Journal articles on the topic 'Menopause Fiji Social aspects'

SummaryRecent changes in vital rates in Fiji suggest that the Melanesian (MF) component of the population is growing faster than the Indian (IF) component, thus reversing a long-standing demographic trend.Patterns of family building were studied in the respondent families of 302 MF and 324 IF children at school in the capital, Suva. Melanesian families were larger than IF families, even when corrected for differences in maternal age and social class. Particularly among IF families, there was a significant effect of social class on family size, higher status families having fewer children. Among all groups there was evidence of a secular trend to earlier childbearing and, less clearly, to an earlier cessation of childbearing. Among both races age-specific fertility levels were similar in younger age-groups, but older IF mothers showed significantly lower fertility.It is suggested that among IF families, who form a more urbanized and commercially/industrially oriented segment of the Fijian population, two factors may account for the reduction in fertility: (i) pressure to limit population growth in the interests of racial harmony; and (ii) economic pressure resulting in a demographic transition. The latter suggestion is supported by the fact that the greatest decrease in fertility occurs among high status families. Among MFs the reduction in fertility has been less, due probably to the absence of a ‘racial harmony’ incentive and also to a lesser economic stimulus.

From Election to Coup in Fiji, is a collection of more than 30 essays dealing with various aspects of political and social life of Fiji, gives a glimpse into issues and concerns faced by Fiji. A multiracial, multi ethnic nation that has been playing hide-and-seek with democracy and identity politics since its independence from the British.

The study aims to identify the extent of women’s awareness of the meaning of advanced age and the nature of the psycho-social aspects of health that they face in the advanced stages of life to come up with a suggested proposal for the contribution of social services to the development of women’s awareness of aspects of advanced life stages from a cognitive perspective. The samples of the study are women older than 40 who are either in their perimenopause or menopause phase. The size of the sample is (208) woman; (104) women from the health center Al-Olaya and (104) women from the health center in Al-Suleimaniah. The study results showed a decline in their awareness that this stage in their age constitutes the flow and movement phase (productivity and contribution) versus recession and showed a likely rate of (0.22 %) and came last in the results. Results of the study also showed low response rates regarding health and physical aspects such as the occurrence of hot flashes (12%), reduced fertility (9.95), and osteoporosis (7.5%). These rates underscore the lack of awareness of the respondents concerning these variables. On the other hand, the study showed a high awareness of the respondents with respect to psychological aspects such as the awareness of the feeling of neglect and lack of interest by others scored highest. Society’s perception of advanced age is one of the social realities which received (7.13 %) by respondents. The study recommends the need to activate the contribution of social services in the increase of women›s awareness of health, psychological and social manifestations of menopause and beyond

The purpose of this study is to undertake a literature review on the theme of medical tourism. We will use Fiji as a case study. The paper uses a systemic review of secondary data with a comprehensive data extraction methodology to match the subject areas with the specific countries being investigated. This literature review used 61 articles. Most medical tourism cases are driven by a desire for more economical healthcare services than those in most medical tourists' home nations. In order to drive essential improvements, the quality of services encourages investment in technology and facilities in medical tourism-active countries. With increased medical tourism investment and patient numbers, Asian Pacific countries have gained substantial foreign revenue. There are also many questions and uncertainties, despite the many positive aspects of medical tourism, such as the lack of a database to store patient records anywhere in the world or on the ground, growing medical tourism difficulties for local health services, and social and political factors such as corruption, political wars, and government uncertainty, all of which can have a significant impact on a country's medical care. Fiji has begun efforts to develop its medical tourism sector, setting up Oceania Hospital, and investing in Ba and Lautoka hospitals, operated and equipped by the Health Care Fiji brand. However, Fiji requires extensive government support, skilled and qualified personnel, valuable partnerships in its local sector, and infrastructural upgrades to incorporate medical tourism fully.

Background: Menopause signifies the beginning of a non-reproductive phase from the reproductive period. Although it is considered a natural life transition, recent studies have indicated that a woman’s menopausal experience may impact her quality of life. While studies have examined Malaysian women’s knowledge and awareness of menopause, they have focused on the prevalence of menopausal symptoms and sociocultural aspects. These investigations also used a quantitative design that may have limited the information regarding the nature and experience of menopause. Objectives: This study explores women’s perceptions and understanding of their menopausal experience. Methods: A total of 20 menopausal women were recruited using purposive sampling through social media in the state of Pahang, Malaysia. In-depth semi-structured interviews were used to explore how they perceived their menopausal experience. The data were then analyzed using thematic analysis. Results: Three themes that emerged from the findings included perceptions of menopause, biopsychosocial changes and help-seeking behavior. For many Muslim women, menopause was perceived as a time for them to engage in religious commitment more than they had before. Conclusion: The study findings uncovered a knowledge gap and a lack of support for women impacted by menopause. Muslim women regarded their menopause phase as a time for them to engage in religious duty fully. These results indicate the need for a psychosocial intervention and educational program to ensure women a better transition throughout their menopausal phase.

The effects of global warming are now being felt in various parts of the world. Few aspects of social and cultural life are likely to remain unaffected. The Pacific is widely regarded as one of the most vulnerable regions. Among the impacts of long-term environmental changes will be community migration and displacement. While most displacements are projected to be internal and temporary, for low lying atoll states in the Pacific permanent international relocation may be the only option. This article examines social and cultural rights of environmental migrants, and focuses on the Banaban resettlement in Fiji as a case study on minority rights protection of an environmentally-displaced population. While the Banaban displacement was not due to climate change but to long-term impacts of phosphate extraction on Banaba Island, the Banaban experience provides important lessons on the role of minority rights in the protection of culture and identity of environmentally-displaced communities. That the Banabans retained their collective identity and under existing Fijian law are allowed to maintain their indigenous system of self-government as well as use their native language are proofs of the resettlement’s success. However, Banaban minority protection is no longer as secure as it once seemed to be. Recent developments in Fiji threaten to veer away from minority rights protection and ethnic diversity. Ethnic or cultural minorities, including those displaced by environmental triggers, have distinct customs, traditions and histories requiring legal protection as well as physical and social space to thrive. The protection of cultural diversity promoting a balance of cultural identity retention and acculturation as a by-product of a healthy interaction with the host society constitute a component of successful long-term resettlement.

BACKGROUND: Menopausal symptoms can greatly affect a woman’s personal, social, and work life. Selenium functions as a cofactor for glutathione peroxidase and helps minimize oxidative damage through cellular metabolism in postmenopausal women when estradiol production decreases, antioxidant protection is lost and therefore oxidative stress is increased. AIM: The aim of the study was to evaluated effect of selenium supplementation on selenium levels based on menopausal complaints assessed by menopause-specific quality of life questionnaire (MENQOL). MATERIALS AND METHODS: This research is an analytical study with quasi-experimental pre-test and post-test one group only design. The research was conducted on all postmenopausal women in Medan who were aged >51-years-old and met inclusion and exclusion criteria. The research subjects underwent blood tests to assess serum selenium levels. If data were normally distributed, dependent T test will be used, while if data were not normally distributed, Wilcoxon test will be used. The analysis results were stated to be significant with p < 0.05. RESULTS: Mean selenium serum levels before selenium administration were 93.20 ± 17.253 μg/L which increased to 132.12 ± 19.866 μg/L after selenium administration. Comparison test results of selenium levels before and after administration found p = 0.000 (p < 0.05), which means there was a significant difference of selenium serum levels before and after selenium administration. Besides that, there were no significant scores difference in aspects of vasomotor disorders (p = 1.000 [p > 0.05]), psychosocial disorders (p = 0.090 [p > 0.05]), physical disorders (p = 0.323 [p > 0.05]), and sexual disorders (p = 0.959 [p > 0.05]) between before and after selenium administration. CONCLUSION: Total MENQOL scores and complaints based on aspects of vasomotor, psychosocial, physical, and sexual disturbances did not show statistically significant changes after administration selenium tablets 100 mcg/day for 7 days.

Urinary incontinence (UI) is a very common disorder in women, involving severe consequences on the patients’ perception of quality of life and sexuality. The aim of this contribution is to analyze the psycho-relational aspects linked to UI, focusing on sexual activity, self-perception of sexual competence and self-esteem. Urinary incontinence causes feelings of shame and inadequacy as well as low self-esteem; it may affect sexual activity, reducing sexual intercourse frequency. Many authors highlight a strong comorbidity between urinary incontinence and sexual dysfunctions, such as dyspareunia, vaginismus, hypo-active sexual desire, arousal and orgasm disorders. Literature analysis shows that changes in sexual activity are influenced not only by urinary incontinence symptoms but also by the disorder self-perception, by previous sexuality, menopause, social status and the partner's attitude. The etiological study of urinary incontinence shows that several different factors play a role in this disorder. Therefore, an integrated therapeutic approach is suggested, considering, besides the organic issues, the experience and feelings of patients as well as the consequences on their sexual and social life.

Abstract Introduction: One of most frequent symptoms of breast cancer survivors using antiestrogen therapy (BCSA) is vulvovaginal atrophy (VVA). This condition decreases women's quality of life in many aspects such as social, sexual and psychological. Although this clinical condition is very frequent, few is kwon about morphological consequences that could affect function.Objective: Evaluate clinical signs and symptoms of VVA and to access histological and morphological features.Methods: Were selected BCSA with moderate or severe symptoms of VVA (score &gt;4 of visual analogic scale of symptoms - burning, discomfort, dryness, lack of vaginal lubrification, dyspareunia) and control group composed by non-oncological post menopause women with the same symptoms. They underwent to clinical evaluation of Vaginal Health Index (VHI), vaginal pH, validated quality of life questionnaires (Incontinence quality of Life- I-Qol, Female Sexual Function - index (FSF-I), and biopsy of vagina. Morphological variables evaluated were epithelial differentiation, presence of atrophy, stromal cellular and vascular distribution. Results: Were included 62 women, 50 BCSA (18 - tamoxifen and 32 - anastrozole) and 12 control group. The groups have similar age, time of menopause, BMI and parity, the mean time of anti-estrogen agent use was 2 to 5 years. Clinical evaluation and quality of life questionnaires scores are presented on table 1. Vaginal biopsy findings revealed were presented on table 2 Conclusion: Symptoms of VVA do not correlate with tissue modifications as expected, however a trend of enhance of papillomatosis and subepithelial vascularization was observed, and they were predominant in BCSA compared to controls. TamoxifenAnastrozolePost-menopause controlN183212VHI (Mean±SD)16.6 (±3.2)13.7 (±3.9)15.7 (±4.7)Vaginal pH (Mean±SD)5.3 (±0,7)6.2 (±0.4)4.9 (±1.5)IU n/%9 (50%)12 (37.5%)4 (33.4%)nocturia n/%3 (16.7%)2 (6.25%)3 (25%)I-Qol (Mean±SD)57.3 (±18.2)57.9 (±19.6)84.4 (±25.4)Active sexual life n/%14 (77.8%)18 (56.2%)7 (58.33%)FSF-I (Mean±SD)14.7 (±5,1)15.7(±6.2)21.1(±8.4) TamoxifenAnastrozolePost-menopause control groupN183212Reduction in epithelial layers1 (5.5%)4 (12.5%)1 (8.3%)Reduction of epithelial maturation1(5,5%)5 (15.6%)1(8.3%)Enhance of epithelial papillae12 (66.7%)15 (46.8%)2 (16.7%)Enhance of subepithelial vascularization5 (27.8%)14 (43.7%)2 (16.7%)Reduction of Stromal cellular density1(5.5%)3 (9.4)0 (0%) Citation Format: Ana Maria Homem de Mello Bianchi-Ferraro, Angela Flavia Lugollo, Zsuzsanna IlonaKatalin Jarmy-di Bella, Marair GracioFerreira Sartori, Neila Mariade Gois Speck, Marisa Teresinha Patriarca, Rita de Cassiade Maio Dardes, Gabriela Cruz Cantarelli, Marcela Furtado Roberto, Chayane Dedonato, Maria Cristina Caceres Nogueira, Madalena LeonorPereira Campos, Carla Dias Oliveira, Gil Facina, Afonso CelsoPinto Nazaro, Manoel JoãoBatistaCastelo Girão. Breast cancer survivors vulvo-vaginal atrophy symptoms: Morphological aspects unveiled [abstract]. In: Proceedings of the 2021 San Antonio Breast Cancer Symposium; 2021 Dec 7-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2022;82(4 Suppl):Abstract nr P4-11-15.

IN AN EARLY VERSIONof Elizabeth Gaskell's Cranford sketches, “The Last Generation of England” (1849), the narrator expresses a “wish…to put upon record some of the details of country town life,…for even in small towns, scarcely removed from villages, the phases of society are rapidly changing” (319). Before she begins her ethnographic preservation project, however, the narrator provides a disclaimer, suggesting the difficulty of categorizing the various aspects of what she is about to write: “As for classing the details with which I am acquainted under any heads, that will be impossible from their heterogeneous nature; I must write them down as they arise in my memory” (319). She then goes on to provide precisely what she claims is impossible–a categorical litany of the local inhabitants, beginning with the daughters of “very old” families who, “if unmarried, retired to live in–on their annuities, and gave the ton to the society there” (319). The reader is quickly taken through the town's social register, from “widows of the cadets of these same families,” to “professional men and their wives,” to a “grade lower…a class of single or widow ladies,” and on “[b]elow again,” to “the shopkeepers,” “the usual respectable and disrespectable poor,” and “a set of young men, [hanging about] ready for mischief and brutality” (319–20). Through her description, the narrator performs a double disavowal; heterogeneity prevents classification, but that very heterogeneity is itself what produces the need to classify. The rural society that serves as a precursor toCranford(1851–53) represents a diversity that must be categorized–its hierarchy organized according to its uniqueness of place. Rendered as particular, readily-identifiable positions within the eccentric space of provincial English society, Cranford's denizens are inscribed through the Victorian fascination with taxonomy–a fascination with the seemingly paradoxical possibilities of “classing the details.”

Menopause describes the cessation of a woman’s menstrual period due to the ovaries’ shutdown of estrogen and progesterone production. Decreased levels of these hormones cause menopause symptoms and reduce the quality of life. Therefore, this study aims to determine how the quality of life of postmenopausal women and the practice of periodontics in Medan City are related to the condition of teeth. A descriptive method was used with a cross-sectional design to adapt the questionnaires. The number of samples was 60 people based on medical record data at the periodontics installation of the RSGM USU and dentists’ practice in Medan. Furthermore, a Likert scale was used to assess the quality of life of postmenopausal women with periodontitis. The results showed that the quality of life, which strongly influenced the teeth, was Stage IV Grade B. In terms of social relations, the most decisive influence on the condition of the teeth was appearance. The aspect of the physical ability which strongly influences the condition is chewing hard food. In conclusion, menopausal women with periodontitis influence their quality of life from aspects of physical ability, social relations, general health, and psychology. Key words: quality of life, menopausal women, periodontitis, dental conditions

The artide "Missing female subjects. An analysis of medical texts about menopause" focuses on medical discourses about women and middle age. More concretely, it presents an analysis of artides in Läkartidningen from 1990 through 2001. Läkartidningen is the official journal of the Swedish Medical Association and has a distribution of nearly 30 000 copies. The analysis is based upon three qualitative methods. We begin with a combination of content analysis and narrative analysis - focusing on what is being said and how it is being said - and continue with discourse analysis - focusing on what is being constructed. What we discovered is that the commonly used term 'middle age' is here re-defined as menopause, and menopause is represented through a particular narrative where loss of fertility is followed by descriptions of problems and symptoms and where the medical profession offers solutions - foremost amongst these is the use of hormone treatment. At a discursive level, women are represented not as women but as "woman" - a body. This body is seen as a fixed, biological category which can be studied independently of how any woman would define herself and independently of how women may experience and reflect on their lives and their bodies. Women as active subjects embedded in complex social relations are made invisible in these texts, as are differences between women. This article is part of a larger research project "Middle-aged bodies and gendered identities", financed by the Swedish Science Council. Theoretically, the project aims at contributing to a further understanding about the interlinkage of biological, social and cultural aspects in (discourses on) middle age, identity and the body. Empirically, it makes use of different sources: medical and literary texts, populär scientific texts, as well as interviews with middle aged women and men and with medical doctors.

