An ethnographic examination of the experience of ecotherapy as an intervention for mental health in South and West Wales.

2021 ◽  
Author(s):  
◽  
Edward Lord

This thesis uses ethnographic methods to explore the experiences of people in South and West Wales doing ecotherapy activities. Ecotherapy describes a variety of outdoor nature-based activities intended to improve individual and population health and wellbeing. The expected outcomes of ecotherapy are contested, and there is a widespread focus on how to measure nature exposure or test particular psychological or biological pathways and mechanisms. I argue that this reductionist reification of ecotherapy outcomes leads to a lack of critical attention to the myriad irreducible experiences of people currently taking part in ecotherapy groups in particular places.Ethnographic methods, including participant observation, interviews, and documentary analysis, are deployed to examine four ecotherapy projects in South and West Wales. These projects are indicative of the variation of ecotherapy in the region and include two woodland based groups, a sustainability skills organisation, and a coastal trail running group.Findings are presented in three chapters. First - “How bureaucratic systems as ‘smooth flows’ and ‘striated events’ shape participant’s experience of ecotherapy.” - examines the bureaucratic practices in use by the different projects. I suggest the ways in which the ‘natural’ spaces are produced as therapeutic is informed by how these practices are deployed on a continuum between ‘smooth’ and ‘striated’. Second – “The expression of multiple notions of ‘escape’ and ‘getting away’ as a frame to ecotherapy” - in which the natural spaces are operationalised as restorative and energising resources by some and as protective and safe refuges by others. In the final findings chapter – “People, place & agency: A typology of orientations to ecotherapy” - I use my analysis of the fieldwork data to generate a tentative four-part typology of participant orientations towards ecotherapy.My analysis indicates that a greater emphasis is needed on the multiple ways in which spaces are produced as therapeutic by individuals and groups who are already negotiating a complex intersection of environmental, health, and organisational challenges. This original contribution shows that there are conflicting rationalities at play in ecotherapy which are being resisted and reproduced in ways not captured by other potentially reductionist and reifying approaches commonly applied to this field of research.

2021 ◽  
Author(s):  
◽  
Edward Lord

This thesis uses ethnographic methods to explore the experiences of people in South and West Wales doing ecotherapy activities. Ecotherapy describes a variety of outdoor nature-based activities intended to improve individual and population health and wellbeing. The expected outcomes of ecotherapy are contested, and there is a widespread focus on how to measure nature exposure or test particular psychological or biological pathways and mechanisms. I argue that this reductionist reification of ecotherapy outcomes leads to a lack of critical attention to the myriad irreducible experiences of people currently taking part in ecotherapy groups in particular places. Ethnographic methods, including participant observation, interviews, and documentary analysis, are deployed to examine four ecotherapy projects in South and West Wales. These projects are indicative of the variation of ecotherapy in the region and include two woodland based groups, a sustainability skills organisation, and a coastal trail running group. Findings are presented in three chapters. First - “How bureaucratic systems as ‘smooth flows’ and ‘striated events’ shape participant’s experience of ecotherapy.” - examines the bureaucratic practices in use by the different projects. I suggest the ways in which the ‘natural’ spaces are produced as therapeutic is informed by how these practices are deployed on a continuum between ‘smooth’ and ‘striated’. Second – “The expression of multiple notions of ‘escape’ and ‘getting away’ as a frame to ecotherapy” - in which the natural spaces are operationalised as restorative and energising resources by some and as protective and safe refuges by others. In the final findings chapter – “People, place & agency: A typology of orientations to ecotherapy” - I use my analysis of the fieldwork data to generate a tentative four-part typology of participant orientations towards ecotherapy. My analysis indicates that a greater emphasis is needed on the multiple ways in which spaces are produced as therapeutic by individuals and groups who are already negotiating a complex intersection of environmental, health, and organisational challenges. This original contribution shows that there are conflicting rationalities at play in ecotherapy which are being resisted and reproduced in ways not captured by other potentially reductionist and reifying approaches commonly applied to this field of research.


