Social anxiety is highly prevalent in adolescents and is often associated with great individual suffering and functional impairment. Psychiatric comorbidity is common and further adds to this burden. The purposes of this study were: (1) to describe the occurrence of diagnosed and self-reported social anxiety among 8,199 Norwegian adolescents aged 13–19 years who participated in the population-based Young-HUNT3 study (2006–2008); (2) to examine associations between sociodemographic characteristics and different subgroups of social anxiety; and (3) to describe the psychiatric health comorbidities (...) among adolescents diagnosed with social anxiety disorder (SAD). In total, 388 (5.9%) of the adolescents screened positive for SAD and were invited into a diagnostic interview, performed by professional nurses, using Anxiety Disorders Interview Schedule for DSM IV: child version (ADIS-C) (response rate = 54.6%). A SAD diagnosis was indicated in 106 individuals (50% of the interview subjects), and more than two-thirds of the adolescents diagnosed with SAD had one or more comorbid psychiatric disorders. Higher mean scores of self-reported social anxiety symptoms, poor self-rated health, sleep problems, poor family economic situation, low physical activity, and having sought professional help within the last year were associated with higher odds of being in the screening positive subgroup. Screening positive subjects who did not meet for a diagnostic interview did not differ notably from the rest of the screening positive group in terms of these sociodemographic characteristics. Based on our results and the fact that individuals with social anxiety often fear interview situations, the use of ADIS-C, screening questions and self-reports seem to be sufficient when aiming to identify epidemiologically representative cohorts of adolescents at risk of social anxiety. (shrink)

This paper explores the relationship between temporal continuity in nursing and temporal features of sickness. It is based on phenomenological and hermeneutical philosophy, empirical studies of sickness time, and the nursing theories of Nightingale, of Benner and of Benner and Wrubel. In the first part, temporal continuity is defined as distinct from interpersonal continuity. Tensions between temporal continuity and discontinuity are discussed in the contexts of care management, of conceptualisations of disease and of time itself. Temporal limitations to the methodological (...) concept of situation are discussed. The main part of this paper explores nurses' possibilities to relate to their patients' time, and how temporal features of sickness may warrant temporal continuity of nursing. Three temporal characteristics of sickness are discussed: the immediacy of patients' suffering, the basic continuity of life through sickness and health care, and the indeterminism and precariousness of sickness. The timing of nursing acts is discussed. The paper explores how sickness is both part of the continuity of life, and threatens this continuity. It concludes that this tension is implicitly recognised in the temporal continuity of nursing, which allows for discontinuous and continuous aspects of sickness time. Nurses accordingly perceive the sick person's time at several levels of temporality, and distinguish highly complex temporal processes in their patients' trajectory. Temporal continuity provides the time, flexibility, and closeness for nurses to perceive and act into time dimensions of individual sickness. The paper shows that temporal continuity of nursing is grounded in temporal characteristics of severe sickness. It suggests that temporal continuity is an important theoretical concept in nursing. (shrink)

In feminist and cultural studies, there is a growing body of work concerned with how people’s lives are subjected to multiple, intersecting axes of differentiation and power. There is growing concern that we seem unable to address more than one difference at a time, thus failing to interrogate enactments of class, race, ethnicity, gender, and sexuality in science, technology, and medicine. This article aims to contribute to the effort to conceptualize the making of and interactions between differences. It explores how (...) differences such as disability, gender, and class are made and unmade in sociotechnical practices. It shows that interactions between enactments of differences are complex, contradictory, unpredictable, and surprising and defy simple conclusions about effects and politics. These patterns of interference need to be investigated in situated practices, and we have to examine carefully how processes of differentiation interact to support and reinforce but also to challenge and undermine each other. (shrink)

It is often assumed that it was the alliance between patient associations and neuroscience, which originally made dementia a matter for intervention. In parallel ways, science and technology studies often attributes the power to define and act upon matters of life to biomedicine and science. The concern here is that the science centrism of STS contributes to the dominance of science and biomedicine by granting these analytical privileges. As a result, alternative modes of acting, for instance in care, are disarticulated (...) and made absent. This article mobilizes the sensibilities of anthropology to difference and draws upon excerpts of data from fieldwork in dementia care to show this and argue that there are different practices that act upon life and its limits; that these enact different versions of life and dementia; and that they matter because they shape how people are cared for and live and die with dementia. (shrink)

Ten nurses at a university hospital in Norway were interviewed as part of a comprehensive investigation into the narratives of nurses and physicians about being in ethically difficult situations in surgical units. The transcribed interview texts were subjected to a phenomenological-hermeneutic interpretation. The main theme in the narratives was being close to and moved by the suffering of patients and relatives. The nurses' responsibility for patients and relatives was expressed as a commitment to act, and they needed to ask themselves (...) whether their responsibility had been fulfilled, that nothing had been left undone, overlooked or neglected, before they could leave the unit. When there was confirmation by the patients, relatives, colleagues and themselves that the needs of patients and relatives had been attended to in a morally and professionally satisfying manner, this increased the nurses' confidence and satisfaction in their work, and their strength to live with the burden of being in ethically difficult situations. (shrink)

