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1

Vankudre, Ashok Jaykumar, Balaji Digember Almale, Mrunal Suresh Patil, and Abhijeet Madhukar Patil. "Structured Oral Examination as an Assessment Tool for Third Year Indian MBBS Undergraduates in Community Medicine." MVP Journal of Medical Sciences 3, no. 1 (February 29, 2016): 33. http://dx.doi.org/10.18311/mvpjms/2016/v3/i1/687.

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<strong>Introduction:</strong> Traditional viva are useful in assessing depth of knowledge and overall communication skill of student but demerits are many such as unequal time distribution for viva, gender bias, non uniformity, examiner's mood and so on. In present study we structured oral examination as an assessment tool for third year MBBS undergraduates in community Medicine and evaluating the process by taking student's as well as faculty's feedback to minimize biases. <strong>Material and Methods:</strong> Permission from Dean as well as head of department was taken. A batch of 26 students was randomly selected and enrolled in to study after informed consent. Four faculty members were randomly divided in two groups. Faculty members in structured oral examination group were sensitized and trained about it. Each student has undergone same set of questionnaire consisting of simple recall and applied questions. All the students were simultaneously assessed with traditional and structured oral examination without intermixing. Feedback in the form of questionnaire as per Likert's scale was collected for both type of viva and from students and faculties. Appropriate statistical analysis was done. <strong>Results:</strong> Analysis depicted that students were overall satisfied with the structured oral examination and felt it better than the traditional viva. Statistically significant differences (p = 0.0001) were observed in terms of uniformity of questions asked, stress, time allotment, topic coverage etc. Faculty also expressed that structured oral examinations are better in terms of reducing bias, minimising luck factor and uniformity of questions.
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2

Simman, Richard, and Anthony McNevin. "Physician wound certification: a much-needed reality too long denied." Journal of Wound Care 31, Sup5 (May 1, 2022): S24—S28. http://dx.doi.org/10.12968/jowc.2022.31.sup5.s24.

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Over the past 20 years, the number of physicians who focus their practice on wounds and wound care has grown slowly but significantly. It is estimated that there are >13,000 physicians who practice wound care but who have no ‘home’ to nurture their discipline and ensure, through standards and best practices, quality in the care they deliver. Unlike most others, these physicians pursue patient care without a certifying medical board to confirm the quality of their care and the scope of their practice. Because organised medicine correctly insists on quality in the care physicians deliver, it is time to establish a subspecialty in wound care. However, establishing a new subspecialty is a very challenging task. It raises questions of overlapping jurisdiction with other medical boards, about the multiplicity of subspecialties and the challenge of ensuring that enough physicians will seek certification to cover the costs of examinations, etc. All of these issues can be met with satisfactory responses. The time for action is now.
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3

Plevinskis, P. V. "An Integral Approach to the Classification of Motorcycle Injuries." Reports of Vinnytsia National Medical University 24, no. 3 (October 12, 2020): 507–11. http://dx.doi.org/10.31393/reports-vnmedical-2020-24(3)-22.

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Annotation. The article attempts to highlight the problems that forensic experts face during the examination of victims of a motor trauma, propose a modern classification of this type of traffic accident suitable for experts, list those issues that require expert resolution, and establish a standard algorithm (sequence) of conducting such an examination. The material of the study was archival copies of expert opinions and acts of comprehensive forensic medical and transport- trassological examinations in cases of motor injuries (33 complex examinations and acts in total), for 2008–2018. Expert studies were conducted on the basis of the Odessa Regional Bureau of Forensic Medicine expertise. The research method is the analysis of forensic and transport-trassological signs in their interconnection and interdependence, allowing to resolve the basic questions about the mechanism and circumstances of motor trauma. The study suggests that the following main types of motorcycle injuries are currently the most common (this includes injuries when operating a “classic” motorcycle and a moped): injury to driver and passenger due to contact of a motorcycle (moped) – with another vehicle, – with a stationary object, – due to the rollover of a motorcycle (moped) without contact with another vehicle, – as a result of a fall from a motorcycle (moped) until it capsizes without contacting another vehicle, – due to contact of the motorcycle (moped) with a pedestrian (pedestrians); injury to pedestrians due to contact with a moving motorcycle (moped); combined injuries of the driver and passenger of a motorcycle or moped (injury due to the rollover of a motorcycle or moped followed by contact with another vehicle; injury due to successive contact of a motorcycle or moped with a pedestrian and stationary object; injury due to rollover of a motorcycle (moped) and falling into a water body or fire, etc.); combined types of injury to a pedestrian (pedestrians) due to contact with a moving motorcycle or moped (injury due to contact with a moving motorcycle or moped, followed by falling and rolling wheels of another vehicle; injury due to contact with a moving motorcycle or moped, and then dropping another vehicle onto the body funds, etc.). Thus, establishing the exact circumstances of a motorcycle injury is impossible by examining only some object artificially isolated from the rest (for example, a corpse). Such an expert approach should be completely abandoned. The author’s proposed classification of motorcycle injuries, which is based on an integrated approach to the study of the mechanism of accidents, and which reflects its main types, can be used for expert purposes.
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Jawaid, Wajid. "THE NATIONAL LICENSING EXAMINATION: A COMPARISON WITH OTHER MAJOR MEDICAL LICENSING EXAMINATIONS AND PRACTICAL SUGGESTIONS FOR WIDER ACCEPTANCE." KHYBER MEDICAL UNIVERSITY JOURNAL 14, no. 4 (December 31, 2021): 185–6. http://dx.doi.org/10.35845/kmuj.2021.22251.

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Heads: A medical student completes their Bachelor of Medicine and Bachelor of Surgery (MBBS) degree after five years of mentally exhausting and back-breaking toil. They then go on to complete one demanding year of internship in a hospital. Now they want to start their clinical practice. The regulatory body of physicians has some other ideas though. It wants them to give yet another exam, covering the same subjects they have cleared during MBBS. When they think they have the right to be practicing independently, they have to study hard and undertake an exam again. Tails: A regulatory body of physicians in the country knows the quality of medical teaching in the country is not uniform. The standard of training during internship also varies greatly. Yet, after attaining MBBS degree and completing internship, every medical doctor is deemed qualified enough to manage the patients without any supervision. The regulatory body, therefore, introduces a uniform licensing exam that every doctor needs to pass before starting independent clinical practice. It believes that only those who had attained a minimum acceptable level of competence will eventually be capable enough to pass the exam and thus be qualified to treat people. Medical licensing examinations are considered a tool to gauge a doctor’s competence for unsupervised clinical practice. The National Licensing Examination (NLE) was announced on 24th September 2020 in Section 20 of the Pakistan Medical Commission (PMC) Act 2020.1 The idea was inspired by similar exams in many other countries.2 Fast forward more than one year, this exam still faces stiff resistance from many medical students and Pakistan Medical Association (PMA).3,4 Broadly, there are two main objections: The nature of the exam itself, and its applicability. The medical students deem it unfair to be asked to appear in another exam after obtaining their MBBS degree. Another point of contention is in including all current medical students. It is argued that only those students should be asked to undertake the exam that began their MBBS education after the PMC Act 2020. A petition filed in Lahore High Court to this effect was dismissed by the adjudicating judge, making it mandatory for all current and future medical students to pass the NLE.5 Is this exam really so flawed that it should be abandoned altogether? Is PMC justified in taking this exam? Are the concerns of the protesting students valid? Is there a middle ground in this conflict? Let us analyze the current format of the NLE and compare it with the two most coveted medical licensing exams in the world. The NLE is designed as a two-step examination. The first step is the multiple-choice questions (MCQ) based theory component containing 70% MCQs from clinical sciences and 30% MCQs from basic sciences. A student has to pass this first step in order to qualify for the second Clinical Skills Examination (CSE). The CSE aims to evaluate essential clinical skills required by a general medical practitioner through a structured clinical examination. The students can appear in the first theory component only after acquiring their MBBS qualification. Both steps need to be passed in order to attain permanent medical license from PMC.6 The United States Medical Licensing Exam (USMLE) is the most well-known medical licensing exam in the world. It is a three-step exam comprising of Step 1, Step 2 Clinical Knowledge (CK), and Step 3. Step 1, an MCQ exam, is attempted by the local students at the end of 2nd year of medical education. It is designed to test the examinee’s aptitude to apply basic and integral science concepts to clinical scenarios. Step 2 CK is an MCQ exam that assesses the examinee’s grasp on the medical knowledge and understanding of clinical sciences that are considered essential for patient care under supervision. Local students appear in this exam in the 4th year of their medical education; passing this exam is essential to receive medical graduation. Step 3 is again an MCQ exam that assesses the candidate’s caliber to apply medical knowledge for unsupervised practice of medicine. This exam is attempted after obtaining medical graduation and passing the exam is necessary to practice independently in the US. After the decision to abandon the Step 2 Clinical Skills (CS) examination in February 2021, there is currently no clinical examination in the USMLE. International Medical Graduates (IMGs) need to clear Step 1 and Step 2 CK (not necessarily in order and at no fixed time) to become eligible for Step 3.7 The Professional and Linguistic Assessments Board test (PLAB) is a two-part exam taken by General Medical Council (GMC) of the United Kingdom (UK).PLAB 1 is an MCQ based exam that tests the examinee’s ability to apply the acquired medical knowledge to answer clinical-scenario based questions. PLAB 2 is a clinical exam that tests the candidate’s clinical and communication skills on standardized patients.8 Currently, only IMGs need to appear in the exam in order to practice medicine independently in UK. This is set to change from 2024; GMC has announced Medical Licensing Assessment (MLA) that both UK locals and IMGs will need to pass from 2024 onwards in order to attain the medical registration.9 It is clear from the above discussion that regulatory bodies in many countries including the US test their local students with standardized exam in addition to their medical college graduation. The UK has also announced a similar system for their local students from 2024. Therefore, concept of the NLE is a sound one, based on the international practices. The problem may lie in the format and timing of the exam. MBBS curriculum is broadly divided into two categories: Basic sciences and clinical sciences. Basic sciences, as the name suggests, contain core subjects that are essential to understand the basics of human body. These include subjects like anatomy, physiology, biochemistry, pharmacology etc. These are typically focused more during the first three years of MBBS. Clinical sciences deal with more practical subjects like medicine, surgery, paediatrics, gynaecology etc. These subjects are given more emphasis during the final two years of MBBS. The key to the deadlock may lie in the timing and curriculum of NLE. Currently, a student is asked to study all the subjects again after obtaining MBBS degree for the MCQ based theoretical exam.6 This means studying the basic sciences again, the portions of which they may have studied years ago. The exam may be divided into three separate portions comprising of a) MCQ exam of basic sciences, b) MCQ exam of clinical sciences, and c) a clinical skills exam. The idea is to take the exam when the students are actually studying the examined subjects, rather than taking it all together in the end. Table 1 demonstrates the proposed format and timing of the NLE. TABLE I: PROPOSED FORMAT AND TIMING OF THE NATIONAL LICENSING EXAMINATION Exam Subjects/Skills Format Minimum Qualification NLE Step 1 Basic Sciences MCQ 2nd Year MBBS NLE Step 2 Clinical Sciences MCQ 4th Year MBBS NLE Step 3 Clinical and Communication Skills Structured Clinical Examination 5th Year MBBS NLE=National Licensing Examination; MCQ=Multiple-choice questions; MBBS=Bachelor of Medicine and Bachelor of Surgery Splitting the exam into the three proposed steps will be advantageous for all concerned, i.e. PMC, medical students, and the public. PMC will achieve the desired objective of assessing a physician’s competence before offering registration. Students will be appearing in NLE steps that will be covering subjects in accordance with their current/recent MBBS curriculum. This will reduce the burden for the students and make the exam more agreeable for them. The public will receive healthcare only from those doctors who would have proved their competence. Heads or tails? We win both ways!
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5

Sanders, Gerard. "Education and training programmes of the IFCC in clinical chemistry and laboratory medicine: Improving the quality of professional practice in laboratory medicine." Jugoslovenska medicinska biohemija 24, no. 3 (2005): 181–86. http://dx.doi.org/10.2298/jmh0503181s.

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When quality is referred to in clinical chemistry and laboratory medicine, the focus is mainly on the analytical process. But good professional quality starts with a sound education. In an attempt to describe the practice of clinical chemistry and laboratory medicine in the 15 member states of the "old" European Union, it was noticed that (sometimes) large differences existed in the way professionals are being trained (see: Sanders et al, Clin Chem Lab Med 2002; 40: 196-204). With that outcome, a survey of the Websites of the different Member Societies and Corporate Members of IFCC was conducted. It showed that less than one third of either two groups paid attention to, or offered, education. This led to a series of questions to a non-representative group of colleagues outside the former EU who were willing to give more insight in the educational system of their country. All colleagues were known to be involved actively in clinical chemistry and laboratory medicine. The outcome did not give a uniform pattern, since every country regulates health care in its own way, according to its own historical development, needs, social vision, etc. From that a number of conclusions have been drawn: a. Proper University Training is required to enter vocational training b. Regulated Vocational Training seems to be necessary (4 years) c. A clear Syllabus as an indicative guide to the vocational training is important d. Management training should be included since a clinical chemist will have organizational responsibilities as well e. Examinations may help in improving the quality of the education f. Official Register, recognized by Law, is essential, but not always existing h. Re-Registration can be seen as part of the Quality Cycle. Finally, some attention is being paid to the activities of the EMD. This Division of the IFCC provides the membership of IFCC and the health-care community with education which it considers relevant to Clinical Chemistry and Laboratory Medicine. It is the intention of EMD to improve the quality of the profession by educational activities in molecular biology, evidence based laboratory medicine, quality assurance, distance education, and laboratory management. Specific projects are a Master Course in Laboratory Science, a course in Flowcytometry, and the Visiting Lecturer Program which supports national societies in inviting lecturers on specific topics. More information can be found on the IFCC Web-site (www.ifcc.org). In the future, it is to be expected that emphasis on education in our profession will be on the clinical use of tests, modern media and e-learning, and specific courses in new technologies. EMD works continuously to improve the quality of clinical chemistry and laboratory medicine. The input from all National Societies is appreciated to discern topics most relevant to the membership of IFCC. .
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6

Gandzyuk, V. А. "Study of attitudes to own health patients of multiprofile institution: instruments and main results." Клінічна та профілактична медицина 2, no. 8 (August 22, 2019): 28–35. http://dx.doi.org/10.31612/2616-4868.2(8).2019.03.

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Among the main determinants that form a holistic view of the health of the population are the following: lifestyle, influence of genetic factors, state of health care delivery system and socio-economic status of the country. In the article, we proposed a self-administered questionnaire on self-assessment of self-esteem, the importance of prevention and risk-taking behavior at primary level, and analyzed the main results that help characterize patients' perceptions of healthy lifestyles and health. Purpose – to study attitudes towards one's own health, to undergo periodic preventive examinations, to be responsible for one's own health among the contingent assigned to the service of the SIS “RPC PCM” SAD, and to identify the main factors of influence. Material and methods. Analysis of literary sources, sociological and system analysis. The survey was conducted at the pre-doctoral counseling stage on equal terms for all patients by way of active interviewing by the same interviewer. Results of the study and their discussion. 349 patients participated in the survey, including 159 (45.6%) men and 190 (54.4%) women. The average age of the respondents is 40.8±9.8 year (min 19 years, max 83 years). The survey questionnaires have 7 main blocks of questions, which are designed to determine the patient's level of awareness and identify him or her as accurately as possible. Conclusions. Analyzing the results of a sociological survey conducted among a contingent attached to the service of the State Institution of Science "Research and Practical Centre of Preventive and Clinical Medicine" State Administration Department, it was found that more than 95% of the respondents are aware of the concepts of "healthy lifestyle", "risk factors for chronic diseases", "foul" preventive medical checkup», etc. With regard to the assessment of one's own health, it should be noted that more than half (62.8%) of the respondents consider it satisfactory, while noting that they have one or more chronic diseases (mainly in the stage of persistent remission). The prospects for further research are to analyze the results of the questionnaire and to correlate it with the data of the objective study, which will allow to determine, besides the attitude to the medical prophylaxis and psychological type of person, the level of patient's commitment to the doctor's appointments.
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Varsan, Evhen. "Features of organization of medico-legal expert researches in the cases of the mass injuring of victims in the salon of bus." Forensic-medical examination, no. 1 (May 29, 2017): 31–37. http://dx.doi.org/10.24061/2707-8728.1.2017.7.

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The article deals with certain medico-legal aspects of trauma in the salon of bus as one of the types of road traffic accidents with a large number of dead and injured. Are shown the typical causes of such incidents and the nature of the victims injury. Was developed and proposed a modern approach to optimization of expert research in case of appearance a large number of victims in the bus. Circumstances of injury in case of personal injury people in the bus are very diverse:− rollover of the bus when transporting a large number of people while driving;− bus falling from height;− a massive collision with a fixed roadside objects; − collision with other vehicles; among the latter is the most fatal bus collision with a moving train.Naturally, in these cases, the massive injuries have affected depends on the intensity of injury to passengers in the bus, and the mechanism of damage is determined by the specific form of an accident involving a bus. In such cases, the experts faced, usually with mechanical trauma inside the cabin, and mixed types of injuries passengers (e.g. in case of fire). For in-car trauma characterized by formation damage from the following mechanisms:− shock bodies on the inner part of the interior (interior);− injuries from the shards of broken glass.Basically, the nature of injury is determined by the structural features of the bus, the presence of foreign objects, the location of the victims. If the vehicle rolls over, the occupants people are numerous additional impact. Formed characteristic for the driver damage to the hands, fractures of the sternum fractures of the hips, legs and feet. For passengers is characteristic fractures of the lower limbs, bruised head wounds, fractures and dislocations of the cervical spine when using the seat belts − stripe-like bruises and abrasions ofthe chest and abdomen, broken ribs, collarbone, sternum, in the projection of the belts. Shards of broken glass caused by the multiple linear abrasions and (or) surface or deep cut wounds mainly in the face and upper extremities. In the case of deformation of the bus body can be compression of the bodies are formed by damage to several areas, primarily the chest, abdomen, extremities, accompanied by multiple bilateral rib fractures, ruptures of internal organs. If in the future there is a fire or explosion of the vehicle, the nature of thedamage detected on the bodies will correspond to the combined injury.In cases of injuries in the bus to work with the bodies of the victims begins at the scene. Thus, the Protocol of inspection of the scene and of the corpse in the first place should reflect the data about the mutual position of bodies and (or) their fragments relative to the vehicle and other parts, the distance between them; the condition of clothing, odors from it, the presence of different overlays, damage; contamination of the skin; localization and nature of the injuries on the bodies, the presence of deformations of its individualparts; the presence of traces of biological origin on the vehicle in comparison with the nature of the deformation (damage) of the body.Be sure to note the results of the inspection of the road where there was a traffic accident, a bus traces of blood, and fragments of various things, etc. Despite the small percentage of bus injured in world General statistics of fatal injuries, it presents certain difficulties in planning, organization, execution and coordination of forensic work on multi-step liquidation of medical consequences of the accident, usually associated with a large number of victims, gross impact of factors affecting on the bodies of the victims, the need to quickly address some specific issues: establishing at autopsy pathological symptoms that indicate the status of the health of drivers in the period priorto the tragic event; the existence of facts pointing to the use of intoxicating and medicinal substances that depress the nervous system and many others), early identification of all victims. According to the results of the analysis made it impossible to offer modern, optimal, evidence-informed, and until only itremains to be reliable in practice the system approach to the organizational model of forensic activities, while ensuring the interests of the investigation of an accident involving a bus and a large number of victims:1. The preliminary stage of organization expert services. It can conditionally enough be divided into 2 phases:− advance (pre-) phase;− the immediate phase.To the basic questions of the early phases include: early development, coordination and approval of the optimal legislative and other regulatory framework; preliminary methodological, administrative and organizational, theoretical-practical, logistical, software and applied training; exercise reasonable estimates of projected short and long term needs and costs with regard to the peculiarities specified by the tragic events; creation, storage, use and replenishment of the trust reserves, logistical and financial resources areinviolable, is intended solely for use in such emergencies. It also includes the creation, maintenance and continuous improvement of a Single centralized situation center on a temporary or permanent basis, with a good system of departmental and interdepartmental cooperation, primarily containing a - operational information-Supervisory and analytical center for the collection, processing, storage, information exchange and joint action with the threat, occurrence and prevention of emergencies with a large number of victims.Immediately with the receipt of the news of the accident involving a bus and a large number of victims for forensic services begin immediate phase, the main elements of which include:− prompt notification and collection of employees and expert institutions;− an emergency conference call to discuss the organizational, theoretical and practical questions and short specialized trainingon occupational safety, including use of personal protective equipment depending on the nature of the accident and actions are potentially dangerous to health and life of employees and expert institutions factors.All plans of measures are necessarily coordinated and agreed with appropriate representatives of structures of fast reaction, especially when conducting urgent investigative actions in the emergency areas, primarily the inspection of the scene. 2. The inspection of the crime scene it is advisable to start with a preliminary review («intelligence»), which finally determined the necessity of application of those or other technical means, and the number of specialists who will participate in the inspection.The static phase of scene examination with the participation of forensic doctors is accompanied by clear mapping; mapping, photo - and video fixing of vehicle, various objects; it is noted the exact relative positions of the bus (its parts) and discovered the corpses, fragments of human remains and other biological material. During dynamic examination of the scene produce a detailed external examination of the human remains, their fragments, biological material, perform primary medical sorting, their careful packaging,clear detailed marking. Then performed the proper loading, transportation and unloading. In case of need in a temporary Deposit of biological material, can be used in railway wagons refrigerators, refrigerated trailers, mobile camera with a refrigeration unit, and in the absence or lack of volume for the total number of remains and the biomaterial deploys heat-resistant boxes, fit the space with the use of outdoor mobile air conditioning systems, large amounts of ice obtained from specialized industrial ice makers, etc., which is especially important for braking processes of rotting corpses, their fragments and biomaterial in the warm season.3. After the initial registration and a secondary sort examine corpses, their fragments and biological material collection for postmortem identification of significant information, determine the cause of death, nature, mechanism and prescription of formation damage and address other special issues. At this stage also produce the identification of fragmented body parts and (or) tissues that or another body. In expert identification work on the fragments of human remains or biological material, preference is given to genetic research providing highly accurate results. Depending on the extent of influence of damaging factors on the bodies of the victims and their degree of preservation, only after the completion of the necessary is judicial-medical research with a full range of fence material for additional research, producing restoration of the exterior, embalming, sanitary and cosmetic processing of human remains and give them to relatives (relatives, authorized representatives, etc.) for burial. 4. Issued the final results of examinations; establishes data that may be useful for later investigative and judicial actions aimed at gathering and verification of evidence in a criminal case.5. The penultimate stage consists of conducting sanitary-and-hygienic, treatment-and-prophylactic, rehabilitation (including a full psychological) of interventions for physical and mental health of employees and expert institutions involved in this work.6. After the conclusion of the criminal proceedings in general, with the official opening of data access, it is advisable to analyze the material, and publish the relevant data in the scientific literature, with the goal of widespread study and use of gained experience.CONCLUSIONS.1. Research platform forensic activities in cases of accidents involving buses and a large number of victims to date have not been developed.2. The effectiveness of forensic medical groups in this situation is in direct proportion to the degree of readiness for quick response and timely quality completion of tasks.3. Based on this, very urgent is the development of modern optimal evidence-based systemic approach to the organizational model of forensic activities in the presence of a large number of injured persons in the bus; the solution to this problem and sent the above recommendations.4. The recommendations, in principle, can be applied not only in cases of injuries in the bus, but also to similar situations in which there is a massive injury and loss of life.5. It is necessary to continue scientific and practical research aimed at improving this algorithm works experts.
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Plevynskys, Pavlo. "The modern concept of car injury." Forensic-medical examination, no. 2 (December 17, 2017): 12–15. http://dx.doi.org/10.24061/2707-8728.2.2017.3.

