditions of expanding risks and prevention possibilities. [ABSTRACT FROM AUTHOR]

Asylum seeking children arriving in Canada regularly face incarceration in medium-security-style immigration detention centres. Research demonstrates the human cost of detaining migrant children and families and the psychiatric burden linked with such imprisonment. This study aims to understand the lived experiences of children aged 3-13 held in detention. Informed by a qualitative methodology of narrative inquiry, child participants created worlds in the sand and generated stories to express their subjective experience. Results suggest that children’s sandplay confirms the traumatic nature of immigration detention while also revealing children’s sometimes conflicting understanding of the meaning of detention and their own migration. The results are contextualized by a description of detention conditions and the psychiatric symptoms associated with immigration incarceration. The study highlights the need for more research examining the impact of immigration detention on children’s mental health, while also underlining how refugee children’s voices provide important direction for policy change. [ABSTRACT FROM AUTHOR]

After two decades of intersectoral public health action, the literature reports considerable ongoing difficulty in achieving this aim. This article analyses two of the challenges of intersectoral action: (1) ensuring convergence among the interests and resources of sectoral actors, and (2) coordinating the multiplicity of sectoral programmes. A case study employing Actor–Network Theory is used to provide an in-depth understanding of the persistence of these problems. In 2008, the Montreal Directorate of Public Health in the province of Quebec, Canada, implemented a vast consultation and mobilization process to address problems highlighted by theSurvey of the School Readiness of Montreal Children. The process mobilized regional and local multi-sectoral actors in order to propose solutions. At the local community level, the process resulted in increased coordination leading to intersectoral innovation, while at the regional level it brought about the deployment of additional resources, albeit in sectoral programmes. This study analyses how intersectoral issues raised by the survey have been addressed so as to produce these results. It discusses how the balance between sectoral interests and the common good, as well as between sector autonomy and interdependence, is central to dealing with these two critical challenges. [ABSTRACT FROM PUBLISHER]

Three Canadian colleagues in health psychology recount their careers in a field of research and practice whose birth they witnessed and whose developments they have critiqued. By placing the development of health psychology in Canada in a context that is both institutional and personal, Stam, Murray, and Lubek raise a series of questions about health psychology and its propagation. While uniquely Canadian their professional careers were affected by international colleagues as well as others—patients and community members—whose views shaped their perspectives. This article is a plea for the continuing development of critical voices in health psychology. [ABSTRACT FROM AUTHOR]

This article proposes an innovative method for the visual analysis of narrative data that involves three steps: transforming narrative data into relational data, creating two-mode networks displayed with graph optimization algorithms derived from social network analysis (SNA), and visually analyzing sociograms. We argue that understanding how actors and their opinions constitute a network-like structure opens up promising avenues for interpreting data. This approach provides powerful data visualization that facilitates inductive identification of the underlying structure of narrative data. It also reveals the complexities of the links between differently positioned actors in a structure that a personal attribute-based analytical method might overlook. Lastly, it can be productively combined with other quantitative and qualitative methods to make sense of narrative data. [ABSTRACT FROM AUTHOR]

The telling of birth stories (i.e. stories that describe women's experiences of giving birth) is a common and important social practice. Whereas most research on birth narratives reflects the stories of middle-class, 'adult' women, we examine how the birth stories told by early-age mothers interconnect with broader narratives regarding social stigma and childbearing at 'too early' an age. Drawing on narrative theory, we analyse in-depth interviews with 81 mothers (ages 15-24 years) conducted in Greater Vancouver and Prince George, Canada, in 2014-15. Their accounts of giving birth reveal the central importance of birth narratives in their identity formation as young mothers. Participants' narratives illuminated the complex interactions among identity formation, social expectations, and negotiations of social and physical spaces as they narrated their experiences of labour and birth. Through the use of narrative inquiry, we examine the ways in which re-telling the experience of giving birth serves to situate young mothers in relation to their past and future selves. These personal stories are also told in relation to a meta-narrative regarding social stigma faced by 'teenage' mothers, as well as the public's 'gaze' on motherhood in general - even within the labour and delivery room. [ABSTRACT FROM AUTHOR]

This article illustrates the concept of reciprocity in the context of immigrant families. It recommends that definition of reciprocity account for exchanges beyond the immediate family, and render visible the simultaneous location of older people as care recipients and providers, and care arrangements across generations, borders, community, and time. Adopting a critical ethnographic study on the aging and care experiences of older Filipinos in Canada, this article analyzes data from extended observations and in-depth semi-structured interviews with 18 older people, 6 adult children, and 13 community stakeholders. Findings highlight the unique configurations of care among the Filipino community whereby older people engage in care exchange as active participants across intergenerational, transnational, and fictive kin networks. [ABSTRACT FROM AUTHOR]

Background:Unlike other chronic injuries, acquired brain injuries (ABI's) affect physical, cognitive, social, and emotional functioning. Although collaborative decision-making, high patient engagement, and positive healthcare relationships are generally encouraged within the patient-centred care (PCC) framework, little is known about how ABI patients experience healthcare relationships and decision-making and whether their experiences align with PCC principles. Method:The purpose of this study was to obtain a better understanding of how mild to moderate ABI patients in the chronic phase of recovery (i.e. minimum 2 years post-injury) experience and navigate healthcare using narrative methods. Participants were 11 Canadian adults living in the community and recruited from their local brain injury association. Semi-structured interviews were conducted and analyzed for their thematic content, structural aspects, and performative aspects in order to get at the meaning-making underlying the narrated stories. Findings:These participants told one coherent narrative with two main storylines: one in which they positively portrayed their doctors and their healthcare relationships – reporting feeling lost and needing their doctor's help; and another in which they negatively portrayed their doctors and their healthcare relationships – reporting being capable and therefore not needing their doctor's help. Although seemingly contradictory, these two storylines speak to one coherent experience in which capability served as a counter-narrative to what they perceived as a global narrative of being devalued, dismissed and patronized. Discussion:The implication of how this counter-narrative affects their experience of healthcare is discussed, including implications for why doctors may want to focus on fostering a positive doctor–patient relationship by conveying that they care for and value their ABI patients, and why simple interactions may contribute to this positive relationship. [ABSTRACT FROM AUTHOR]