Background: Menopause is one of the most significant events in a woman's life and brings in a number of physiological changes that affect the life of a woman permanently and can be influenced by various socio-demographic factors and coping activities. The objectives of the study were to determine the commonly reported menopausal symptoms among middle age women and to correlate identified menopausal problems with coping strategies found in participants.Methods: By using modified MRS questionnaire, 150 menopausal women aged 40-60 years were interview to document of 12 symptoms (divided into somatic, psychological and urogenital domain) commonly associated with menopause.Results: The mean age of menopause was 49.8 years (±4.9) (range 43 - 57 years). The most prevalent symptoms reported were joint and muscular discomfort (70.6%); physical and mental exhaustion (61.3%); and sleeping problems (59.3%). Followed by symptoms of anxiety (48.6%); irritability (45.3%) hot flushes and sweating (38.6; dryness of vagina (37.9%); depressive mood (38.0%). Other complaints noted were incontinence/Frequency of urine (27.3 and heart discomfort (23.3%). Perimenopausal women (47.2%) experienced higher prevalence of somatic and psychological symptoms compared to premenopausal (n=15.6) and postmenopausal (37.2%) women. However urogenital symptoms found more in postmenopausal group of women. There is a strong significant association between the menopausal symptoms and coping strategies adopted by the menopausal women.Conclusions: Symptoms have variable onset in relation to menopause. Some women experience symptoms earlier during perimenopause while some experience them at a later time. The application of various coping methods, including the establishment of social support networks, is warranted to enhance postmenopausal women’s behaviors in different aspects.

The application of evolutionary theory to understanding the origins of our species' capacities for social learning has generated key insights into cultural evolution. By focusing on how our psychology has evolved to adaptively extract beliefs and practices by observing others, theorists have hypothesized how social learning can, over generations, give rise to culturally evolved adaptations. While much field research documents the subtle ways in which culturally transmitted beliefs and practices adapt people to their local environments, and much experimental work reveals the predicted patterns of social learning, little research connects real-world adaptive cultural traits to the patterns of transmission predicted by these theories. Addressing this gap, we show how food taboos for pregnant and lactating women in Fiji selectively target the most toxic marine species, effectively reducing a woman's chances of fish poisoning by 30 per cent during pregnancy and 60 per cent during breastfeeding. We further analyse how these taboos are transmitted, showing support for cultural evolutionary models that combine familial transmission with selective learning from locally prestigious individuals. In addition, we explore how particular aspects of human cognitive processes increase the frequency of some non-adaptive taboos. This case demonstrates how evolutionary theory can be deployed to explain both adaptive and non-adaptive behavioural patterns.

ABSTRAKLatar Belakang: Penurunan harga diri wanita menopause akan memengaruhi kualitas hidupnya. Namun demikian masih sedikit informasi yang menjelaskan hubungan harga diri dengan kualitas hidup wanita menopause. Tujuan: Mengetahui hubungan antara harga diri dengan kualitas hidup wanita menopause di Dusun Jogonalan Kidul Kasihan Bantul. Metode: Penelitian non eksperimen dengan rancangan penelitian cross sectional. Penelitian dilaksanakan pada Agustus-September 2011. Sebanyak 61 wanita menopause di Dusun Jogonalan Kidul Kasihan Bantul dipilih secara proporsional sampling. Semua wanita menopause yang memenuhi kriteria inklusi dan eksklusi penelitian dimasukkan ke dalam sampel penelitian. Data dikumpulkan menggunakan kuesioner Menopause Rating Scale (MRS), Rosenberg Self Esteem Scale (RSES) dan World Organization Quality of Live-Bref (WHOQOL-BREF). Ketiga kuesioner menggunakan versi Indonesia yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan Spearman Rank. Hasil: Lebih dari setengah responden (65,67%) memiliki harga diri tinggi. Keluhan yang paling banyak dirasakan oleh responden adalah keluhan rasa tidak nyaman pada otot dan persendian (77,05%). Hasil uji statistik menunjukkan bahwa harga diri memiliki hubungan yang bermakna (p<0,05) dengan semua domain kualitas hidup yaitu hubungan positif yang kuat (r=0,839) untuk domain fisik, (r=0,826) untuk domain psikologi, (r=0,822) untuk domain hubungan sosial, (r=0,643) untuk domain lingkungan. Kesimpulan: Ada hubungan antara harga diri dengan kualitas hidup wanita menopause di Dusun Jogonalan Kidul Kasihan Bantul. Lebih dari setengah responden memiliki harga diri tinggi. Untuk itu, penyuluhan pada aspek psikologis tetap harus ditingkatkan dan perlu dukungan dari petugas kesehatan lain.Kata kunci: harga diri, kualitas hidup, wanita menopauseCORRELATION BETWEEN SELF-ESTEEM AND QUALITY OF LIFE IN MENOPAUSAL WOMENABSTRACTBackground: A decline in self-esteem of menopausal women will affect their life quality. However, there is only a little information that explains the correlation between self-esteem and quality of life in menopausal women. Objective: To identify the correlation between self-esteem and quality of life in menopausal women at Jogonalan Kidul Hamlet, Kasihan, Bantul. Methods: This research is non-experimental with cross sectional design. It was conducted in August-September 2011. 61 menopausal women in Jogonalan Kidul Hamlet, Poor Bantul were selected through proportional sampling. All menopausal women who met the inclusion and exclusion criteria were included in the research sample. Data were collected using Menopause Rating Scale (MRS) questionnaires, Rosenberg Self Esteem Scale (RSES) and Quality of Live- Breve World Organization (WHOQOL-BREF). The three questionnaires were in Indonesian version of which validity and reliability had been tested. Data were analyzed using Spearman’s Rank. Results: More than half of respondents (65.67%) had high self-esteem. Complaints that were felt by most respondents were complaints of discomfort in the muscles and joints (77.05 The results of statistical test show that self-esteem had a significant correlation (p<0.05) with all domains of quality of life that is a strong positive correlation (r=0.839) for physical domain, (r=0.826) for psychological domain, (r=0.822) for social relations domain, (r=0.643) for environmental domain. Conclusion: There is a correlation between self-esteem and quality of life in menopausal women at Jogonalan Kidul Hamlet, Kasihan, Bantul. More than half of the respondents have high self-esteem. Therefore, counseling for psychological aspects should still be improved and supported by other healthcare workers.Keywords: self-esteem, quality of life, menopausal women

Menopausal phase could impact the physical, psychological, social, economic, spiritual and quality of life. Changes appear on the physical aspects could cause decreasing self-image in menopausal women, whereas the psychological changes that arise sometimes menopausal women experience a decrease in self-acceptance. The aim of this study is to prove the existence of increased acceptance and self-image menopausal women with Acceptance and Commitment Therapy. The design used is Quasy Experiment Pre-posttest with Controlled Group Design. The sample was menopausal women who are willing to become respondents as many as 40 people, divided into two groups: a control group of 20 people and 20 people treated group. Sampling technique using consecutive sampling. The independent variable for the provision of Acceptance and Commitment Therapy is divided into two sessions of four meetings (1x meeting two sessions). The dependent variable is self-acceptance and self-image menopausal women. Measuring instruments used in the form of a questionnaire. Analysis of data used computer software. The majority of respondents were married women, Muslim, Javanese, recent education junior high school and not working. The results proved statistically there was increasing acceptance between control and treatment groups (p = 0.000). Self-image measurement results proved no increase between control and treatment groups (p = 0.000). Acceptance and Commitment Therapy is highly effective for improving acceptance and self image in menopausal women. The active role of the respondents strongly supported upon the success of therapy and need the support of her husband and peers. Masa menopause dapat berdampak pada aspek fisik, psikologis, sosial, ekonomi, spiritual dan kualitas hidup seseorang. Perubahan yang muncul pada aspek fisik mengakibatkan penurunan gambaran diri wanita menopause, sedangkan perubahan psikologis yang muncul terkadang wanita menopause mengalami penurunan penerimaan diri. Tujuan dari penelitian ini adalah membuktikan adanya peningkatan penerimaan dan gambaran diri wanita menopause dengan Acceptance and Commitment Therapy. Desain yang digunakan adalah Quasy Experiment Pre-Posttest with Controlled Grup Design. Sampel penelitian ini adalah wanita menopause yang bersedia menjadi responden sebanyak 40 orang, dibagi menjadi dua grup, yaitu 20 orang grup kontrol dan 20 orang grup perlakuan. Teknik sampling menggunakan consecutive sampling. Variabel independen berupa pemberian Acceptance and Commitment Therapy empat sesi dibagi menjadi dua pertemuan (1x pertemuan dua sesi). Variabel dependen yaitu penerimaan diri dan gambaran diri wanita menopause. Alat ukur yang digunakan berupa kuesioner. Analisis data menggunakan software computer. Mayoritas responden adalah wanita menikah, beragama Islam, suku Jawa, pendidikan terakhir smp dan tidak bekerja. Hasil penelitian secara statistik terbukti ada peningkatan penerimaan diri antara grup kontrol dan perlakuan (p=0,000). Hasil pengukuran gambaran diri terbukti ada peningkatan antara grup kontrol dan perlakuan (p=0,000). Acceptance and Commitment Therapy ini sangat efektif untuk meningkatkan penerimaan dan gambaran diri pada wanita menopause. Peran aktif responden sangat mendukung kesusksesan terapi dan butuh dukungan dari suami dan teman sebaya. DOWNLOAD FULL TEXT PDF >>

AbstractEarly menopause (EM) and premature ovarian insufficiency (POI) affect an estimated 10% of women and can precipitate a wide range of physiological and personal impacts. Receiving a diagnosis of EM/POI and navigating treatment can be complex experiences for women; however, qualitative research exploring these aspects of the condition is limited. Our study aimed to increase understanding of women's lived experiences of EM/POI encompassing its medical, social, and emotional dimensions. We conducted narrative interviews with 30 women aged 28 to 51 years with spontaneous and iatrogenic EM/POI and menopausal symptoms resulting from ovarian suppression therapy, and analyzed transcripts thematically. This article examines the prominent and under-researched themes of women's experiences of navigating “diagnosis” and treatment. Diagnosis emerged as a complex and changeable process wherein women had to negotiate a diagnosis of spontaneous EM/POI and grasp the meaning and probability of iatrogenic EM/POI. Navigating treatment entailed further complexity as women grappled with the risks and efficacy of hormonal and non-hormonal medications. The findings underline the intricacies of EM/POI as a biomedical phenomenon and highlight the need for health practitioners to recognize and respond to the challenges women face in coming to terms with the condition and managing its embodied effects.

Counseling Service for Women in Crisis is an out-patient unit of the Department of Psychiatry (Clinical Center “Dr Dragisa Misovic) engaged in mental health prevention. It was established in co-ordinance with contemporary directives of the World Health Organization which emphasizes health care for women as one of its priorities. The service addresses clients with coping problems during biological and/or psychosocial transitional and crisis periods. Members of the professional team are: a female psychiatrist-psychotherapist also trained in other aspects of women's health, family therapist, social worker, relaxation therapist and nurse with additional midwife skills. When treating women in menopause, pregnancy and confinement cooperation with departments of gynecology and obstetrics is regular and reciprocal. In addressing pregnant and breast- feeding clients non-pharmacological methods are first choice therapy (psychotherapy, relaxation, acupuncture). Psychosocial adverse events reported by our clients (marital conflicts, divorce, abuse, bereavement, loss of job, mobbing...) often require collaboration with social services, legal organs and non-government organizations. Care-givers of oncology and dementia patients with psychosomatic problems are referred to us as well as women after diagnosis and treatment of breast cancer by relevant departments and institutions. This service with its multidisciplinary approach is a contribution to contemporary programs of mental health prevention in Serbia.

The goal of the following work was to identify the effects, positive or negative, of performing group-based physical activity (GBPA) in the workplace. In addition, the scope of the present research was to investigate some social and relational aspects of medical origin associated with the Happy Bones project. The sample consisted of 28 women between 47 and 67 years old, employees of the University of Rome “Foro Italico”, in menopause, and inactive. The explorative nature of the investigation and the multidimensional aspect of the variables suggested the adoption of a qualitative method. Even though the survey did not fulfil the minimum standards of representativeness, interview analysis showed a positive trend in joining physical activity in the workplace, as shown by the good compliance of the participants with the proposed workplace training protocol. Personal motivation linked to the project itself or to the corresponding activity existed albeit to a secondary extent; the unifying element of the group existed regardless of the project and was due to the home institution, hence to the workplace.

Background Prevalence and factors associated with sexual dysfunction in HIV-positive women are poorly known. Methods This was a cross-sectional study in a cohort of HIV-infected women. Clinically stable women were invited to participate in a female sexual dysfunction (FSD) evaluation with Female Sexual Function Index (FSFI) exploring desire, arousal, lubrication, orgasm, pain and satisfaction. An FSFI score <23 was used for defining FSD. Variables evaluated included body appearance satisfaction, interference of body changes with habits, social life and attitudinal aspects of body image, health-related quality of life, hormonal assessment, menopause, cumulative exposure to antiretroviral drug classes and immune-virological parameters. Lipodystrophy was defined according to the HIV Outpatient Study definition. Results A total of 185 women completed the FSFI. The mean (±sd) age was 42 years (±5), 27% had CDC stage C, the mean (±sd) CD4+ T-cell count was 508 cells/μl (±251) and median HIV RNA was 1.7 log10 copies/ ml (interquartile range 1.7–2.6). Among 161 evaluable patients, 59 (32%) reported FSD. In a multiple linear regression analysis, desire, arousal and satisfaction domains were associated with interference of body changes with habits, social life and attitudinal aspects of body image (β=0.22, 95% confidence interval [CI] 0.06–0.37; β=0.29, 95% CI 0.10–0.48; and β=0.20, 95% CI 0.02–0.38, respectively). Lubrication and orgasm domains were associated with body image satisfaction (β=-0.49, 95% CI -0.88— 0.10 and β=-0.58, 95% CI -1.00—0.16, respectively). No significant associations with sex hormones, CDC stage, CD4+ T-cell count, HIV RNA viral load and cumulative exposure to antiretroviral drug classes were found. In women with FSD, severity of self-perceived abdominal fat accumulation showed a trend towards lower FSFI scores (ANOVA P=0.02). Conclusions FSD was highly prevalent in this cohort. Self-perceived body changes was identified as its major determinant.

Reproductive medicine in the field of health psychology deals with the psychological aspects of the reproductive system and its consequences. Reproductive medicine provides an opportunity to understand the process of the menstrual cycle, pregnancy, hormonal conditions and illnesses, sexual behaviour, menopause by not merely from a biological point of view but also in light of psychological and social processes. Aline to this view, the study explored health orientation and disordered eating attitude in women diagnosed with Polycystic Ovary Syndrome (PCOS). The study captured the health-related behavior and attitude, which is a key component of the development of psychological distress in PCOS. It also examined the differences for the same in PCOS and Non-PCOS women. Total of eighty women, from the age group of 18-30 (young adults) were included in the study. The results highlighted, a significant difference among PCOS and Non-PCOS women on health image concern, health anxiety, health esteem and confidence, health expectations and health status. Finding also implied that there was a significant difference in disordered eating attitude of women diagnosed with PCOS and healthy women. These findings could have a significant implication for prevention, clinical practice and intervention in women with PCOS. The incorporation of medical and psychological actions to enhance their health-related quality of life may help these women.