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The article deals with the problematic issues of the forensic medical definition of the concept of automobile trauma. An analysis of various literature sources has been carried out, according to which it can be concluded that, on the one hand, there is no single definition of car trauma for today, on the other - that any of the available definitions suffers from a certain incompleteness. With this in mind, the author developed a universal definition of car injuries for the needs of forensic doctors, and a more extensive - for both forensic doctors and experts - transport routeologists; The latter can be used for the development of issues of a related (forensic and transport-investigative) character. Introduction. The concept of «car trauma» is firmly embedded in the structure of forensic medicine, this kind of injury is devoted to many scientific works. And, nevertheless, as the analysis of various literary data testifies, for today there is no single generally accepted forensic medical definition of automobile trauma. This situation can hardly be considered normal. Therefore, the purpose of this study was the analysis of various literature sources on car trauma, own practice, and the formulation of the most optimal concept of car trauma.Material and methods of investigation. The material of this study is various literature sources devoted to the problems of forensic medical examination of car injuries, their comprehensive analysis in terms of completeness and validity of the proposed forensic medical definitions of this type of injury.Results and its discussion. It seems that in order to avoid the artificial and unnecessary narrowing of the concept of car trauma, it is possible to offer the following purely forensic medical definition: «Trauma is a complex of injuries that result from various traumatic effects on the human body during a road traffic accident «. But to give a modern forensic medical definition of car trauma is not the whole solution of the problem. The fact is that, perhaps, irretrievably passes those times when, solely on the basis of the nature of bodily injuries, the victims made profound conclusions about the form and exact mechanism of contact interaction between the car and the victim’s body, without due analysis of other data, for example, research of clothes and shoes (Which causes obvious bewilderment - after all, the clothes and shoes affected by modern expert practice are usually researched by forensic doctors!), The results of expert car research, study Results of the inspection of the scene. Meanwhile, in the existing definitions of car injuries it is only a matter of bodilyharm, other objects (at least clothes and shoes, as «standard» for forensic researchers) are not even mentioned. But today the most reliable data on the circumstances of injuries to victims during an accident are obtained as a result of joint work of experts of several specialties - forensic doctors, transport specialists, and others. That is why the author of this work took the liberty to offer not narrow, only forensic, the concept of car trauma, but broader (forensic and transport-tracological) definition of the concept of the mechanism of traumatic effects on the human body during an accident. It seems that this concept, although it goes beyond the generally accepted forensic concepts of car trauma, nevertheless more closely meets the needs of expert practice.So, the synthesis of available scientific data and a comprehensive understanding of the problems of the transport trauma allows us to conclude that under the mechanism of traumatic impacts on the human body in case of an accident in expert activity one should understand, more often than not, the process (often complex) of mechanical contact interaction between the human body, Shoes and parts of a moving car, usually resulting in the formation of bodily injuries, injuries and marks on clothing and shoes and the corresponding parts of the car.This definition is not exhaustive - based on the specific type and specific circumstances of the accident, in addition to the listed objects, the objects, parts of the pavement, parts of other vehicles, which lead to the formation of corresponding damages and traces, and These objects. In addition, not only mechanical factors, but also other factors (thermal, chemical, etc.) that affect the bodies of victims directly related to road accidents can act on the bodies of victims during an accident, and is an essential component of the accident.In addition, it should be borne in mind that in practice there are often situations when the process of contact interaction between the listed objects does not cause the formation of visible and pathologically significant damages and traces on a part of these objects. So, with a low intensity of the contact interaction between the car and the pedestrian’s body, there may not be any tracologically significant damage and traces from such contact. In turn, if there are obvious traces of contact with a pedestrian of the corresponding visible bodily injuries, a pedestrian may not form.In addition, in practice, during the same accident there is not one, but much more participants. Some of them received visible bodily injuries, some did not. And in any case, no matter what the participant of an accident states about the absence of bodily injuries - he must be examined by an expert, and therefore is an independent object of expert investigation, regardless of whether or not he will be found bodily injuries.Sometimes the fact of the presence of bodily injuries in one participant in an accident and the fact that the other does not have a valuable differential-diagnostic criterion that allows to locate these persons inside the car. And it often happens that the injured party has no physical injuries, but nevertheless, the damage and traces valuable for expert diagnosis are formed on his clothes and shoes. All this should be taken into account by experts.Conclusion.1. The analysis of the literature data suggests that there is no generally accepted definition of an automobile trauma.2. The various definitions of car trauma that are available suffer from significant shortcomings, primarily incompleteness.3. Based on the analysis of literature data and the generalization of existing expert practice, the author proposes a universal definition of car trauma for the needs of forensic doctors and an expanded - forensic and transport-tracological definition of this type of injury for use by both forensic doctors and transport routeologists during the development of questions Complex examinations.
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Karandikar, Namrata, and Pradnya Nanavare. "Use of assignment mode for effective assessment of students to achieve course outcomes." Graduate Research in Engineering and Technology, September 2022, 57–61. http://dx.doi.org/10.47893/gret.2022.1152.

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To ensure the quality learning of students, course outcome assessment is vital element of outcome based education. To achieve course outcomes, various modes of pedagogy and assessment are essential. There are different modes of assessment for In-semester examination like multiple choice questions, time bound pen and paper, presentations, seminars, assignment etc. This paper explains the use of assignment mode for effective assessment of students. This paper highlights how assignment mode helps students to apply concepts taught in classroom to solve various problems on applications of engineering mathematics. We had done assessment of 610+ F. Y. B. Tech students by giving different assignment to each student which included different set of questions for the course Linear Algebra and Univariate Calculus with time bound submission. This ensured that students have to solve the assignment independently without taking help of peers. This paper describes how assignment mode has improved various competencies of students. This paper is illustrated with responses of F. Y. B. Tech students. The proposed method is useful for online and offline mode of examinations.
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Moorin, Rachael, Rene Forsyth, and Richard Fox. "Evaluating the impact of dose reduction software on Computed Tomography radiation dosimetry using radiology information systems meta data: An example of the use of novel linkable data." International Journal of Population Data Science 1, no. 1 (April 13, 2017). http://dx.doi.org/10.23889/ijpds.v1i1.65.

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ABSTRACTObjectivesRecently concerns have been expressed regarding the cancer risk to patients undergoing CT scanning prompting the development of dose-reducing software. Experimental studies using phantoms, have shown the potential to significantly reduce radiation dose without compromising diagnostic accuracy. However since dose reduction requires acceptance of more noise in the image the findings from these studies may not be representative of the impact in routine clinical practice. The aim of this study was to evaluate the effect of introduction of iterative reconstruction software on radiation dosimetry in routine clinical practice over a range of CT examinationsApproachRandom samples of CT scans pertaining to 10 commonly performed CT examination types undertaken at two hospitals in Western Australia (WA), before and after the introduction of iterative reconstruction software were extracted from the WA centralised Picture Archiving Communication System. Technical information about the scanning parameters used and radiation dose metrics were extracted from the Digital Imaging and Communications in Medicine (DICOM) information contained in the meta-data for each examination. Changes in the mean dose length product and effective dose were evaluated along with estimations of associated changes to annual cancer incidence using established radiation dosimetry techniques.ResultsWe observed statistically significant reductions in the effective radiation dose for head CT (22-27%) consistent with those reported in the literature. In contrast the reductions observed for non-contrast chest (37-47%); chest pulmonary embolism study (28%), chest/abdominal/pelvic study (16%) and thoracic spine (39%) CT were lower than expected based on experimental studies. Statistically significant reductions in radiation dose were not identified in angiographic CT. Dose reductions translated to substantial lowering of the lifetime attributable risk, especially for younger females, and estimated numbers of incident cancers. ConclusionsOur study has demonstrated a reduction in radiation dose for some scanning protocols, but not to the extent experimental studies had previously shown or in all protocols expected, raising questions about the extent to which iterative reconstruction achieves dose reduction in real world clinical practice. In addition, our study showcases a practical application of the use of technical meta-data from CT scanning examinations to monitor radiation dose and evaluate the impact of dose reduction initiatives. These readily available data provide the ability to routinely monitor CT radiation dose (within and between providers) and, when linked to other administrative data, the opportunity to conduct large scale whole-of-population epidemiological studies evaluating the effect policies and practice on population radiation dose and cancer risk.
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Gorman-Murray, Andrew, and Robyn Dowling. "Home." M/C Journal 10, no. 4 (August 1, 2007). http://dx.doi.org/10.5204/mcj.2679.

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Previously limited and somewhat neglected as a focus of academic scrutiny, interest in home and domesticity is now growing apace across the humanities and social sciences (Mallett; Blunt, “Cultural Geographies of Home”; Blunt and Dowling). This is evidenced in the recent publication of a range of books on home from various disciplines (Chapman and Hockey; Cieraad; Miller; Chapman; Pink; Blunt and Dowling), the advent in 2004 of a new journal, Home Cultures, focused specifically on the subject of home and domesticity, as well as similar recent special issues in several other journals, including Antipode, Cultural Geographies, Signs and Housing, Theory and Society. This increased interest in the home as a site of social and cultural inquiry reflects a renewed fascination with home and domesticity in the media, popular culture and everyday life. Domestic life is explicitly central to the plot and setting of many popular and/or critically-acclaimed television programs, especially suburban dramas like Neighbours [Australia], Coronation Street [UK], Desperate Housewives [US] and The Secret Life of Us [Australia]. The deeply-held value of home – as a place that must be saved or found – is also keenly represented in films such as The Castle [Australia], Floating Life [Australia], Rabbit-Proof Fence [Australia], House of Sand and Fog [US], My Life as a House [US] and Under the Tuscan Sun [US]. But the prominence of home in popular media imaginaries of Australia and other Western societies runs deeper than as a mere backdrop for entertainment. Perhaps most telling of all is the rise and ratings success of a range of reality and/or lifestyle television programs which provide their audiences with key information on buying, building, renovating, designing and decorating home. In Australia, these include Backyard Blitz , Renovation Rescue, The Block, Changing Rooms, DIY Rescue, Location, Location and Our House. Likewise, popular magazines like Better Homes and Gardens and Australian Vogue Living tell us how to make our homes more beautiful and functional. Other reality programs, meanwhile, focus on how we might secure the borders of our suburban homes (Crimewatch [UK]) and our homeland (Border Security [Australia]). Home is also a strong theme in other media forms and debates, including life writing, novels, art and public dialogue about immigration and national values (see Blunt and Dowling). Indeed, notions of home increasingly frame ‘real world’ experiences, “especially for the historically unprecedented number of people migrating across countries”, where movement and resettlement are often configured through processes of leaving and establishing home (Blunt and Dowling 2). In this issue of M/C Journal we contribute to these critical voices and popular debates, seeking to further untangle the intricate and multi-layered connections between home and everyday life in the contemporary world. Before introducing the articles comprising this issue, we want to extend some of the key themes that weave through academic and popular discussions of home and domesticity, and which are taken up and extended here by the subsequent articles. Home is powerful, emotive and multi-faceted. As a basic desire for many, home is saturated with the meanings, memories, emotions, experiences and relationships of everyday life. The idea and place of home is perhaps typically configured through a positive sense of attachment, as a place of belonging, intimacy, security, relationship and selfhood. Indeed, many reinforce their sense of self, their identity, through an investment in their home, whether as house, hometown or homeland. But at the same time, home is not always a well-spring of succour and goodness; others experience alienation, rejection, hostility, danger and fear ‘at home’. Home can be a site of domestic violence or ‘house arrest’; young gay men and lesbians may feel alienated in the family home; asylum seekers are banished from their homelands; indigenous peoples are often dispossessed of their homelands; refugees might be isolated from a sense of belonging in their new home(land)s. But while this may seriously mitigate the affirmative experience of home, many still yearn for places, both figurative and material, to call ‘home’ – places of support, nourishment and belonging. The experience of violence, loss, marginalisation or dispossession can trigger, in Michael Brown’s words, “the search for a new place to call home”: “it means having to relocate oneself, to leave home and reconfigure it elsewhere” (50). Home, in this sense, understood as an ambiguous site of both belonging and alienation, is not a fixed and static location which ‘grounds’ an essential and unchanging sense of self. Rather, home is a process. If home enfolds and carries some sense of desire for positive feelings of attachment – and the papers in this special issue certainly suggest so, most quite explicitly – then equally this is a relationship that requires ongoing maintenance. Blunt and Dowling call these processes ‘homemaking practices’, and point to how home must be understood as a lived space which is “continually created and recreated through everyday practices” (23). In this way, home is posited as relational – the ever-changing outcome of the ongoing and mediated interaction between self, others and place. What stands out in much of the above discussion is the deep inter-connection between home, identity and self. Across the humanities and social sciences, home has been keenly explored as a crucial site “for the construction and reconstruction of one’s self” (Young 153). Indeed, Blunt and Dowling contend that “home as a place and an imaginary constitutes identities – people’s sense of themselves are related to and produced through lived and imaginative experiences of home” (24). Thus, through various homemaking practices, individuals generate a sense of self (and social groups produce a sense of collective identity) while they create a place called home. Moreover, as a relational entity, neither home nor identity are fixed, but mutually and ongoingly co-constituted. Homemaking enables changing and cumulative identities to be materialised in and supported by the home (Blunt and Dowling). Unfolding identities are progressively embedded and reflected in the home through both everyday practices and routines (Wise; Young), and accumulating and arranging personally meaningful objects (Marcoux; Noble, “Accumulating Being”). Consequently, as one ‘makes home’, one accumulates a sense of self. Given these intimate material and affective links between home, self and identity, it is perhaps not surprising that writing about a place called home has often been approached autobiographically (Blunt and Dowling). Emphasising the importance of autobiographical accounts for understanding home, Blunt argues that “through their accounts of personal memories and everyday experiences, life stories provide a particularly rich source for studying home and identity” (“Home and Identity”, 73). We draw attention to the importance of autobiographical accounts of home because this approach is prominent across the papers comprising this issue of M/C Journal. The authors have used autobiographical reflections to consider the meanings of home and processes of homemaking operating at various scales. Three papers – by Brett Mills, Lisa Slater and Nahid Kabir – are explicitly autobiographical, weaving scholarly arguments through deeply personal experiences, and thus providing evocative first-hand accounts of the power of home in the contemporary world. At the same time, several other authors – including Melissa Gregg, Gilbert Caluya and Jennifer Gamble – use personal experiences about home, belonging and exclusion to introduce or illustrate their scholarly contentions about home, self and identity. As this discussion suggests, home is relational in another way, too: it is the outcome of a relationship between material and imaginative qualities. Home is somewhere – it is situated, located, emplaced. But it is also much more than a location – as suggested by the saying, ‘A house is not a home’. Rather, a house becomes a home when it is imbued with a range of meanings, feelings and experiences by its occupants. Home, thus, is a fusion of the imaginative and affective – what we envision and desire home to be – intertwined with the material and physical – an actual location which can embody and realise our need for belonging, affirmation and sustenance. Blunt and Dowling capture this relationship between emplacement and emotion – the material and the imaginative – with their powerful assertion of home as a spatial imaginary, where “home is neither the dwelling nor the feeling, but the relation between the two” (22). Moreover, they demonstrate that this conceptualisation also detaches ‘home’ from ‘dwelling’ per se, and invokes the creation of home – as a space and feeling of belonging – at sites and scales beyond the domestic house. Instead, as a spatial imaginary, home takes form as “a set of intersecting and variable ideas and feelings, which are related to context, and which construct places, extend across spaces and scales, and connects places” (Blunt and Dowling 2). The concept of home, then, entails complex scalarity: indeed, it is a multi-scalar spatial imaginary. Put quite simply, scale is a geographical concept which draws attention to the layered arenas of everyday life – body, house, neighbourhood, city, region, nation and globe, for instance – and this terminology can help extend our understanding of home. Certainly, for many, house and home are conflated, so that a sense of home is coterminous with a physical dwelling structure (e.g. Dupuis and Thorns). For others, however, home is signified by intimate familial or community relationships which extend beyond the residence and stretch across a neighbourhood (e.g. Moss). And moreover, without contradiction, we can speak of hometowns and homelands, so that home can be felt at the scale of the town, city, region or nation (e.g. Blunt, Domicile and Diaspora). For others – international migrants and refugees, global workers, communities of mixed descent – home can be stretched into transnational belongings (e.g. Blunt, “Cultural Geographies of Home”). But this notion of home as a multi-scalar spatial imaginary is yet more complicated. While the above arenas (house, neighbourhood, nation, globe, etc.) are often simply posited as discrete territories, they also intersect and interact in complex ways (Massey; Marston). Extending this perspective, we can grasp the possibility of personal and collective homemaking processes operating across multiple scales simultaneously. For instance, making a house into a home invariably involves generating a sense of home and familiarity in a wider neighbourhood or nation-state. Indeed, Greg Noble points out that homemaking at the scale of the dwelling can be inflected by broader social and national values which are reflected materially in the house, in “the furniture of everyday life” (“Comfortable and Relaxed”, 55) – landscape paintings and national flags and ornaments, for example. He demonstrates that “homes articulate domestic spaces to national experience” (54). For others – those moving internationally between nation-states – domestic practices in dwelling structures are informed by cultural values and social ideals which extend well beyond the nation of settlement. Everyday domestic practices from one’s ‘land of origin’ are integral for ‘making home’ in a new house, neighbourhood and country at the same time (Hage). Many of the papers in this issue reflect upon the multi-scalarity of homemaking processes, showing how home must be generated across the multiple intersecting arenas of everyday life simultaneously. Indeed, given this prominence across the papers, we have chosen to use the scale of home as our organising principle for this issue. We begin with the links between the body – the geography closest to our skin (McDowell) – the home, and other scales, and then wind our way out through evocations of home at the intersecting scales of the house, the neighbourhood, the city, the nation and the diasporic. The rhetoric of home and belonging not only suggests which types of places can be posited as home (e.g. houses, neighbourhoods, nations), but also valorises some social relations and embodied identities as homely and others as unhomely (Blunt and Dowling; Gorman-Murray). The dominant ideology of home in the Anglophonic West revolves around the imaginary ‘ideal’ of white, middle-class, heterosexual nuclear family households in suburban dwellings (Blunt and Dowling). In our lead paper, Melissa Gregg explores how the ongoing normalisation of this particular conception of home in Australian politico-cultural discourse affects two marginalised social groups – sexual minorities and indigenous Australians. Her analysis is timely, responding to recent political attention to the domestic lives of both groups. Scrutinising the disciplinary power of ‘normal homes’, Gregg explores how unhomely (queer and indigenous) subjects and relationships unsettle the links between homely bodies, ideal household forms and national belonging in politico-cultural rhetoric. Importantly, she draws attention to the common experiences of these marginalised groups, urging “queer and black activists to join forces against wider tendencies that affect both communities”. Our first few papers then continue to investigate intersections between bodies, houses and neighbourhoods. Moving to the American context – but quite recognisable in Australia – Lisa Roney examines the connection between bodies and houses on the US lifestyle program, Extreme Makeover: Home Edition, in which families with disabled members are over-represented as subjects in need of home renovations. Like Gregg, Roney demonstrates that the rhetoric of home is haunted by the issue of ‘normalisation’ – in this case, EMHE ‘corrects’ and normalises disabled bodies through providing ‘ideal’ houses. In doing so, there is often a disjuncture between the homely ideal and what would be most helpful for the everyday domestic lives of these subjects. From an architectural perspective, Marian Macken also considers the disjuncture between bodily practices, inhabitation and ideal houses. While traditional documentation of house designs in working drawings capture “the house at an ideal moment in time”, Macken argues for post factum documentation of the house, a more dynamic form of architectural recording produced ‘after-the-event’ which interprets ‘the existing’ rather than the ideal. This type of documentation responds to the needs of the body in the inhabited space of domestic architecture, representing the flurry of occupancy, “the changes and traces the inhabitants make upon” the space of the house. Gilbert Caluya also explores the links between bodies and ideal houses, but from a different viewpoint – that of the perceived need for heightened home security in contemporary suburban Australia. With the rise of electronic home security systems, our houses have become extensions of our bodies – ‘architectural nervous systems’ which extend our eyes, ears and senses through modern security technologies. The desire for home security is predicated on controlling the interplay between the house and wider scales – the need to create a private and secure defensible space in hostile suburbia. But at the same time, heightened home security measures ironically connect the mediated home into a global network of electronic grids and military technologies. Thus, new forms of electronic home security stretch home from the body to the globe. Irmi Karl also considers the connections between technologies and subjectivities in domestic space. Her UK-based ethnographic analysis of lesbians’ techo-practices at home also considers, like Gregg, tactics of resistance to the normalisation of the heterosexual nuclear family home. Karl focuses on the TV set as a ‘straightening device’ – both through its presence as a key marker of ‘family homes’ and through the heteronormative content of programming – while at the same time investigating how her lesbian respondents renegotiated the domestic through practices which resisted the hetero-regulation of the TV – through watching certain videos, for instance, or even hiding the TV set away. Susan Thompson employs a similar ethnographic approach to understanding domestic practices which challenge normative meanings of home, but her subject is quite different. In an Australian-based study, Thompson explores meanings of home in the wake of relationship breakdown of heterosexual couples. For her respondents, their houses embodied their relationships in profoundly symbolic and physical ways. The deterioration and end of their relationships was mirrored in the material state of the house. The end of a relationship also affected homely, familiar connections to the wider neighbourhood. But there was also hope: new houses became sources of empowerment for former partners, and new meanings of home were created in the transition to a new life. Brett Mills also explores meanings of home at different scales – the house, neighbourhood and city – but returns to the focus on television and media technologies. His is a personal, but scholarly, response to seeing his own home on the television program Torchwood, filmed in Cardiff, UK. Mills thus puts a new twist on autobiographical narratives of home and identity: he uses this approach to examine the link between home and media portrayals, and how personal reactions to “seeing your home on television” change everyday perceptions of home at the scales of the house, neighbourhood and city. His reflection on “what happens when your home is on television” is solidly but unobtrusively interwoven with scholarly work on home and media, and speaks to the productive tension of home as material and imaginative. As the above suggests, especially with Mills’s paper, we have begun to move from the homely connections between bodies and houses to focus on those between houses, neighbourhoods and beyond. The next few papers extend these wider connections. Peter Pugsley provides a critical analysis of the meaning of domestic settings in three highly-successful Singaporean sitcoms. He argues that the domestic setting in these sitcoms has a crucial function in the Singaporean nation-state, linking the domestic home and national homeland: it is “a valuable site for national identities to be played out” in terms of the dominant modes of culture and language. Thus, in these domestic spaces, national values are normalised and disseminated – including the valorisation of multiculturalism, the dominance of Chinese cultural norms, benign patriarchy, and ‘proper’ educated English. Donna Lee Brien, Leonie Rutherford and Rosemary Williamson also demonstrate the interplay between ‘private’ and ‘public’ spaces and values in their case studies of the domestic sphere in cyberspace, examining three online communities which revolve around normatively domestic activities – pet-keeping, crafting and cooking. Their compelling case studies provide new ways to understand the space of the home. Home can be ‘stretched’ across public and private, virtual and physical spaces, so that “online communities can be seen to be domesticated, but, equally … the activities and relationships that have traditionally defined the home are not limited to the physical space of the house”. Furthermore, as they contend in their conclusion, these extra-domestic networks “can significantly modify practices and routines in the physical home”. Jennifer Gamble also considers the interplay of the virtual and the physical, and how home is not confined to the physical house. Indeed, the domestic is almost completely absent from the new configurations of home she offers: she conceptualises home as a ‘holding environment’ which services our needs and provides care, support and ontological security. Gamble speculates on the possibility of a holding environment which spans the real and virtual worlds, encompassing email, chatrooms and digital social networks. Importantly, she also considers what happens when there are ruptures and breaks in the holding environment, and how physical or virtual dimensions can compensate for these instances. Also rescaling home beyond the domestic, Alexandra Ludewig investigates concepts of home at the scale of the nation-state or ‘homeland’. She focuses on the example of Germany since World War II, and especially since re-unification, and provides an engaging discussion of the articulation between home and the German concept of ‘Heimat’. She shows how Heimat is ambivalent – it is hard to grasp the sense of longing for homeland until it is gone. Thus, Heimat is something that must be constantly reconfigured and maintained. Taken up in a critical manner, it also attains positive values, and Ludewig suggests how Heimat can be employed to address the Australian context of homeland (in)security and questions of indigenous belonging in the contemporary nation-state. Indeed, the next couple of papers focus on the vexed issue of building a sense home and belonging at the scale of the nation-state for non-indigenous Australians. Lisa Slater’s powerful autobiographical reflection considers how non-indigenous Australians might find a sense of home and belonging while recognising prior indigenous ownership of the land. She critically reflects upon “how non-indigenous subjects are positioned in relation to the original owners not through migrancy but through possession”. Slater urges us to “know our place” – we need not despair, but use such remorse in a productive manner to remake our sense of home in Australia – a sense of home sensitive to and respectful of indigenous rights. Nahid Kabir also provides an evocative and powerful autobiographical narrative about finding a sense of home and belonging in Australia for another group ‘beyond the pale’ – Muslim Australians. Hers is a first-hand account of learning to ‘feel at home’ in Australia. She asks some tough questions of both Muslim and non-Muslim Australians about how to accommodate difference in this country. Moreover, her account shows the homing processes of diasporic subjects – transnational homemaking practices which span several countries, and which enable individuals and social groups to generate senses of belonging which cross multiple borders simultaneously. Our final paper also contemplates the homing desires of diasporic subjects and the call of homelands – at the same time bringing our attention back to home at the scales of the house, neighbourhood, city and nation. As such, Wendy Varney’s paper brings us full circle, lucidly invoking home as a multi-scalar spatial imaginary by exploring the diverse and complex themes of home in popular music. Given the prevalence of yearnings about home in music, it is surprising so little work has explored the powerful conceptions of home disseminated in and through this widespread and highly mobile media form. Varney’s analysis thus makes an important contribution to our understandings of home presented in media discourses in the contemporary world, and its multi-scalar range is a fitting way to bring this issue to a close. Finally, we want to draw attention to the cover art by Rohan Tate that opens our issue. A Sydney-based photographer, Tate is interested in the design of house, home and the domestic form, both in terms of exteriors and interiors. This image from suburban Sydney captures the shifting styles of home in suburban Australia, giving us a crisp juxtaposition between modern and (re-valued) traditional housing forms. Bringing this issue together has been quite a task. We received 60 high quality submissions, and selecting the final 14 papers was a difficult process. Due to limits on the size of the issue, several good papers were left out. We thank the reviewers for taking the time to provide such thorough and useful reports, and encourage those authors who did not make it into this issue to keep seeking outlets for their work. The number of excellent submissions shows that home continues to be a growing and engaging theme in social and cultural inquiry. As editors, we hope that this issue of M/C Journal will make a vital contribution to this important range of scholarship, bringing together 14 new and innovative perspectives on the experience, location, creation and meaning of home in the contemporary world. References Blunt, Alison. “Home and Identity: Life Stories in Text and in Person.” Cultural Geography in Practice. Eds. Alison Blunt, Pyrs Gruffudd, Jon May, Miles Ogborn, and David Pinder. London: Arnold, 2003. 71-87. ———. Domicile and Diaspora: Anglo-Indian Women and the Spatial Politics of Home. Malden: Blackwell, 2005. ———. “Cultural Geographies of Home.” Progress in Human Geography 29.4 (2005): 505-515. ———, and Robyn Dowling. Home. London: Routledge, 2006. Brown, Michael. Closet Space: Geographies of Metaphor from the Body to the Globe. London: Routledge, 2000. Chapman, Tony. Gender and Domestic Life: Changing Practices in Families and Households. Basingstoke: Palgrave Macmillan, 2004. ———, and Jenny Hockey, eds. Ideal Homes? Social Change and Domestic Life. London: Routledge, 1999. Cieraad, Irene, ed. At Home: An Anthropology of Domestic Space. Syracuse: Syracuse University Press, 1999. Dupuis, Ann, and David Thorns. “Home, Home Ownership and the Search for Ontological Security.” The Sociological Review 46.1 (1998): 24-47. Gorman-Murray, Andrew. “Homeboys: Uses of Home by Gay Australian Men.” Social and Cultural Geography 7.1 (2006): 53-69. Hage, Ghassan. “At Home in the Entrails of the West: Multiculturalism, Ethnic Food and Migrant Home-Building.” Home/world: Space, Community and Marginality in Sydney’s West. Eds. Helen Grace, Ghassan Hage, Lesley Johnson, Julie Langsworth and Michael Symonds. Annandale: Pluto, 1997. 99-153. Mallett, Shelley. “Understanding Home: A Critical Review of the Literature.” The Sociological Review 52.1 (2004): 62-88. Marcoux, Jean-Sébastien. “The Refurbishment of Memory.” Home Possessions: Material Culture Behind Closed Doors. Ed. Daniel Miller. Oxford: Berg, 2001. 69-86. Marston, Sally. “A Long Way From Home: Domesticating the Social Production of Scale.” Scale and Geographic Inquiry: Nature, Society and Method. Eds. Eric Sheppard and Robert McMaster. Oxford: Blackwell, 2004. 170-191. Massey, Doreen. “A Place Called Home.” New Formations 17 (1992): 3-15. McDowell, Linda. Gender, Identity and Place: Understanding Feminist Geographies. Cambridge: Polity, 1999. Miller, Daniel, ed. Home Possessions: Material Culture Behind Closed Doors. Oxford: Berg, 2001. Moss, Pamela. “Negotiating Space in Home Environments: Older Women Living with Arthritis.” Social Science and Medicine 45.1 (1997): 23-33. Noble, Greg. “Comfortable and Relaxed: Furnishing the Home and Nation.” Continuum: Journal of Media and Cultural Studies 16.1 (2002): 53-66. ———. “Accumulating Being.” International Journal of Cultural Studies 7.2 (2004): 233-256. Pink, Sarah. Home Truths: Gender, Domestic Objects and Everyday Life. Oxford: Berg, 2004. Wise, J. Macgregor. “Home: Territory and Identity.” Cultural Studies 14.2 (2000): 295-310. Young, Iris Marion. “House and Home: Feminist Variations on a Theme.” On Female Body Experience: ‘Throwing Like a Girl’ and Other Essays. New York: Oxford University Press, 2005. 123-154. Citation reference for this article MLA Style Gorman-Murray, Andrew, and Robyn Dowling. "Home." M/C Journal 10.4 (2007). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0708/01-editorial.php>. APA Style Gorman-Murray, A., and R. Dowling. (Aug. 2007) "Home," M/C Journal, 10(4). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0708/01-editorial.php>.
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Tanchuco, Joven Jeremius Q. "Think Global, Act Local." Acta Medica Philippina 56, no. 17 (September 29, 2022). http://dx.doi.org/10.47895/amp.v56i17.6643.