Background: The brief generic Multicultural Quality of Life Index is a culturally informed self-report 10-item questionnaire used to measure health-related quality of life. QoL is an important outcome measure in guiding healthcare and is held as a substantial parameter to evaluate the effectiveness of healthcare. Attention Deficit Hyperactivity Disorder in children might negatively influence the parents’ QoL. Having a validated questionnaire to measure QoL for this population will therefore be a vital first step in guiding healthcare for parents of children (...) with ADHD. We aimed to examine the reliability and validity of the Norwegian version of the MQLI in a sample of parents of children with ADHD.Methods: In a cross-sectional study, 128 parents of children with ADHD were recruited from four outpatient clinics within the Child and Adolescents Mental Health Services in Norway. They completed the MQLI along with an alternative well-being scale, the Five-item World Health Organization Well-being Index, and a form including demographic variables. Reliability and validity of the MQLI were examined. We conducted a factor analysis and calculated internal consistency and the correlation between the MQLI and the WHO-5.Results: Factor analysis of the parents reported MQLI yielded a one-factor solution. For the MQLI, Cronbach’s alpha was 0.73. The correlation between the two measures of MQLI and WHO-5 was high, reflecting convergent validity since the association between the two measures was strong.Conclusion: Results from this study support the reliability and validity of the Norwegian version of the MQLI for assessment of quality of life in parents of children with ADHD with good psychometric properties. Study findings support the use of the questionnaire in CAMHS. (shrink)

What is context and how to deal with it? The context issue has been a key concern in Science and Technology Studies. This is linked to the understanding that science is culture. But how? The irreductionist program from the early eighties sought to solve the problem by doing away with context altogether—for the benefit of worlds in the making. This special issue takes its points of departure in this irreductionist program, its source of inspirations, as well as its reworkings. The (...) aim is not to solve the context problem but rather to experiment with context and what we label contexting. (shrink)

This article asks how contexts are made in science as well as in social science, and how the making of contexts relates to political agency and intervention. To explore these issues, it traces contexting for foot-and-mouth disease and the strategies used to control the epidemic in the United Kingdom in 2001. It argues that to depict the world is to assemble contexts and to hold them together in a mode that may be descriptive, explanatory, or predictive. In developing this argument, (...) it explores how contexts are assembled in a series of different descriptive and explanatory narratives in epidemiology, policy, critical social science, and social studies of science. (shrink)

This article discusses whether a child can and should be engaged as a co-researcher on moral and epistemological grounds. Selected research literature has been used to illustrate various approaches to the issue of children's participating as co-researchers in social research. By exploring the predicament of childhood and the meaning of the concept ‘research’, we attempt to clarify the necessary conditions for a person to qualify as a researcher and for an activity to qualify as research. We then look at the (...) extent to which the concept of ‘child’ fits within these frames. (shrink)

Background: The coronavirus disease 2019 pandemic is impacting the delivery of healthcare worldwide, creating dilemmas related to the duty to care. Although understanding the ethical dilemmas about the duty to care among nurses is necessary to allow effective preparation, few studies have explored these concerns. Aim: This study aimed to identify the ethical dilemmas among clinical nurses in Spain and Chile. It primarily aimed to identify nurses’ agreement with the duty to care despite high risks for themselves and/or their families, (...) describe nurses’ well-being and describe the associations between well-being and the duty to care. Research design: Cross-sectional self-reported anonymous data were collected between May and June 2020 via electronic survey distribution. Ethical considerations: The Institutional Ethical Review Committees in both countries approved the study. Findings: In total, 345 clinical nurses answered the primary question about the duty to care for the sick. Although in the total sample 77.4% agreed they have a duty to care for the sick, significant differences were found between the Spanish and Chilean samples. Overall, 53.6% of the nurses reported low levels of well-being; however, among those reporting low well-being, statistically significant differences were found between Spanish and Chilean nurses as 19.4% and 37.8%, respectively, disagreed with the statement regarding the duty to care. Discussion: Participants in both countries reported several ethical dilemmas, safety fears, consequent stress and low well-being. These results suggest that prompt actions are required to address nurses’ ethical concerns, as they might affect their willingness to work and psychological well-being. Conclusion: Our findings shed light on the ethical dilemmas nurses are facing related to the duty to care. Not only has the coronavirus disease 2019 pandemic given rise to ethical challenges, but it has also affected nurses’ well-being and willingness to work during a pandemic. (shrink)