Purpose This study aims to investigate the role of the visual arts for communicating climate change in the context of the Pacific islands, through the perspectives of artists and climate change practitioners. Design/methodology/approach As part of an “Eco Arts” project carried out in Fiji, semi-structured research interviews were undertaken with artists and climate change practitioners. Findings Participants’ motivations to produce art reflected their personal concerns about, and experiences of, climate change. There was an intention to use art-based approaches to raise awareness and promote action on climate change. The artwork produced drew on metaphors and storytelling to convey future climate impacts and aspects of climate change relevant to Fijian and Pacific communities. Research limitations/implications The study reports the perspectives of participants and discusses the potential uses of arts communication. Conclusions cannot be drawn from the findings regarding the effectiveness of specific artwork or of arts communication as a general approach. Practical implications The research offers suggestions for the inclusion of creative approaches to climate change communication within education and vocational training. A consideration of the perspectives of artist–practitioners has implications for the design and conduct of climate change communication. Social implications The involvement of artist–practitioners in the communication of climate change offers the potential for novel discussions and interpretations of climate change with individuals and within communities, which complement more formal or scientific communication. Originality/value The present study identifies the motivations and objectives of artist–practitioners involved in climate change communication. The authors highlight the role of personal experience and their use of artistic concepts and creative considerations pertinent to the geography and culture of the Pacific region.

Introductions: Perimenopause is a transitional stage to menopause. Women may experience greater severity of perimenopausal symptoms associated with an increased level of stress. Experience of perimenopausal symptoms will have a direct effect on how women cope with stress. Aim: To identify stress and coping among perimenopausal women. Methods: A cross-sectional analytical study was carried out at gynecological and female OPD of Patan Hospital, Lalitpur among 379 perimenopausal women by purposive sampling. Participants were interviewed using Modified Perceived Stress Scale to measure subjective stress perceptions and Modified Brief COPE Inventory to measure specific coping behavior. Data were analyzed using Statistical Package for Social Sciences version 16. Frequency, mean, standard deviation, and chi-square were calculated for stress and coping. Spearman’s correlation coefficient was used to examine the relationship between stress and coping. Results: More than half 207 (54.62%) of the perimenopausal women experienced low, 134 (35.35%) experienced moderate, and only 38 (10.03%) experienced high stress level. Among them 334 (88.13%) used problem-focused, 324 (85.49%) used emotion-focused, and 310 (81.80%) used dysfunctional coping in high level. There were significantly weak negative correlation of stress with problem-focused (r = -.132, p = .010) and emotion-focused (r=-.248, p=0.00) coping. Conclusion: More than half of the perimenopausal women experienced low stress. The mostly used coping method was problem-focused coping. Women going through perimenopause should be offered education and support for all aspects of this. Stress reduction interventional programs should be designed at community levels. Keywords: coping, perimenopausal women, stress.

Background. Since the beginning of the Covid-19 epidemic, many countries have been involved in fighting the disease. The outbreak of this disease has caused irrecoverable damages to countries in various aspects such as human resources, economic situation, and social welfare. The purpose of this study was to evaluate the performance of world countries in the face of covid-19 in respect of the role of vaccination and to propose applicable approaches for countries with lower performance. Methods. In this research, a three-phase method was developed to evaluate the performance of 88 countries in the face of Covid-19. In the first phase, the countries were clustered, using the k-means algorithm. In the second phase, the data envelopment analysis model was implemented once on the clusters and then on all the countries without considering the clusters. In the third phase, after presentation of the concept of resilience in the Covid-19 era, an Analytic Hierarchy Process was implemented with three criteria, including the results of data envelopment analysis model without considering the clusters, the results of data envelopment analysis model considering the clusters and resilience, and then the ranking of the countries' performance in the face of Covid-19 was provided. Results. Based on the results, 15 performance scores were obtained for the countries in the face of Covid-19, among which China, Fiji, Seychelles, Kyrgyzstan and Tanzania had the highest rankings and Bangladesh, Nepal, Georgia and Pakistan had the lowest performance levels. Iran is in the sixth place and in the average performance position of the countries. Conclusion. Based on the findings of this study, the countries with low performance level in the face of Covid-19 need to apply various strategies in different areas in order to improve their performance level. These strategies include planning and approval of joint programs to control and prevent the spread of disease, applying quarantine policy and restrictions on communities, planning and implementation of appropriate strategies regarding the export and import of drugs and medical equipment, allocating appropriate funds to research projects on Covid-19, banning the export of drugs effective in the treatment of Covid-19, and providing accurate and up-to-date information for raising people’s awareness. Background Since the beginning of the Covid-19 pandemic, many countries have been involved in fighting the disease. The disease was so rapidly transmitted that in just four months since its outbreak in Wuhan, China, about 120 million people worldwide had been infected and about 2.7 million had died. The outbreak of this disease has caused a lot of damage to the society and the economy of the countries, which can be examined at different levels such as social, economic, environmental and psychological damages. The illness not only causes a person to temporarily leave the society, but also imposes a lot of costs on the country, such as the costs of treatment, lost labor, spreading the disease caused by the sick person, and so on. Therefore, there is a need to review and evaluate the performance of the countries in dealing with this disease. Accordingly, the purpose of this study was to evaluate the performance of countries in the face of Covid-19 by considering the role of vaccination, so that applicable strategies and suggestions can be provided to help the countries with lower performance to improve their performance. MethodsIn this research, a three-phase method was developed to evaluate the performance of the countries in the face of Covid-19. In the first phase, the countries were clustered using the k-means algorithm, in the second phase, the data envelopment analysis (DEA) model was implemented once on the clusters and then on all the countries without considering the clusters, and in the third phase, after presentation of the concept of resilience in the Covid-19 era, an analytic hierarchy process (AHP) model was implemented with three criteria, including the results of data envelopment analysis model without considering the clusters, the results of data envelopment analysis model considering the clusters and the resilience, and then the ranking of the countries' performance in the face of Covid-19 was provided.Based on the studies and analyses, the total number of corona deaths, the percentage of extreme poverty in the community, the CVD death rate, the percentage of the diabetes prevalence, the percentage of female smokers, the percentage of male smokers, stringency index, and the total number of patients with Covid-19 were selected as input parameters, while the total number of vaccinations, the total number of corona tests, population, the number of hospital beds, and GDP were selected as output parameters.After removing the countries with missing data, 88 countries remained which were analyzed in the three-phase method. Results In the phase 1 of the proposed three-phase method, considering 3 clusters and applying the k-means algorithm, 31 countries are in the first cluster, 37 countries are in the second cluster and 20 countries are in the third cluster. In the second phased, the DEA model was implemented once on the clusters and again on all the countries without considering the clusters and the efficiency of the countries was obtained, based on the results of which a number of countries were recognized as efficient. Therefore, the pandemic resilience index was introduced for improving and obtaining a better ranking of the countries. In the third phase, the AHP model was implemented in which, the importance of the "result of the data envelopment analysis model implemented on clusters" was three times the "result of the data envelopment analysis model implemented on countries", because it was expected that if similar countries are considered together and the DEA model is implemented on them, it would lead to more accurate results. In this matrix, the importance of "resilience" was twice as high as the "result of data envelopment analysis model implemented on countries" and finally, the importance of "result of data envelopment analysis model on clusters" and "resilience" were considered as the same. Based on the results, 15 performance scores were obtained for the countries, among which China, Fiji, Seychelles, Kyrgyzstan and Tanzania had the highest rankings and Bangladesh, Nepal, Georgia and Pakistan had the lowest performance levels. Conclusion Based on the results, 15 performance rankings were obtained for the countries, where Iran along with 11 other countries were in the sixth place, which indicated the average performance of Iran. In general, 26 countries performed below the average AHP rate of all countries. In this regard, the strategies of the countries with better performance can be used as a benchmark in order to improve the performance of the lower-ranking countries. Accordingly, the countries with lower performance should improve their performances by emulating the policies of higher performance countries, in terms of general strategies, economic strategies, resource management strategies, training programs in the coronavirus era, and case reporting and monitoring. Practical Implications of Research Considering various factors such as efficiency and resilience, countries have different performance in the face of Covid-19, and lower efficiency and resilience has led to poorer performance of the countries. Accordingly, the countries with lower performance should follow the policies of the higher performance ranking countries in terms of general strategies, economic strategies, resource management strategies, training programs in the coronavirus era, and case reporting and monitoring, in order to improve their performance status. Ethical Considerations This paper is taken from the dissertation of M.Sc. of Industrial Engineering at Sharif University of Technology and all the ethical principles related to scientific research have been met in all stages of design, implementation, analysis and compilation of the results. Conflict of Interest The authors declare that they have no conflict of interest in publishing this paper. Acknowledgments This paper is taken from the dissertation of M.Sc. of Industrial Engineering of Sharif University of Technology, approved on September 25, 2020, and in this regard, the authors express their gratitude and appreciation to all those who participated in completing this research.