2021 ◽  
Vol 9 ◽  
pp. S20
Author(s):  
Viveka Guzman ◽  
Marco Garrido-Cumbrera ◽  
Olta Braçe ◽  
Denise Hewlett ◽  
Ronan Foley

Author(s):  
Hema Sekhar Reddy Rajula ◽  
Mirko Manchia ◽  
Kratika Agarwal ◽  
Wonuola A. Akingbuwa ◽  
Andrea G. Allegrini ◽  
...  

AbstractThe Roadmap for Mental Health and Wellbeing Research in Europe (ROAMER) identified child and adolescent mental illness as a priority area for research. CAPICE (Childhood and Adolescence Psychopathology: unravelling the complex etiology by a large Interdisciplinary Collaboration in Europe) is a European Union (EU) funded training network aimed at investigating the causes of individual differences in common childhood and adolescent psychopathology, especially depression, anxiety, and attention deficit hyperactivity disorder. CAPICE brings together eight birth and childhood cohorts as well as other cohorts from the EArly Genetics and Life course Epidemiology (EAGLE) consortium, including twin cohorts, with unique longitudinal data on environmental exposures and mental health problems, and genetic data on participants. Here we describe the objectives, summarize the methodological approaches and initial results, and present the dissemination strategy of the CAPICE network. Besides identifying genetic and epigenetic variants associated with these phenotypes, analyses have been performed to shed light on the role of genetic factors and the interplay with the environment in influencing the persistence of symptoms across the lifespan. Data harmonization and building an advanced data catalogue are also part of the work plan. Findings will be disseminated to non-academic parties, in close collaboration with the Global Alliance of Mental Illness Advocacy Networks-Europe (GAMIAN-Europe).


Author(s):  
Patricia Nayna Schwerdtle ◽  
Kate Baernighausen ◽  
Sayeda Karim ◽  
Tauheed Syed Raihan ◽  
Samiya Selim ◽  
...  

Background: Climate change influences patterns of human mobility and health outcomes. While much of the climate change and migration discourse is invested in quantitative predictions and debates about whether migration is adaptive or maladaptive, less attention has been paid to the voices of the people moving in the context of climate change with a focus on their health and wellbeing. This qualitative research aims to amplify the voices of migrants themselves to add nuance to dominant migration narratives and to shed light on the real-life challenges migrants face in meeting their health needs in the context of climate change. Methods: We conducted 58 semi-structured in-depth interviews with migrants purposefully selected for having moved from rural Bhola, southern Bangladesh to an urban slum in Dhaka, Bangladesh. Transcripts were analysed using thematic analysis under the philosophical underpinnings of phenomenology. Coding was conducted using NVivo Pro 12. Findings: We identified two overarching themes in the thematic analysis: Firstly, we identified the theme “A risk exchange: Exchanging climate change and health risks at origin and destination”. Rather than describing a “net positive” or “net negative” outcome in terms of migration in the context of climate change, migrants described an exchange of hazards, exposures, and vulnerabilities at origin with those at destination, which challenged their capacity to adapt. This theme included several sub-themes—income and employment factors, changing food environment, shelter and water sanitation and hygiene (WaSH) conditions, and social capital. The second overarching theme was “A changing health and healthcare environment”. This theme also included several sub-themes—changing physical and mental health status and a changing healthcare environment encompassing quality of care and barriers to accessing healthcare. Migrants described physical and mental health concerns and connected these experiences with their new environment. These two overarching themes were prevalent across the dataset, although each participant experienced and expressed them uniquely. Conclusion: Migrants who move in the context of climate change face a range of diverse health risks at the origin, en route, and at the destination. Migrating individuals, households, and communities undertake a risk exchange when they decide to move, which has diverse positive and negative consequences for their health and wellbeing. Along with changing health determinants is a changing healthcare environment where migrants face different choices, barriers, and quality of care. A more migrant-centric perspective as described in this paper could strengthen migration, climate, and health governance. Policymakers, urban planners, city corporations, and health practitioners should integrate the risk exchange into practice and policies.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Joanne D. Worsley ◽  
Paula Harrison ◽  
Rhiannon Corcoran