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In the Philippines, many people would think that items made in other countries have better quality and are more desirable.More recently, with numerous goods coming from nearby countries also having built their reputation for similar or even betterquality – for example, those coming from Japan, Taiwan and more lately, China – goods from these countries are now alsopopular. But it remains unusual that we would generally prefer local brands, i.e., those made in the Philippines.When it comes to using scientific evidence as basis for local medical practice, it should be argued that high quality localdata is superior and should be used. After all, it is derived from our countrymen who may have a different disease biology and/or natural history, sociocultural determinants, as well as clinical practices. It is unfortunate, however, that such local data arenot always available. Even if it exists, it is also not easily accessible. In this, and other issues of Acta Medica Philippina, we see some of the efforts being made by our colleagues to look intothis local experience. They offer varied insights into how global diseases are manifested locally: are there differences that weshould be aware of? As far back as 2006, the Philippine Council for Health Research and Development (PCHRD) has already facilitatedthe creation of a National Unified Health Research Agenda (NUHRA) which is reviewed every five years to identifyresearch priorities in the Philippines.1 In its latest iteration, the 2017-2022 NUHRA prioritizes among others, the holisticapproach to health and wellness that aims to produce evidence geared towards the application and recognition of traditional,sociocultural, and alternative approaches to health.2 The study by Sanico and Medina in this issue highlights this objective.It looked into the potential health benefits and risks of an indigenous fermented rice wine called tapuy. Utilizing a modernbiotechnology technique called metagenomic sequencing, the authors found significant presence of probiotic bacteria thatcan be explored for health applications. However, they also detected the presence of harmful bacteria which may indicate theneed for possible standardization of the fermentation practices. The Acquired Immunodeficiency Syndrome (AIDS) has long plagued the global landscape ever since it was first describedin 1981.3 Because cases have not been described previously, AIDS with its increasing numbers, was soon labeled as anepidemic.4,5 In the Philippines, the HIV/AIDS epidemic has been a fairly more recent one.6-9 Sadly, our country is nowidentified as one with the fastest growing HIV epidemic in the Western Pacific.10 Identifying perceptions of the generalcommunity, especially the high risk populations, can go a long way in curtailing the rising numbers.11 The article by Jamesand colleagues looked further into this by evaluating the knowledge, attitudes and practices on prevention and transmission ofHIV/AIDS among college students in Pampanga, Philippines. The participants were found to have a low knowledge of HIV/AIDS, but had a good attitude toward HIV positive individuals. The authors recommended that education on HIV/AIDScould help control the local epidemic. The study by Rogelio and Santiago looked into screening for retinopathy in patients with gestational diabetes mellitus(GDM). Their data did not support screening to be done in this population. A study had previously reported that GDM has aprevalence of 14% in the Philippines making GDM a disease that is worth addressing.12 On a related note, several internationalguidelines define how GDM can be diagnosed.13 The Philippine Obstetrics and Gynecology Society advocates for a one-stepapproach (a single OGTT using a 75-g anhydrous glucose load with fasting blood sugar ≥92 mg/dL, and a 2-hour level of<126 mg/dL). The one-step approach may be more convenient for patients as it also needs a single visit. A recent report fromAustralia, which also follows a one-step screening process, showed at least a 25% overdiagnosis and its consequent need forfurther testing and the patient anxiety that goes with it.14 An earlier US study also showed 50% more women diagnosed withGDM using the one-step approach compared to a two-step one.15 To be fair, the US study, similar to another one done alsoin Australia, showed no significant differences in the pregnancy outcomes between the two approaches.16 Although a localstudy identified numerical differences in pregnancy outcomes (e.g., risk for primary caesarean section, large for gestational ageinfants, etc.) comparing the two criteria, these were not found to be statistically significant.13 Perhaps there is a need to lookinto this matter again using larger cohorts. As the Philippines gears up for Universal Healthcare, the outcomes of screeningfor GDM can become even more important. The article by Arcilla, et al., on validation of foreign instruments to assess disease and treatment outcomes representsanother area where local data is needed.17 Such validation seeks to investigate whether an instrument developed elsewhere willlikewise yield accurate – and comparable – data for which it was intended. The BREAST-Q is a patient-reported outcomeinstrument designed to evaluate outcomes among women undergoing different types of breast surgery.18 The authors foundhigh internal consistency, test-retest reliability, and acceptability. But there was only low to moderate construct validity inthe Filipino cohort. Among other findings, the authors report respondents having difficulty in understanding some languagetranslations, and even negative reactions to some of the questions. The authors recommend further studies with a largernumber of respondents including those who have undergone nipple reconstruction. The initial results also note that it may bebetter to interpret the “sexual well-being” subscale separately because of the influence that culture may play. The study of Manalili, et al. looked into hemoperfusion as an intervention for COVID-19. The authors report a highmortality and a long length of hospital stay. To put this into perspective, the period of study was from April to September 2020,early in the pandemic period when little is relatively known about the disease. Since then, we know more about COVID-19,with vaccination and anti-virals being available that could alter the disease severity. As of December 2021, local experts donot recommend the use of hemoperfusion among patients diagnosed with COVID-19 mostly because of low certainty ofevidence.19 The option to use it in COVID-19 patients with clinical deterioration despite standard medical therapy includingtocilizumab is however still suggested. The study published here would have been more interesting if there was a comparisonof the outcomes with a similar group who did not undergo hemoperfusion. But it certainly illustrates how generating localdata and local experience goes a long way in examining relevant medical practice/s in our Philippine setting. Case reports help to enhance clinical knowledge by describing the profile and management of patients who have anuncommon or rare disease or may have presented atypically.20-22 We have the opportunity in this issue to share four of theserare cases. The report submitted by Terencio, et al. on the combination of COVID-19 and Guillain-Barre syndrome (GBS)allows us better understanding of COVID-19 and its neurologic complications. As we continue to gain more importantinformation on COVID-19, describing the possibility of GBS as a possible consequence can help clinicians anticipate additionaltreatments as in this case. The same is true for the report submitted by Ablaza and Salonga-Quimpo on abdominal dyskinesia(with its more colorful description as “belly dancer dyskinesia”). Then we have the case of SOLAMEN syndrome, reported by Maceda and colleagues. This case is more dramatic in thatit presents with disfigurement of the patient. Its management is more nuanced as it requires a multidisciplinary approachto address all the affected body parts.23,24 Unfortunately, it also has a strong genetic component as well as predilection tomalignancy which would require longer-term care. Another genetic disease, X-linked dystonia parkinsonism, is likewisereported in this issue in the article by Jamora and others. It is a rare movement disorder that is highly prevalent in Panay Islandin the Philippines.25-28 All cases described so far have been linked to Filipino ancestry, suggesting a single genetic founder andgenetic homogeneity. Although extremely rare globally, the prevalence of XDP in the Philippines is 0.31 per 100,000; and inPanay Island, 5.74 per 100,000. Ninety-five percent of affected individuals are males; the average age is 44 years (20–70 years);and the average age at onset is 39 years (12–64 years).27 Cases in patients of Filipino descent have been described in othercountries.29 The report published here is of particular interest as it is the first time the procedure called Unilateral TranscranialMagnetic Resonance-guided Focused Ultrasound Pallidothalamic Tractotomy has been tried for this condition; a conditionwhich leads to significant progressive disability but no definite treatment.27 All of these case reports may well be the first ones in the Philippines and we have it published here in Acta MedicaPhilippina. I am certain there will be many more insightful studies done locally that will be published – and had been published – inthis journal. These are testament to the recognition that even as we are able to think following the highest global standards,we are also able to act (and do studies) locally in ways that are beneficial to our own Philippine community. Joven Jeremius Q. Tanchuco, MD, MHA Department of Biochemistry and Molecular Biology College of Medicine, University of the Philippines Manila REFERENCES1. Philippine National Health Research System. National Unified Health Research Agenda 2017-2022 [Internet]. [cited 2022 Sep 9]. Available from: https://www.healthresearch.ph/index.php/nuhra2. National Unified Health Research Agenda 2017-2022. Philippine National Health Research System [Internet]. [cited 2022 Sep 9].Available from: https://doh.gov.ph/sites/default/files/publications/NUHRA.pdf3. Schmid S. The Discovery of HIV-1. Nature Communications [Internet]. [cited 2022 Sep 9]. Available from: https://www.nature.com/articles/d42859-018-00003-x#:~:text=In%201983%2C%20Luc%20Montagnier’s%20team,AIDS)%2C%20such%20as%20lymphadenopathy.4. Curran JW, Jaffe HW, Centers for Disease Control and Prevention (CDC). AIDS: the early years and CDC’s response. MMWR Suppl.2011 Oct; 60(4):64-9.5. Sencer DJ. The AIDS Epidemic in the United States, 1981-early 1990s. Centers of Disease Control and Prevention [Internet]. [cited2022 Sep 12]. Available from: https://www.cdc.gov/museum/online/story-of-cdc/aids/index.html6. Restar A, Nguyen M, Nguyen K, Adia A, Nazareno J, Yoshioka E, et al. Trends and emerging directions in HIV risk and prevention researchin the Philippines: A systematic review of the literature. PLoS One. 2018 Dec;13(12):e0207663. doi: 10.1371/journal.pone.02076637. Adia AC, Bermudez ANC, Callahan MW, Hernandez LI, Imperial RH, Operario D. “An Evil Lurking Behind You”: Drivers, Experiences,and Consequences of HIV-Related Stigma Among Men Who Have Sex With Men With HIV in Manila, Philippines. AIDS Educ Prev.2018 Aug;30(4):322-334. doi: 10.1521/aeap.2018.30.4.3228. Mateo R Jr, Sarol JN Jr, Poblete R. HIV/AIDS in the Philippines. AIDS Educ Prev. 2004 Jun;16(3 Suppl A):43-52. doi: 10.1521/aeap.16.3.5.43.355199. Farr AC, Wilson DP. An HIV epidemic is ready to emerge in the Philippines. J Int AIDS Soc. 2010 Apr;13:16. doi: 10.1186/1758-2652-13-1610. Cousins S. The fastest growing HIV epidemic in the western Pacific. Lancet HIV. 2018 Aug;5(8):e412-e413. doi: 10.1016/S2352-3018(18)30182-611. de Lind van Wijngaarden JW, Ching AD, Settle E, van Griensven F, Cruz RC, Newman PA. “I am not promiscuous enough!”: Exploringthe low uptake of HIV testing by gay men and other men who have sex with men in Metro Manila, Philippines. PLoS One. 2018Jul;13(7):e0200256. doi: 10.1371/journal.pone.020025612. Litonjua AD, Waspadji S, Pheng CS, Phin KL, Deerochanowong C, Gomez MHS, et al. AFES Study Group on Diabetes in Pregnancy.Philipp J Intern Med. 1996 Mar-Apr; 34(2):67-68.13. Urbanozo H, Isip-Tan IT. 2014. Association of Gestational Diabetes Mellitus Diagnosed using the IADPSG and the POGS 75-gramOral Glucose Tolerance Test Cut-off Values with Adverse Perinatal Outcomes in the Philippine General Hospital. J ASEAN Fed EndocrSoc. 2014;29(2):157-162. doi: 10.15605/jafes.029.02.0914. Doust JA, Glasziou PP, dʼEmden MC. A large trial of screening for gestational diabetes mellitus in the United States highlights theneed to revisit the Australian diagnostic criteria. Med J Aust. 2022 Feb;216(3):113-115. doi: 10.5694/mja2.5138815. Hillier TA, Pedula KL, Ogasawara KK, Vesco KK, Oshiro CES, Lubarsky SL, et al. A Pragmatic, Randomized Clinical Trial ofGestational Diabetes Screening. N Engl J Med. 2021 Mar;384(10): 895-904. doi: 10.1056/NEJMoa202602816. Meloncelli NJL, Barnett AG, D’Emden M, De Jersey SJ. Effects of Changing Diagnostic Criteria for Gestational Diabetes Mellitus inQueensland, Australia. Obstet Gynecol. 2020 May;135(5):1215-1221. doi: 10.1097/AOG.000000000000379017. Elangovan N, Sundaravel E. Method of preparing a document for survey instrument validation by experts. MethodsX. 2021 Apr;8:101326. doi: 10.1016/j.mex.2021.10132618. BREAST-Q User’s Manual Version 2.0 May 2015. Copyright © 2012 Memorial Sloan Kettering Cancer Center [Internet]. [cited 2022Sep 12]. Available from: https://www.rcseng.ac.uk › breastq-usermanual-2015.19. Philippine COVID-19 Living Clinical Practice Guidelines. Institute of Clinical Epidemiology, National Institutes of Health, UP Manilaand the Philippine Society of Microbiology and Infectious Diseases [Internet]. [cited 2022 Sep 1]. Available from: https://www.psmid.org/hemoperfusion-evidence-summary-2/20. Ortega-Loubon C, Culquichicón C, Correa R. The Importance of Writing and Publishing Case Reports During Medical Training.Cureus. 2017 Dec;9(12):e1964. doi: 10.7759/cureus.196421. Case Reports. CARE Case Report Guidelines [Internet]. [cited 2022 Sep 12]. Available from: https://www.care-statement.org/case-reports22. Carey JC. The importance of case reports in advancing scientific knowledge of rare diseases. Adv Exp Med Biol. 2010; 686:77-86.doi: 10.1007/978-90-481-9485-8_523. Caux F, Plauchu H, Chibon F, Faivre L, Fain O, Vabres P, et al. Segmental overgrowth, lipomatosis, arteriovenous malformation andepidermal nevus (SOLAMEN) syndrome is related to mosaic PTEN nullizygosity. Eur J Hum Genet. 2007 Jul;15(7):767-73. doi: 10.1038/sj.ejhg.520182324. Gupta SK, Sushantika, Abdelmaksoud A. Isolated SOLAMEN Syndrome. Indian J Dermatol. 2021 Sep-Oct; 66(5):561-563. doi:10.4103/ijd.IJD_675_20.25. Domingo A, Westenberger A, Lee LV, Braenne I, Liu T, Vater I, et al. New insights into the genetics of X-linked dystonia-parkinsonism(XDP, DYT3). Eur J Hum Genet. 2015 Oct;23(10):1334-40. doi: 10.1038/ejhg.2014.29226. Lee LV, Munoz EL, Tan KT, Reyes MT. Sex linked recessive dystonia parkinsonism of Panay, Philippines (XDP). Mol Pathol. 2001Dec;54(6):362-368.27. Lee LV, Rivera C, Teleg RA, Dantes MB, Pasco PMD, Jamora RDG, et al. The unique phenomenology of sex-linked dystonia parkinsonism(XDP, DYT3, “Lubag”). Int J Neurosci. 2011;121 Suppl 1:3-11. doi: 10.3109/00207454.2010.52672828. Wilhelmsen KC, Weeks DE, Nygaard TG, Moskowitz CB, Rosales RL, dela Paz DC, et al. Genetic mapping of “Lubag” (X-linkeddystonia-parkinsonism) in Filipino kindred to the pericentromeric region of the X chromosome. Ann Neurol. 1991 Feb;29(2):124-31.doi: 10.1002/ana.41029020329. Rosales RL. X-linked dystonia parkinsonism: clinical phenotype, genetics and therapeutics. J Mov Disord. 2010 Oct;3(2):32–8. doi:10.14802/jmd.10009.
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13

Mizrach, Steven. "Natives on the Electronic Frontier." M/C Journal 3, no. 6 (December 1, 2000). http://dx.doi.org/10.5204/mcj.1890.