Education in Oceania continues to reflect the embedded implicit and explicit colonial practices and processes from the past. This paper conceptualises a cultural approach to education and leadership appropriate and relevant to the Republic of the Marshall Islands. As elementary school leaders, we highlight Kanne Lobal, a traditional Marshallese navigation practice based on indigenous language, values and practices. We conceptualise and develop Kanne Lobal in this paper as a framework for understanding the usefulness of our indigenous knowledge in leadership and educational practices within formal education. Through bwebwenato, a method of talk story, our key learnings and reflexivities were captured. We argue that realising the value of Marshallese indigenous knowledge and practices for school leaders requires purposeful training of the ways in which our knowledge can be made useful in our professional educational responsibilities. Drawing from our Marshallese knowledge is an intentional effort to inspire, empower and express what education and leadership partnership means for Marshallese people, as articulated by Marshallese themselves. Introduction As noted in the call for papers within the Waikato Journal of Education (WJE) for this special issue, bodies of knowledge and histories in Oceania have long sustained generations across geographic boundaries to ensure cultural survival. For Marshallese people, we cannot really know ourselves “until we know how we came to be where we are today” (Walsh, Heine, Bigler & Stege, 2012). Jitdam Kapeel is a popular Marshallese concept and ideal associated with inquiring into relationships within the family and community. In a similar way, the practice of relating is about connecting the present and future to the past. Education and leadership partnerships are linked and we look back to the past, our history, to make sense and feel inspired to transform practices that will benefit our people. In this paper and in light of our next generation, we reconnect with our navigation stories to inspire and empower education and leadership. Kanne lobal is part of our navigation stories, a conceptual framework centred on cultural practices, values, and concepts that embrace collective partnerships. Our link to this talanoa vā with others in the special issue is to attempt to make sense of connections given the global COVID-19 context by providing a Marshallese approach to address the physical and relational “distance” between education and leadership partnerships in Oceania. Like the majority of developing small island nations in Oceania, the Republic of the Marshall Islands (RMI) has had its share of educational challenges through colonial legacies of the past which continues to drive education systems in the region (Heine, 2002). The historical administration and education in the RMI is one of colonisation. Successive administrations by the Spanish, German, Japanese, and now the US, has resulted in education and learning that privileges western knowledge and forms of learning. This paper foregrounds understandings of education and learning as told by the voices of elementary school leaders from the RMI. The move to re-think education and leadership from Marshallese perspectives is an act of shifting the focus of bwebwenato or conversations that centres on Marshallese language and worldviews. The concept of jelalokjen was conceptualised as traditional education framed mainly within the community context. In the past, jelalokjen was practiced and transmitted to the younger generation for cultural continuity. During the arrival of colonial administrations into the RMI, jelalokjen was likened to the western notions of education and schooling (Kupferman, 2004). Today, the primary function of jelalokjen, as traditional and formal education, it is for “survival in a hostile [and challenging] environment” (Kupferman, 2004, p. 43). Because western approaches to learning in the RMI have not always resulted in positive outcomes for those engaged within the education system, as school leaders who value our cultural knowledge and practices, and aspire to maintain our language with the next generation, we turn to Kanne Lobal, a practice embedded in our navigation stories, collective aspirations, and leadership. The significance in the development of Kanne Lobal, as an appropriate framework for education and leadership, resulted in us coming together and working together. Not only were we able to share our leadership concerns, however, the engagement strengthened our connections with each other as school leaders, our communities, and the Public Schooling System (PSS). Prior to that, many of us were in competition for resources. Educational Leadership: IQBE and GCSL Leadership is a valued practice in the RMI. Before the IQBE programme started in 2018, the majority of the school leaders on the main island of Majuro had not engaged in collaborative partnerships with each other before. Our main educational purpose was to achieve accreditation from the Western Association of Schools and Colleges (WASC), an accreditation commission for schools in the United States. The WASC accreditation dictated our work and relationships and many school leaders on Majuro felt the pressure of competition against each other. We, the authors in this paper, share our collective bwebwenato, highlighting our school leadership experiences and how we gained strength from our own ancestral knowledge to empower “us”, to collaborate with each other, our teachers, communities, as well as with PSS; a collaborative partnership we had not realised in the past. The paucity of literature that captures Kajin Majol (Marshallese language) and education in general in the RMI is what we intend to fill by sharing our reflections and experiences. To move our educational practices forward we highlight Kanne Lobal, a cultural approach that focuses on our strengths, collective social responsibilities and wellbeing. For a long time, there was no formal training in place for elementary school leaders. School principals and vice principals were appointed primarily on their academic merit through having an undergraduate qualification. As part of the first cohort of fifteen school leaders, we engaged in the professional training programme, the Graduate Certificate in School Leadership (GCSL), refitted to our context after its initial development in the Solomon Islands. GCSL was coordinated by the Institute of Education (IOE) at the University of the South Pacific (USP). GCSL was seen as a relevant and appropriate training programme for school leaders in the RMI as part of an Asia Development Bank (ADB) funded programme which aimed at “Improving Quality Basic Education” (IQBE) in parts of the northern Pacific. GCSL was managed on Majuro, RMI’s main island, by the director at the time Dr Irene Taafaki, coordinator Yolanda McKay, and administrators at the University of the South Pacific’s (USP) RMI campus. Through the provision of GCSL, as school leaders we were encouraged to re-think and draw-from our own cultural repository and connect to our ancestral knowledge that have always provided strength for us. This kind of thinking and practice was encouraged by our educational leaders (Heine, 2002). We argue that a culturally-affirming and culturally-contextual framework that reflects the lived experiences of Marshallese people is much needed and enables the disruption of inherent colonial processes left behind by Western and Eastern administrations which have influenced our education system in the RMI (Heine, 2002). Kanne Lobal, an approach utilising a traditional navigation has warranted its need to provide solutions for today’s educational challenges for us in the RMI. Education in the Pacific Education in the Pacific cannot be understood without contextualising it in its history and culture. It is the same for us in the RMI (Heine, 2002; Walsh et al., 2012). The RMI is located in the Pacific Ocean and is part of Micronesia. It was named after a British captain, John Marshall in the 1700s. The atolls in the RMI were explored by the Spanish in the 16th century. Germany unsuccessfully attempted to colonize the islands in 1885. Japan took control in 1914, but after several battles during World War II, the US seized the RMI from them. In 1947, the United Nations made the island group, along with the Mariana and Caroline archipelagos, a U.S. trust territory (Walsh et al, 2012). Education in the RMI reflects the colonial administrations of Germany, Japan, and now the US. Before the turn of the century, formal education in the Pacific reflected western values, practices, and standards. Prior to that, education was informal and not binded to formal learning institutions (Thaman, 1997) and oral traditions was used as the medium for transmitting learning about customs and practices living with parents, grandparents, great grandparents. As alluded to by Jiba B. Kabua (2004), any “discussion about education is necessarily a discussion of culture, and any policy on education is also a policy of culture” (p. 181). It is impossible to promote one without the other, and it is not logical to understand one without the other. Re-thinking how education should look like, the pedagogical strategies that are relevant in our classrooms, the ways to engage with our parents and communities - such re-thinking sits within our cultural approaches and frameworks. Our collective attempts to provide a cultural framework that is relevant and appropriate for education in our context, sits within the political endeavour to decolonize. This means that what we are providing will not only be useful, but it can be used as a tool to question and identify whether things in place restrict and prevent our culture or whether they promote and foreground cultural ideas and concepts, a significant discussion of culture linked to education (Kabua, 2004). Donor funded development aid programmes were provided to support the challenges within education systems. Concerned with the persistent low educational outcomes of Pacific students, despite the prevalence of aid programmes in the region, in 2000 Pacific educators and leaders with support from New Zealand Aid (NZ Aid) decided to intervene (Heine, 2002; Taufe’ulungaki, 2014). In April 2001, a group of Pacific educators and leaders across the region were invited to a colloquium funded by the New Zealand Overseas Development Agency held in Suva Fiji at the University of the South Pacific. The main purpose of the colloquium was to enable “Pacific educators to re-think the values, assumptions and beliefs underlying [formal] schooling in Oceania” (Benson, 2002). Leadership, in general, is a valued practice in the RMI (Heine, 2002). Despite education leadership being identified as a significant factor in school improvement (Sanga & Chu, 2009), the limited formal training opportunities of school principals in the region was a persistent concern. As part of an Asia Development Bank (ADB) funded project, the Improve Quality Basic Education (IQBE) intervention was developed and implemented in the RMI in 2017. Mentoring is a process associated with the continuity and sustainability of leadership knowledge and practices (Sanga & Chu, 2009). It is a key aspect of building capacity and capabilities within human resources in education (ibid). Indigenous knowledges and education research According to Hilda Heine, the relationship between education and leadership is about understanding Marshallese history and culture (cited in Walsh et al., 2012). It is about sharing indigenous knowledge and histories that “details for future generations a story of survival and resilience and the pride we possess as a people” (Heine, cited in Walsh et al., 2012, p. v). This paper is fuelled by postcolonial aspirations yet is grounded in Pacific indigenous research. This means that our intentions are driven by postcolonial pursuits and discourses linked to challenging the colonial systems and schooling in the Pacific region that privileges western knowledge and learning and marginalises the education practices and processes of local people (Thiong’o, 1986). A point of difference and orientation from postcolonialism is a desire to foreground indigenous Pacific language, specifically Majin Majol, through Marshallese concepts. Our collective bwebwenato and conversation honours and values kautiej (respect), jouj eo mour eo (reciprocity), and jouj (kindness) (Taafaki & Fowler, 2019). Pacific leaders developed the Rethinking Pacific Education Initiative for and by Pacific People (RPEIPP) in 2002 to take control of the ways in which education research was conducted by donor funded organisations (Taufe’ulungaki, 2014). Our former president, Dr Hilda Heine was part of the group of leaders who sought to counter the ways in which our educational and leadership stories were controlled and told by non-Marshallese (Heine, 2002). As a former minister of education in the RMI, Hilda Heine continues to inspire and encourage the next generation of educators, school leaders, and researchers to re-think and de-construct the way learning and education is conceptualised for Marshallese people. The conceptualisation of Kanne Lobal acknowledges its origin, grounded in Marshallese navigation knowledge and practice. Our decision to unpack and deconstruct Kanne Lobal within the context of formal education and leadership responds to the need to not only draw from indigenous Marshallese ideas and practice but to consider that the next generation will continue to be educated using western processes and initiatives particularly from the US where we get a lot of our funding from. According to indigenous researchers Dawn Bessarab and Bridget Ng’andu (2010), doing research that considers “culturally appropriate processes to engage with indigenous groups and individuals is particularly pertinent in today’s research environment” (p. 37). Pacific indigenous educators and researchers have turned to their own ancestral knowledge and practices for inspiration and empowerment. Within western research contexts, the often stringent ideals and processes are not always encouraging of indigenous methods and practices. However, many were able to ground and articulate their use of indigenous methods as being relevant and appropriate to capturing the realities of their communities (Nabobo-Baba, 2008; Sualii-Sauni & Fulu-Aiolupotea, 2014; Thaman, 1997). At the same time, utilising Pacific indigenous methods and approaches enabled research engagement with their communities that honoured and respected them and their communities. For example, Tongan, Samoan, and Fijian researchers used the talanoa method as a way to capture the stories, lived realities, and worldviews of their communities within education in the diaspora (Fa’avae, Jones, & Manu’atu, 2016; Nabobo-Baba, 2008; Sualii-Sauni & Aiolupotea, 2014; Vaioleti, 2005). Tok stori was used by Solomon Islander educators and school leaders to highlight the unique circles of conversational practice and storytelling that leads to more positive engagement with their community members, capturing rich and meaningful narratives as a result (Sanga & Houma, 2004). The Indigenous Aborigine in Australia utilise yarning as a “relaxed discussion through which both the researcher and participant journey together visiting places and topics of interest relevant” (Bessarab & Ng’andu, 2010, p. 38). Despite the diverse forms of discussions and storytelling by indigenous peoples, of significance are the cultural protocols, ethics, and language for conducting and guiding the engagement (Bessarab & Ng’andu, 2010; Nabobo-Baba, 2008; Sualii-Sauni & Aiolupotea, 2014). Through the ethics, values, protocols, and language, these are what makes indigenous methods or frameworks unique compared to western methods like in-depth interviews or semi-structured interviews. This is why it is important for us as Marshallese educators to frame, ground, and articulate how our own methods and frameworks of learning could be realised in western education (Heine, 2002; Jetnil-Kijiner, 2014). In this paper, we utilise bwebwenato as an appropriate method linked to “talk story”, capturing our collective stories and experiences during GCSL and how we sought to build partnerships and collaboration with each other, our communities, and the PSS. Bwebwenato and drawing from Kajin Majel Legends and stories that reflect Marshallese society and its cultural values have survived through our oral traditions. The practice of weaving also holds knowledge about our “valuable and earliest sources of knowledge” (Taafaki & Fowler, 2019, p. 2). The skilful navigation of Marshallese wayfarers on the walap (large canoes) in the ocean is testament of their leadership and the value they place on ensuring the survival and continuity of Marshallese people (Taafaki & Fowler, 2019; Walsh et al., 2012). During her graduate study in 2014, Kathy Jetnil-Kijiner conceptualised bwebwenato as being the most “well-known form of Marshallese orality” (p. 38). The Marshallese-English dictionary defined bwebwenato as talk, conversation, story, history, article, episode, lore, myth, or tale (cited in Jetnil Kijiner, 2014). Three years later in 2017, bwebwenato was utilised in a doctoral project by Natalie Nimmer as a research method to gather “talk stories” about the experiences of 10 Marshallese experts in knowledge and skills ranging from sewing to linguistics, canoe-making and business. Our collective bwebwenato in this paper centres on Marshallese ideas and language. The philosophy of Marshallese knowledge is rooted in our “Kajin Majel”, or Marshallese language and is shared and transmitted through our oral traditions. For instance, through our historical stories and myths. Marshallese philosophy, that is, the knowledge systems inherent in our beliefs, values, customs, and practices are shared. They are inherently relational, meaning that knowledge systems and philosophies within our world are connected, in mind, body, and spirit (Jetnil-Kijiner, 2014; Nimmer, 2017). Although some Marshallese believe that our knowledge is disappearing as more and more elders pass away, it is therefore important work together, and learn from each other about the knowledges shared not only by the living but through their lamentations and stories of those who are no longer with us (Jetnil-Kijiner, 2014). As a Marshallese practice, weaving has been passed-down from generation to generation. Although the art of weaving is no longer as common as it used to be, the artefacts such as the “jaki-ed” (clothing mats) continue to embody significant Marshallese values and traditions. For our weavers, the jouj (check spelling) is the centre of the mat and it is where the weaving starts. When the jouj is correct and weaved well, the remainder and every other part of the mat will be right. The jouj is symbolic of the “heart” and if the heart is prepared well, trained well, then life or all other parts of the body will be well (Taafaki & Fowler, 2019). In that light, we have applied the same to this paper. Conceptualising and drawing from cultural practices that are close and dear to our hearts embodies a significant ontological attempt to prioritize our own knowledge and language, a sense of endearment to who we are and what we believe education to be like for us and the next generation. The application of the phrase “Majolizing '' was used by the Ministry of Education when Hilda Heine was minister, to weave cultural ideas and language into the way that teachers understand the curriculum, develop lesson plans and execute them in the classroom. Despite this, there were still concerns with the embedded colonized practices where teachers defaulted to eurocentric methods of doing things, like the strategies provided in the textbooks given to us. In some ways, our education was slow to adjust to the “Majolizing '' intention by our former minister. In this paper, we provide Kanne Lobal as a way to contribute to the “Majolizing intention” and perhaps speed up yet still be collectively responsible to all involved in education. Kajin Wa and Kanne Lobal “Wa” is the Marshallese concept for canoe. Kajin wa, as in canoe language, has a lot of symbolic meaning linked to deeply-held Marshallese values and practices. The canoe was the foundational practice that supported the livelihood of harsh atoll island living which reflects the Marshallese social world. The experts of Kajin wa often refer to “wa” as being the vessel of life, a means and source of sustaining life (Kelen, 2009, cited in Miller, 2010). “Jouj” means kindness and is the lower part of the main hull of the canoe. It is often referred to by some canoe builders in the RMI as the heart of the canoe and is linked to love. The jouj is one of the first parts of the canoe that is built and is “used to do all other measurements, and then the rest of the canoe is built on top of it” (Miller, 2010, p. 67). The significance of the jouj is that when the canoe is in the water, the jouj is the part of the hull that is underwater and ensures that all the cargo and passengers are safe. For Marshallese, jouj or kindness is what living is about and is associated with selflessly carrying the responsibility of keeping the family and community safe. The parts of the canoe reflect Marshallese culture, legend, family, lineage, and kinship. They embody social responsibilities that guide, direct, and sustain Marshallese families’ wellbeing, from atoll to atoll. For example, the rojak (boom), rojak maan (upper boom), rojak kōrā (lower boom), and they support the edges of the ujelā/ujele (sail) (see figure 1). The literal meaning of rojak maan is male boom and rojak kōrā means female boom which together strengthens the sail and ensures the canoe propels forward in a strong yet safe way. Figuratively, the rojak maan and rojak kōrā symbolise the mother and father relationship which when strong, through the jouj (kindness and love), it can strengthen families and sustain them into the future. Figure 1. Parts of the canoe Source: https://www.canoesmarshallislands.com/2014/09/names-of-canoe-parts/ From a socio-cultural, communal, and leadership view, the canoe (wa) provides understanding of the relationships required to inspire and sustain Marshallese peoples’ education and learning. We draw from Kajin wa because they provide cultural ideas and practices that enable understanding of education and leadership necessary for sustaining Marshallese people and realities in Oceania. When building a canoe, the women are tasked with the weaving of the ujelā/ujele (sail) and to ensure that it is strong enough to withstand long journeys and the fierce winds and waters of the ocean. The Kanne Lobal relates to the front part of the ujelā/ujele (sail) where the rojak maan and rojak kōrā meet and connect (see the red lines in figure 1). Kanne Lobal is linked to the strategic use of the ujelā/ujele by navigators, when there is no wind north wind to propel them forward, to find ways to capture the winds so that their journey can continue. As a proverbial saying, Kanne Lobal is used to ignite thinking and inspire and transform practice particularly when the journey is rough and tough. In this paper we draw from Kanne Lobal to ignite, inspire, and transform our educational and leadership practices, a move to explore what has always been meaningful to Marshallese people when we are faced with challenges. The Kanne Lobal utilises our language, and cultural practices and values by sourcing from the concepts of jouj (kindness, love), kautiej (respect), and jouj eo mour eo (reciprocity). A key Marshallese proverb, “Enra bwe jen lale rara”, is the cultural practice where families enact compassion through the sharing of food in all occurrences. The term “enra” is a small basket weaved from the coconut leaves, and often used by Marshallese as a plate to share and distribute food amongst each other. Bwe-jen-lale-rara is about noticing and providing for the needs of others, and “enra” the basket will help support and provide for all that are in need. “Enra-bwe-jen-lale-rara” is symbolic of cultural exchange and reciprocity and the cultural values associated with building and maintaining relationships, and constantly honouring each other. As a Marshallese practice, in this article we share our understanding and knowledge about the challenges as well as possible solutions for education concerns in our nation. In addition, we highlight another proverb, “wa kuk wa jimor”, which relates to having one canoe, and despite its capacity to feed and provide for the individual, but within the canoe all people can benefit from what it can provide. In the same way, we provide in this paper a cultural framework that will enable all educators to benefit from. It is a framework that is far-reaching and relevant to the lived realities of Marshallese people today. Kumit relates to people united to build strength, all co-operating and working together, living in peace, harmony, and good health. Kanne Lobal: conceptual framework for education and leadership An education framework is a conceptual structure that can be used to capture ideas and thinking related to aspects of learning. Kanne Lobal is conceptualised and framed in this paper as an educational framework. Kanne Lobal highlights the significance of education as a collective partnership whereby leadership is an important aspect. Kanne Lobal draws-from indigenous Marshallese concepts like kautiej (respect), jouj eo mour eo (reciprocity), and jouj (kindness, heart). The role of a leader, including an education leader, is to prioritise collective learning and partnerships that benefits Marshallese people and the continuity and survival of the next generation (Heine, 2002; Thaman, 1995). As described by Ejnar Aerōk, an expert canoe builder in the RMI, he stated: “jerbal ippān doon bwe en maron maan wa e” (cited in Miller, 2010, p. 69). His description emphasises the significance of partnerships and working together when navigating and journeying together in order to move the canoe forward. The kubaak, the outrigger of the wa (canoe) is about “partnerships”. For us as elementary school leaders on Majuro, kubaak encourages us to value collaborative partnerships with each other as well as our communities, PSS, and other stakeholders. Partnerships is an important part of the Kanne Lobal education and leadership framework. It requires ongoing bwebwenato – the inspiring as well as confronting and challenging conversations that should be mediated and negotiated if we and our education stakeholders are to journey together to ensure that the educational services we provide benefits our next generation of young people in the RMI. Navigating ahead the partnerships, mediation, and negotiation are the core values of jouj (kindness, love), kautiej (respect), and jouj eo mour eo (reciprocity). As an organic conceptual framework grounded in indigenous values, inspired through our lived experiences, Kanne Lobal provides ideas and concepts for re-thinking education and leadership practices that are conducive to learning and teaching in the schooling context in the RMI. By no means does it provide the solution to the education ills in our nation. However, we argue that Kanne Lobal is a more relevant approach which is much needed for the negatively stigmatised system as a consequence of the various colonial administrations that have and continue to shape and reframe our ideas about what education should be like for us in the RMI. Moreover, Kannel Lobal is our attempt to decolonize the framing of education and leadership, moving our bwebwenato to re-framing conversations of teaching and learning so that our cultural knowledge and values are foregrounded, appreciated, and realised within our education system. Bwebwenato: sharing our stories In this section, we use bwebwenato as a method of gathering and capturing our stories as data. Below we capture our stories and ongoing conversations about the richness in Marshallese cultural knowledge in the outer islands and on Majuro and the potentialities in Kanne Lobal. Danny Jim When I was in third grade (9-10 years of age), during my grandfather’s speech in Arno, an atoll near Majuro, during a time when a wa (canoe) was being blessed and ready to put the canoe into the ocean. My grandfather told me the canoe was a blessing for the family. “Without a canoe, a family cannot provide for them”, he said. The canoe allows for travelling between places to gather food and other sources to provide for the family. My grandfather’s stories about people’s roles within the canoe reminded me that everyone within the family has a responsibility to each other. Our women, mothers and daughters too have a significant responsibility in the journey, in fact, they hold us, care for us, and given strength to their husbands, brothers, and sons. The wise man or elder sits in the middle of the canoe, directing the young man who help to steer. The young man, he does all the work, directed by the older man. They take advice and seek the wisdom of the elder. In front of the canoe, a young boy is placed there and because of his strong and youthful vision, he is able to help the elder as well as the young man on the canoe. The story can be linked to the roles that school leaders, teachers, and students have in schooling. Without each person knowing intricately their role and responsibility, the sight and vision ahead for the collective aspirations of the school and the community is difficult to comprehend. For me, the canoe is symbolic of our educational journey within our education system. As the school leader, a central, trusted, and respected figure in the school, they provide support for teachers who are at the helm, pedagogically striving to provide for their students. For without strong direction from the school leaders and teachers at the helm, the students, like the young boy, cannot foresee their futures, or envisage how education can benefit them. This is why Kanne Lobal is a significant framework for us in the Marshall Islands because within the practice we are able to take heed and empower each other so that all benefit from the process. Kanne Lobal is linked to our culture, an essential part of who we are. We must rely on our own local approaches, rather than relying on others that are not relevant to what we know and how we live in today’s society. One of the things I can tell is that in Majuro, compared to the outer islands, it’s different. In the outer islands, parents bring children together and tell them legends and stories. The elders tell them about the legends and stories – the bwebwenato. Children from outer islands know a lot more about Marshallese legends compared to children from the Majuro atoll. They usually stay close to their parents, observe how to prepare food and all types of Marshallese skills. Loretta Joseph Case There is little Western influence in the outer islands. They grow up learning their own culture with their parents, not having tv. They are closely knit, making their own food, learning to weave. They use fire for cooking food. They are more connected because there are few of them, doing their own culture. For example, if they’re building a house, the ladies will come together and make food to take to the males that are building the house, encouraging them to keep on working - “jemjem maal” (sharpening tools i.e. axe, like encouraging workers to empower them). It’s when they bring food and entertainment. Rubon Rubon Togetherness, work together, sharing of food, these are important practices as a school leader. Jemjem maal – the whole village works together, men working and the women encourage them with food and entertainment. All the young children are involved in all of the cultural practices, cultural transmission is consistently part of their everyday life. These are stronger in the outer islands. Kanne Lobal has the potential to provide solutions using our own knowledge and practices. Connie Joel When new teachers become a teacher, they learn more about their culture in teaching. Teaching raises the question, who are we? A popular saying amongst our people, “Aelon kein ad ej aelon in manit”, means that “Our islands are cultural islands”. Therefore, when we are teaching, and managing the school, we must do this culturally. When we live and breathe, we must do this culturally. There is more socialising with family and extended family. Respect the elderly. When they’re doing things the ladies all get together, in groups and do it. Cut the breadfruit, and preserve the breadfruit and pandanus. They come together and do it. Same as fishing, building houses, building canoes. They use and speak the language often spoken by the older people. There are words that people in the outer islands use and understand language regularly applied by the elderly. Respect elderly and leaders more i.e., chiefs (iroj), commoners (alap), and the workers on the land (ri-jerbal) (social layer under the commoners). All the kids, they gather with their families, and go and visit the chiefs and alap, and take gifts from their land, first produce/food from the plantation (eojōk). Tommy Almet The people are more connected to the culture in the outer islands because they help one another. They don’t have to always buy things by themselves, everyone contributes to the occasion. For instance, for birthdays, boys go fishing, others contribute and all share with everyone. Kanne Lobal is a practice that can bring people together – leaders, teachers, stakeholders. We want our colleagues to keep strong and work together to fix problems like students and teachers’ absenteeism which is a big problem for us in schools. Demetria Malachi The culture in the outer islands are more accessible and exposed to children. In Majuro, there is a mixedness of cultures and knowledges, influenced by Western thinking and practices. Kanne Lobal is an idea that can enhance quality educational purposes for the RMI. We, the school leaders who did GCSL, we want to merge and use this idea because it will help benefit students’ learning and teachers’ teaching. Kanne Lobal will help students to learn and teachers to teach though traditional skills and knowledge. We want to revitalize our ways of life through teaching because it is slowly fading away. Also, we want to have our own Marshallese learning process because it is in our own language making it easier to use and understand. Essentially, we want to proudly use our own ways of teaching from our ancestors showing the appreciation and blessings given to us. Way Forward To think of ways forward is about reflecting on the past and current learnings. Instead of a traditional discussion within a research publication, we have opted to continue our bwebwenato by sharing what we have learnt through the Graduate Certificate in School Leadership (GCSL) programme. Our bwebwenato does not end in this article and this opportunity to collaborate and partner together in this piece of writing has been a meaningful experience to conceptualise and unpack the Kanne Lobal framework. Our collaborative bwebwenato has enabled us to dig deep into our own wise knowledges for guidance through mediating and negotiating the challenges in education and leadership (Sanga & Houma, 2004). For example, bwe-jen-lale-rara reminds us to inquire, pay attention, and focus on supporting the needs of others. Through enra-bwe-jen-lale-rara, it reminds us to value cultural exchange and reciprocity which will strengthen the development and maintaining of relationships based on ways we continue to honour each other (Nimmer, 2017). We not only continue to support each other, but also help mentor the next generation of school leaders within our education system (Heine, 2002). Education and leadership are all about collaborative partnerships (Sanga & Chu, 2009; Thaman, 1997). Developing partnerships through the GCSL was useful learning for us. It encouraged us to work together, share knowledge, respect each other, and be kind. The values of jouj (kindness, love), kautiej (respect), and jouj eo mour eo (reciprocity) are meaningful in being and becoming and educational leader in the RMI (Jetnil-Kijiner, 2014; Miller, 2010; Nimmer, 2017). These values are meaningful for us practice particularly given the drive by PSS for schools to become accredited. The workshops and meetings delivered during the GCSL in the RMI from 2018 to 2019 about Kanne Lobal has given us strength to share our stories and experiences from the meeting with the stakeholders. But before we met with the stakeholders, we were encouraged to share and speak in our language within our courses: EDP05 (Professional Development and Learning), EDP06 (School Leadership), EDP07 (School Management), EDP08 (Teaching and Learning), and EDP09 (Community Partnerships). In groups, we shared our presentations with our peers, the 15 school leaders in the GCSL programme. We also invited USP RMI staff. They liked the way we presented Kannel Lobal. They provided us with feedback, for example: how the use of the sail on the canoe, the parts and their functions can be conceptualised in education and how they are related to the way that we teach our own young people. Engaging stakeholders in the conceptualisation and design stages of Kanne Lobal strengthened our understanding of leadership and collaborative partnerships. Based on various meetings with the RMI Pacific Resources for Education and Learning (PREL) team, PSS general assembly, teachers from the outer islands, and the PSS executive committee, we were able to share and receive feedback on the Kanne Lobal framework. The coordinators of the PREL programme in the RMI were excited by the possibilities around using Kanne Lobal, as a way to teach culture in an inspirational way to Marshallese students. Our Marshallese knowledge, particularly through the proverbial meaning of Kanne Lobal provided so much inspiration and insight for the groups during the presentation which gave us hope and confidence to develop the framework. Kanne Lobal is an organic and indigenous approach, grounded in Marshallese ways of doing things (Heine, 2002; Taafaki & Fowler, 2019). Given the persistent presence of colonial processes within the education system and the constant reference to practices and initiatives from the US, Kanne Lobal for us provides a refreshing yet fulfilling experience and makes us feel warm inside because it is something that belongs to all Marshallese people. Conclusion Marshallese indigenous knowledge and practices provide meaningful educational and leadership understanding and learnings. They ignite, inspire, and transform thinking and practice. The Kanne Lobal conceptual framework emphasises key concepts and values necessary for collaborative partnerships within education and leadership practices in the RMI. The bwebwenato or talk stories have been insightful and have highlighted the strengths and benefits that our Marshallese ideas and practices possess when looking for appropriate and relevant ways to understand education and leadership. Acknowledgements We want to acknowledge our GCSL cohort of school leaders who have supported us in the development of Kanne Lobal as a conceptual framework. A huge kommol tata to our friends: Joana, Rosana, Loretta, Jellan, Alvin, Ellice, Rolando, Stephen, and Alan. References Benson, C. (2002). Preface. In F. Pene, A. M. Taufe’ulungaki, & C. Benson (Eds.), Tree of Opportunity: re-thinking Pacific Education (p. iv). Suva, Fiji: University of the South Pacific, Institute of Education. Bessarab, D., Ng’andu, B. (2010). Yarning about yarning as a legitimate method in indigenous research. International Journal of Critical Indigenous Studies, 3(1), 37-50. Fa’avae, D., Jones, A., & Manu’atu, L. (2016). Talanoa’i ‘a e talanoa - talking about talanoa: Some dilemmas of a novice researcher. AlterNative: An Indigenous Journal of Indigenous Peoples,12(2),138-150. Heine, H. C. (2002). A Marshall Islands perspective. In F. Pene, A. M. Taufe’ulungaki, & C. Benson (Eds.), Tree of Opportunity: re-thinking Pacific Education (pp. 84 – 90). Suva, Fiji: University of the South Pacific, Institute of Education. Infoplease Staff (2017, February 28). Marshall Islands, retrieved from https://www.infoplease.com/world/countries/marshall-islands Jetnil-Kijiner, K. (2014). Iep Jaltok: A history of Marshallese literature. (Unpublished masters’ thesis). Honolulu, HW: University of Hawaii. Kabua, J. B. (2004). We are the land, the land is us: The moral responsibility of our education and sustainability. In A.L. Loeak, V.C. Kiluwe and L. Crowl (Eds.), Life in the Republic of the Marshall Islands, pp. 180 – 191. Suva, Fiji: University of the South Pacific. Kupferman, D. (2004). Jelalokjen in flux: Pitfalls and prospects of contextualising teacher training programmes in the Marshall Islands. Directions: Journal of Educational Studies, 26(1), 42 – 54. http://directions.usp.ac.fj/collect/direct/index/assoc/D1175062.dir/doc.pdf Miller, R. L. (2010). Wa kuk wa jimor: Outrigger canoes, social change, and modern life in the Marshall Islands (Unpublished masters’ thesis). Honolulu, HW: University of Hawaii. Nabobo-Baba, U. (2008). Decolonising framings in Pacific research: Indigenous Fijian vanua research framework as an organic response. AlterNative: An Indigenous Journal of Indigenous Peoples, 4(2), 141-154. Nimmer, N. E. (2017). Documenting a Marshallese indigenous learning framework (Unpublished doctoral thesis). Honolulu, HW: University of Hawaii. Sanga, K., & Houma, S. (2004). Solomon Islands principalship: Roles perceived, performed, preferred, and expected. Directions: Journal of Educational Studies, 26(1), 55-69. Sanga, K., & Chu, C. (2009). Introduction. In K. Sanga & C. Chu (Eds.), Living and Leaving a Legacy of Hope: Stories by New Generation Pacific Leaders (pp. 10-12). NZ: He Parekereke & Victoria University of Wellington. Suaalii-Sauni, T., & Fulu-Aiolupotea, S. M. (2014). Decolonising Pacific research, building Pacific research communities, and developing Pacific research tools: The case of the talanoa and the faafaletui in Samoa. Asia Pacific Viewpoint, 55(3), 331-344. Taafaki, I., & Fowler, M. K. (2019). Clothing mats of the Marshall Islands: The history, the culture, and the weavers. US: Kindle Direct. Taufe’ulungaki, A. M. (2014). Look back to look forward: A reflective Pacific journey. In M. ‘Otunuku, U. Nabobo-Baba, S. Johansson Fua (Eds.), Of Waves, Winds, and Wonderful Things: A Decade of Rethinking Pacific Education (pp. 1-15). Fiji: USP Press. Thaman, K. H. (1995). Concepts of learning, knowledge and wisdom in Tonga, and their relevance to modern education. Prospects, 25(4), 723-733. Thaman, K. H. (1997). Reclaiming a place: Towards a Pacific concept of education for cultural development. The Journal of the Polynesian Society, 106(2), 119-130. Thiong’o, N. W. (1986). Decolonising the mind: The politics of language in African literature. Kenya: East African Educational Publishers. Vaioleti, T. (2006). Talanoa research methodology: A developing position on Pacific research. Waikato Journal of Education, 12, 21-34. Walsh, J. M., Heine, H. C., Bigler, C. M., & Stege, M. (2012). Etto nan raan kein: A Marshall Islands history (First Edition). China: Bess Press.