The monograph under review, written as a doctorate in 1999 and later revised and supplemented, offers a searching analysis of the form and function of rhetoric in the Pascal-Pentecost cycle of the 12th century homilist Cyril of Turov, together with an examination of the Byzantine sources. Lunde scrutinizes eight festal homilies for the period from Palm Sunday to the Sunday before Pentecost, using the edition by Igor' Erëmin [TODL 11–13,15 (1955–1958), reprinted as Literaturnoe nasledie Kirilla Turovskogo: Archeologičeskij obzor I izdanie (...) tekstov in 1989]. All Slavonic fragments are accompanied by English translations, predominantly drawn from Simon Franklin's Sermon and Rhetoric of Kievan Rus' [1991, reviewed by Francis Thomson in Slavica Gandensia 19], with minor alterations (e.g. p. 266, note 11) and critical remarks (e.g. p. 180, note 37). The study is positioned along the line that marks a shift in focus from philological and historical commentary towards the literary analysis of Cyril's sermons. Lunde's approach is clearly indebted to various developments in modern literary criticism, from structural linguistics to discourse analysis and communication theory. Questions of dating, attribution, and textual criticism are consciously left aside. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:178 Feminist Studies 46, no. 1. © 2020 by Feminist Studies, Inc. Nathan Snaza Biopolitics without Bodies: Feminism and the Feeling of Life Against a restrictive and imperialist concept of “the human,” which has become globalized during the long march of colonialist, heterosexist modernity, Samantha Frost’s Biocultural Creatures summons “counter-concepts” of the human that might authorize new political possibilities and theories of what it means to be human. She (...) writes, “These counter-concepts of the human are creatures who are embedded in various ecologies and networks of relations and who can integrate their acknowledgement of their embodiment, animality, physicality, dependence, and vulnerability into their self-conception and their orientation toward and modes of being in the world” (3). As this formulation suggests, whatever the new theory of the human is, it has been emerging at the edges of imperialist humanism for some time in a number of distinct political and intellectual projects clustering around decolonization, feminism, queer critique, technoscience, and ecology.1 Frost’s book, 1. Vandana Shiva and Ingunn Moser, editors, Biopolitics: A Feminist and Ecological Reader on Biotechnology (London: Zed Books, 1995); Cyd Cipolla, Kristina Gupta, David A. Rubin, and Angela Willey, eds., Queer Feminist Science Studies: A Reader (Seattle: University of Washington Press, 2017); Sandra Harding, Sciences From Below: Feminisms, Postcolonialities, and Modernities (Durham, NC: Duke University Press, 2008); Sandra Harding, ed., The Postcolonial Science and Technology Studies Reader (Durham, NC: Duke University Press, 2011). 179 Nathan Snaza Books Discussed in This Essay Biocultural Creatures: Toward a New Theory of the Human. Samantha Frost. Durham, NC: Duke University Press, 2016. Flourishing Thought: Democracy in an Age of Data Hoards. Ruth A. Miller. Ann Arbor: University of Michigan Press, 2016. The Biopolitics of Embryos and Alphabets: A Reproductive History of the Nonhuman. Ruth A. Miller. Oxford: Oxford University Press, 2017. The Economization of Life. Michelle Murphy. Durham, NC: Duke University Press, 2017. along with recent work by Michelle Murphy and Ruth Miller, among many other feminist biopolitical thinkers, summons us to reconceive and decolonize the human by feeling it differently, and in so doing, open our intellectual and political projects toward what Miller calls “democracy as a nonhuman affair” in The Biopolitics of Embryos and Alphabets (9). My sense is that this reconception throws into question the ways that we have understood both the human and politics through specific ideas about bodies. The body has a certain phenomenological obviousness for (some) humans, which might explain why it has been so central to most political projects of modernity, many of which share at least some commitment to the liberal individual as a self-contained entity.2 However, something else is beginning to press on contemporary feminist biopolitical thought. Karen Barad’s claim that “[o]bjects are not already 2. For a rich overview of the ways in which the body has animated feminist thought and politics, especially in light of debates in the physical and biological sciences, see Mary Jacobus, Evelyn Fox Keller, and Sally Shuttleworth, eds., Body/Politics: Women and the Discourses of Science (New York: Routledge, 1990. A different sense of the body begins to appear a few years later in Judith Butler, Bodies That Matter: On the Discursive Limits of Sex (New York: Routledge, 1993); and Elizabeth Grosz, Volatile Bodies: Toward a Corporeal Feminism (Bloomington: Indiana University Press, 1994). 180 Nathan Snaza there; they emerge through specific practices” attunes us to this new orientation.3 For Barad, knowledge practices are open-ended, and “the differential constitutions of human and nonhuman designate particular phenomena that are themselves implicated in the dynamics of intra-activity, including their enfolding and reconstitution in the reconfiguring of apparatuses.”4 In other words, knowledge emerges from the world through “cuts” that reconfigure it: entities—such as “the body” or “the human”—come into being through specific apparatuses. These include theoretical concepts: “Theorizing, like experimenting, is a material practice.”5 The concept of the body, then, is a material part of the intra-active becoming of the world in knowledge production—its meaning exceeds the fact of its existence. While the body has been useful to an enormous number of projects, contemporary feminist thought, in a wide variety of ways, is feeling... (shrink)