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Introduction Many anthropologists and other academics have attempted to argue that the spread of technology is a global homogenising force, socialising the remaining indigenous groups across the planet into an indistinct Western "monoculture" focussed on consumption, where they are rapidly losing their cultural distinctiveness. In many cases, these intellectuals -– people such as Jerry Mander -- often blame the diffusion of television (particularly through new innovations that are allowing it to penetrate further into rural areas, such as satellite and cable) as a key force in the effort to "assimilate" indigenous groups and eradicate their unique identities. Such writers suggest that indigenous groups can do nothing to resist the onslaught of the technologically, economically, and aesthetically superior power of Western television. Ironically, while often protesting the plight of indigenous groups and heralding their need for cultural survival, these authors often fail to recognise these groups’ abilities to fend for themselves and preserve their cultural integrity. On the other side of the debate are visual anthropologists and others who are arguing that indigenous groups are quickly becoming savvy to Western technologies, and that they are now using them for cultural revitalisation, linguistic revival, and the creation of outlets for the indigenous voice. In this school of thought, technology is seen not so much as a threat to indigenous groups, but instead as a remarkable opportunity to reverse the misfortunes of these groups at the hands of colonisation and national programmes of attempted assimilation. From this perspective, the rush of indigenous groups to adopt new technologies comes hand-in-hand with recent efforts to assert their tribal sovereignty and their independence. Technology has become a "weapon" in their struggle for technological autonomy. As a result, many are starting their own television stations and networks, and thus transforming the way television operates in their societies -– away from global monocultures and toward local interests. I hypothesise that in fact there is no correlation between television viewing and acculturation, and that, in fact, the more familiar people are with the technology of television and the current way the technology is utilised, the more likely they are to be interested in using it to revive and promote their own culture. Whatever slight negative effect exists depends on the degree to which local people can understand and redirect how that technology is used within their own cultural context. However, it should be stated that for terms of this investigation, I consider the technologies of "video" and "television" to be identical. One is the recording aspect, and the other the distribution aspect, of the same technology. Once people become aware that they can control what is on the television screen through the instrumentality of video, they immediately begin attempting to assert cultural values through it. And this is precisely what is going on on the Cheyenne River Reservation. This project is significant because the phenomenon of globalisation is real and Western technologies such as video, radio, and PCs are spreading throughout the world, including the "Fourth World" of the planet’s indigenous peoples. However, in order to deal with the phenomenon of globalisation, anthropologists and others may need to deal more realistically with the phenomenon of technological diffusion, which operates far less simply than they might assume. Well-meaning anthropologists seeking to "protect" indigenous groups from the "invasion" of technologies which will change their way of life may be doing these groups a disservice. If they turned some of their effort away from fending off these technologies and toward teaching indigenous groups how to use them, perhaps they might have a better result in creating a better future for them. I hope this study will show a more productive model for dealing with technological diffusion and what effects it has on cultural change in indigenous societies. There have been very few authors that have dealt with this topic head-on. One of the first to do so was Pace (1993), who suggested that some Brazilian Indians were acculturating more quickly as a result of television finally coming to their remote villages in the 1960s. Molohon (1984) looked at two Cree communities, and found that the one which had more heavy television viewing was culturally closer to its neighboring white towns. Zimmerman (1996) fingered television as one of the key elements in causing Indian teenagers to lose their sense of identity, thus putting them at higher risk for suicide. Gillespie (1995) argued that television is actually a ‘weapon’ of national states everywhere in their efforts to assimilate and socialise indigenous and other ethnic minority groups. In contrast, authors like Weiner (1997), Straubhaar (1991), and Graburn (1982) have all critiqued these approaches, suggesting that they deny subjectivity and critical thinking to indigenous TV audiences. Each of these researchers suggest, based on their field work, that indigenous people are no more likely than anybody else to believe that the things they see on television are true, and no more likely to adopt the values or worldviews promoted by Western TV programmers and advertisers. In fact, Graburn has observed that the Inuit became so disgusted with what they saw on Canadian national television, that they went out and started their own TV network in an effort to provide their people with meaningful alternatives on their screens. Bell (1995) sounds a cautionary note against studies like Graburn’s, noting that the efforts of indigenous New Zealanders to create their own TV programming for local markets failed, largely because they were crowded out by the "media imperialism" of outside international television. Although the indigenous groups there tried to put their own faces on the screen, many local viewers preferred to see the faces of J.R. Ewing and company, and lowered the ratings share of these efforts. Salween (1991) thinks that global media "cultural imperialism" is real -– that it is an objective pursued by international television marketers -– and suggests a media effects approach might be the best way to see whether it works. Woll (1987) notes that historically many ethnic groups have formed their self-images based on the way they have been portrayed onscreen, and that so far these portrayals have been far from sympathetic. In fact, even once these groups started their own cinemas or TV programmes, they unconsciously perpetuated stereotypes first foisted on them by other people. This study tends to side with those who have observed that indigenous people do not tend to "roll over" in the wake of the onslaught of Western television. Although cautionary studies need to be examined carefully, this research will posit that although the dominant forces controlling TV are antithetical to indigenous groups and their goals, the efforts of indigenous people to take control of their TV screens and their own "media literacy" are also increasing. Thus, this study should contribute to the viewpoint that perhaps the best way to save indigenous groups from cultural eradication is to give them access to television and show them how to set up their own stations and distribute their own video programming. In fact, it appears to be the case that TV, the Internet, and electronic 'new media' are helping to foster a process of cultural renewal, not just among the Lakota, but also among the Inuit, the Australian aborigines, and other indigenous groups. These new technologies are helping them renew their native languages, cultural values, and ceremonial traditions, sometimes by giving them new vehicles and forms. Methods The research for this project was conducted on the Cheyenne River Sioux Reservation headquartered in Eagle Butte, South Dakota. Participants chosen for this project were Lakota Sioux who were of the age of consent (18 or older) and who were tribal members living on the reservation. They were given a survey which consisted of five components: a demographic question section identifying their age, gender, and individual data; a technology question section identifying what technologies they had in their home; a TV question section measuring the amount of television they watched; an acculturation question section determining their comparative level of acculturation; and a cultural knowledge question section determining their knowledge of Lakota history. This questionnaire was often followed up by unstructured ethnographic interviews. Thirty-three people of mixed age and gender were given this questionnaire, and for the purposes of this research paper, I focussed primarily on their responses dealing with television and acculturation. These people were chosen through strictly random sampling based on picking addresses at random from the phone book and visiting their houses. The television section asked specifically how many hours of TV they watched per day and per week, what shows they watched, what kinds of shows they preferred, and what rooms in their home had TVs. The acculturation section asked them questions such as how much they used the Lakota language, how close their values were to Lakota values, and how much participation they had in traditional indigenous rituals and customs. To assure open and honest responses, each participant filled out a consent form, and was promised anonymity of their answers. To avoid data contamination, I remained with each person until they completed the questionnaire. For my data analysis, I attempted to determine if there was any correlation (Pearson’s coefficient r of correlation) between such things as hours of TV viewed per week or years of TV ownership with such things as the number of traditional ceremonies they attended in the past year, the number of non-traditional Lakota values they had, their fluency in the Lakota language, their level of cultural knowledge, or the number of traditional practices and customs they had engaged in in their lives. Through simple statistical tests, I determined whether television viewing had any impact on these variables which were reasonable proxies for level of acculturation. Findings Having chosen two independent variables, hours of TV watched per week, and years of TV ownership, I tested if there was any significant correlation between them and the dependent variables of Lakota peoples’ level of cultural knowledge, participation in traditional practices, conformity of values to non-Lakota or non-traditional values, fluency in Lakota, and participation in traditional ceremonies (Table 1). These variables all seemed like reasonable proxies for acculturation since acculturated Lakota would know less of their own culture, go to fewer ceremonies, and so on. The cultural knowledge score was based on how many complete answers the respondents knew to ‘fill in the blank’ questions regarding Lakota history, historical figures, and important events. Participation in traditional practices was based on how many items they marked in a survey of whether or not they had ever raised a tipi, used traditional medicine, etc. The score for conformity to non-Lakota values was based on how many items they marked with a contrary answer to the emic Lakota value system ("the seven Ws".) Lakota fluency was based on how well they could speak, write, or use the Lakota language. And ceremonial attendance was based on the number of traditional ceremonies they had attended in the past year. There were no significant correlations between either of these TV-related variables and these indexes of acculturation. Table 1. R-Scores (Pearson’s Coefficient of Correlation) between Variables Representing Television and Acculturation R-SCORES Cultural Knowledge Traditional Practices Modern Values Lakota Fluency Ceremonial Attendance Years Owning TV 0.1399 -0.0445 -0.4646 -0.0660 0.1465 Hours of TV/Week -0.3414 -0.2640 -0.2798 -0.3349 0.2048 The strongest correlation was between the number of years the Lakota person owned a television, and the number of non-Lakota (or ‘modern Western’) values they held in their value system. But even that correlation was pretty weak, and nowhere near the r-score of other linear correlations, such as between their age and the number of children they had. How much television Lakota people watched did not seem to have any influence on how much cultural knowledge they knew, how many traditional practices they had participated in, how many non-Lakota values they held, how well they spoke or used the Lakota language, or how many ceremonies they attended. Even though there does not appear to be anything unusual about their television preferences, and in general they are watching the same shows as other non-Lakota people on the reservation, they are not becoming more acculturated as a result of their exposure to television. Although the Lakota people may be losing aspects of their culture, language, and traditions, other causes seem to be at the forefront than television. I also found that people who were very interested in television production as well as consumption saw this as a tool for putting more Lakota-oriented programs on the air. The more they knew about how television worked, the more they were interested in using it as a tool in their own community. And where I was working at the Cultural Center, there was an effort to videotape many community and cultural events. The Center had a massive archive of videotaped material, but unfortunately while they had faithfully recorded all kinds of cultural events, many of them were not quite "broadcast ready". There was more focus on showing these video programmes, especially oral history interviews with elders, on VCRs in the school system, and in integrating them into various kinds of multimedia and hypermedia. While the Cultural Center had begun broadcasting (remotely through a radio modem) a weekly radio show, ‘Wakpa Waste’ (Good Morning CRST), on the radio station to the north, KLND-Standing Rock, there had never been any forays into TV broadcasting. The Cultural Center director had looked into the feasibility of putting up a television signal transmission tower, and had applied for a grant to erect one, but that grant was denied. The local cable system in Eagle Butte unfortunately lacked the technology to carry true "local access" programming; although the Channel 8 of the system carried CRST News and text announcements, there was no open channel available to carry locally produced public access programming. The way the cable system was set up, it was purely a "relay" or feed from news and channels from elsewhere. Also, people were investing heavily in satellite systems, especially the new DBS (direct broadcast satellite) receivers, and would not be able to pick up local access programmes anyway. The main problem hindering the Lakotas’ efforts to preserve their culture through TV and video was lack of access to broadcast distribution technology. They had the interest, the means, and the stock of programming to put on the air. They had the production and editing equipment, although not the studios to do a "live" show. Were they able to have more local access to and control over TV distribution technology, they would have a potent "arsenal" for resisting the drastic acculturation their community is undergoing. TV has the potential to be a tool for great cultural revitalisation, but because the technology and know-how for producing it was located elsewhere, the Lakotas could not benefit from it. Discussion I hypothesised that the effects if TV viewing on levels of indigenous acculturation would be negligible. The data support my hypothesis that TV does not seem to have a major correlation with other indices of acculturation. Previous studies by anthropologists such as Pace and Molohon suggested that TV was a key determinant in the acculturation of indigenous people in Brazil and the U.S. -– this being the theory of cultural imperialism. However, this research suggests that TV’s effect on the decline of indigenous culture is weak and inconclusive. In fact, the qualitative data suggest that the Lakota most familiar with TV are also the most interested in using it as a tool for cultural preservation. Although the CRST Lakota currently lack the means for mass broadcast of cultural programming, there is great interest in it, and new technologies such as the Internet and micro-broadcast may give them the means. There are other examples of this phenomenon worldwide, which suggest that the Lakota experience is not unique. In recent years, Australian Aborigines, Canadian Inuit, and Brazilian Kayapo have each begun ambitious efforts in creating satellite-based television networks that allow them to reach their far-flung populations with programming in their own indigenous language. In Australia, Aboriginal activists have created music television programming which has helped them assert their position in land claims disputes with the Australian government (Michaels 1994), and also to educate the Europeans of Australia about the aboriginal way of life. In Canada, the Inuit have also created satellite TV networks which are indigenous-owned and operated and carry traditional cultural programming (Valaskakis 1992). Like the Aborigines and the Inuit, the Lakota through their HVJ Lakota Cultural Center are beginning to create their own radio and video programming on a smaller scale, but are beginning to examine using the reservation's cable network to carry some of this material. Since my quantitative survey included only 33 respondents, the data are not as robust as would be determined from a larger sample. However, ethnographic interviews focussing on how people approach TV, as well as other qualitative data, support the inferences of the quantitative research. It is not clear that my work with the Lakota is necessarily generalisable to other populations. Practically, it does suggest that anthropologists interested in cultural and linguistic preservation should strive to increase indigenous access to, and control of, TV production technology. ‘Protecting’ indigenous groups from new technologies may cause more harm than good. Future applied anthropologists should work with the ‘natives’ and help teach them how to adopt and adapt this technology for their own purposes. Although this is a matter that I deal with more intensively in my dissertation, it also appears to me to be the case that, contrary to the warnings of Mander, many indigenous cultures are not being culturally assimilated by media technology, but instead are assimilating the technology into their own particular cultural contexts. The technology is part of a process of revitalisation or renewal -- although there is a definite process of change and adaptation underway, this actually represents an 'updating' of old cultural practices for new situations in an attempt to make them viable for the modern situation. Indeed, I think that the Internet, globally, is allowing indigenous people to reassert themselves as a Fourth World "power bloc" on the world stage, as linkages are being formed between Saami, Maya, Lakota, Kayapo, Inuit, and Aborigines. Further research should focus on: why TV seems to have a greater acculturative influence on certain indigenous groups rather than others; whether indigenous people can truly compete equally in the broadcast "marketplace" with Western cultural programming; and whether attempts to quantify the success of TV/video technology in cultural preservation and revival can truly demonstrate that this technology plays a positive role. In conclusion, social scientists may need to take a sidelong look at why precisely they have been such strong critics of introducing new technologies into indigenous societies. There is a better role that they can play –- that of technology ‘broker’. They can cooperate with indigenous groups, serving to facilitate the exchange of knowledge, expertise, and technology between them and the majority society. References Bell, Avril. "'An Endangered Species’: Local Programming in the New Zealand Television Market." Media, Culture & Society 17.1 (1995): 182-202. Gillespie, Marie. Television, Ethnicity, and Cultural Change. New York: Routledge, 1995. Graburn, Nelson. "Television and the Canadian Inuit". Inuit Etudes 6.2 (1982): 7-24. Michaels, Eric. Bad Aboriginal Art: Tradition, Media, and Technological Horizons. Minneapolis: U of Minnesota P, 1994. Molohon, K.T. "Responses to Television in Two Swampy Cree Communities on the West James Bay." Kroeber Anthropology Society Papers 63/64 (1982): 95-103. Pace, Richard. "First-Time Televiewing in Amazonia: Television Acculturation in Gurupa, Brazil." Ethnology 32.1 (1993): 187-206. Salween, Michael. "Cultural Imperialism: A Media Effects Approach." Critical Studies in Mass Communication 8.2 (1991): 29-39. Straubhaar, J. "Beyond Media Imperialism: Asymmetrical Interdependence and Cultural Proximity". Critical Studies in Mass Communication 8.1 (1991): 39-70. Valaskakis, Gail. "Communication, Culture, and Technology: Satellites and Northern Native Broadcasting in Canada". Ethnic Minority Media: An International Perspective. Newbury Park: Sage Publications, 1992. Weiner, J. "Televisualist Anthropology: Representation, Aesthetics, Politics." Current Anthropology 38.3 (1997): 197-236. Woll, Allen. Ethnic and Racial Images in American Film and Television: Historical Essays and Bibliography. New York: Garland Press, 1987. Zimmerman, M. "The Development of a Measure of Enculturation for Native American Youth." American Journal of Community Psychology 24.1 (1996): 295-311. Citation reference for this article MLA style: Steven Mizrach. "Natives on the Electronic Frontier: Television and Cultural Change on the Cheyenne River Sioux Reservation." M/C: A Journal of Media and Culture 3.6 (2000). [your date of access] <http://www.api-network.com/mc/0012/natives.php>. Chicago style: Steven Mizrach, "Natives on the Electronic Frontier: Television and Cultural Change on the Cheyenne River Sioux Reservation," M/C: A Journal of Media and Culture 3, no. 6 (2000), <http://www.api-network.com/mc/0012/natives.php> ([your date of access]). APA style: Steven Mizrach. (2000) Natives on the electronic frontier: television and cultural change on the Cheyenne River Sioux Reservation. M/C: A Journal of Media and Culture 3(6). <http://www.api-network.com/mc/0012/natives.php> ([your date of access]).
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DeJong, Scott, and Alexandre Bustamante de Monti Souza. "Playing Conspiracy." M/C Journal 25, no. 1 (March 17, 2022). http://dx.doi.org/10.5204/mcj.2869.