Background: Menopause phase in women is the time when menstrual cycle stops which is followed by obvious psychological and physical changes and occurs 3 – 4 years. The psychological and physical changes in menopause women will affect the quality of their life. Therefore, supports from the close people, especially from their husbands are needed. Objective: This study aimed to find out the correlation between husband support and the life quality of menopause women. The type of this research was quantitative research using correlation analysis with cross sectional approach with the total of 126 respondents. The technique used in taking the sample was Purposive sampling technique. Chi Square test was used as the bivariate test. Finding: The research finding showed that p-value was 0.032. Conclusion: There was a correlation between husband support and the life quality of menopause women. Suggestion: There should be a follow-up research about the factors which affect the life quality of menopause women such as psychological, physical aspects, social relationship and environment surrounding the menopause women.

Background: WHO predicts that there will be a menopause explosion in 2030 with around 1.2 billion women aged over 50 years. Most of them (about 80%) live in developing countries. The population of postmenopausal women is increasing by about three percent every year. Although menopause is a normal condition, it turns out that not all women can accept this well, one of which is related to sexual problems. Objective: To determine the factors that influence the sexual life of menopausal women in various countries based on the results of past studies. Method: Scoping Review which adapts the Arskey and O'Malley framework. This study took databases from PubMed, EbscoHost, and ProQuest. Results: There were 20 articles out of 2,415 selected based on inclusion and exclusion criteria. This research has 2 main themes, consisting of physical aspects and psycho-social aspects. Physical aspects that affect the sexual life of menopausal women are hot flushes, vaginal dryness, changes in body shape, insomnia, fatigue, and body image. Meanwhile, psycho-social aspects, in this case, include stress, depression, socio-culture, intimacy with partners, lack of social support, and lack of information and health services for menopausal women. Conclusion: The factors that affect the sexual life of menopausal women are a description of physical and psychological discomfort. The most dominant factors affecting the sexual life of menopausal women are hot flushes, vaginal dryness, body image, depression, lack of social support, and lack of information and health services for women during menopause. There is a need for further research on the factors that influence the sexual life of menopausal women in Indonesia to be more relevant to describe conditions in Indonesia. <p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0888/a.php" alt="Hit counter" /></p>

Menopause is one of the most distinctive and individualised aspects of health-related gendered ageing at work, which is important as more women than ever before are working through their entire menopause cycle. We turn to the life-span development model of Selection, Optimisation and Compensation (SOC), which has great potential to provide a more nuanced review of adaptive behavioural strategies for potential work-related resource loss due to menopause. In this paper, we provide evidence from two studies: Study 1 was an inductive analysis of 21 interviews; Study 2 tested a number of hypotheses emergent from study 1 on two survey samples (n=381). We found that women with severe menopause symptoms were adversely affected at work; however, the use of SOC alongside supervisory and female peer support, ameliorated the negative impact of physical menopause symptoms on work performance. We also identified that SOC use was actually detrimental to work performance when used to manage psychological menopause symptoms. Our findings advance the understanding of gendered ageing at work, specifically managing menopause at work, through the lens of SOC theory. We show how engaging in agentic adaptive behaviours can be both beneficial and detrimental for differentially managing physical and psychological menopause symptoms at work.