Abstract Background Due to the increasing concern over student mental health and wellbeing, attention has turned to the matter of creating environments, communities, and institutions which enable students to flourish. Methods To explore the role of accommodation environments in first year student mental health and wellbeing, eight focus groups were conducted in two universities in North West England and analysed using thematic analysis. Results Three overarching themes were identified: ‘The betwixt space’; ‘Accommodations as vessels to cultivate friendships and communities’; and ‘The importance of accommodation-based pastoral staff’. As attachment to place and relationships with significant others are disrupted by the transition, this leaves young people vulnerable whilst they go through a process to re-attach to new people and a new environment, and loneliness and social isolation were keenly felt during this period. Physical attributes of place that prevent social cohesion further exacerbated feelings of loneliness. Conclusions As it is common for students to withdraw physically and psychologically when they do not form friendships within their flat, accommodation-based pastoral staff have an important role to fulfil. Although these findings demonstrate the importance of the human element within accommodation, designing places that facilitate community, a sense of we-ness, and belonging is crucial.


2017 ◽  
Vol 13 (4) ◽  
pp. 403-418
Author(s):  
Kate Thompson ◽  
Pippa Brown ◽  
Stephanie Vieira

Purpose The purpose of this paper is to describe an intervention with a group of homeless men from the Horn of Africa, service users of the Horn of Africa Health and Wellbeing Project in London. The group was conceived by the second author who noted the presence of significant psychosocial issues for her clients, but equally their reluctance to access mainstream mental health or social care services. Design/methodology/approach Designing the group and introducing it to the men involved threw up some challenges which are explored, and the impact of the group on participants is evaluated. Findings Overall both the participants and the facilitators evaluated the group positively and it appeared to have led to lasting change for some of the group members, and this is described. The authors argue that this sort of group may be a more acceptable way to work on psychosocial issues than something more directly focused on mental health intervention. The group protocol is outlined along with suggestions for future work in this area. Originality/value This intervention represents a creative alternative to more mainstream psychological interventions for homeless or exiled men.


Urban Studies ◽  
2016 ◽  
Vol 54 (7) ◽  
pp. 1619-1637 ◽  
Author(s):  
Camilla Baba ◽  
Ade Kearns ◽  
Emma McIntosh ◽  
Carol Tannahill ◽  
James Lewsey

Urban regeneration (UR) programmes are recognised as a type of Population Health Intervention (PHI), addressing social and health inequalities. Policy recommends programmes involve communities through engagement and empowerment. Whilst the literature has started to link empowerment with health improvement, this has not been within an UR context. As part of broader research on the economic evaluation of community empowerment activities, this paper examines how health gains can be generated through promoting empowerment as well as identifying whether feelings of empowerment are associated with residents personal characteristics or perceptions of their neighbourhood. Using 2011 Community Health and Wellbeing Survey (GoWell) cross-sectional data, ordinal logistic regression and simple linear regression analysis of 15 Glasgow neighbourhoods undergoing regeneration with 4302 adult householders (≥16 years old) was completed. Analyses identified strong associations ( P≥ 0.05) between empowerment and the mental health subscale of the SF12v2 and with several items of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) scale. Furthermore, residents’ who felt more empowered reported more positive attitudes towards their surroundings and housing providers. This concurs with recent evidence of the importance of residents’ psychological investments in their neighbourhood influencing their sense of place attachment. Such analyses present initial evidence of the value of investing resources within UR programmes to activities geared towards increasing residents’ empowerment as a means of producing those health gains often sought by more costly aspects of the programmes.


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