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Introduction Scholars, journalists, conspiracists, and public-facing groups have employed a variety of analogies to discuss the role that misleading content (conspiracy theory, disinformation, malinformation, and misinformation), plays in our everyday lives. Terms like the “disinformation war” (Hwang) or the “Infodemic” (United Nations) attempt to summarise the issues of misleading content to aide public understanding. This project studies the effectiveness of these analogies in conveying the movement of online conspiracy theory in social media networks by simulating them in a game. Building from growing comparisons likening conspiracy theories to game systems (Berkowitz; Kaminska), we used game design as a research tool to test these analogies against theory. This article focusses on the design process, rather than implementation, to explore where the analogies succeed and fail in replication. Background and Literature Review Conspiracy Theories and Games Online conspiracy theories reside in the milieu of misinformation (unintentionally incorrect), disinformation (intentionally incorrect), and malinformation (intentionally harmful) (Wardle and Derakhshan 45). They are puzzled together through the vast amount of information available online (Hannah 1) creating a “hunt” for truth (Berkowitz) that refracts information through deeply personal narratives that create paradoxical interpretations (Hochschild xi). Modern social media networks offer curated but fragmented content distribution where information discovery involves content finding users through biased sources (Toff and Nielsen 639). This puzzling together of theories gives conspiracy theorists agency in ‘finding the story’, giving them agency in a process with underlining goals (Kaminska). A contemporary example is QAnon, where the narrative of a “secret global cabal”, large-scale pedophile rings, and overstepping government power is pieced together through Q-drops or cryptic clues that users decipher (Bloom and Moskalenko 5). This puzzle paints a seemingly hidden reality for players to uncover (Berkowitz) and offers gripping engagement which connects “disparate data” into a visualised conspiracy (Hannah 3). Despite their harmful impacts, conspiracy theories are playful (Sobo). They can be likened to playful acts of make-belief (Sobo), reality-adjacent narratives that create puzzles for exploration (Berkowitz), and community building through playful discovery (Bloom and Moskalenko 169). Not only do conspiracies “game the algorithm” to promote content, but they put players into in a self-made digital puzzle (Bloom and Moskalenko 17, 18). This array of human and nonhuman actors allows for truth-spinning that can push people towards conspiracy through social bonds (Moskalenko). Mainstream media and academic institutions are seen as biased and flawed information sources, prompting these users to “do their own research” within these spaces (Ballantyne and Dunning). However, users are in fragmented worldviews, not binaries of right and wrong, which leaves journalism and fact-checkers in a digital world that requires complex intervention (De Maeyer 22). Analogies Analogies are one method of intervention. They offer explanation for the impact conspiracy has had on society, such as the polarisation of families (Andrews). Both conspiracists and public-facing groups have commonly used an analogy of war. The recent pandemic has also introduced analogies of virality (Hwang; Tardáguila et al.). A war analogy places truth on a battleground against lies and fiction. “Doing your own research” is a combat maneuver for conspiracy proliferation through community engagement (Ballantyne and Dunning). Similarly, those fighting digital conspiracies have embraced the analogy to explain the challenges and repercussions of content. War suggests hardened battlelines, the need for public mobilisation, and a victory where truth prevails, or defeat where fallacy reigns (Shackelford). Comparatively, a viral analogy, or “Infodemic” (United Nations), suggests misleading content as moving through a network like an infectious system; spreading through paths of least resistance or effective contamination (Scales et al. 678; Graham et al. 22). Battlelines are replaced with paths or invasion, where the goal is to infect the system or construct a rapid response vaccine that can stymie the ever-growing disease (Tardáguila et al.). In both cases, victorious battles or curative vaccinations frame conspiracy and disinformation as temporary problems. The idea of the rise and falls of a conspiracy’s prominence as link to current events emulates Byung-Chung Han’s notion of the digital swarm, or fragmented communities that coalesce, bubble up into volatile noise, and then dissipate without addressing the “dominant power relations” (Han 12). For Han, swarms arise in digital networks with intensive support before disappearing, holding an influential but ephemeral life. Recently, scholarship has applied a media ecology lens to recognise the interconnection of actors that contribute to these swarms. The digital-as-ecosystem approach suggests a network that needs to be actively managed (Milner and Phillips 8). Tangherlini et al.’s work on conspiracy pipelines highlights the various actors that move information through them to make the digital ecosystem healthy or unhealthy (Tangherlini et al.). Seeing the Internet, and the movement of information on it, as an ecology posits a consideration of processes that are visible (i.e., conspiracy theorists) and invisible (i.e., algorithms etc.) and is inclusive of human and non-human actors (Milner and Phillips). With these analogies as frames, we answer Sobo’s call for a playful lens towards conspiracy alongside De Maeyer’s request for serious interventions by using serious play. If we can recognise both conspiracy and its formation as game-like and understand these analogies as explanatory narratives, we can use simulation game design to ask: how are these systems of conspiracy propagation being framed? What gaps in understanding arise when we frame conspiracy theory through the analogies used to describe it? Method Research-Creation and Simulation Gaming Our use of game design methods reframed analogies through “gaming literacy”, which considers the knowledge put into design and positions the game as a set of practices relating to the everyday (Zimmerman 24). This process requires constant reflection. In both the play of the game and the construction of its parts we employed Khaled’s critical design framework (10-11). From March to December 2021 we kept reflective logs, notes from bi-weekly team meetings, playtest observations, and archives of our visual design to consistently review and reassess our progression. We asked how the visuals, mechanics, and narratives point to the affordances and drawbacks of these analogies. Visual and Mechanical Design Before designing the details of the analogies, we had to visualise their environment – networked social media. We took inspiration from existing visual representations of the Internet and social media under the hypothesis that employing a familiar conceptual model could improve the intelligibility of the game (figs. 1 and 2). In usability design, this is referred to as "Jakob's law" (Nielsen), in which, by following familiar patterns, the user can focus better on content, or in our case, play. Fig. 1: “My Twitter Social Ego Networks” by David Sousa-Rodrigues. A visual representation of Sousa-Rodrigues’s social media network. <https://www.flickr.com/photos/11452351@N00/2048034334>. We focussed on the networked publics (Itō) that coalesce around information and content disclosure. We prioritised data practices that influence community construction through content (Bloom and Moskalenko 57), and the larger conspiracy pipelines of fragmented data (Tangherlini et al. 30). Fig. 2: "The Internet Map" by Ruslan Enikeev. A visual, 2D, interactive representation of the Internet. <http://internet-map.net/>. Our query focusses on how play reciprocated, or failed to reciprocate, these analogies. Sharp et al.’s suggestion that obvious and simple models are intuitively understood allowed us to employ simplification in design in the hopes of parsing down complex social media systems. Fig. 3 highlights this initial attempt where social media platforms became “networks” that formed proximity to specific groups or “nodes”. Fig. 3: Early version of the game board, with a representation of nodes and networks as simplified visualisations for social networks. This simplification process guided the scaling of design as we tried to make the seemingly boundless online networks accessible. Colourful tokens represented users, placed on the nodes (fig. 4). Tokens represented portions of the user base, allowing players to see the proliferation of conspiracy through the network. Unfortunately, this simplification ignores the individual acts of users and their ability to bypass these pipelines as well as the discovery-driven collegiality within these communities (Bloom and Moskalenko 57). To help offset this, we designed an overarching scenario and included “flavour text” on cards (fig. 5) which offered narrative vignettes that grounded player actions in dynamic story. Fig. 4: The first version for the printed playtest for the board, with the representation of “networks” formed by a clustering of "nodes". The movement of conspiracy was indicated by colour-coded tokens. Fig. 5: Playing cards. They reference a particular action which typically adds or removes token. They also reference a theory and offer text to narrativise the action. Design demonstrates that information transmission is not entirely static. In the most recent version (fig. 6), this meant having the connections between nodes become subverted through player actions. Game mechanics, such as playing cards (fig. 5), make these pipelines interactive and visible by allowing players to place and move content throughout the space in response to each other’s actions. Fig. 6: The most updated version of the board, now named "Lizards and Lies". Red regions are initial starting points for conspiracy to enter mainstream social media (purple). Design adaptations focussed on making conspiracy theory dynamic. Player choice (i.e. where to add conspiracy) had to consider a continuously changing board created by other actors to reflect the adaptive nature of conspiracy theories. In this way, analogies came alive or died through the actions of players within a visually responsive system. This meant that each game had different swarms of conspiracy, where player decisions “wrote” a narrative through play. By selecting how and where conspiracy might be placed or removed, players created a narrative distinct to their game. For example, a conspiracy theorist player (one playable character) might explain their placing of conspiracy theory within the Chrpr/Twitter network as a community response to fact-checking (second playable character) in the neighbouring Shreddit/Reddit community. Results War Analogy Initial design took inspiration from wargaming to consider battlelines, various combatants, and a simulated conflict. Two player characters were made. Conspiracy theorists were posited against fact-checkers, where nodes and networks functioned as battlelines of intervention. The war narrative was immediately challenged by the end-state. Either conspiracy overtook networks or the fact checkers completely stymied conspiracy’s ability to exist. Both end-states seemed wrong for players. Battle consistently felt futile as conspiracists could always add more content, and fact-checkers could always remove something. Simply put, war fell flat. While the game could depict communities and spaces of combat, it struggled to represent how fragmented conspiracy theories are. In play, conspiracy theory became stagnant, the flow of information felt compelled, and the actors entered uneven dynamics. Utopia was never achieved, and war always raged on. Even when players did overtake a network, the victory condition (needing to control the most networks) made this task, which would normally be compelling, feel lacklustre. To address this, we made changes. We altered the win condition to offer points at the end of each turn depending on what the player did (i.e., spreading conspiracy into networks). We expanded the number of networks and connections between them (fig. 3 and fig. 6) to include more fluid and fragmented pipelines of conspiracy dissemination. We included round-end events which shifted the state of the game based on other actors, and we pushed players to focus on their own actions more than those of the others on the board. These changes naturally shifted the battleground from hardened battle lines to a fragmented amorphous spread of disinformation; it moved war to virality. Viral Analogy As we transitioned towards the viral, we prioritised the reflexive, ephemeral movements of conspiracy proliferating through networks. We focussed less on adding and removing content and shifted to the movement of actors through the space. Some communities became more susceptible to conspiracy content, fact-checkers relied on flagging systems, and conspiracy theories followed a natural, but unexpected pipeline of content dissemination. These changes allowed players to feel like individual actors with specific goals rather than competing forces. Fact-checkers relied on mitigation and response while conspiracists evaluated the susceptibility of specific communities to conspiracy content. This change illuminated a core issue with fact-checking; it is entirely responsive, endless, and too slow to stop content from having an impact. While conspiracists could play one card to add content, fact-checkers had to flag content, move their token, and use a player card to eliminate content – all of which exacerbated this issue. In this manner, the viral approach rearticulated how systems themselves afford the spread of conspiracy, where truly effective means to stop the spread relied on additional system actors, such as training algorithms to help remove and flag content. While a more effective simulation, the viral analogy struggled in its presentation of conspiracy theory within social media. Play had a tipping point, where given enough resources, those stopping the spread of conspiracy could “vaccinate” it and clean the board. To alter this, our design began to consider actions and reactions, creating a push and pull of play focussed on balancing or offsetting the system. This transition naturally made us consider a media ecology analogy. Media Ecology Replacing utopic end-states with a need to maintain network health reframed the nature of engagement within this simulation. An ecological model recognises that harmful content will exist in a system and aims not at elimination, but at maintaining a sustainable balance. It is responsive. It considers the various human and non-human actors at play and focusses on varied actor goals. As our game shifted to an ecological model, homogenous actors of conspiracists or fact-checkers were expanded. We transitioned a two-player game into a four-player variant, testing options like literacy educators, content recommending algorithms, and ‘edgelords'. Rather than defeating or saving social media, play becomes focussed on actors in the system. Play and design demonstrated how actions would shape play decisions. Characters were seen as network actors rather than enemies, changing interaction. Those spreading conspiracy began to focus less on “viral paths”, or lines of battle, and instead on where or how they could impact system health. In some cases, conspiracists would build one network of support, in others they created pockets around the board from which they could run campaigns. Those stopping the spread came to see their job as management. Rather than try and eliminate all conspiracy, they determined which sites to engage with, what content held the greatest threat, and which tools would be most effective. Media ecology play focussed less on outsmarting opponents and instead on managing an actor’s, and other players’, goals within an evolving system. Challenging Swarms and a Turn to Digital Ecology Using games to evaluate analogies illuminates clear gaps in their use, and the value of a media ecology lens. A key issue across the two main analogies (war and virality) was a utopic endstate. The idea that conspiracy can be beaten back, or vaccinated, fails to consider the endless amount of conspiracy possible to be made, or the impossibility of vaccinating the entire system. As our transitionary design process shows, the notion of winners and losers misplaces the intent of various actors groups where conspiracy is better framed as community-building rather than “controlling” a space (Bloom and Moskalenko 57). In design, while Han’s notion of the swarm was helpful, it struggled to play out in our simulations because fragments of conspiracy always remained on the board. This lingering content suggests that fact-checking does not actually remove ideological support. Swarms could quickly regrow around lingering support presenting them not as ephemeral as Han argued. As design transitioned towards ecology, these “fragments” were seen as part of a system of actors. Gameplay shows a deep interplay between the removal of content and its spread, arguing that removing conspiracy is a band-aid solution to a larger problem. Our own simplification of analogy into a game is not without limitations. Importantly, the impact of user specific acts for interpreting a movement (Toff and Nielsen 640), and the underlying set of networks that create “dark platforms” (Zeng and Schäfer 122) were lost in the game’s translation. Despite this, our work provides directions for scholarship and those engaging with the public on these issues to consider. Reframing our lens to understand online conspiracy as an aspect of digital ecological health, asks us to move away from utopic solutions and instead focus on distinct actors as they relate to the larger system. Conclusion Employing serious play as a lens to our framing of digital conspiracy, this project emphasises a turn towards media ecology models. Game design functioned as a tool to consider the actors, behaviours, and interactions of a system. Our methodological approach for visualising war and viral analogies demonstrates how playful responses can prompt questions and considerations of theory. Playing in this way, offers new insights for how we think about and grapple with the various actors associated with conspiracy theory and scholarship should continue to embrace ecological models to weigh the assemblage of actors. References Andrews, Travis. “QAnon Is Tearing Families Apart.” Washington Post, 2020. <https://www.washingtonpost.com/technology/2020/09/14/qanon-families-support-group/>. Ballantyne, Nathan, and David Dunning. “Skeptics Say, ‘Do Your Own Research.’ It’s Not That Simple.” The New York Times, 3 Jan. 2022. <https://www.nytimes.com/2022/01/03/opinion/dyor-do-your-own-research.html>. Berkowitz, Reed. “QAnon Resembles the Games I Design. But for Believers, There Is No Winning.” Washington Post, 2021. <https://www.washingtonpost.com/outlook/qanon-game-plays-believers/2021/05/10/31d8ea46-928b-11eb-a74e-1f4cf89fd948_story.html>. Bloom, Mia, and Sophia Moskalenko. Pastels and Pedophiles: Inside the Mind of QAnon. Stanford University Press, 2021. De Maeyer, Juliette. “Taking Conspiracy Culture Seriously: Journalism Needs to Face Its Epistemological Trouble.” Journalism 20.1 (2019): 21–23. <https://doi.org/10.1177/1464884918807037>. Graham, Timothy, et al. Like a Virus: The Coordinated Spread of Coronavirus Disinformation. The Australia Institute, 2020. <https://apo.org.au/node/305864>. Han, Byung-Chul. In the Swarm: Digital Prospects. Trans. Erik Butler. MIT Press, 2017. Hannah, Matthew N. “A Conspiracy of Data: QAnon, Social Media, and Information Visualization.” Social Media + Society, 7.3 (2021). <https://doi.org/10.1177/20563051211036064>. Hochschild, Arlie Russell. Strangers in Their Own Land: Anger and Mourning on the American Right. The New Press, 2016. Hwang, Tim. “Deconstructing the Disinformation War.” MediaWell, Social Science Research Council 1 June 2020. <https://mediawell.ssrc.org/expert-reflections/deconstructing-the-disinformation-war/>. Itō, Mizuko. “Introduction.” Networked Publics. Ed. Kazys Varnelis. MIT Press, 2008. Kaminska, Izabella. “The ‘Game Theory’ in the Qanon Conspiracy Theory.” Financial Times 16 Oct. 2020. <https://www.ft.com/content/74f9d20f-9ff9-4fad-808f-c7e4245a1725>. Khaled, Rilla. “Questions over Answers: Reflective Game Design.” Playful Disruption of Digital Media. Ed. Daniel Cermak-Sassenrath. Singapore: Springer, 2018. 3–27. <https://doi.org/10.1007/978-981-10-1891-6_1>. Milner, Ryan M., and Whitney Phillips. You Are Here. MIT Press, 2020. <https://you-are-here.pubpub.org/>. Moskalenko, Sophia. “Evolution of QAnon & Radicalization by Conspiracy Theories.” The Journal of Intelligence, Conflict, and Warfare 4.2 (2021): 109–14. <https://doi.org/10.21810/jicw.v4i2.3756>. Nielsen, Jakob. “End of Web Design.” Nielsen Norman Group, 2000. <https://www.nngroup.com/articles/end-of-web-design/>. Scales, David, et al. “The Covid-19 Infodemic — Applying the Epidemiologic Model to Counter Misinformation.” New England Journal of Medicine 385.8 (2021): 678–81. <https://doi.org/10.1056/NEJMp2103798>. Shackelford, Scott. “The Battle against Disinformation Is Global.” The Conversation 2020. <http://theconversation.com/the-battle-against-disinformation-is-global-129212>. Sharp, Helen, et al. Interaction Design: Beyond Human-Computer Interaction. 5th ed. Wiley, 2019. Sobo, Elisa Janine. “Playing with Conspiracy Theories.” Anthropology News 31 July 2019. <https://www.anthropology-news.org/articles/playing-with-conspiracy-theories/>. Tangherlini, Timothy R., et al. “An Automated Pipeline for the Discovery of Conspiracy and Conspiracy Theory Narrative Frameworks: Bridgegate, Pizzagate and Storytelling on the Web.” PLoS ONE 15.6 (2020). <https://doi.org/10.1371/journal.pone.0233879>. Tardáguila, Cristina, et al. “Taking an Ecological Approach to Misinformation.” Poynter 5 Dec. 2019. <https://www.poynter.org/fact-checking/2019/taking-an-ecological-approach-to-misinformation/>. Toff, Benjamin, and Rasmus Kleis Nielsen. “‘I Just Google It’: Folk Theories of Distributed Discovery.” Journal of Communication 68.3 (2018): 636–57. <https://doi.org/10.1093/joc/jqy009>. United Nations. “UN Tackles ‘Infodemic’ of Misinformation and Cybercrime in COVID-19 Crisis.” 2020. <https://www.un.org/en/un-coronavirus-communications-team/un-tackling-%E2%80%98infodemic%E2%80%99-misinformation-and-cybercrime-covid-19>. Wardle, Claire, and Hossein Derakhshan. “Thinking about ‘Information Disorder’: Formats of Misinformation, Disinformation, and Mal-Information.” Journalism, ‘Fake News’ & Disinformation. Eds. Cherilyn Ireton and Julie Posetti. Paris: Unesco, 2018. 43–54. Zeng, Jing, and Mike S. Schäfer. “Conceptualizing ‘Dark Platforms’. Covid-19-Related Conspiracy Theories on 8kun and Gab.” Digital Journalism 9.9 (2021): 1321–43. <https://doi.org/10.1080/21670811.2021.1938165>. Zimmerman, Eric. “Gaming Literacy: Game Design as a Model for Literacy in the Twenty-First Century.” The Video Game Theory Reader 2. 2008. 9.
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Paull, John. "Beyond Equal: From Same But Different to the Doctrine of Substantial Equivalence." M/C Journal 11, no. 2 (June 1, 2008). http://dx.doi.org/10.5204/mcj.36.

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A same-but-different dichotomy has recently been encapsulated within the US Food and Drug Administration’s ill-defined concept of “substantial equivalence” (USFDA, FDA). By invoking this concept the genetically modified organism (GMO) industry has escaped the rigors of safety testing that might otherwise apply. The curious concept of “substantial equivalence” grants a presumption of safety to GMO food. This presumption has yet to be earned, and has been used to constrain labelling of both GMO and non-GMO food. It is an idea that well serves corporatism. It enables the claim of difference to secure patent protection, while upholding the contrary claim of sameness to avoid labelling and safety scrutiny. It offers the best of both worlds for corporate food entrepreneurs, and delivers the worst of both worlds to consumers. The term “substantial equivalence” has established its currency within the GMO discourse. As the opportunities for patenting food technologies expand, the GMO recruitment of this concept will likely be a dress rehearsal for the developing debates on the labelling and testing of other techno-foods – including nano-foods and clone-foods. “Substantial Equivalence” “Are the Seven Commandments the same as they used to be, Benjamin?” asks Clover in George Orwell’s “Animal Farm”. By way of response, Benjamin “read out to her what was written on the wall. There was nothing there now except a single Commandment. It ran: ALL ANIMALS ARE EQUAL BUT SOME ANIMALS ARE MORE EQUAL THAN OTHERS”. After this reductionist revelation, further novel and curious events at Manor Farm, “did not seem strange” (Orwell, ch. X). Equality is a concept at the very core of mathematics, but beyond the domain of logic, equality becomes a hotly contested notion – and the domain of food is no exception. A novel food has a regulatory advantage if it can claim to be the same as an established food – a food that has proven its worth over centuries, perhaps even millennia – and thus does not trigger new, perhaps costly and onerous, testing, compliance, and even new and burdensome regulations. On the other hand, such a novel food has an intellectual property (IP) advantage only in terms of its difference. And thus there is an entrenched dissonance for newly technologised foods, between claiming sameness, and claiming difference. The same/different dilemma is erased, so some would have it, by appeal to the curious new dualist doctrine of “substantial equivalence” whereby sameness and difference are claimed simultaneously, thereby creating a win/win for corporatism, and a loss/loss for consumerism. This ground has been pioneered, and to some extent conquered, by the GMO industry. The conquest has ramifications for other cryptic food technologies, that is technologies that are invisible to the consumer and that are not evident to the consumer other than via labelling. Cryptic technologies pertaining to food include GMOs, pesticides, hormone treatments, irradiation and, most recently, manufactured nano-particles introduced into the food production and delivery stream. Genetic modification of plants was reported as early as 1984 by Horsch et al. The case of Diamond v. Chakrabarty resulted in a US Supreme Court decision that upheld the prior decision of the US Court of Customs and Patent Appeal that “the fact that micro-organisms are alive is without legal significance for purposes of the patent law”, and ruled that the “respondent’s micro-organism plainly qualifies as patentable subject matter”. This was a majority decision of nine judges, with four judges dissenting (Burger). It was this Chakrabarty judgement that has seriously opened the Pandora’s box of GMOs because patenting rights makes GMOs an attractive corporate proposition by offering potentially unique monopoly rights over food. The rear guard action against GMOs has most often focussed on health repercussions (Smith, Genetic), food security issues, and also the potential for corporate malfeasance to hide behind a cloak of secrecy citing commercial confidentiality (Smith, Seeds). Others have tilted at the foundational plank on which the economics of the GMO industry sits: “I suggest that the main concern is that we do not want a single molecule of anything we eat to contribute to, or be patented and owned by, a reckless, ruthless chemical organisation” (Grist 22). The GMO industry exhibits bipolar behaviour, invoking the concept of “substantial difference” to claim patent rights by way of “novelty”, and then claiming “substantial equivalence” when dealing with other regulatory authorities including food, drug and pesticide agencies; a case of “having their cake and eating it too” (Engdahl 8). This is a clever slight-of-rhetoric, laying claim to the best of both worlds for corporations, and the worst of both worlds for consumers. Corporations achieve patent protection and no concomitant specific regulatory oversight; while consumers pay the cost of patent monopolization, and are not necessarily apprised, by way of labelling or otherwise, that they are purchasing and eating GMOs, and thereby financing the GMO industry. The lemma of “substantial equivalence” does not bear close scrutiny. It is a fuzzy concept that lacks a tight testable definition. It is exactly this fuzziness that allows lots of wriggle room to keep GMOs out of rigorous testing regimes. Millstone et al. argue that “substantial equivalence is a pseudo-scientific concept because it is a commercial and political judgement masquerading as if it is scientific. It is moreover, inherently anti-scientific because it was created primarily to provide an excuse for not requiring biochemical or toxicological tests. It therefore serves to discourage and inhibit informative scientific research” (526). “Substantial equivalence” grants GMOs the benefit of the doubt regarding safety, and thereby leaves unexamined the ramifications for human consumer health, for farm labourer and food-processor health, for the welfare of farm animals fed a diet of GMO grain, and for the well-being of the ecosystem, both in general and in its particularities. “Substantial equivalence” was introduced into the food discourse by an Organisation for Economic Co-operation and Development (OECD) report: “safety evaluation of foods derived by modern biotechnology: concepts and principles”. It is from this document that the ongoing mantra of assumed safety of GMOs derives: “modern biotechnology … does not inherently lead to foods that are less safe … . Therefore evaluation of foods and food components obtained from organisms developed by the application of the newer techniques does not necessitate a fundamental change in established principles, nor does it require a different standard of safety” (OECD, “Safety” 10). This was at the time, and remains, an act of faith, a pro-corporatist and a post-cautionary approach. The OECD motto reveals where their priorities lean: “for a better world economy” (OECD, “Better”). The term “substantial equivalence” was preceded by the 1992 USFDA concept of “substantial similarity” (Levidow, Murphy and Carr) and was adopted from a prior usage by the US Food and Drug Agency (USFDA) where it was used pertaining to medical devices (Miller). Even GMO proponents accept that “Substantial equivalence is not intended to be a scientific formulation; it is a conceptual tool for food producers and government regulators” (Miller 1043). And there’s the rub – there is no scientific definition of “substantial equivalence”, no scientific test of proof of concept, and nor is there likely to be, since this is a ‘spinmeister’ term. And yet this is the cornerstone on which rests the presumption of safety of GMOs. Absence of evidence is taken to be evidence of absence. History suggests that this is a fraught presumption. By way of contrast, the patenting of GMOs depends on the antithesis of assumed ‘sameness’. Patenting rests on proven, scrutinised, challengeable and robust tests of difference and novelty. Lightfoot et al. report that transgenic plants exhibit “unexpected changes [that] challenge the usual assumptions of GMO equivalence and suggest genomic, proteomic and metanomic characterization of transgenics is advisable” (1). GMO Milk and Contested Labelling Pesticide company Monsanto markets the genetically engineered hormone rBST (recombinant Bovine Somatotropin; also known as: rbST; rBGH, recombinant Bovine Growth Hormone; and the brand name Prosilac) to dairy farmers who inject it into their cows to increase milk production. This product is not approved for use in many jurisdictions, including Europe, Australia, New Zealand, Canada and Japan. Even Monsanto accepts that rBST leads to mastitis (inflammation and pus in the udder) and other “cow health problems”, however, it maintains that “these problems did not occur at rates that would prohibit the use of Prosilac” (Monsanto). A European Union study identified an extensive list of health concerns of rBST use (European Commission). The US Dairy Export Council however entertain no doubt. In their background document they ask “is milk from cows treated with rBST safe?” and answer “Absolutely” (USDEC). Meanwhile, Monsanto’s website raises and answers the question: “Is the milk from cows treated with rbST any different from milk from untreated cows? No” (Monsanto). Injecting cows with genetically modified hormones to boost their milk production remains a contested practice, banned in many countries. It is the claimed equivalence that has kept consumers of US dairy products in the dark, shielded rBST dairy farmers from having to declare that their milk production is GMO-enhanced, and has inhibited non-GMO producers from declaring their milk as non-GMO, non rBST, or not hormone enhanced. This is a battle that has simmered, and sometimes raged, for a decade in the US. Finally there is a modest victory for consumers: the Pennsylvania Department of Agriculture (PDA) requires all labels used on milk products to be approved in advance by the department. The standard issued in October 2007 (PDA, “Standards”) signalled to producers that any milk labels claiming rBST-free status would be rejected. This advice was rescinded in January 2008 with new, specific, department-approved textual constructions allowed, and ensuring that any “no rBST” style claim was paired with a PDA-prescribed disclaimer (PDA, “Revised Standards”). However, parsimonious labelling is prohibited: No labeling may contain references such as ‘No Hormones’, ‘Hormone Free’, ‘Free of Hormones’, ‘No BST’, ‘Free of BST’, ‘BST Free’,’No added BST’, or any statement which indicates, implies or could be construed to mean that no natural bovine somatotropin (BST) or synthetic bovine somatotropin (rBST) are contained in or added to the product. (PDA, “Revised Standards” 3) Difference claims are prohibited: In no instance shall any label state or imply that milk from cows not treated with recombinant bovine somatotropin (rBST, rbST, RBST or rbst) differs in composition from milk or products made with milk from treated cows, or that rBST is not contained in or added to the product. If a product is represented as, or intended to be represented to consumers as, containing or produced from milk from cows not treated with rBST any labeling information must convey only a difference in farming practices or dairy herd management methods. (PDA, “Revised Standards” 3) The PDA-approved labelling text for non-GMO dairy farmers is specified as follows: ‘From cows not treated with rBST. No significant difference has been shown between milk derived from rBST-treated and non-rBST-treated cows’ or a substantial equivalent. Hereinafter, the first sentence shall be referred to as the ‘Claim’, and the second sentence shall be referred to as the ‘Disclaimer’. (PDA, “Revised Standards” 4) It is onto the non-GMO dairy farmer alone, that the costs of compliance fall. These costs include label preparation and approval, proving non-usage of GMOs, and of creating and maintaining an audit trail. In nearby Ohio a similar consumer versus corporatist pantomime is playing out. This time with the Ohio Department of Agriculture (ODA) calling the shots, and again serving the GMO industry. The ODA prescribed text allowed to non-GMO dairy farmers is “from cows not supplemented with rbST” and this is to be conjoined with the mandatory disclaimer “no significant difference has been shown between milk derived from rbST-supplemented and non-rbST supplemented cows” (Curet). These are “emergency rules”: they apply for 90 days, and are proposed as permanent. Once again, the onus is on the non-GMO dairy farmers to document and prove their claims. GMO dairy farmers face no such governmental requirements, including no disclosure requirement, and thus an asymmetric regulatory impost is placed on the non-GMO farmer which opens up new opportunities for administrative demands and technocratic harassment. Levidow et al. argue, somewhat Eurocentrically, that from its 1990s adoption “as the basis for a harmonized science-based approach to risk assessment” (26) the concept of “substantial equivalence” has “been recast in at least three ways” (58). It is true that the GMO debate has evolved differently in the US and Europe, and with other jurisdictions usually adopting intermediate positions, yet the concept persists. Levidow et al. nominate their three recastings as: firstly an “implicit redefinition” by the appending of “extra phrases in official documents”; secondly, “it has been reinterpreted, as risk assessment processes have … required more evidence of safety than before, especially in Europe”; and thirdly, “it has been demoted in the European Union regulatory procedures so that it can no longer be used to justify the claim that a risk assessment is unnecessary” (58). Romeis et al. have proposed a decision tree approach to GMO risks based on cascading tiers of risk assessment. However what remains is that the defects of the concept of “substantial equivalence” persist. Schauzu identified that: such decisions are a matter of “opinion”; that there is “no clear definition of the term ‘substantial’”; that because genetic modification “is aimed at introducing new traits into organisms, the result will always be a different combination of genes and proteins”; and that “there is no general checklist that could be followed by those who are responsible for allowing a product to be placed on the market” (2). Benchmark for Further Food Novelties? The discourse, contestation, and debate about “substantial equivalence” have largely focussed on the introduction of GMOs into food production processes. GM can best be regarded as the test case, and proof of concept, for establishing “substantial equivalence” as a benchmark for evaluating new and forthcoming food technologies. This is of concern, because the concept of “substantial equivalence” is scientific hokum, and yet its persistence, even entrenchment, within regulatory agencies may be a harbinger of forthcoming same-but-different debates for nanotechnology and other future bioengineering. The appeal of “substantial equivalence” has been a brake on the creation of GMO-specific regulations and on rigorous GMO testing. The food nanotechnology industry can be expected to look to the precedent of the GMO debate to head off specific nano-regulations and nano-testing. As cloning becomes economically viable, then this may be another wave of food innovation that muddies the regulatory waters with the confused – and ultimately self-contradictory – concept of “substantial equivalence”. Nanotechnology engineers particles in the size range 1 to 100 nanometres – a nanometre is one billionth of a metre. This is interesting for manufacturers because at this size chemicals behave differently, or as the Australian Office of Nanotechnology expresses it, “new functionalities are obtained” (AON). Globally, government expenditure on nanotechnology research reached US$4.6 billion in 2006 (Roco 3.12). While there are now many patents (ETC Group; Roco), regulation specific to nanoparticles is lacking (Bowman and Hodge; Miller and Senjen). The USFDA advises that nano-manufacturers “must show a reasonable assurance of safety … or substantial equivalence” (FDA). A recent inventory of nano-products already on the market identified 580 products. Of these 11.4% were categorised as “Food and Beverage” (WWICS). This is at a time when public confidence in regulatory bodies is declining (HRA). In an Australian consumer survey on nanotechnology, 65% of respondents indicated they were concerned about “unknown and long term side effects”, and 71% agreed that it is important “to know if products are made with nanotechnology” (MARS 22). Cloned animals are currently more expensive to produce than traditional animal progeny. In the course of 678 pages, the USFDA Animal Cloning: A Draft Risk Assessment has not a single mention of “substantial equivalence”. However the Federation of Animal Science Societies (FASS) in its single page “Statement in Support of USFDA’s Risk Assessment Conclusion That Food from Cloned Animals Is Safe for Human Consumption” states that “FASS endorses the use of this comparative evaluation process as the foundation of establishing substantial equivalence of any food being evaluated. It must be emphasized that it is the food product itself that should be the focus of the evaluation rather than the technology used to generate cloned animals” (FASS 1). Contrary to the FASS derogation of the importance of process in food production, for consumers both the process and provenance of production is an important and integral aspect of a food product’s value and identity. Some consumers will legitimately insist that their Kalamata olives are from Greece, or their balsamic vinegar is from Modena. It was the British public’s growing awareness that their sugar was being produced by slave labour that enabled the boycotting of the product, and ultimately the outlawing of slavery (Hochschild). When consumers boycott Nestle, because of past or present marketing practices, or boycott produce of USA because of, for example, US foreign policy or animal welfare concerns, they are distinguishing the food based on the narrative of the food, the production process and/or production context which are a part of the identity of the food. Consumers attribute value to food based on production process and provenance information (Paull). Products produced by slave labour, by child labour, by political prisoners, by means of torture, theft, immoral, unethical or unsustainable practices are different from their alternatives. The process of production is a part of the identity of a product and consumers are increasingly interested in food narrative. It requires vigilance to ensure that these narratives are delivered with the product to the consumer, and are neither lost nor suppressed. Throughout the GM debate, the organic sector has successfully skirted the “substantial equivalence” debate by excluding GMOs from the certified organic food production process. This GMO-exclusion from the organic food stream is the one reprieve available to consumers worldwide who are keen to avoid GMOs in their diet. The organic industry carries the expectation of providing food produced without artificial pesticides and fertilizers, and by extension, without GMOs. Most recently, the Soil Association, the leading organic certifier in the UK, claims to be the first organisation in the world to exclude manufactured nonoparticles from their products (Soil Association). There has been the call that engineered nanoparticles be excluded from organic standards worldwide, given that there is no mandatory safety testing and no compulsory labelling in place (Paull and Lyons). The twisted rhetoric of oxymorons does not make the ideal foundation for policy. Setting food policy on the shifting sands of “substantial equivalence” seems foolhardy when we consider the potentially profound ramifications of globally mass marketing a dysfunctional food. If there is a 2×2 matrix of terms – “substantial equivalence”, substantial difference, insubstantial equivalence, insubstantial difference – while only one corner of this matrix is engaged for food policy, and while the elements remain matters of opinion rather than being testable by science, or by some other regime, then the public is the dupe, and potentially the victim. “Substantial equivalence” has served the GMO corporates well and the public poorly, and this asymmetry is slated to escalate if nano-food and clone-food are also folded into the “substantial equivalence” paradigm. Only in Orwellian Newspeak is war peace, or is same different. It is time to jettison the pseudo-scientific doctrine of “substantial equivalence”, as a convenient oxymoron, and embrace full disclosure of provenance, process and difference, so that consumers are not collateral in a continuing asymmetric knowledge war. References Australian Office of Nanotechnology (AON). Department of Industry, Tourism and Resources (DITR) 6 Aug. 2007. 24 Apr. 2008 < http://www.innovation.gov.au/Section/Innovation/Pages/ AustralianOfficeofNanotechnology.aspx >.Bowman, Diana, and Graeme Hodge. “A Small Matter of Regulation: An International Review of Nanotechnology Regulation.” Columbia Science and Technology Law Review 8 (2007): 1-32.Burger, Warren. “Sidney A. Diamond, Commissioner of Patents and Trademarks v. Ananda M. Chakrabarty, et al.” Supreme Court of the United States, decided 16 June 1980. 24 Apr. 2008 < http://caselaw.lp.findlaw.com/cgi-bin/getcase.pl?court=US&vol=447&invol=303 >.Curet, Monique. “New Rules Allow Dairy-Product Labels to Include Hormone Info.” The Columbus Dispatch 7 Feb. 2008. 24 Apr. 2008 < http://www.dispatch.com/live/content/business/stories/2008/02/07/dairy.html >.Engdahl, F. William. Seeds of Destruction. Montréal: Global Research, 2007.ETC Group. Down on the Farm: The Impact of Nano-Scale Technologies on Food and Agriculture. Ottawa: Action Group on Erosion, Technology and Conservation, November, 2004. European Commission. Report on Public Health Aspects of the Use of Bovine Somatotropin. Brussels: European Commission, 15-16 March 1999.Federation of Animal Science Societies (FASS). Statement in Support of FDA’s Risk Assessment Conclusion That Cloned Animals Are Safe for Human Consumption. 2007. 24 Apr. 2008 < http://www.fass.org/page.asp?pageID=191 >.Grist, Stuart. “True Threats to Reason.” New Scientist 197.2643 (16 Feb. 2008): 22-23.Hochschild, Adam. Bury the Chains: The British Struggle to Abolish Slavery. London: Pan Books, 2006.Horsch, Robert, Robert Fraley, Stephen Rogers, Patricia Sanders, Alan Lloyd, and Nancy Hoffman. “Inheritance of Functional Foreign Genes in Plants.” Science 223 (1984): 496-498.HRA. Awareness of and Attitudes toward Nanotechnology and Federal Regulatory Agencies: A Report of Findings. Washington: Peter D. Hart Research Associates, 25 Sep. 2007.Levidow, Les, Joseph Murphy, and Susan Carr. “Recasting ‘Substantial Equivalence’: Transatlantic Governance of GM Food.” Science, Technology, and Human Values 32.1 (Jan. 2007): 26-64.Lightfoot, David, Rajsree Mungur, Rafiqa Ameziane, Anthony Glass, and Karen Berhard. “Transgenic Manipulation of C and N Metabolism: Stretching the GMO Equivalence.” American Society of Plant Biologists Conference: Plant Biology, 2000.MARS. “Final Report: Australian Community Attitudes Held about Nanotechnology – Trends 2005-2007.” Report prepared for Department of Industry, Tourism and Resources (DITR). Miranda, NSW: Market Attitude Research Services, 12 June 2007.Miller, Georgia, and Rye Senjen. “Out of the Laboratory and on to Our Plates: Nanotechnology in Food and Agriculture.” Friends of the Earth, 2008. 24 Apr. 2008 < http://nano.foe.org.au/node/220 >.Miller, Henry. “Substantial Equivalence: Its Uses and Abuses.” Nature Biotechnology 17 (7 Nov. 1999): 1042-1043.Millstone, Erik, Eric Brunner, and Sue Mayer. “Beyond ‘Substantial Equivalence’.” Nature 401 (7 Oct. 1999): 525-526.Monsanto. “Posilac, Bovine Somatotropin by Monsanto: Questions and Answers about bST from the United States Food and Drug Administration.” 2007. 24 Apr. 2008 < http://www.monsantodairy.com/faqs/fda_safety.html >.Organisation for Economic Co-operation and Development (OECD). “For a Better World Economy.” Paris: OECD, 2008. 24 Apr. 2008 < http://www.oecd.org/ >.———. “Safety Evaluation of Foods Derived by Modern Biotechnology: Concepts and Principles.” Paris: OECD, 1993.Orwell, George. Animal Farm. Adelaide: ebooks@Adelaide, 2004 (1945). 30 Apr. 2008 < http://ebooks.adelaide.edu.au/o/orwell/george >.Paull, John. “Provenance, Purity and Price Premiums: Consumer Valuations of Organic and Place-of-Origin Food Labelling.” Research Masters thesis, University of Tasmania, Hobart, 2006. 24 Apr. 2008 < http://eprints.utas.edu.au/690/ >.Paull, John, and Kristen Lyons. “Nanotechnology: The Next Challenge for Organics.” Journal of Organic Systems (in press).Pennsylvania Department of Agriculture (PDA). “Revised Standards and Procedure for Approval of Proposed Labeling of Fluid Milk.” Milk Labeling Standards (2.0.1.17.08). Bureau of Food Safety and Laboratory Services, Pennsylvania Department of Agriculture, 17 Jan. 2008. ———. “Standards and Procedure for Approval of Proposed Labeling of Fluid Milk, Milk Products and Manufactured Dairy Products.” Milk Labeling Standards (2.0.1.17.08). Bureau of Food Safety and Laboratory Services, Pennsylvania Department of Agriculture, 22 Oct. 2007.Roco, Mihail. “National Nanotechnology Initiative – Past, Present, Future.” In William Goddard, Donald Brenner, Sergy Lyshevski and Gerald Iafrate, eds. Handbook of Nanoscience, Engineering and Technology. 2nd ed. Boca Raton, FL: CRC Press, 2007.Romeis, Jorg, Detlef Bartsch, Franz Bigler, Marco Candolfi, Marco Gielkins, et al. “Assessment of Risk of Insect-Resistant Transgenic Crops to Nontarget Arthropods.” Nature Biotechnology 26.2 (Feb. 2008): 203-208.Schauzu, Marianna. “The Concept of Substantial Equivalence in Safety Assessment of Food Derived from Genetically Modified Organisms.” AgBiotechNet 2 (Apr. 2000): 1-4.Soil Association. “Soil Association First Organisation in the World to Ban Nanoparticles – Potentially Toxic Beauty Products That Get Right under Your Skin.” London: Soil Association, 17 Jan. 2008. 24 Apr. 2008 < http://www.soilassociation.org/web/sa/saweb.nsf/848d689047 cb466780256a6b00298980/42308d944a3088a6802573d100351790!OpenDocument >.Smith, Jeffrey. Genetic Roulette: The Documented Health Risks of Genetically Engineered Foods. Fairfield, Iowa: Yes! Books, 2007.———. Seeds of Deception. Melbourne: Scribe, 2004.U.S. Dairy Export Council (USDEC). Bovine Somatotropin (BST) Backgrounder. Arlington, VA: U.S. Dairy Export Council, 2006.U.S. Food and Drug Administration (USFDA). Animal Cloning: A Draft Risk Assessment. Rockville, MD: Center for Veterinary Medicine, U.S. Food and Drug Administration, 28 Dec. 2006.———. FDA and Nanotechnology Products. U.S. Department of Health and Human Services, U.S. Food and Drug Administration, 2008. 24 Apr. 2008 < http://www.fda.gov/nanotechnology/faqs.html >.Woodrow Wilson International Center for Scholars (WWICS). “A Nanotechnology Consumer Products Inventory.” Data set as at Sep. 2007. Woodrow Wilson International Center for Scholars, Project on Emerging Technologies, Sep. 2007. 24 Apr. 2008 < http://www.nanotechproject.org/inventories/consumer >.
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Brien, Donna Lee, Leonie Rutherford, and Rosemary Williamson. "Hearth and Hotmail." M/C Journal 10, no. 4 (August 1, 2007). http://dx.doi.org/10.5204/mcj.2696.