Abstract Background Oral health-related problems are highly prevalent and, like many other diseases, affect Quality of Life. Although most primary schools in Fiji have supervised school brushing programs and have regular screenings these preventive aspects are missing in secondary schools. Objective To assess the internal consistency reliability, face and content validity of the Child-OIDP questionnaire and determine the oral health-related quality of life in 15-year-olds in Suva, Fiji. Methods A cross-sectional prospective study was carried out on 15-year-old children from four secondary schools in Suva, Fiji from 2014 to 2015. All students enrolled in the 10th and 11th year of studies were included. Multi-stage cluster sampling was used to identify the participants and the sample size of 367 was calculated. The Child Oral Impact on Daily Performance (Child-OIDP) self-administered questionnaire was used to collect data and data was analyzed using Epi-Info (3.5.1). Results A total of 281 students (76.6%) responded, of whom 47.0% experienced at least one impact. Cronbach’s alpha for the Child-OIDP frequency items was 0.70 and the corrected item-total correlation ranged from 0.13 to 0.57. The most common performances that were affected were eating (27.8%) and relaxing (12.8%). Performances that were severely and most severely influenced were social contact (23.1%), smiling (16.7%) and relaxing (16.7%). The most common conditions leading to impacts were dental sensitivity (38.4%), dental caries (23.5%) and toothache (21.4%). Conclusion The original version of the Child-OIDP is a reliable index with acceptable internal consistency when used directly in the Fiji setting, however, further studies to validate the tool will be useful. Oral impacts were prevalent, but not severe.

AbstractThis article explores the soccer career of the ex-Fiji national-team player, Henry Dyer, and his post-retirement struggles. He experiences ‘fragmentation’ because of two ‘epiphanies’ (traumatic life-events)—his failure to get an elite coaching job after retirement and failure to secure an overseas playing-contract. After a period of fragmentation, when he cut all ties with the sport, he has reinvented himself as a caring person who, through the social and support club, Nadi Legends Club, visits ex-players going through illness. We also use Henry’s story as a gateway to explore (1) race and class aspects; and (2) masculinity issues. We look at the case through the theoretical lenses of symbolic interactionism and Foucault on power.

Purpose The purpose of this study is to evaluate student visual literacy skills using the newly designed visual literacy framework and visual literacy (VL) scale. Design/methodology/approach It includes a newly designed framework, a self-reporting questionnaire and a scale to evaluate an individual's VL skills and overall competency. The self-reporting questionnaire consists of 13 items with a five-point Likert scale. Findings The newly developed VL skill scale assessed the Fiji students’ competency (i.e. identify, understand, evaluate and communicate using visuals). The mean for the 13 items on VL skills showed average results, but 46.33% recorded high visual literacy competencies. The multiple linear regression analysis outcomes showed all 13 skills demonstrated significant contributions to becoming visually literate. Research limitations/implications The limitation of this study is that the questionnaire is self-reporting, so the evaluation can be highly rated. The implications are that relevant stakeholders will be able to devise strategies and content to improve visual literacy in Fiji. Practical implications Images are playing an important role today, especially after COVID-19, which forced the education system to go online. Online learning involves a lot of visuals, and as such, visual literacy is important to students so that they can successfully learn online. This paper brings out the important aspects of visual literacy, which needs to be understood by the students. Social implications In society, everything involves visuals. This paper introduces a visual literacy scale and a visual literacy tool to measure the visual competencies of individuals. If people understand the components of visual literacy, then visual competencies of the people will also improve. Originality/value To the best of the authors’ knowledge, this paper is the first one on evaluating visual literacy competencies in Fiji and also in the South Pacific. The visual literacy tool is also new to the world.

Purpose The purpose of this study is to evaluate student visual literacy skills using the newly designed visual literacy framework and visual literacy (VL) scale. Design/methodology/approach It includes a newly designed framework, a self-reporting questionnaire and a scale to evaluate an individual's VL skills and overall competency. The self-reporting questionnaire consists of 13 items with a five-point Likert scale. Findings The newly developed VL skill scale assessed the Fiji students’ competency (i.e. identify, understand, evaluate and communicate using visuals). The mean for the 13 items on VL skills showed average results, but 46.33% recorded high visual literacy competencies. The multiple linear regression analysis outcomes showed all 13 skills demonstrated significant contributions to becoming visually literate. Research limitations/implications The limitation of this study is that the questionnaire is self-reporting, so the evaluation can be highly rated. The implications are that relevant stakeholders will be able to devise strategies and content to improve visual literacy in Fiji. Practical implications Images are playing an important role today, especially after COVID-19, which forced the education system to go online. Online learning involves a lot of visuals, and as such, visual literacy is important to students so that they can successfully learn online. This paper brings out the important aspects of visual literacy, which needs to be understood by the students. Social implications In society, everything involves visuals. This paper introduces a visual literacy scale and a visual literacy tool to measure the visual competencies of individuals. If people understand the components of visual literacy, then visual competencies of the people will also improve. Originality/value To the best of the authors’ knowledge, this paper is the first one on evaluating visual literacy competencies in Fiji and also in the South Pacific. The visual literacy tool is also new to the world.

Introduction: The spread of the coronavirus has led to strict containment measures around the world, simply to restrict the gathering of a large number of people. In Fiji, the COVID-19 lockdown measures are affecting different social aspects, including crime rates and criminal activities. Methods: This study was based on a secondary analysis of aggregated crime data, presenting preliminary analyses on crime trends across the Fiji Islands, during the first six months of the curfew period. It considers how the crime patterns shifted due to the numerous containment restrictions. We studied the crime data during the first six months of the curfew period, starting from March 31 to September 30, 2020, against the average of crime occurrences for the same period over the last four years (2016-2019). Results and Discussion: The study shows an overall increase of 18.8% in crime occurrences, during the curfew period. The disobedience against lawful orders were largely made up of curfew breaches (with an astounding increase of 2602 cases), with the southern and western divisions registering the majority of offences. The study also provides evidence of a decrease in offences against public morality (-41.7%) and property (-26.8%) during the curfew period, which could most likely be linked to strict stay-home restrictions and limited mobility. Criminal offences such as burglary (-24.6%), theft (-22%) and aggravated robbery (-23.3%) show a decreasing trend in the curfew period. However, a worrying increase in offences against the drugs ordinance act (104.4%), common assault (28.6%), serious assault (97.4%) and criminal intimidation (36.8%) is noted in this study. It could be interpreted that the central division (-46.4%) was possibly the safest area in Fiji during the first few months of the curfew, while the southern (17.9%) and western (29.2%) continue to show an increasing crime trend. Conclusion: The findings of this research are consistent with the predictions of the routine activity theory, which estimates crime rates to fluctuate during an exceptional event. Regardless of some limitations and directions for future research, the current study contributes to the literature on exceptional events and crime through an ongoing pandemic in the South Pacific. Keywords: Coronavirus, Fiji, lockdown, crime rates

Introduction: Menopause means permanent cessation of menstruation at the end of reproductive life. With the increase in life expectancy, women spend one-third of their life in menopausal period. Menopausal women face problems like hot flushes, feeling accomplished, poor memory, tiredness, joint pain, weak physical strength, lack of energy, avoiding intimacy, and vaginal dryness. Due to these the physical, psychosocial, and sexual health-related aspects get deteriorated. Aim: To assess the effect of postmenopausal symptoms on health-related quality of life among women. Materials and Methods: A cross-sectional research design was used, and 168 postmenopausal women, were selected following home visits at selected rural areas of Central Gujarat and Saurashtra, India. Women in the age group of 40-60 years, who had completed seven years of natural menopausal period were eligible for the study. The Menopause Specific Quality of Life Questionnaire was used and statistical analysis was done using Statistical Package for Social Sciences (SPSS) Version 20.0. Results: Mean age of the postmenopausal women was 76.93 years. The majority 85 (50.6%) had completed their primary education. The most commonly found postmenopausal symptoms were feeling tired 153 (91.07%), loss of physical strength 153 (91.07%), and lack of energy 153 (91.07%). The mean score for vasomotor domain was 5.34±1.91, sexual domain 4.31±1.69, psychosocial domain 4.07±1.44, and physical domain was 3.85±1.10. The majority of the postmenopausal symptoms were related to the vasomotor domain. Conclusion: The present study findings concluded that all domains’ symptoms negatively impacted a women’s quality of life.The majorly affected domain was vasomotor, while least affected was physical domain.

Alzheimer’s disease is the most common type of dementia, being highly prevalent in elderly women. The advanced progression may be due to decreased hormone synthesis during post-menopause as estradiol and progesterone both have neuroprotective potentials. We aimed to confirm that female hormone depletion aggravates the progression of dementia in a triple transgenic mouse model of Alzheimer’s disease (3xTg-AD). As pathological hallmarks are known to appear in 6-month-old animals, we expected to see disease-like changes in the 4-month-old 3xTg-AD mice only after hormone depletion. Three-month-old female 3xTg-AD mice were compared with their age-matched controls. As a menopause model, ovaries were removed (OVX or Sham surgery). After 1-month recovery, the body composition of the animals was measured by an MRI scan. The cognitive and anxiety parameters were evaluated by different behavioral tests, modeling different aspects (Y-maze, Morris water maze, open-field, social discrimination, elevated plus maze, light–dark box, fox odor, operant conditioning, and conditioned fear test). At the end of the experiment, uterus was collected, amyloid-β accumulation, and the cholinergic system in the brain was examined by immunohistochemistry. The uterus weight decreased, and the body weight increased significantly in the OVX animals. The MRI data showed that the body weight change can be due to fat accumulation. Moreover, OVX increased anxiety in control, but decreased in 3xTg-AD animals, the later genotype being more anxious by default based on the anxiety z-score. In general, 3xTg-AD mice moved less. In relation to cognition, neither the 3xTg-AD genotype nor OVX surgery impaired learning and memory in general. Despite no progression of dementia-like behavior after OVX, at the histological level, OVX aggravated the amyloid-β plaque deposition in the basolateral amygdala and induced early cholinergic neuronal fiber loss in the somatosensory cortex of the transgenic animals. We confirmed that OVX induced menopausal symptoms. Removal of the sexual steroids aggravated the appearance of AD-related alterations in the brain without significantly affecting the behavior. Thus, the OVX in young, 3-month-old 3xTg-AD mice might be a suitable model for testing the effect of new treatment options on structural changes; however, to reveal any beneficial effect on behavior, a later time point might be needed.

Metabolic and reproductive disorders are pervasive all over the world. There are common causes between them as obesity, the surplus of nutrients, and reduced energy expenditure. Depending on the amount and location of body fat, obesity has severe repercussions for the reproductive system. Obesity is linked to menstruation abnormalities, infertility, miscarriage, poor pregnancy outcomes, reduced fetal well-being, and diabetes mellitus. Their consequences have an impact on a huge portion of the reproductive population. Individuals and society bear a huge social, medical, and economic burden due to reproductive and metabolic disorders. Diabetes causes multiple ranges of reproductive health disorders, like delayed puberty and menarche, menstrual cycle abnormalities, subfertility, poor pregnancy outcomes, and perhaps early menopause. Reproductive disorders are conditions that disturb the reproductive system, such as infections of the reproductive tract, congenital anomalies, reproductive system malignancies, and sexual dysfunction. Obesity, hyperlipidemia, insulin resistance, hepatic steatosis, and hypertension are examples of metabolic disorders, which are diseases characterized by metabolic malfunction and abnormal energy homeostasis. Each disease has its specific physiological and clinical signs; they share some pathological aspects as over nutrition, which is commonly exacerbated by a modern, sedentary lifestyle, causes intracellular stress and inflammation due to metabolic disruption. Because of chemical therapies' adverse effects, natural products are becoming more popular as alternative options to chemical therapies. Nano sizing can improve the solubility, bioavailability, and effectiveness of any product. In this review, we discuss the relationship in some types of metabolic and reproductive disorders of both males and females by summarizing in vivo and in vitro studies and focusing on nano-natural products or their involvement in treatment. Suggesting further studies explaining the potential impact of some nano elements and molecular, metabolic parameters and their role in reproduction. Supplementing the female or male reproductive system would be highly advisable and valuable.

The Covid-19 pandemic has caused a great change in the world. One aspect of the pandemic is its effect on Educational systems. Educators have had to shift to a pure online based system. This shift has been sudden and without any prior warning. Despite this the Educational system has survived and exhibited resilience. The resilience of a system can be determined if the system continues to operate or function as effectively as before a change. Resilience in a system implies the ability to work and develop when the forces in the environment are unexpected, abrupt and sudden as well. The environment may change or evolve but the underlying system must keep functioning, developing and responding. Resilience is a trait in a system. It is a set of characteristics in the system that enables it to sustain itself in the face of change. A resilient system can cope and prosper in the face of change. For the domain of education, the Covid-19 pandemic served as a phenomenal change event and a wakeup call to the education fraternity. As a social system, resilience meant that the people in the educational environment continued to function albeit differently. The environment, meaning the processes, hierarchy and the intricate social ties in the system contributed to the resiliency of the system. Thus the measure of resilience in education has three major facets—people, the technology which facilitates the process and the process environment. This work aims to understand the resilience of the teachers due to the Covid-19 pandemic, especially how learning continued and what contributed to this continuity. Resilience research and understanding is as important as the pedagogical and technological aspects in an Educational system as it is a trait that encompasses the people, the socio-economic system and their relationships. In this work, we analyzed resilience as trait, its relevance in an Educational system, factors that make up resilience in an Educational system and finally the relevant research about resilience in Education during Covid-19. Based on the results of our literature review we formed a model for Educators. A survey was conducted among educators of three countries namely Malaysia, Fiji, and India to determine the essential elements of resilience that were relevant to the continuity of an educational system from the point of view of teachers. We arrived at a set of factors that are relevant to the teachers in the educational systems which can be an impetus for policy makers to focus on and develop. The major results from the study are the need for Educational systems to focus on three facets—internal, interpersonal and external aspects of teachers and strengthen factors such as support for teachers, strong academic leadership, trust of teachers, increase self-motivation, enhance communication with stakeholders and emphasize systems that enhance student-teacher communication. The future areas of research are also discussed in the work.

Welcome to this special issue titled “Women’s Life and Trauma in Individual and Collective Narratives” of the East European Journal of Psycholinguistics. Narratives, both oral and written, play an important role in helping the individual make sense of their lives and the world they live in. Narrative research is focused on the elicitation and interpretation of people’s narrative accounts of their lived experiences. In recent decades, there has been an enormous growth in the use of narrative inquiry and narrative-based research with diverse theoretical orientations and methodologies grounded in various disciplines of the social sciences and humanities including anthropology, psychology, psycholinguistics, sociology, history and literary studies as well as in medicine and clinical research (Chase, 2005, 2011; Holstein & Gubrium, 2012; Kleinman, 1988; Charon, 2006). According to Chase (2005), most narrative researchers treat narrative as a distinctive form of discourse that shapes meaning through the concerted ordering of story material with speakers providing particular understandings of personal action and experiences by organizing events and objects into meaningful patterns, connecting subjects, actions, events, and their consequences over time. As narrative research has become increasingly complex and rigorous, this special issue was planned to gain insight into the narrative research being conducted by international scholars with a focus on women and trauma, broadly defined. The call for papers attracted many high-quality submissions from authors representing various countries. The special issue contains a collection of ten papers, each providing a unique perspective and understanding of trauma in women’s lives and its reflection in narrative inquiry. Just as women’s voices are varied, so too are the narratives presented. Women are represented as narrators; as subjects of the narration and as characters in the narrative. The authors also present a broad spectrum of approaches to the empirical analysis of narrative material ranging from social media content, life stories, clinical and educational interventions, and literary works. In the first paper of the special issue, Bifulco’s article seeks to explore links between selected investigative child abuse interview accounts using narratives elicited through the Childhood Experience of Care and Abuse (CECA) clinical interview guide and analyzed using the Linguistic Inquiry and Word Counts (LIWC) text analysis programme (Francis & Pennebaker, 1992) which identifies characteristics of speech associated with trauma. Her paper examines the potential of combining these approaches to systematically analyze and interpret trauma narratives. In the second article, the contextual backdrop for the narratives is the COVID-19 pandemic. In her article, Kostruba analyzes narratives collected online to gain an understanding of how specific social restrictions, stay-at-home orders particular to the pandemic affected all aspects of life including psychological well-being. Her study also used LIWC psycholinguistic analysis of these current pandemic narratives to identify markers of traumatic experience and identify possible gender differences in the ways women experienced (and continue to experience) the COVID-19 global pandemic. The importance of social and cultural context is apparent in the next article which draws on literary texts as the source material. For Aguilar Lopez & Miguel Borge, the drama The Gold Ribbon by María Manuela Reina, written and situated in the 1980s, a decade that for Spain implied a more obvious abandonment of the most traditional conceptions of the role of women, serves as the unit of analysis. The authors describe the divergent worldview models of the older versus younger characters, reflecting both a generational and gender divide around topics such as success, infidelity, and matrimony. Aguilar Lopez & Miguel Borge aim to identify if, how and why the dramatist is able to reach out to the general public through her play to create social awareness and give voice to the women who rebelled against the traditional social and gender roles. The next paper in this series focuses on the emerging field of post-traumatic growth (PTG) defined by Tedeschi & Calhoun (2004) as a “positive psychological change experienced as a result of the struggle with highly challenging circumstances.” Drawing on therapeutic narratives from women participating in a psychotherapy workshop, Lushyn & Sukhenko utilize dialectical understanding and discourse analysis to identify and assess the women’s descriptions and definitions associated with post-traumatic development and growth with a further attempt to provide practical implications for psychological practice. A set of the articles (#5-7) in this special issue target traumas associated with transition, be it gender transition or women and girls transitioning to another life phase (adolescence; menopause) and the emotional, social and cultural experiences connected to these transitions. Martynyuk’s article combines methodological tools of conceptual metaphor theory and narrative psychology with theoretical assumptions of the intersubjective psycholinguistic approach to meaning making and exploring transgender transition narrative metaphors. Her dataset consists of 16 TED talks videos by transgender individuals discussing their experiences of transitioning which provide Martynyuk the opportunity to conduct a narrative and visual analysis of the metaphors that are given coherence by the textual, social, cultural, and historical context of the narrative, as well as by the interactive situational context reflected in the video recordings. The article by Nair & George puts the menopausal woman as the focus of the narrative inquiry. The authors interviewed a group of male spouses about their knowledge, attitudes and beliefs about perimenopause and their experiences associated with the physical, psychological, and social changes occurring in the lives of their wives. The menopausal transition can be a period of stress, even lead to trauma if left unnoticed or unsupported. Nair & George used qualitative data software to analyze the interview data and thematic analysis to arrive at themes which could inform programs which could raise awareness about the perimenopausal and menopausal life stages of women to help both partners understand and cope with the individual, family and societal changes which occur during this life period. On the opposite end of the life spectrum, Shirazi et al, investigate whether narrative-based interventions in the school context can increase children’s emotional intelligence (EI) and whether oral and written narrative elements have a different effect on students' EI. The underlying premise is that children share their emotional experiences through narratives and stories and high-quality narratives are beneficial for children’s wellbeing and development. The research project was conducted with almost one hundred 12-year old Iranian girls who attend Yasuj city schools in southwestern Iran. Results highlighted the importance of oral and combined oral/written language modes and their merged narrative elements on the development of emotional intelligence, particularly for children who are in the language minority. The final set of articles (#8-10) make use of nostalgia and intergenerational narratives of historical trauma. Todorova & Padareva-Ilieva apply an interdisciplinary and multimodal approach to describe and classify written messages and images collected through social media in Bulgaria during the COVID-19 pandemic crisis. Findings revealed that much of the communications through social media during that period was largely nostalgic and that the main role of the Facebook social media platform is to unite people in times of isolation, to raise their spirit and save them from the traumatic experience they may encounter during a global health crisis. Zaporozhets & Stodolinska analyze the concept of border through a content analysis of the Little House children’s book series which are narrated from the lived experiences and perspective of the author Laura Ingalls Wilder based on her childhood in a settler and pioneer family in the United States in the late 1800s. The territorial and metaphorical borders depicted in Wilder’s works are interwoven and influenced by her reminiscences of historical, biographical, gender, and psychological peculiarities. This journal issue concludes with a cross-cultural analysis of narrative reflections associated with two 20th century genocides: the Holodomor in Ukraine (1932-1933), and the Holocaust (1939-1944). Zasiekina et al recruited second (“mothers”) and third (“daughters”) generations of Holodomor and Holocaust descendants in Ukraine and Israel to share their family narratives and experiences of the genocide. The study applied inductive thematic analyses that progressed from description to interpretation, and showed the centrality of five emerging themes in both mothers’ and daughters’ narratives. The findings of their research have important implications for future practice of creating narratives with survivors of massive trauma and their offspring and stress the importance of creating a traumatic narrative to aid the healing process resulting from the transmission of historical and collective trauma and provides direction for clinical providers in designing treatment plans for individuals with genocide in their life history. In summary, the articles that make up this special journal issue reinforce the view that narrative research and inquiry provides researchers and clinicians multiple lenses and approaches through which to analyze and interpret narrative data. The subsequent results of each narrative analysis can give voice to a broad range of women and girls, while at the same time guide policy and inform educational interventions and therapeutic programs.

In the morning of 5 May 2014, over sixty people took their seats in the cosy conference hall of the Holiday Villa Beach Resort and Spa Langkawi, to witness the opening ceremony of the THIC 2014 on the theme: Dimensions of Sustainability in the Planning, Development and Management of Tourism and Hospitality Industry. The Deputy Secretary General, Ministry of Tourism and Culture Malaysia, Rashidi Hasbullah, officiated at the ceremony and joined the conference Chair Dr. Shaharuddin Tahir in welcoming participants from over a dozen countries, mostly Malaysians, Indonesians and Thais, who were also collaborators in organising the meeting. As a display of regional fraternity, the Thai and Malaysian contingents took turns to entertain attendees with a repertoire of traditional dances. This social warm up was to be continued in the evening when UUM Dean of Tourism and Hospitality, Dr. Basri Rashid, played host at a dinner given by the Langkawi Development Authority (LADA). The theme on sustainability was a timely choice given the growing interest in Langkawi and the industry at large in green tourism and the issues of sustainability. Altogether, sixty-seven papers were presented but few addressed the theme explicitly. To be sure, most papers touched on aspects of tourism and hospitality management which were linked, directly or indirectly, to the general concept of sustainable development. Most of the papers that dealt with sustainability issues were contributed by tourism researchers and this preponderance was well reflected in the keynote addresses with three of the four papers focusing on tourism. The only keynote address from a hospitality perspective was a presentation by Dr. Yusak Anshori (Universitas Ciputra) who spoke on sustainable hotel business through environment friendly practices such as a ban on smoking and commercialised recycling of waste material. He observed that although there was a general skepticism if not rejection of the radical approach to ban smoking in the Surabaya Plaza Hotel while he was in charge, the management was able to secure ample sustenance from the segment of market that favoured a smoke-free facility. The three keynote papers that discussed sustainable tourism began with Kadir Din’s address which provided an overview of the concept, current thinking on the subject, and its application on the conference site, Langkawi Island. In his view, the three pillars of sustainability as commonly presented in the literature were arguably too general to capture the influence of context-specific features which may appear to be more localised such as location in areas prone to natural hazards, inept leadership, political instability and technological change. In the case of Langkawi, he considered resource limitations (water, space, power, food supply) to be possible impediments to sustainable tourism, besides a dozen other dimensions which may constrain the capacity of the island to cater to the needs of the visitor. The second address by Kalsom Kayat traced the evolution of the concept “sustainable tourism development” which was linked to the concept of balanced development as promulgated through activities organised by the Club of Rome in 1972. The concern with economic growth was whether it could be sustained in terms of the positive and negative consequences, inluding the impacts of development on the well being of future generations. A desirable model for community-based tourism would be a situation in which the entire community consisting of heterogeneous groups of stakeholders are empowered to plan for their own future with collective community welfare in mind. To do this, there must be appropriate policies, standards and institutional arrangements. As illustrations, Kalsom described examples from four different contexts in Thailand, Nepal, China and Fiji, which together presented a range of cases with different literacies, capacities and degrees of consensus in the community, indicating non-homogeneity among host stakeholders. Institutional support from the state is thus clearly needed to harmonise the needs of hosts and guests for now and the future. The next keynote speaker, Manat Chaisawat, is a familiar figure in the ASEAN tourism circle. His long established involvement in the tourism training gave him enough exposure to recall many regional pronouncements and institutional networks which were always promising on paper, but left much to be desired on the ground. Acharn Manat recounted many initiatives articulated in documents issued by the ASEAN Economic Community (AEC), and Indonesia, Malaysia, Thailand Growth Triangle (IMT-GT) since the 1980s. These regional bodies organised meetings where roadmaps, blueprints and strategic development models were presented, but as the THIC 2014 conference participants were fully aware, there had hardly been much meat that could be appreciated on the ground other than the initiatives which arose from private enterprises. Manat and the other keynote speakers were fortunate to be able to enjoy gratis the luxury of lodging at the Frangipani Langkawi Resort & Spa where innovations towards sustainable hospitality were being experimented as he had happily complimented during his keynote speech. The beaches to the east of Frangipani were probably cleaner than Waikiki, thanks to the operator Anthony Wong who continues to pursue green hospitality as his lifelong corporate goal. My own quick stroll on the beach abutting the venue of the THIC 2014 conference however, revealed a contrasting situation. I saw site occupiers engaged in open burning at the edge of a beachfront property. Along the beach there were plastic and styrofoam litters that could be seen on the spot which was ostensibly one of the best beaches on the island. The idea of acquiring a strip for a pedestrian walk, in line with the Langkawi Blueprint initiatives was strongly opposed by the local community. In this sense, Kalsom was correct in the observation that there was rarely a consensus in the community but there must be a common understanding among locals, tourists and industry insiders, before any blueprint can be effectively translated into a harmonious management of the environment. Manat’s expressed desire to see the development of a sacred heritage trail in honour of an eminent Buddhist monk Luang Pu Tuad was understandable given his religious background. The challenge here, however, was how to persuade the host community to share his sentiment that such a trail which would circumambulate non-Buddhist areas would be for the common good. My own reaction, from the lens of a believer in the wasatiyyah (moderate) approach, was that it was a great idea. Discussing the subject after his presentation, I also raised the need to promote heroines Mok and Chan, the two Malay sisters who are valourised in a downtown statue, in honour of their contributions to the provincial government of Phuket during their war of liberation from Burma. The last time I met Manat was in Pusan (Korea) where we were guests of honour as founding members of the Asia-Pacific Tourism Research Association. I subsequently attended a tourism conference and later a meeting he organised in Phuket which allowed me the opportunity to visit Kamala Beach where Aisyah the descendent of Mahsuri lived. Such was my networking with an old scholar who is now in his seventies. As we parted with a big hug at the Padang Matsirat airport, my hope was that we will meet again, so that we can continue to “gaze across the cultural border” as I had written in a presentation entitled “Gazing across the border from Sintok” in a regional meeting of a similar kind, held both in Sintok and Haatyai several years ago. My desire is that such meetings will strengthen interest among researchers in Malaysia to look beyond the Malaysian context. In so doing, they will also be interested in looking beyond the confines of their own cultural sphere, to be in a position to know and eventually accept the other. For me, this is the only way forward for a harmonious, and through that, a prosperous Malaysia. At the risk of being stigmatized by Non-Muslim readers, I must confess that I am fully committed to Prophet Muhammad’s teaching that one should not subscribe to groupism or asabiyyah. This is the way forward for a sustainable Malaysian society. If we go by the theme of the conference, there seems to be little interest in interrogating any of the multifarious dimensions of sustainable tourism, not even in the three presumed pillars—economic, social and environmental. Looking at the key words of papers, only six of the sixty-three papers mentioned sustainable or sustainability and among them only three had mindfully used the term. When a series of announcement on the conference was made almost a year earlier the subscript was intended to draw a wide audience who would be in the position to share ideas on their respective perspectives on sustainable tourism development since the concept in the subscript can be read as a catch-all tagline intended to persuade prospective participants to attend the gathering. In this sense, the organisers had succeeded in securing that critical mass of some eighty attendees, but in terms of sharing ideas and networking on sustainable tourism and hospitality the THIC series must await many more meetings before this interest in grand ideas and frameworks can gather the momentum it deserves. To be sure, as Kalsom said of the non-homegeneity of the host community, there was a non-homegeneity of attendees, with some showing spirited interest in the sustainability theme while others were more interested in the experience visiting Langkawi, period. As the meeting came to a close with a brief parting message from the conference Chair Shaharuddin and Dean Basri, we were left with a measure of excitement–on the prospect of meeting again for the THIC 2015 in Surabaya. As I write this report, there was an announcement on TV on the discovery of debris from Air Asia carrier flight QZ 8501 which left Surabaya two days earlier. It left us ordinary mortals with a tinge of sadness, but now that more people know the city called Surabaya, we hope our prospective co-organiser at Universitas Cipura will rekindle the regional IMT-GT spirit that we have tried to build together in Phuket, Haatyai and Langkawi.