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Abstract:
Introduction It has frequently been noted that ICTs and social networking applications have blurred the once-clear boundary between work, leisure and entertainment, just as they have collapsed the distinction between public and private space. While each individual has a sense of what “home” means, both in terms of personal experience and more conceptually, the following three examples of online interaction (based on participants’ interest, or involvement, in activities traditionally associated with the home: pet care, craft and cooking) suggest that the utilisation of online communication technologies can lead to refined and extended definitions of what “home” is. These examples show how online communication can assist in meeting the basic human needs for love, companionship, shelter and food – needs traditionally supplied by the home environment. They also provide individuals with a considerably expanded range of opportunities for personal expression and emotional connection, as well as creative and commercial production, than that provided by the purely physical (and, no doubt, sometimes isolated and isolating) domestic environment. In this way, these case studies demonstrate the interplay and melding of physical and virtual “home” as domestic practices leach from the most private spaces of the physical home into the public space of the Internet (for discussion, see Gorman-Murray, Moss, and Rose). At the same time, online interaction can assert an influence on activity within the physical space of the home, through the sharing of advice about, and modeling of, domestic practices and processes. A Dog’s (Virtual) Life The first case study primarily explores the role of online communities in the formation and expression of affective values and personal identity – as traditionally happens in the domestic environment. Garber described the 1990s as “the decade of the dog” (20), citing a spate of “new anthropomorphic” (22) dog books, Internet “dog chat” sites, remakes of popular classics such as Lassie Come Home, dog friendly urban amenities, and the meteoric rise of services for pampered pets (28-9). Loving pets has become a lifestyle and culture, witnessed and commodified in Pet Superstores as well as in dog collectables and antiques boutiques, and in publications like The Bark (“the New Yorker of Dog Magazines”) and Clean Run, the international agility magazine, Website, online book store and information gateway for agility products and services. Available online resources for dog lovers have similarly increased rapidly during the decade since Garber’s book was published, with the virtual world now catering for serious hobby trainers, exhibitors and professionals as well as the home-based pet lover. At a recent survey, Yahoo Groups – a personal communication portal that facilitates social networking, in this case enabling users to set up electronic mailing lists and Internet forums – boasted just over 9,600 groups servicing dog fanciers and enthusiasts. The list Dogtalk is now an announcement only mailing list, but was a vigorous discussion forum until mid-2006. Members of Dogtalk were Australian-based “clicker-trainers”, serious hobbyist dog trainers, many of whom operated micro-businesses providing dog training or other pet-related services. They shared an online community, but could also engage in “flesh-meets” at seminars, conferences and competitive dog sport meets. An author of this paper (Rutherford) joined this group two years ago because of her interest in clicker training. Clicker training is based on an application of animal learning theory, particularly psychologist E. F. Skinner’s operant conditioning, so called because of the trademark use of a distinctive “click” sound to mark a desired behaviour that is then rewarded. Clicker trainers tend to dismiss anthropomorphic pack theory that positions the human animal as fundamentally opposed to non-human animals and, thus, foster a partnership (rather than a dominator) mode of social and learning relationships. Partnership and nurturance are common themes within the clicker community (as well as in more traditional “home” locations); as is recognising and valuing the specific otherness of other species. Typically, members regard their pets as affective equals or near-equals to the human animals that are recognised members of their kinship networks. A significant function of the episodic biographical narratives and responses posted to this list was thus to affirm and legitimate this intra-specific kinship as part of normative social relationship – a perspective that is not usually validated in the general population. One of the more interesting nexus that evolved within Dogtalk links the narrativisation of the pet in the domestic sphere with the pictorial genre of the family album. Emergent technologies, such as digital cameras together with Web-based image manipulation software and hosting (as provided by portals like Photobucket and Flickr ) democratise high quality image creation and facilitate the sharing of these images. Increasingly, the Dogtalk list linked to images uploaded to free online galleries, discussed digital image composition and aesthetics, and shared technical information about cameras and online image distribution. Much of this cultural production and circulation was concerned with digitally inscribing particular relationships with individual animals into cultural memory: a form of family group biography (for a discussion of the family photograph as a display of extended domestic space, see Rose). The other major non-training thread of the community involves the sharing and witnessing of the trauma suffered due to the illness and loss of pets. While mourning for human family members is supported in the off-line world – with social infrastructure, such as compassionate leave and/or bereavement counselling, part of professional entitlements – public mourning for pets is not similarly supported. Yet, both cultural studies (in its emphasis on cultural memory) and trauma theory have highlighted the importance of social witnessing, whereby traumatic memories must be narratively integrated into memory and legitimised by the presence of a witness in order to loosen their debilitating hold (Felman and Laub 57). Postings on the progress of a beloved animal’s illness or other misfortune and death were thus witnessed and affirmed by other Dogtalk list members – the sick or deceased pet becoming, in the process, a feature of community memory, not simply an individual loss. In terms of such biographical narratives, memory and history are not identical: “Any memories capable of being formed, retained or articulated by an individual are always a function of socially constituted forms, narratives and relations … Memory is always subject to active social manipulation and revision” (Halbwachs qtd. in Crewe 75). In this way, emergent technologies and social software provide sites, akin to that of physical homes, for family members to process individual memories into cultural memory. Dogzonline, the Australian Gateway site for purebred dog enthusiasts, has a forum entitled “Rainbow Bridge” devoted to textual and pictorial memorialisation of deceased pet dogs. Dogster hosts the For the Love of Dogs Weblog, in which images and tributes can be posted, and also provides links to other dog oriented Weblogs and Websites. An interesting combination of both therapeutic narrative and the commodification of affect is found in Lightning Strike Pet Loss Support which, while a memorial and support site, also provides links to the emerging profession of pet bereavement counselling and to suppliers of monuments and tributary urns for home or other use. loobylu and Narratives of Everyday Life The second case study focuses on online interactions between craft enthusiasts who are committed to the production of distinctive objects to decorate and provide comfort in the home, often using traditional methods. In the case of some popular craft Weblogs, online conversations about craft are interspersed with, or become secondary to, the narration of details of family life, the exploration of important life events or the recording of personal histories. As in the previous examples, the offering of advice and encouragement, and expressions of empathy and support, often characterise these interactions. The loobylu Weblog was launched in 2001 by illustrator and domestic crafts enthusiast Claire Robertson. Robertson is a toy maker and illustrator based in Melbourne, Australia, whose clients have included prominent publishing houses, magazines and the New York Public Library (Robertson “Recent Client List” online). She has achieved a measure of public recognition: her loobylu Weblog has won awards and been favourably commented upon in the Australian press (see Robertson “Press for loobylu” online). In 2005, an article in The Age placed Robertson in the context of a contemporary “craft revolution”, reporting her view that this “revolution” is in “reaction to mass consumerism” (Atkinson online). The hand-made craft objects featured in Robertson’s Weblogs certainly do suggest engagement with labour-intensive pursuits and the construction of unique objects that reject processes of mass production and consumption. In this context, loobylu is a vehicle for the display and promotion of Robertson’s work as an illustrator and as a craft practitioner. While skills-based, it also, however, promotes a family-centred lifestyle; it advocates the construction by hand of objects designed to enhance the appearance of the family home and the comfort of its inhabitants. Its specific subject matter extends to related aspects of home and family as, in addition to instructions, ideas and patterns for craft, the Weblog features information on commercially available products for home and family, recipes, child rearing advice and links to 27 other craft and other sites (including Nigella Lawson’s, discussed below). The primary member of its target community is clearly the traditional homemaker – the mother – as well as those who may aspire to this role. Robertson does not have the “celebrity” status of Lawson and Jamie Oliver (discussed below), nor has she achieved their market saturation. Indeed, Robertson’s online presence suggests a modest level of engagement that is placed firmly behind other commitments: in February 2007, she announced an indefinite suspension of her blog postings so that she could spend more time with her family (Robertson loobylu 17 February 2007). Yet, like Lawson and Oliver, Robertson has exploited forms of domestic competence traditionally associated with women and the home, and the non-traditional medium of the Internet has been central to her endeavours. The content of the loobylu blog is, unsurprisingly, embedded in, or an accessory to, a unifying running commentary on Robertson’s domestic life as a parent. Miles, who has described Weblogs as “distributed documentaries of the everyday” (66) sums this up neatly: “the weblogs’ governing discursive quality is the manner in which it is embodied within the life world of its author” (67). Landmark family events are narrated on loobylu and some attract deluges of responses: the 19 June 2006 posting announcing the birth of Robertson’s daughter Lily, for example, drew 478 responses; five days later, one describing the difficult circumstances of her birth drew 232 comments. All of these comments are pithy, with many being simple empathetic expressions or brief autobiographically based commentaries on these events. Robertson’s news of her temporary retirement from her blog elicited 176 comments that both supported her decision and also expressed a sense of loss. Frequent exclamation marks attest visually to the emotional intensity of the responses. By narrating aspects of major life events to which the target audience can relate, the postings represent a form of affective mass production and consumption: they are triggers for a collective outpouring of largely homogeneous emotional reaction (joy, in the case of Lily’s birth). As collections of texts, they can be read as auto/biographic records, arranged thematically, that operate at both the individual and the community levels. Readers of the family narratives and the affirming responses to them engage in a form of mass affirmation and consumerism of domestic experience that is easy, immediate, attractive and free of charge. These personal discourses blend fluidly with those of a commercial nature. Some three weeks after loobylu announced the birth of her daughter, Robertson shared on her Weblog news of her mastitis, Lily’s first smile and the family’s favourite television programs at the time, information that many of us would consider to be quite private details of family life. Three days later, she posted a photograph of a sleeping baby with a caption that skilfully (and negatively) links it to her daughter: “Firstly – I should mention that this is not a photo of Lily”. The accompanying text points out that it is a photo of a baby with the “Zaky Infant Sleeping Pillow” and provides a link to the online pregnancystore.com, from which it can be purchased. A quotation from the manufacturer describing the merits of the pillow follows. Robertson then makes a light-hearted comment on her experiences of baby-induced sleep-deprivation, and the possible consequences of possessing the pillow. Comments from readers also similarly alternate between the personal (sharing of experiences) to the commercial (comments on the product itself). One offshoot of loobylu suggests that the original community grew to an extent that it could support specialised groups within its boundaries. A Month of Softies began in November 2004, describing itself as “a group craft project which takes place every month” and an activity that “might give you a sense of community and kinship with other similar minded crafty types across the Internet and around the world” (Robertson A Month of Softies online). Robertson gave each month a particular theme, and readers were invited to upload a photograph of a craft object they had made that fitted the theme, with a caption. These were then included in the site’s gallery, in the order in which they were received. Added to the majority of captions was also a link to the site (often a business) of the creator of the object; another linking of the personal and the commercial in the home-based “cottage industry” sense. From July 2005, A Month of Softies operated through a Flickr site. Participants continued to submit photos of their craft objects (with captions), but also had access to a group photograph pool and public discussion board. This extension simulates (albeit in an entirely visual way) the often home-based physical meetings of craft enthusiasts that in contemporary Australia take the form of knitting, quilting, weaving or other groups. Chatting with, and about, Celebrity Chefs The previous studies have shown how the Internet has broken down many barriers between what could be understood as the separate spheres of emotional (that is, home-based private) and commercial (public) life. The online environment similarly enables the formation and development of fan communities by facilitating communication between those fans and, sometimes, between fans and the objects of their admiration. The term “fan” is used here in the broadest sense, referring to “a person with enduring involvement with some subject or object, often a celebrity, a sport, TV show, etc.” (Thorne and Bruner 52) rather than focusing on the more obsessive and, indeed, more “fanatical” aspects of such involvement, behaviour which is, increasingly understood as a subculture of more variously constituted fandoms (Jenson 9-29). Our specific interest in fandom in relation to this discussion is how, while marketers and consumer behaviourists study online fan communities for clues on how to more successfully market consumer goods and services to these groups (see, for example, Kozinets, “I Want to Believe” 470-5; “Utopian Enterprise” 67-88; Algesheimer et al. 19-34), fans regularly subvert the efforts of those urging consumer consumption to utilise even the most profit-driven Websites for non-commercial home-based and personal activities. While it is obvious that celebrities use the media to promote themselves, a number of contemporary celebrity chefs employ the media to construct and market widely recognisable personas based on their own, often domestically based, life stories. As examples, Jamie Oliver and Nigella Lawson’s printed books and mass periodical articles, television series and other performances across a range of media continuously draw on, elaborate upon, and ultimately construct their own lives as the major theme of these works. In this, these – as many other – celebrity chefs draw upon this revelation of their private lives to lend authenticity to their cooking, to the point where their work (whether cookbook, television show, advertisement or live chat room session with their fans) could be described as “memoir-illustrated-with-recipes” (Brien and Williamson). This generic tendency influences these celebrities’ communities, to the point where a number of Websites devoted to marketing celebrity chefs as product brands also enable their fans to share their own life stories with large readerships. Oliver and Lawson’s official Websites confirm the privileging of autobiographical and biographical information, but vary in tone and approach. Each is, for instance, deliberately gendered (see Hollows’ articles for a rich exploration of gender, Oliver and Lawson). Oliver’s hip, boyish, friendly, almost frantic site includes the what are purported-to-be self-revelatory “Diary” and “About me” sections, a selection of captioned photographs of the chef, his family, friends, co-workers and sponsors, and his Weblog as well as footage streamed “live from Jamie’s phone”. This self-revelation – which includes significant details about Oliver’s childhood and his domestic life with his “lovely girls, Jools [wife Juliette Norton], Poppy and Daisy” – completely blurs the line between private life and the “Jamie Oliver” brand. While such revelation has been normalised in contemporary culture, this practice stands in great contrast to that of renowned chefs and food writers such as Elizabeth David, Julia Child, James Beard and Margaret Fulton, whose work across various media has largely concentrated on food, cooking and writing about cooking. The difference here is because Oliver’s (supposedly private) life is the brand, used to sell “Jamie Oliver restaurant owner and chef”, “Jamie Oliver cookbook author and TV star”, “Jamie Oliver advertising spokesperson for Sainsbury’s supermarket” (from which he earns an estimated £1.2 million annually) (Meller online) and “Jamie Oliver social activist” (made MBE in 2003 after his first Fifteen restaurant initiative, Oliver was named “Most inspiring political figure” in the 2006 Channel 4 Political Awards for his intervention into the provision of nutritious British school lunches) (see biographies by Hildred and Ewbank, and Smith). Lawson’s site has a more refined, feminine appearance and layout and is more mature in presentation and tone, featuring updates on her (private and public) “News” and forthcoming public appearances, a glamorous selection of photographs of herself from the past 20 years, and a series of print and audio interviews. Although Lawson’s children have featured in some of her television programs and her personal misfortunes are well known and regularly commented upon by both herself and journalists (her mother, sister and husband died of cancer) discussions of these tragedies, and other widely known aspects of her private life such as her second marriage to advertising mogul Charles Saatchi, is not as overt as on Oliver’s site, and the user must delve to find it. The use of Lawson’s personal memoir, as sales tool, is thus both present and controlled. This is in keeping with Lawson’s professional experience prior to becoming the “domestic goddess” (Lawson 2000) as an Oxford graduated journalist on the Spectator and deputy literary editor of the Sunday Times. Both Lawson’s and Oliver’s Websites offer readers various ways to interact with them “personally”. Visitors to Oliver’s site can ask him questions and can access a frequently asked question area, while Lawson holds (once monthly, now irregularly) a question and answer forum. In contrast to this information about, and access to, Oliver and Lawson’s lives, neither of their Websites includes many recipes or other food and cooking focussed information – although there is detailed information profiling their significant number of bestselling cookbooks (Oliver has published 8 cookbooks since 1998, Lawson 5 since 1999), DVDs and videos of their television series and one-off programs, and their name branded product lines of domestic kitchenware (Oliver and Lawson) and foodstuffs (Oliver). Instruction on how to purchase these items is also featured. Both these sites, like Robertson’s, provide various online discussion fora, allowing members to comment upon these chefs’ lives and work, and also to connect with each other through posted texts and images. Oliver’s discussion forum section notes “this is the place for you all to chat to each other, exchange recipe ideas and maybe even help each other out with any problems you might have in the kitchen area”. Lawson’s front page listing states: “You will also find a moderated discussion forum, called Your Page, where our registered members can swap ideas and interact with each other”. The community participants around these celebrity chefs can be, as is the case with loobylu, divided into two groups. The first is “foodie (in Robertson’s case, craft) fans” who appear to largely engage with these Websites to gain, and to share, food, cooking and craft-related information. Such fans on Oliver and Lawson’s discussion lists most frequently discuss these chefs’ television programs and books and the recipes presented therein. They test recipes at home and discuss the results achieved, any problems encountered and possible changes. They also post queries and share information about other recipes, ingredients, utensils, techniques, menus and a wide range of food and cookery-related matters. The second group consists of “celebrity fans” who are attracted to the chefs (as to Robertson as craft maker) as personalities. These fans seek and share biographical information about Oliver and Lawson, their activities and their families. These two areas of fan interest (food/cooking/craft and the personal) are not necessarily or always separated, and individuals can be active members of both types of fandoms. Less foodie-orientated users, however (like users of Dogtalk and loobylu), also frequently post their own auto/biographical narratives to these lists. These narratives, albeit often fragmented, may begin with recipes and cooking queries or issues, but veer off into personal stories that possess only minimal or no relationship to culinary matters. These members also return to the boards to discuss their own revealed life stories with others who have commented on these narratives. Although research into this aspect is in its early stages, it appears that the amount of public personal revelation either encouraged, or allowed, is in direct proportion to the “open” friendliness of these sites. More thus are located in Oliver’s and less in Lawson’s, and – as a kind of “control” in this case study, but not otherwise discussed – none in that of Australian chef Neil Perry, whose coolly sophisticated Website perfectly complements Perry’s professional persona as the epitome of the refined, sophisticated and, importantly in this case, unapproachable, high-end restaurant chef. Moreover, non-cuisine related postings are made despite clear directions to the contrary – Lawson’s site stating: “We ask that postings are restricted to topics relating to food, cooking, the kitchen and, of course, Nigella!” and Oliver making the plea, noted above, for participants to keep their discussions “in the kitchen area”. Of course, all such contemporary celebrity chefs are supported by teams of media specialists who selectively construct the lives that these celebrities share with the public and the postings about others’ lives that are allowed to remain on their discussion lists. The intersection of the findings reported above with the earlier case studies suggests, however, that even these most commercially-oriented sites can provide a fruitful data regarding their function as home-like spaces where domestic practices and processes can be refined, and emotional relationships formed and fostered. In Summary As convergence results in what Turow and Kavanaugh call “the wired homestead”, our case studies show that physically home-based domestic interests and practices – what could be called “home truths” – are also contributing to a refiguration of the private/public interplay of domestic activities through online dialogue. In the case of Dogtalk, domestic space is reconstituted through virtual spaces to include new definitions of family and memory. In the case of loobylu, the virtual interaction facilitates a development of craft-based domestic practices within the physical space of the home, thus transforming domestic routines. Jamie Oliver’s and Nigella Lawson’s sites facilitate development of both skills and gendered identities by means of a bi-directional nexus between domestic practices, sites of home labour/identity production and public media spaces. As participants modify and redefine these online communities to best suit their own needs and desires, even if this is contrary to the stated purposes for which the community was instituted, online communities can be seen to be domesticated, but, equally, these modifications demonstrate that the activities and relationships that have traditionally defined the home are not limited to the physical space of the house. While virtual communities are “passage points for collections of common beliefs and practices that united people who were physically separated” (Stone qtd in Jones 19), these interactions can lead to shared beliefs, for example, through advice about pet-keeping, craft and cooking, that can significantly modify practices and routines in the physical home. Acknowledgments An earlier version of this paper was presented at the Association of Internet Researchers’ International Conference, Brisbane, 27-30 September 2006. The authors would like to thank the referees of this article for their comments and input. Any errors are, of course, our own. References Algesheimer, R., U. Dholake, and A. Herrmann. “The Social Influence of Brand Community: Evidence from European Car Clubs”. Journal of Marketing 69 (2005): 19-34. Atkinson, Frances. “A New World of Craft”. The Age (11 July 2005). 28 May 2007 http://www.theage.com.au/articles/2005/07/10/1120934123262.html>. Brien, Donna Lee, and Rosemary Williamson. “‘Angels of the Home’ in Cyberspace: New Technologies and Biographies of Domestic Production”. Paper. Biography and New Technologies conference. Humanities Research Centre, Australian National University, Canberra, ACT. 12-14 Sep. 2006. Crewe, Jonathan. “Recalling Adamastor: Literature as Cultural Memory in ‘White’ South Africa”. In Acts of Memory: Cultural Recall in the Present, eds. Mieke Bal, Jonathan Crewe, and Leo Spitzer. Hanover, NH: Dartmouth College, 1999. 75-86. Felman, Shoshana, and Dori Laub. Testimony: Crises of Witnessing in Literature, Psychoanalysis, and History. New York: Routledge, 1992. Garber, Marjorie. Dog Love. New York: Touchstone/Simon and Schuster, 1996. Gorman-Murray, Andrew. “Homeboys: Uses of Home by Gay Australian Men”. Social and Cultural Geography 7.1 (2006): 53-69. Halbwachs, Maurice. On Collective Memory. Trans. Lewis A. Closer. Chicago: U of Chicago P, 1992. Hildred, Stafford, and Tim Ewbank. Jamie Oliver: The Biography. London: Blake, 2001. Hollows, Joanne. “Feeling like a Domestic Goddess: Post-Feminism and Cooking.” European Journal of Cultural Studies 6.2 (2003): 179-202. ———. “Oliver’s Twist: Leisure, Labour and Domestic Masculinity in The Naked Chef.” International Journal of Cultural Studies 6.2 (2003): 229-248. Jenson, J. “Fandom as Pathology: The Consequences of Characterization”. The Adoring Audience; Fan Culture and Popular Media. Ed. L. A. Lewis. New York, NY: Routledge, 1992. 9-29. Jones, Steven G., ed. Cybersociety, Computer-Mediated Communication and Community. Thousand Oaks, CA: Sage, 1995. Kozinets, R.V. “‘I Want to Believe’: A Netnography of the X’Philes’ Subculture of Consumption”. Advances in Consumer Research 34 (1997): 470-5. ———. “Utopian Enterprise: Articulating the Meanings of Star Trek’s Culture of Consumption.” Journal of Consumer Research 28 (2001): 67-88. Lawson, Nigella. How to Be a Domestic Goddess: Baking and the Art of Comfort Cooking. London: Chatto and Windus, 2000. Meller, Henry. “Jamie’s Tips Spark Asparagus Shortages”. Daily Mail (17 June 2005). 21 Aug. 2007 http://www.dailymail.co.uk/pages/live/articles/health/dietfitness.html? in_article_id=352584&in_page_id=1798>. Miles, Adrian. “Weblogs: Distributed Documentaries of the Everyday.” Metro 143: 66-70. Moss, Pamela. “Negotiating Space in Home Environments: Older Women Living with Arthritis.” Social Science and Medicine 45.1 (1997): 23-33. Robertson, Claire. Claire Robertson Illustration. 2000-2004. 28 May 2007 . Robertson, Claire. loobylu. 16 Feb. 2007. 28 May 2007 http://www.loobylu.com>. Robertson, Claire. “Press for loobylu.” Claire Robertson Illustration. 2000-2004. 28 May 2007 http://www.clairetown.com/press.html>. Robertson, Claire. A Month of Softies. 28 May 2007. 21 Aug. 2007 . Robertson, Claire. “Recent Client List”. Claire Robertson Illustration. 2000-2004. 28 May 2007 http://www.clairetown.com/clients.html>. Rose, Gillian. “Family Photographs and Domestic Spacings: A Case Study.” Transactions of the Institute of British Geographers NS 28.1 (2003): 5-18. Smith, Gilly. Jamie Oliver: Turning Up the Heat. Sydney: Macmillian, 2006. Thorne, Scott, and Gordon C. Bruner. “An Exploratory Investigation of the Characteristics of Consumer Fanaticism.” Qualitative Market Research: An International Journal 9.1 (2006): 51-72. Turow, Joseph, and Andrea Kavanaugh, eds. The Wired Homestead: An MIT Press Sourcebook on the Internet and the Family. Cambridge, MA: MIT Press, 2003. Citation reference for this article MLA Style Brien, Donna Lee, Leonie Rutherford, and Rosemary Williamson. "Hearth and Hotmail: The Domestic Sphere as Commodity and Community in Cyberspace." M/C Journal 10.4 (2007). echo date('d M. Y'); ?> <http://journal.media-culture.org.au/0708/10-brien.php>. APA Style Brien, D., L. Rutherford, and R. Williamson. (Aug. 2007) "Hearth and Hotmail: The Domestic Sphere as Commodity and Community in Cyberspace," M/C Journal, 10(4). Retrieved echo date('d M. Y'); ?> from <http://journal.media-culture.org.au/0708/10-brien.php>.
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17

Neilsen, Philip Max, and Ffion Murphy. "The Potential Role of Life-Writing Therapy in Facilitating ‘Recovery’ for Those with Mental Illness." M/C Journal 11, no. 6 (December 2, 2008). http://dx.doi.org/10.5204/mcj.110.

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IntroductionThis article addresses the experience of designing and conducting life-writing workshops for a group of clients with severe mental illness; the aim of this pilot study was to begin to determine whether such writing about the self can aid in individual ‘recovery’, as that term is understood by contemporary health professionals. A considerable amount has been written about the potential of creative writing in mental health therapy; the authors of this article provide a brief summary of that literature, then of the concept of ‘recovery’ in a psychology and arts therapy context. There follows a first-hand account by one of the authors of being an arts therapy workshop facilitator in the role of a creative practitioner. This occurred in consultation with, and monitored by, experienced mental health professionals. Life-Writing as ‘Therapeutic’ Life-story or life-writing can be understood in this context as involving more than disclosure or oral expression of a subject’s ‘story’ as in psycho-therapy – life-story is understood as a written, structured narrative. In 2001, Wright and Chung published a review of the literature in which they claimed that writing therapy had been “restimulated by the development of narrative approaches” (278). Pennebaker argues that “catharsis or the venting of emotions” without “cognitive processing” has little therapeutic value and people need to “build a coherent narrative that explains some past experience” in order to benefit from writing” (Pennebaker, Telling Stories 10–11). It is claimed in the Clinical Psychology Review that life-writing has the therapeutic benefits of, for example, “striking physical health and behaviour change” (Esterling et al. 84). The reasons are still unclear, but it is possible that the cognitive and linguistic processing of problematic life-events through narrative writing may help the subject assimilate such problems (Alschuler 113–17). As Pennebaker and Seagal argue in the Journal of Clinical Psychology, the life-writing processallows one to organise and remember events in a coherent fashion while integrating thoughts and feelings ... This gives individuals a sense of predictability and control over their lives. Once an experience has structure and meaning, it would follow that the emotional effects of that experience are more manageable. (1243)It would seem reasonable to suggest that life-writing which constructs a positive recovery narrative can have a positive therapeutic effect, providing a sense of agency, connectedness and creativity, in a similar, integrating manner. Humans typically see their lives as stories. Paul Eakin stresses the link between narrative and identity in both this internal life-story and in outwardly constructed autobiography:narrative is not merely a literary form but a mode of phenomenological and cognitive self-experience, while self – the self of autobiographical discourse - does not necessarily precede its constitution in narrative. (Making Selves 100)So both a self-in-time and a socially viable identity may depend on such narrative. The term ‘dysnarrativia’ has been coined to describe the documented inability to construct self-narrative by those suffering amnesia, autism, severe child abuse or brain damage. The lack of ability to achieve narrative construction seems to be correlated with identity disorders (Eakin, Fictions in Autobiography 124). (For an overview of the current literature on creative and life-writing as therapy see Murphy & Neilsen). What is of particular relevance to university creative writing practitioners/teachers is that there is evidence, for example from Harvard psychiatrist Judith Herman and creative writing academic Vicki Linder, that life-narratives are more therapeutically effective if guided to be written according to fundamental ‘effective writing’ aesthetic conventions – such as having a regard to coherent structure in the narrative, the avoidance of cliché, practising the ‘demonstrate don’t state’ dictum, and writing in one’s own voice, for example. Defining ‘Recovery’There remains debate as to the meaning of recovery in the context of mental health service delivery, but there is agreement that recovery entails significantly more than symptom remission or functional improvement (Liberman & Kopelowicz). In a National Consensus Statement, the Substance Abuse and Mental Health Services Administration (SAMHSA) unit of the US Department of Health and Human Services in 2005 described recovery (in general terms) as being achieved by the enabling of a person with a mental illness to live meaningfully in a chosen community, while also attempting to realize individual potential. ‘Recovery’ as a central concept behind rehabilitation can be understood both as objective recovery – that is, in terms of noting a reduction in objective indicators of illness and disability (such as rates of hospital usage or unemployment) and a greater degree of social functioning – and also as subjective recovery. Subjective recovery can be ascertained by listening closely to what clients themselves have said about their own experiences. It has been pointed out (King, Lloyd & Meehan 2) that there is not always a correspondence between objective indicators of recovery and the subjective, lived experience of recovery. The experience of mental illness is not just one of symptoms and disability but equally importantly one of major challenge to sense of self. Equally, recovery from mental illness is experienced not just in terms of symptoms and disability but also as a recovery of sense of self … Recovery of sense of self and recovery with respect to symptoms and disability may not correspond. (King, Lloyd & Meehan; see also Davidson & Strauss)Symptoms of disability can persist, but a person can have a much stronger sense of self or empowerment – that is still recovery. Illness dislocates the sense of self as part of a community and of a self with skills and abilities. Restoring this sense of empowerment is an aim of arts therapy. To put it another way, recovery is a complex process by which a client with a mental illness develops a sense of identity and agency as a citizen, as distinct from identification with illness and disability and passivity as a ‘patient’. The creative arts have gone well beyond being seen as a diversion for the mentally ill. In a comprehensive UK study of creative arts projects for clients with mental illness, Helen Spandler et al. discovered strong evidence that participation in creative activity promoted a sense of purpose and meaning, and assisted in “rediscovering or rebuilding an identity within and beyond that of someone with mental health difficulties” (795). Recovery is aided by people being motivated to achieve self-confidence through mastery and competence; by learning and achieving goals. Clearly this is where arts therapy could be expected or hoped to be effective. The aim of the pilot study was not to measure ‘creativity’, but whether involvement in what is commonly understood as a creative process (life-writing) can have flow-on benefits in terms of the illness of the workshop participant. The psychologists involved, though more familiar with visual arts therapy (reasonably well-established in Australia – in 2006, the ANZAT began publishing the Australian and New Zealand Journal of Art Therapy), thought creative writing could also be valuable. Preparation for and Delivery of the Workshops I was acutely aware that I had no formal training in delivering a program to clients with mental health illness. I was counselled during several meetings with experienced psychologists and a social worker that the participants in the three workshops over two weeks would largely be people who had degrees of difficulty in living independently, and could well have perceptual problems, could misjudge signals from outside and inside the group, and be on medication that could affect their degree of engagement. Some clients could have impaired concentration and cognition, and a deficit in volition. Participants needed to be free to leave and rejoin the workshops during the afternoon sessions. Attendance might well fall as the workshops progressed. Full ethical clearance was attained though the University of Queensland medical faculty (after detailed description of the content and conduct of the proposed workshops) and consent forms prepared for participants. My original workshop ‘kit’ to be distributed to participants underwent some significant changes as I was counselled and prepared for the workshops. The major adjustment to my usual choice of material and approach was made in view of the advice that recounting traumatic events can have a negative effect on some patients – at least in the short term. For the sake of both the individuals and the group as a whole this was to be avoided. I changed my initial emphasis on encouraging participants to recount their traumatic experiences in a cathartic way (as suggested by the narrative psychology literature), to encouraging them to recount positive narratives from their lives – narratives of ‘recovery’ – as I explain in more detail below. I was also counselled that clients with mental health problems might dwell on retelling their story – their case history – rather than reflecting upon it or using their creative and imaginative ability to shape a life-story that was not a catalogue of their medical history. Some participants did demonstrate a desire to retell their medical history or narrative – including a recurring theme of the difficulty in gaining continuity with one trusted medical professional. I gently guided these participants back to fashioning a different and more creative narrative, with elements of scene creation, description and so on, by my first listening intently to and acknowledging their medical narrative for a few minutes and then suggesting we try to move beyond that. This simple strategy was largely successful; several participants commented explicitly that they were tired of having to retell their medical history to each new health professional they encountered in the hospital system, for example. My principal uncertainty was whether I should conduct the workshops at the same level of complexity that I had in the past with groups of university students or community groups. While in both of those cohorts there will often be some participants with mental health issues, for the most part this possibility does not affect the level or kind of content of material discussed in workshops. However, within this pilot group all had been diagnosed with moderate to severe mental illness, mostly schizophrenia, but also bipolar disorder and acute depression and anxiety disorders. The fact that my credentials were only as a published writer and teacher of creative writing, not as a health professional, was also a strong concern to me. But the clients readily accepted me as someone who knew the difficulty of writing well and getting published. I stressed to them that my primary aim was to teach effective creative writing as an end in itself. That it might be beneficial in health terms was secondary. It was a health professional who introduced me and briefly outlined the research aims of the workshop – including some attempt to measure qualitatively any possible benefits. It was my impression that the participants did not have a diminished sense of my usefulness because I was not a health professional. Their focus was on having the opportunity to practice creative writing and/or participate in a creative group activity. As mentioned above, I had prepared a workshop ‘kit’ for the participants of 15 pages. It contained the usual guidelines for effective writing – extracts from professional writers’ published work (including an extract from my own published work – a matter of equity, since they were allowing me to read their work), and a number of writing exercises (using description, concrete and abstract words, narrative point of view, writing in scenes, show don’t tell). The kit contained extracts from memoirs by Hugh Lunn and Bill Bryson, as well as a descriptive passage from Charles Dickens. An extract from Inga Clendinnen’s 2006 account in Agamemnon’s Kiss: selected essays of her positive interaction with fellow cancer patients (a narrative with the underlying theme of recovery) was also valuable for the participants. I stressed to the group that this material was very similar to that used with beginning writers among university students. I described the importance of life-writing as follows: Life-writing is simply telling a story from your life and perhaps musing or commenting on it at the same time. When you write a short account of something chosen from your life, you are making a pattern, using your memory, using your powers of description – you are being creative. You are being a story-teller. And story-telling is one very important thing that makes us humans different from all other animals – and it is a way in which we find a lot of meaning in our lives.My central advice in the kit was: “Just try to be as honest as you can – and to remember as well as you can … being honest and direct is both the best and the easiest way to write memoir”. The only major difference between my approach with these clients and that with a university class was in the selection of possible topics offered. In keeping with the advice of the psychologists who were experts in the theory of ‘recovery’, the topics were predominantly positive, though one or two topics gave the opportunity to recount and/or explore a negative experience if the participant wanted to do so: A time when I was able to help another personA time when I realised what really mattered in lifeA time when I overcame a major difficultyA time when I felt part of a group or teamA time when I knew what I wanted to do with my lifeA time when someone recognised a talent or quality of mineA time I did something that I was proud of A time when I learned something important to meA memorable time when I lived in a certain house or suburbA story that begins: “Looking back, I now understand that …”The group expressed satisfaction with these topics, though they had the usual writing students’ difficulty in choosing the one that best suited them. In the first two workshops we worked our way through the kit; in the third workshop, two weeks later, each participant read their own work to the group and received feedback from their peers and me. The feedback was encouraged to be positive and constructive, and the group spontaneously adopted a positive reinforcement approach, applauding each piece of writing. Workshop DynamicsThe venue for the workshops was a suburban house in the Logan area of Brisbane used as a drop-in centre for those with mental illness, and the majority of the participants would be familiar with it. It had a large, breezy deck on which a round-table configuration of seating was arranged. This veranda-type setting was sheltered enough to enable all to be heard easily and formal enough to emphasise a learning event was taking place; but it was also open enough to encourage a relaxed atmosphere. The week before the first workshop I visited the house to have lunch with a number of the participants. This gave me a sense of some of the participants’ personalities and degree of engagement, the way they related to each other, and in turn enabled them to begin to have some familiarity with me and ask questions. As a novice at working with this kind of client, I found this experience extremely valuable, especially as it suggested that a relatively high degree of communication and cognition would be possible, and it reduced the anxiety I had about pitching the workshops at an appropriate level. In the course of the first workshop, the most initially sceptical workshop participant ended up being the most engaged contributor. A highly intelligent woman, she felt it would be too upsetting to write about negative events, but ultimately wrote a very effective piece about the empowerment she gained from caring for a stray cat and locating the owner. Her narrative also expressed her realisation that the pet was partly a replacement for spending time with her son, who lived interstate. Another strong participant previously had written a book-length narrative of her years of misdiagnoses and trauma in the hospital system before coming under the care of her present health professionals. The participant who had the least literacy skills was accepted by the group as an equal and after a while contributed enthusiastically. Though he refused to sign the consent form at the outset, he asked to do so at the close of the first afternoon. The workshop was comprised of clients from two health provider organisations; at first the two groups tended to speak with those they already knew (as in any such situation in the broader community), but by the third workshop a sense of larger group identity was being manifested in their comments, as they spoke of what ‘the group’ would like in the future – such as their work being published in some form. It was clear that, as in a university setting, part of the beneficial effect of the workshops came from group and face to face interaction. It would be more difficult to have this dimension of benefit achieved via a web-based version of the workshops, though a chat room scenario would presumably go some way towards establishing a group feeling. Web-based delivery would certainly suit participants who lacked mobility or who lived in the regions. Clearly the Internet is a vital social networking tool, and an Internet-based version of the workshops could well be attempted in the future. My own previous experience of community digital storytelling workshops (Neilsen, Digital Storytelling as Life-writing) suggests that a high degree of technical proficiency can not be expected across such a cohort; but with adequate technical support, a program (the usual short, self-written script, recorded voice-over and still images scanned from the participants’ photo albums, etc) could make digital storytelling a further dimension of therapeutic life-writing for clients with mental illness. One of the most useful teaching techniques in a class room setting is the judicious use of humour – to create a sense of sharing a perspective, and simply to make material more entertaining. I tested the waters at the outset by referring to the mental health worker sitting in the background, and declaring (with some comic exaggeration) my concern that if I didn’t run the workshop well he would report adversely on me. There was general laughter and this expression of my vulnerability seemed to defuse anxiety on the part of some participants. As the workshop progressed I found I could use both humorous extracts of life-writing and ad hoc comic comments (never at the expense of a participant) as freely as in a university class. Participants made some droll comments in the overall context of encouraging one another in their contributions, both oral and written. Only one participant exhibited some temporary distress during one of the workshops. I was allowing another participant the freedom to digress from the main topic and the participant beside me displayed agitation and sharply demanded we get back to the point. I apologised and acknowledged I had not stayed as focused as I should and returned to the topic. I suspect I had a fortunate first experience of such arts therapy workshops – and that this was largely due to the voluntary nature of the study and that most of the participants brought a prior positive experience of the workshop scenario, and prior interest in creative writing, to the workshops. Outcomes A significantly positive outcome was that only one of the nine participants missed a session (through ill-health) and none left during workshops. The workshops tended to proceed longer than the three hours allotted on each occasion. Post-workshop interviews were conducted by a psychologist with the participants. Detailed data is not available yet – but there was a clear indication by almost all participants that they felt the workshops were beneficial and that they would like to participate in further workshops. All but one agreed to have their life-writing included in a newsletter produced by one of the sponsors of the workshops. The positive reception of the workshops by the participants has encouraged planning to be undertaken for a wide-ranging longitudinal study by means of a significant number of workshops in both life-writing and visual arts in more than one city, conducted by a team of health professionals and creative practitioners – this time with sophisticated measurement instruments to gauge the effectiveness of art therapy in aiding ‘recovery’. Small as the workshop group was, the pilot study seems to validate previous research in the UK and US as we have summarised above. The indications are that significant elements of recovery (in particular, feelings of enhanced agency and creativity), can be achieved by life-writing workshops that are guided by creative practitioners; and that it is the process of narrative construction within life-writing that engages with or enhances a sense of self and identity. NoteWe are indebted, in making the summary of the concept of ‘recovery’ in health science terms, to work in progress by the following research team: Robert King, Tom O'Brien and Claire Edwards (School of Medicine, University of Queensland), Margot Schofield and Patricia Fenner (School of Public Health, Latrobe University). We are also grateful for the generous assistance of both this group and Seiji Humphries from the Richmond Queensland Fellowship, in providing preparation for the workshops. ReferencesAlschuler, Mari. “Lifestories – Biography and Autobiography as Healing Tools for Adults with Mental Illness.” Journal of Poetry Therapy 11.2 (1997): 113–17.Davidson, Larry and John Strauss. “Sense of Self in Recovery from Severe Mental Illness.” British Journal of Medical Psychology 65 (1992): 31–45.Eakin, Paul. Fictions in Autobiography: Studies of the Art of Self-Invention. Princeton: Princeton UP, 1985.———. How Our Lives Become Stories: Making Selves. Ithaca: Cornell UP, 1999.Esterling, B.A., L. L’Abate., E.J. Murray, and J.W. Pennebaker. “Empirical Foundations for Writing in Prevention and Psychotherapy: Mental and Physical Health Outcomes.” Clinical Psychology Review 19.1 (1999): 79–96.Herman, Judith. Trauma and Recovery: The Aftermath of Violence - from Domestic Abuse to Political Terror. New York: Basic Books, 1992.King, Robert, Chris Lloyd, and Tom Meehan. Handbook of Psychosocial Rehabilitation. Oxford: Blackwell Publishing, 2007.Liberman, Robert, and Alex Kopelowicz. “Recovery from Schizophrenia: A Criterion-Based Definition.” In Ralph, R., and P. Corrigan (eds). Recovery in Mental Illness: Broadening Our Understanding of Wellness. Washington, DC: APA, 2005.Linder, Vicki. “The Tale of two Bethanies: Trauma in the Creative Writing Classroom.” New Writing: The International Journal for the Practice and Theory of Creative Writing 1.1 (2004): 6–14Murphy, Ffion, and Philip Neilsen. “Recuperating Writers – and Writing: The Potential of Writing Therapy.” TEXT 12.1 (Apr. 2008). ‹http://www.textjournal.com.au/april08/murphy_neilsen.htm›.Neilsen, Philip. “Digital Storytelling as Life-Writing: Self-Construction, Therapeutic Effect, Textual Analysis Leading to an Enabling ‘Aesthetic’ for the Community Voice.” ‹http://www.speculation2005.qut.edu.au/papers/Neilsen.pdf›.Pennebaker, James W., and Janel D. Seagal. “Forming a Story: The Health Benefits of Narrative.” Journal of Clinical Psychology, 55.10 (1999): 1243–54.Pennebaker, James W. “Telling Stories: The Health Benefits of Narrative.” Literature and Medicine 19.1 (2000): 3–18.Spandler, H., J. Secker, L. Kent, S. Hacking, and J. Shenton. “Catching Life: The Contribution of Arts Initiatives to ‘Recovery’ Approaches in Mental Health.” Journal of Psychiatric and Mental Health Nursing 14.8 (2007): 791–799.Wright, Jeannie, and Man Cheung Chung. “Mastery or Mystery? Therapeutic Writing: A Review of the Literature.” British Journal of Guidance and Counselling, 29.3 (2001): 277–91.
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18