Introduction: Conceptualizing DisabilityThe two most prominent models for understanding disability are the medical model and the social model (“Disability”). The medical model locates disability in the person and emphasises the possibility of a cure, reinforcing the idea that disability is the fault of the disabled person, their body, their genes, and/or their upbringing. The social model, formulated as a response to the medical model, presents disability as a failure of the surrounding environment to accommodate differently abled bodies and minds. Closely linked to identity politics, the social model argues that disability is not a defect to be fixed but a source of human experience and identity, and that to disregard the needs of people with disability is to discriminate against them by being “ableist.”Both models have limitations. On the one hand, simply being a person with disability or having any other minority identity/-ies does not by itself lead to exclusion and discrimination (Nocella 18); an element of social valuation must be present that goes beyond a mere numbers game. On the other hand, merely focusing on the social aspect neglects “the realities of sickness, suffering, and pain” that many people with disability experience (Mollow 196) and that cannot be substantially alleviated by any degree of social change. The body is irreducible to discourse and representation (Siebers 749). Disability exists only at the confluence of differently abled minds and bodies and unaccommodating social and physical environs. How a body “fits” (my word) its environment is the focus of the “ecosomatic paradigm” (Cella 574-75); one example is how the drastically different environment of Cormac McCarthy’s The Road (2006) reorients the coordinates of ability and impairment (Cella 582–84). I want to examine a novel that, conversely, features a change not in environment but in body.Alien LegsTim Farnsworth, the protagonist of Joshua Ferris’s second novel, The Unnamed (2010), is a high-powered New York lawyer who develops a condition that causes him to walk spontaneously without control over direction or duration. Tim suffers four periods of “walking,” during which his body could without warning stand up and walk at any time up to the point of exhaustion; each period grows increasingly longer with more frequent walks, until the fourth one ends in Tim’s death. As his wife, Jane, understands it, these forced excursions are “a hijacking of some obscure order of the body, the frightened soul inside the runaway train of mindless matter” (24). The direction is not random, for his legs follow roads and traffic lights. When Tim is exhausted, his legs abruptly stop, ceding control back to his conscious will, whence Tim usually calls Jane and then sleeps like a baby wherever he stops. She picks him up at all hours of the day and night.Contemporary critics note shades of Beckett in both the premise and title of the novel (“Young”; Adams), connections confirmed by Ferris (“Involuntary”); Ron Charles mentions the Poe story “The Man of the Crowd” (1845), but it seems only the compulsion to walk is similar. Ferris says he “was interested in writing about disease” (“Involuntary”), and disability is at the core of the novel; Tim more than once thinks bitterly to himself that the smug person without disability in front of him will one day fall ill and die, alluding to the universality of disability. His condition is detrimental to his work and life, and Stuart Murray explores how this reveals the ableist assumptions behind the idea of “productivity” in a post-industrial economy. In one humorous episode, Tim arrives unexpectedly (but volitionally) at a courtroom and has just finished requesting permission to join the proceedings when his legs take him out of the courtroom again; he barely has time to shout over his shoulder, “on second thought, Your Honor” (Ferris Unnamed 103). However, Murray does not discuss what is unique about Tim’s disability: it revolves around walking, the paradigmatic act of ability in popular culture, as connoted in the phrase “to stand up and walk.” This makes it difficult to understand Tim’s predicament solely in terms of either the medical or social model. He is able-bodied—in fact, we might say he is “over-able”—leading one doctor to label his condition “benign idiopathic perambulation” (41; my emphasis); yet the lack of agency in his walking precludes it from becoming a “pedestrian speech act” (de Certeau 98), walking that imbues space with semiotic value. It is difficult to imagine what changes society could make to neutralize Tim’s disability.The novel explores both avenues. At first, Tim adheres to the medical model protocol of seeking a diagnosis to facilitate treatment. He goes to every and any (pseudo)expert in search of “the One Guy” who can diagnose and, possibly, cure him (53), but none can; a paper in The New England Journal of Medicine documents psychiatrists and neurologists, finding nothing, kicking the can between them, “from the mind to body back to the mind” (101). Tim is driven to seek a diagnosis because, under the medical model, a diagnosis facilitates understanding, by others and by oneself. As the Farnsworths experience many times, it is surpassingly difficult to explain to others that one has a disease with no diagnosis or even name. Without a name, the disease may as well not exist, and even their daughter, Becka, doubts Tim at first. Only Jane is able to empathize with him based on her own experience of menopause, incomprehensible to men, gesturing towards the influence of sex on medical hermeneutics (Mollow 188–92). As the last hope of a diagnosis comes up empty, Tim shifts his mentality, attempting to understand his condition through an idiosyncratic idiom: experiencing “brain fog”, feeling “mentally unsticky”, and having “jangly” nerves, “hyperslogged” muscles, a “floaty” left side, and “bunched up” breathing—these, to him, are “the most precise descriptions” of his physical and mental state (126). “Name” something, “revealing nature’s mystery”, and one can “triumph over it”, he thinks at one point (212). But he is never able to eschew the drive toward understanding via naming, and his “deep metaphysical ache” (Burn 45) takes the form of a lament at misfortune, a genre traceable to the Book of Job.Short of crafting a life for Tim in which his family, friends, and work are meaningfully present yet detached enough in scheduling and physical space to accommodate his needs, the social model is insufficient to make sense of, let alone neutralize, his disability. Nonetheless, there are certain aspects of his experience that can be improved with social adjustments. Tim often ends his walks by sleeping wherever he stops, and he would benefit from sensitivity training for police officers and other authority figures; out of all the authority figures who he encounters, only one shows consideration for his safety, comfort, and mental well-being prior to addressing the illegality of his behaviour. And making the general public more aware of “modes of not knowing, unknowing, and failing to know”, in the words of Jack Halberstam (qtd. in McRuer and Johnson 152), would alleviate the plight not just of Tim but of all sufferers of undiagnosed diseases and people with (rare forms of) disability.After Tim leaves home and starts walking cross-country, he has to learn to deal with his disability without any support system. The solution he hits upon illustrates the ecosomatic paradigm: he buys camping gear and treats his walking as an endless hike. Neither “curing” his body nor asking accommodation of society, Tim’s tools mediate a fit between body and environs, and it more or less works. For Tim the involuntary nomad, “everywhere was a wilderness” (Ferris Unnamed 247).The Otherness of the BodyProblems arise when Tim tries to fight his legs. After despairing of a diagnosis, he internalises the struggle against the “somatic noncompliance” of his body (Mollow 197) and refers to it as “the other” (207). One through-line of the novel is a (failed) attempt to overcome cartesian duality (Reiffenrath). Tim divides his experiences along cartesian lines and actively tries to enhance while short-circuiting the body. He recites case law and tries to take up birdwatching to maintain his mind, but his body constantly stymies him, drawing his attention to its own needs. He keeps himself ill-clothed and -fed and spurns needed medical attention, only to find—on the brink of death—that his body has brought him to a hospital, and that he stops walking until he is cured and discharged. Tim’s early impression that his body has “a mind of its own” (44), a situation comparable to the Strange Case of Dr Jekyll and Mr Hyde (1886; Ludwigs 123–24), is borne out when it starts to silently speak to him, monosyllabically at first (“Food!” (207)), then progressing to simple sentences (“Leg is hurting” (213)) and sarcasm (“Deficiency of copper causes anemia, just so you know” (216)) before arriving at full-blown taunting:The other was the interrogator and he the muttering subject […].Q: Are you aware that you can be made to forget words, if certain neurons are suppressed from firing?A: Certain what?Q: And that by suppressing the firing of others, you can be made to forget what words mean entirely? Like the word Jane, for instance.A: Which?Q: And do you know that if I do this—[inaudible]A: Oof!Q: —you will flatline? And if I do this—[inaudible]A: Aaa, aaa…Q: —you will cease flatlining? (223–24; emphases and interpolations in original except for bracketed ellipsis)His Jobean lament turns literal, with his mind on God’s side and his body, “the other”, on the Devil’s in a battle for his eternal soul (Burn 46). Ironically, this “God talk” (Ferris Unnamed 248) finally gets Tim diagnosed with schizophrenia, and he receives medication that silences his body, if not stilling his legs. But when he is not medicated, his body can dominate his mind with multiple-page monologues.Not long after Tim’s mind and body reach a truce thanks to the camping gear and medication, Tim receives word on the west coast that Jane, in New York, has terminal cancer; he resolves to fight his end-of-walk “narcoleptic episodes” (12) to return to her—on foot. His body is not pleased, and it slowly falls apart as Tim fights it eastward cross-country. By the time he is hospitalized “ten miles as the crow flies from his final destination”, his ailments include “conjunctivitis”, “leg cramps”, “myositis”, “kidney failure”, “chafing and blisters”, “shingles”, “back pain”, “bug bites, ticks, fleas and lice”, “sun blisters”, “heatstroke and dehydration”, “rhabdomyolysis”, “excess [blood] potassium”, “splintering [leg] bones”, “burning tongue”, “[ballooning] heels”, “osteal complications”, “acute respiratory distress syndrome”, “excess fluid [in] his peritoneal cavity”, “brain swelling”, and a coma (278–80)—not including the fingers and toes lost to frostbite during an earlier period of walking. Nevertheless, he recovers and reunites with Jane, maintaining a holding pattern by returning to Jane’s hospital bedside after each walk.Jane recovers; the urgency having dissipated, Tim goes back on the road, confident that “he had proven long ago that there was no circumstance under which he could not walk if he put his mind to it” (303). A victory for mind over body? Not quite. The ending, Tim’s death scene, planned by Ferris from the beginning (Ferris “Tracking”), manages to grant victory to both mind and body without uniting them: his mind keeps working after physical death, but its last thought is of a “delicious […] cup of water” (310). Mind and body are two, but indivisible.Cartesian duality has relevance for other significant characters. The chain-smoking Detective Roy, assigned the case Tim is defending, later appears with oxygen tank in tow due to emphysema, yet he cannot quit smoking. What might have been a mere shortcut for characterization here carries physical consequences: the oxygen tank limits Roy’s movement and, one supposes, his investigative ability. After Jane recovers, Tim visits Frank Novovian, the security guard at his old law firm, and finds he has “gone fat [...] His retiring slouch behind the security post said there was no going back”; recognising Tim, Frank “lifted an inch off [his] chair, righting his jellied form, which immediately settled back into place” (297; my emphases). Frank’s physical state reflects the state of his career: settled. The mind-body antagonism is even more stark among Tim’s lawyer colleagues. Lev Wittig cannot become sexually aroused unless there is a “rare and extremely venomous snak[e]” in the room with no lights (145)—in direct contrast to his being a corporate tax specialist and the “dullest person you will ever meet” (141). And Mike Kronish famously once billed a twenty-seven-hour workday by crossing multiple time zones, but his apparent victory of mind over matter is undercut by his other notable achievement, being such a workaholic that his grown kids call him “Uncle Daddy” (148).Jane offers a more vexed case. While serving as Tim’s primary caretaker, she dreads the prospect of sacrificing the rest of her life for him. The pressures of the consciously maintaining her wedding vows directly affects her body. Besides succumbing to and recovering from alcoholism, she is twice tempted by the sexuality of other men; the second time, Tim calls her at the moment of truth to tell her the walking has returned, but instead of offering to pick him up, she says to him, “Come home” (195). As she later admits, asking him to do the impossible is a form of abandonment, and though causality is merely implied, Tim decides a day later not to return. Cartesian duality is similarly blurred in Jane’s fight against cancer. Prior to developing cancer, it is the pretence for Tim’s frequent office absences; she develops cancer; she fights it into remission not by relying on the clinical trial she undergoes, but because Tim’s impossible return inspires her; its remission removes the sense of urgency keeping Tim around, and he leaves; and he later learns that she dies from its recurrence. In multiple senses, Jane’s physical challenges are inextricable from her marriage commitment. Tim’s peripatetic condition affects both of them in homologous ways, gesturing towards the importance of disability studies for understanding the experience both of people with disability and of their caretakers.Becka copes with cartesian duality in the form of her obesity, and the way she does so sets an example for Tim. She gains weight during adolescence, around the time Tim starts walking uncontrollably, and despite her efforts she never loses weight. At first moody and depressed, she later channels her emotions into music, eventually going on tour. After one of her concerts, she tells Tim she has accepted her body, calling it “my one go-around,” freeing her from having to “hate yourself till the bitter end” (262) to instead enjoy her life and music. The idea of acceptance stays with Tim; whereas in previous episodes of walking he ignored the outside world—another example of reconceptualizing walking in the mode of disability—he pays attention to his surroundings on his journey back to New York, which is filled with descriptions of various geographical, meteorological, biological, and sociological phenomena, all while his body slowly breaks down. By the time he leaves home forever, he has acquired the habit of constant observation and the ability to enjoy things moment by moment. “Beauty, surprisingly, was everywhere” (279), he thinks. Invoking the figure of the flâneur, which Ferris had in mind when writing the novel (Ferris “Involuntary”), Peter Ferry argues that “becoming a 21st century incarnation of the flâneur gives Tim a greater sense of selfhood, a belief in the significance of his own existence within the increasingly chaotic and disorientating urban environment” (59). I concur, with two caveats: the chaotic and disorienting environment is not merely urban; and, contrary to Ferry’s claim that this regained selfhood is in contrast to “disintegrating” “conventional understandings of masculinity” (57), it instead incorporates Tim’s new identity as a person with disability.Conclusion: The Experience of DisabilityMore than specific insights into living with disability, the most important contribution of The Unnamed to disability studies is its exploration of the pure experience of disability. Ferris says, “I wanted to strip down this character to the very barest essentials and see what happens when sickness can’t go away and it can’t be answered by all [sic] of the medical technology that the country has at its disposal” (“Tracking”); by making Tim a wealthy lawyer with a caring family—removing common complicating socioeconomic factors of disability—and giving him an unprecedented impairment—removing all medical support and social services—Ferris depicts disability per se, illuminating the importance of disability studies for all people with(out) disability. After undergoing variegated experiences of pure disability, Tim “maintained a sound mind until the end. He was vigilant about periodic checkups and disciplined with his medication. He took care of himself as best he could, eating well however possible, sleeping when his body required it, […] and he persevered in this manner of living until his death” (Ferris Unnamed 306). This is an ideal relation to maintain between mind, body, and environment, irrespective of (dis)ability.ReferencesAdams, Tim. “The Unnamed by Joshua Ferris.” Fiction. Observer, 21 Feb. 2010: n. pag. 19 Sep. 2018 <https://www.theguardian.com/books/2010/feb/21/the-unnamed-joshua-ferris>.Burn, Stephen J. “Mapping the Syndrome Novel.” Diseases and Disorders in Contemporary Fiction: The Syndrome Syndrome. Eds. T.J. Lustig and James Peacock. New York: Routledge, 2013. 35-52.Cella, Matthew J.C. “The Ecosomatic Paradigm in Literature: Merging Disability Studies and Ecocriticism.” Interdisciplinary Studies in Literature and Environment 20.3 (2013): 574–96.De Certeau, Michel. The Practice of Everyday Life. 1980. Trans. Steven Rendall. Berkeley: U of California P, 1984.Charles, Ron. “Book World Review of Joshua Ferris’s ‘The Unnamed.’” Books. Washington Post 20 Jan. 2010: n. pag. 19 Sep. 2018 <http://www.washingtonpost.com/wp-dyn/content/article/2010/01/19/AR2010011903945.html>.“Disability.” Wikipedia: The Free Encyclopedia 17 Sep. 2018. 19 Sep. 2018 <https://en.wikipedia.org/wiki/Disability>.Ferris, Joshua. “Involuntary Walking; the Joshua Ferris Interview.” ReadRollShow. Created by David Weich. Sheepscot Creative, 2010. Vimeo, 9 Mar. 2010. 18 Sep. 2018 <https://www.vimeo.com/10026925>. [My transcript.]———. “Tracking a Man’s Life, in Endless Footsteps.” Interview by Melissa Block. All Things Considered, NPR, 15 Feb. 2010. 18 Sep. 2018 <https://www.npr.org/templates/transcript/transcript.php?storyId=123650332>.———. The Unnamed: A Novel. New York: Little, Brown, 2010.Ferry, Peter. “Reading Manhattan, Reading Masculinity: Reintroducing the Flâneur with E.B. White’s Here Is New York and Joshua Ferris’ The Unnamed.” Culture, Society & Masculinities 3.1 (2011): 49–61.Ludwigs, Marina. “Walking as a Metaphor for Narrativity.” Studia Neophilologica 87.1 (Suppl. 1) (2015): 116–28.McCarthy, Cormac. The Road. New York: Vintage, 2006.McRuer, Robert, and Merri Lisa Johnson. “Proliferating Cripistemologies: A Virtual Roundtable.” Journal of Literary and Cultural Disability Studies 8.2 (2014): 149–69.Mollow, Anna. “Criphystemologies: What Disability Theory Needs to Know about Hysteria.” Journal of Literary and Cultural Disability Studies 8.2 (2014): 185–201.Murray, Stuart. “Reading Disability in a Time of Posthuman Work: Speed and Embodiment in Joshua Ferris’ The Unnamed and Michael Faber’s Under the Skin.” Disability Studies Quarterly 37.4 (2017). 20 May 2018 <http://dsq–sds.org/article/view/6104/4823/>.Nocella, Anthony J., II. “Defining Eco–Ability: Social Justice and the Intersectionality of Disability, Nonhuman Animals, and Ecology.” Earth, Animal, and Disability Liberation: The Rise of the Eco–Ability Movement. Eds. Anthony J. Nocella II, Judy K.C. Bentley, and Janet M. Duncan. New York: Peter Lang, 2012. 3–21.Poe, Edgar Allan. “The Man of the Crowd.” 1845. PoeStories.com. 18 Sep. 2018 <https://poestories.com/read/manofthecrowd>.Reiffenrath, Tanja. “Mind over Matter? Joshua Ferris’s The Unnamed as Counternarrative.” [sic] – a journal of literature, culture and literary translation 5.1 (2014). 20 May 2018 <https://www.sic–journal.org/ArticleView.aspx?aid=305/>.Siebers, Tobin. “Disability in Theory: From Social Constructionism to the New Realism of the Body.” American Literary History 13.4 (2001): 737–54.“The Young and the Restless.” Review of The Unnamed by Joshua Ferris. Books and Arts. Economist, 28 Jan. 2010: n. pag. 19 Sep. 2018 <https://www.economist.com/books-and-arts/2010/01/28/the-young-and-the-restless>.