Edmundson, Anna. "Curating in the Postdigital Age." M/C Journal 18, no. 4 (August 10, 2015). http://dx.doi.org/10.5204/mcj.1016.

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Abstract:
It seems nowadays that any aspect of collecting and displaying tangible or intangible material culture is labeled as curating: shopkeepers curate their wares; DJs curate their musical selections; magazine editors curate media stories; and hipsters curate their coffee tables. Given the increasing ubiquity and complexity of 21st-century notions of curatorship, the current issue of MC Journal, ‘curate’, provides an excellent opportunity to consider some of the changes that have occurred in professional practice since the emergence of the ‘digital turn’. There is no doubt that the internet and interactive media have transformed the way we live our daily lives—and for many cultural commentators it only makes sense that they should also transform our cultural experiences. In this paper, I want to examine the issue of curatorial practice in the postdigital age, looking some of the ways that curating has changed over the last twenty years—and some of the ways it has not. The term postdigital comes from the work of Ross Parry, and is used to references the ‘tipping point’ where the use of digital technologies became normative practice in museums (24). Overall, I contend that although new technologies have substantially facilitated the way that curators do their jobs, core business and values have not changed as the result of the digital turn. While, major paradigm shifts have occurred in the field of professional curatorship over the last twenty years, these shifts have been issue-driven rather than a result of new technologies. Everyone’s a Curator In a 2009 article in the New York Times, journalist Alex Williams commented on the growing trend in American consumer culture of labeling oneself a curator. “The word ‘curate’,’’ he observed, “has become a fashionable code word among the aesthetically minded, who seem to paste it onto any activity that involves culling and selecting” (1). Williams dated the origins of the popular adoption of the term ‘curating’ to a decade earlier; noting the strong association between the uptake and the rise of the internet (2). This association is not surprising. The development of increasingly interactive software such as Web 2.0 has led to a rapid rise in new technologies aimed at connecting people and information in ways that were previously unimaginable. In particular the internet has become a space in which people can collect, store and most importantly share vast quantities of information. This information is often about objects. According to sociologist Jyri Engeström, the most successful social network sites on the internet (such as Pinterest, Flickr, Houzz etc), use discrete objects, rather than educational content or interpersonal relationships, as the basis for social interaction. So objects become the node for inter-personal communication. In these and other sites, internet users can find, collate and display multiple images of objects on the same page, which can in turn be connected at the press of a button to other related sources of information in the form of text, commentary or more images. These sites are often seen as the opportunity to virtually curate mini-exhibitions, as well as to create mood boards or sites of virtual consumption. The idea of curating as selective aesthetic editing is also popular in online markets places such as Etsy where numerous sellers offer ‘curated’ selections from home wares, to prints, to (my personal favorite) a curated selection of cat toys. In all of these exercises there is an emphasis on the idea of connoisseurship. As part of his article on the new breed of ‘curators’, for example, Alex Williams interviewed Tom Kalendrain, the Fashion Director of a leading American department store, which had engaged in a collaboration with Scott Schuman of the fashion blog, the Sartorialist. According to Kalendrain the store had asked Schuman to ‘curate’ a collection of clothes for them to sell. He justified calling Schuman a curator by explaining: “It was precisely his eye that made the store want to work with him; it was about the right shade of blue, about the cut, about the width of a lapel” (cited in Williams 2). The interview reveals much about current popular notions of what it means to be a curator. The central emphasis of Kalendrain’s distinction was on connoisseurship: exerting a privileged authoritative voice based on intimate knowledge of the subject matter and the ability to discern the very best examples from a plethora of choices. Ironically, in terms of contemporary museum practice, this is a model of curating that museums have consciously been trying to move away from for at least the last three decades. We are now witnessing an interesting disconnect in which the extra-museum community (represented in particular by a postdigital generation of cultural bloggers, commentators and entrepreneurs) are re-vivifying an archaic model of curating, based on object-centric connoisseurship, just at the point where professional curators had thought they had successfully moved on. From Being about Something to Being for Somebody The rejection of the object-expert model of curating has been so persuasive that it has transformed the way museums conduct core business across all sectors of the institution. Over the last thirty to forty years museums have witnessed a major pedagogical shift in how curators approach their work and how museums conceptualise their core values. These paradigmatic and pedagogical shifts were best characterised by the museologist Stephen Weil in his seminal article “From being about something to being for somebody.” Weil, writing in the late 1990s, noted that museums had turned away from traditional models in which individual curators (by way of scholarship and connoisseurship) dictated how the rest of the world (the audience) apprehended and understood significant objects of art, science and history—towards an audience centered approach where curators worked collaboratively with a variety of interested communities to create a pluralist forum for social change. In museum parlance these changes are referred to under the general rubric of the ‘new museology’: a paradigm shift, which had its origins in the 1970s; its gestation in the 1980s; and began to substantially manifest by the 1990s. Although no longer ‘new’, these shifts continue to influence museum practices in the 2000s. In her article, “Curatorship as Social Practice’” museologist Christina Kreps outlined some of the developments over recent decades that have challenged the object-centric model. According to Kreps, the ‘new museology’ was a paradigm shift that emerged from a widespread dissatisfaction with conventional interpretations of the museum and its functions and sought to re-orient itself away from strongly method and technique driven object-focused approaches. “The ‘new museum’ was to be people-centered, action-oriented, and devoted to social change and development” (315). An integral contributor to the developing new museology was the subjection of the western museum in the 1980s and ‘90s to representational critique from academics and activists. Such a critique entailed, in the words of Sharon Macdonald, questioning and drawing attention to “how meanings come to be inscribed and by whom, and how some come to be regarded as ‘right’ or taken as given” (3). Macdonald notes that postcolonial and feminist academics were especially engaged in this critique and the growing “identity politics” of the era. A growing engagement with the concept that museological /curatorial work is what Kreps (2003b) calls a ‘social process’, a recognition that; “people’s relationships to objects are primarily social and cultural ones” (154). This shift has particularly impacted on the practice of museum curatorship. By way of illustration we can compare two scholarly definitions of what constitutes a curator; one written in 1984 and one from 2001. The Manual of Curatorship, written in 1994 by Gary Edson and David Dean define a curator as: “a staff member or consultant who is as specialist in a particular field on study and who provides information, does research and oversees the maintenance, use, and enhancement of collections” (290). Cash Cash writing in 2001 defines curatorship instead as “a social practice predicated on the principle of a fixed relation between material objects and the human environment” (140). The shift has been towards increased self-reflexivity and a focus on greater plurality–acknowledging the needs of their diverse audiences and community stakeholders. As part of this internal reflection the role of curator has shifted from sole authority to cultural mediator—from connoisseur to community facilitator as a conduit for greater community-based conversation and audience engagement resulting in new interpretations of what museums are, and what their purpose is. This shift—away from objects and towards audiences—has been so great that it has led some scholars to question the need for museums to have standing collections at all. Do Museums Need Objects? In his provocatively titled work Do Museums Still Need Objects? Historian Steven Conn observes that many contemporary museums are turning away from the authority of the object and towards mass entertainment (1). Conn notes that there has been an increasing retreat from object-based research in the fields of art; science and ethnography; that less object-based research seems to be occurring in museums and fewer objects are being put on display (2). The success of science centers with no standing collections, the reduction in the number of objects put on display in modern museums (23); the increasing phalanx of ‘starchitect’ designed museums where the building is more important than the objects in it (11), and the increase of virtual museums and collections online, all seems to indicate that conventional museum objects have had their day (1-2). Or have they? At the same time that all of the above is occurring, ongoing research suggests that in the digital age, more than ever, people are seeking the authenticity of the real. For example, a 2008 survey of 5,000 visitors to living history sites in the USA, found that those surveyed expressed a strong desire to commune with historically authentic objects: respondents felt that their lives had become so crazy, so complicated, so unreal that they were seeking something real and authentic in their lives by visiting these museums. (Wilkening and Donnis 1) A subsequent research survey aimed specifically at young audiences (in their early twenties) reported that: seeing stuff online only made them want to see the real objects in person even more, [and that] they felt that museums were inherently authentic, largely because they have authentic objects that are unique and wonderful. (Wilkening 2) Adding to the question ‘do museums need objects?’, Rainey Tisdale argues that in the current digital age we need real museum objects more than ever. “Many museum professionals,” she reports “have come to believe that the increase in digital versions of objects actually enhances the value of in-person encounters with tangible, real things” (20). Museums still need objects. Indeed, in any kind of corporate planning, one of the first thing business managers look for in a company is what is unique about it. What can it provide that the competition can’t? Despite the popularity of all sorts of info-tainments, the one thing that museums have (and other institutions don’t) is significant collections. Collections are a museum’s niche resource – in business speak they are the asset that gives them the advantage over their competitors. Despite the increasing importance of technology in delivering information, including collections online, there is still overwhelming evidence to suggest that we should not be too quick to dismiss the traditional preserve of museums – the numinous object. And in fact, this is precisely the final argument that Steven Conn reaches in his above-mentioned publication. Curating in the Postdigital Age While it is reassuring (but not particularly surprising) that generations Y and Z can still differentiate between virtual and real objects, this doesn’t mean that museum curators can bury their heads in the collection room hoping that the digital age will simply go away. The reality is that while digitally savvy audiences continue to feel the need to see and commune with authentic materially-present objects, the ways in which they access information about these objects (prior to, during, and after a museum visit) has changed substantially due to technological advances. In turn, the ways in which curators research and present these objects – and stories about them – has also changed. So what are some of the changes that have occurred in museum operations and visitor behavior due to technological advances over the last twenty years? The most obvious technological advances over the last twenty years have actually been in data management. Since the 1990s a number of specialist data management systems have been developed for use in the museum sector. In theory at least, a curator can now access the entire collections of an institution without leaving their desk. Moreover, the same database that tells the curator how many objects the institution holds from the Torres Strait Islands, can also tell her what they look like (through high quality images); which objects were exhibited in past exhibitions; what their prior labels were; what in-house research has been conducted on them; what the conservation requirements are; where they are stored; and who to contact for copyright clearance for display—to name just a few functions. In addition a curator can get on the internet to search the online collection databases from other museums to find what objects they have from the Torres Strait Islands. Thus, while our curator is at this point conducting the same type of exhibition research that she would have done twenty years ago, the ease in which she can access information is substantially greater. The major difference of course is that today, rather than in the past, the curator would be collaborating with members of the original source community to undertake this project. Despite the rise of the internet, this type of liaison still usually occurs face to face. The development of accessible digital databases through the Internet and capacity to download images and information at a rapid rate has also changed the way non-museum staff can access collections. Audiences can now visit museum websites through which they can easily access information about current and past exhibitions, public programs, and online collections. In many cases visitors can also contribute to general discussion forums and collections provenance data through various means such as ‘tagging’; commenting on blogs; message boards; and virtual ‘talk back’ walls. Again, however, this represents a change in how visitors access museums but not a fundamental shift in what they can access. In the past, museum visitors were still encouraged to access and comment upon the collections; it’s just that doing so took a lot more time and effort. The rise of interactivity and the internet—in particular through Web 2.0—has led many commentators to call for a radical change in the ways museums operate. Museum analyst Lynda Kelly (2009) has commented on the issue that: the demands of the ‘information age’ have raised new questions for museums. It has been argued that museums need to move from being suppliers of information to providing usable knowledge and tools for visitors to explore their own ideas and reach their own conclusions because of increasing access to technologies, such as the internet. Gordon Freedman for example argues that internet technologies such as computers, the World Wide Web, mobile phones and email “… have put the power of communication, information gathering, and analysis in the hands of the individuals of the world” (299). Freedman argued that museums need to “evolve into a new kind of beast” (300) in order to keep up with the changes opening up to the possibility of audiences becoming mediators of information and knowledge. Although we often hear about the possibilities of new technologies in opening up the possibilities of multiple authors for exhibitions, I have yet to hear of an example of this successfully taking place. This doesn’t mean, however, that it will never happen. At present most museums seem to be merely dipping their toes in the waters. A recent example from the Art Gallery of South Australia illustrates this point. In 2013, the Gallery mounted an exhibition that was, in theory at least, curated by the public. Labeled as “the ultimate people’s choice exhibition” the project was hosted in conjunction with ABC Radio Adelaide. The public was encouraged to go online to the gallery website and select from a range of artworks in different categories by voting for their favorites. The ‘winning’ works were to form the basis of the exhibition. While the media spin on the exhibition gave the illusion of a mass curated show, in reality very little actual control was given over to the audience-curators. The public was presented a range of artworks, which had already been pre-selected from the standing collections; the themes for the exhibition had also already been determined as they informed the 120 artworks that were offered up for voting. Thus, in the end the pre-selection of objects and themes, as well as the timing and execution of the exhibition remained entirely in the hand of the professional curators. Another recent innovation did not attempt to harness public authorship, but rather enhanced individual visitor connections to museum collections by harnessing new GPS technologies. The Streetmuseum was a free app program created by the Museum of London to bring geotagged historical street views to hand held or portable mobile devices. The program allowed user to undertake a self-guided tour of London. After programing in their route, users could then point their device at various significant sites along the way. Looking through their viewfinder they would see a 3D historic photograph overlayed on the live site – allowing user not only to see what the area looked like in the past but also to capture an image of the overlay. While many of the available tagging apps simply allow for the opportunity of adding more white noise, allowing viewers to add commentary, pics, links to a particular geo tagged site but with no particular focus, the Streetmuseum had a well-defined purpose to encourage their audience to get out and explore London; to share their archival photograph collection with a broader audience; and to teach people more about London’s unique history. A Second Golden Age? A few years ago the Steven Conn suggested that museums are experiencing an international ‘golden age’ with more museums being built and visited and talked about than ever before (1). In the United States, where Conn is based, there are more than 17,500 accredited museums, and more than two million people visit some sort of museum per day, averaging around 865 million museum visits per year (2). However, at the same time that museums are proliferating, the traditional areas of academic research and theory that feed into museums such as history, cultural studies, anthropology and art history are experiencing a period of intense self reflexivity. Conn writes: At the turn of the twenty-first century, more people are going to more museums than at any time in the past, and simultaneously more scholars, critics, and others are writing and talking about museums. The two phenomena are most certainly related but it does not seem to be a happy relationship. Even as museums enjoy more and more success…many who write about them express varying degrees of foreboding. (1) There is no doubt that the internet and increasingly interactive media has transformed the way we live our daily lives—it only makes sense that it should also transform our cultural experiences. At the same time Museums need to learn to ride the wave without getting dumped into it. The best new media acts as a bridge—connecting people to places and ideas—allowing them to learn more about museum objects and historical spaces, value-adding to museum visits rather than replacing them altogether. As museologust Elaine Gurian, has recently concluded, the core business of museums seems unchanged thus far by the adoption of internet based technology: “the museum field generally, its curators, and those academic departments focused on training curators remain at the core philosophically unchanged despite their new websites and shiny new technological reference centres” (97). Virtual life has not replaced real life and online collections and exhibitions have not replaced real life visitations. Visitors want access to credible information about museum objects and museum exhibitions, they are not looking for Wiki-Museums. Or if they are are, they are looking to the Internet community to provide that service rather than the employees of state and federally funded museums. Both provide legitimate services, but they don’t necessarily need to provide the same service. In the same vein, extra-museum ‘curating’ of object and ideas through social media sites such as Pinterest, Flikr, Instagram and Tumblr provide a valuable source of inspiration and a highly enjoyable form of virtual consumption. But the popular uptake of the term ‘curating’ remains as easily separable from professional practice as the prior uptake of the terms ‘doctor’ and ‘architect’. An individual who doctors an image, or is the architect of their destiny, is still not going to operate on a patient nor construct a building. While major ontological shifts have occurred within museum curatorship over the last thirty years, these changes have resulted from wider social shifts, not directly from technology. This is not to say that technology will not change the museum’s ‘way of being’ in my professional lifetime—it’s just to say it hasn’t happened yet. References Cash Cash, Phillip. “Medicine Bundles: An Indigenous Approach.” Ed. T. Bray. The Future of the Past: Archaeologists, Native Americans and Repatriation. New York and London: Garland Publishing (2001): 139-145. Conn, Steven. Do Museums Still Need Objects? Philadelphia: University of Pennsylvania Press, 2011. Edson, Gary, and David Dean. The Handbook for Museums. New York and London: Routledge, 1994. Engeström, Jyri. “Why Some Social Network Services Work and Others Don’t — Or: The Case for Object-Centered Sociality.” Zengestrom Apr. 2005. 17 June 2015 ‹http://www.zengestrom.com/blog/2005/04/why-some-social-network-services-work-and-others-dont-or-the-case-for-object-centered-sociality.html›. Freedman, Gordon. “The Changing Nature of Museums”. Curator 43.4 (2000): 295-306. Gurian, Elaine Heumann. “Curator: From Soloist to Impresario.” Eds. Fiona Cameron and Lynda Kelly. Hot Topics, Public Culture, Museums. Newcastle: Cambridge Scholars Publishing, 2010. 95-111. Kelly, Lynda. “Museum Authority.” Blog 12 Nov. 2009. 25 June 2015 ‹http://australianmuseum.net.au/blogpost/museullaneous/museum-authority›. Kreps, Christina. “Curatorship as Social Practice.” Curator: The Museum Journal 46.3 (2003): 311-323. ———, Christina. Liberating Culture: Cross-Cultural Perspectives on Museums, Curation, and Heritage Preservation. London and New York: Routledge, 2003. Macdonald, Sharon. “Expanding Museum Studies: An Introduction.” Ed. Sharon MacDonald. A Companion to Museum Studies. Oxford: Blackwell Publishing, 2011. Parry, Ross. “The End of the Beginning: Normativity in the Postdigital Museum.” Museum Worlds: Advances in Research 1 (2013): 24-39. Tisdale, Rainey. “Do History Museums Still Need Objects?” History News (2011): 19-24. 18 June 2015 ‹http://aaslhcommunity.org/historynews/files/2011/08/RaineySmr11Links.pdf›. Suchy, Serene. Leading with Passion: Change Management in the Twenty-First Century Museum. Lanham: AltaMira Press, 2004. Weil, Stephen E. “From Being about Something to Being for Somebody: The Ongoing Transformation of the American Museum.” Daedalus, Journal of the American Academy of Arts and Sciences 128.3 (1999): 229–258. Wilkening, Susie. “Community Engagement and Objects—Mutually Exclusive?” Museum Audience Insight 27 July 2009. 14 June 2015 ‹http://reachadvisors.typepad.com/museum_audience_insight/2009/07/community-engagement-and-objects-mutually-exclusive.html›. ———, and Erica Donnis. “Authenticity? It Means Everything.” History News (2008) 63:4. Williams, Alex. “On the Tip of Creative Tongues.” New York Times 4 Oct. 2009. 4 June 2015 ‹http://www.nytimes.com/2009/10/04/fashion/04curate.html›.
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