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Understanding how engagement in a self-managed shelter contributes to empowerment

Participant empowerment is a foundational goal of selforganisedhomeless care. We aim to understand how a selforganisedsetting contributes to participants' empowerment.The data we analysed (56 interviews, both open and semistructured)were generated in a longitudinal participatorycase study into Je Eigen Stek (Your own place, JES), a lowcostshelter for people experiencing homelessness in theNetherlands. JES participants experienced the freedom ofchoice and influence on their living environment. JES' fluidstructure allowed participants to adapt the program to theirdesires and needs, though participants were sometimes aspects to be either enabling or entrapping. We found someaspects (e.g., size, freedom of choice) could be entrapping orenabling, depending on personal factors. Our analysis revealedindividual freedom of choice, balancing freedom of choicewith support, offering opportunities for engagement andmaintaining fluidity in program management as core aspectsof how JES contributed to participants' empowerment.negative about having to live together. Most participantspreferred JES over regular shelters. Unlike empowermentliterature, participants mostly emphasised freedom of choiceover capacity development. JES offered opportunities forsocial and organisational engagement, through which participantsdeveloped roles, skills and self-image. However, alimited number of participants developed leadership rolesthrough self-management. Literature suggests setting

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Understanding how engagement in a self-managed shelter contributes to empowerment

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Experiencing Nature Final Report.

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Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study

Background: Self-management support is considered an important component in the physiotherapeutic treatment of people with chronic low back pain. The stratified blended physiotherapy intervention e-Exercise Low Back Pain is an example of a self-management intervention. More insight may contribute to improving blended interventions to stimulate self-management after treatment and thus hopefully prevent chronicity and/or relapses in patients with chronic low back pain. Objectives: The aim of this study was to gain an in-depth understanding of the self-management behaviour after a physiotherapist guided blended self-management intervention in people with chronic low back pain. Design: A qualitative study with semi-structured interviews nested within a randomized controlled trial on the (cost-)effectiveness of e-Exercise Low Back Pain was conducted. Method: Thematic analysis was used to analyse the transcriptions. A hybrid process of both deductive and inductive approaches was used. Results: After 12 interviews, data saturation was reached. Analysis of the data yielded six themes related to self-management behaviour: illness beliefs, coping, cognitions, social support and resource utilization, physiotherapeutic involvement and motivation. Conclusions: In our study the majority of the participants seemed to show adequate self-management behaviour when experiencing low back pain. Most participants first try to gain control over their low back pain themselves when experiencing a relapse before contacting the physiotherapist. Participants struggle in continuing health behaviour in pain free periods between relapses of low back pain. Physiotherapists are recommended to encourage long-term behaviour change. Additionally, better facilitation by the physiotherapist or additional functionalities in the app to stimulate social support might have a useful contribution.

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Feeling connected after experiencing digital nature

Digital nature can provide a substitute for real nature for those who have limited access to green space, or are confined to their homes, for example during the worldwide COVID-19 lockdown. In a large-scale online survey, respondents (N = 1203) watched videos of digital nature, varying in terms of type of nature (wild versus tended nature) and spaciousness. Results show a significant increase of feelings of connectedness to the community after watching digital nature. Furthermore, tended nature scenes elicited more social aspirations than wild nature scenes. A multiple regression model further shows that living further away from nature was a significant predictor for loneliness scores, while number of nature interactions during a week was not. Results of this study confirm the importance of nature interaction for mental and social wellbeing for the general population and stress the potential of digital nature as a complementary strategy. These findings are of particular relevance to those who lack access to nature due to old age and related mobility constraints or a lockdown.

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Feeling connected after experiencing digital nature

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The (im)possibility of new learning and selfdirection.

In this chapter it is argued that self-direction is currently well above the head of the majority of youngsters and even of many adults. Evidence for this conclusion stems from developmental and brain research. However, for various reasons it is important that people develop the competences that are necessary for self-direction. To what degree is it possible to develop these competences? Are they 'learnable'? What can education contribute?

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The (im)possibility of new learning and selfdirection.

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The fragility of self-respect

This article contributes to our empirical understanding of self-respect in risingmeritocracies by focusing on the experiences of unemployed, low-skilled people recruited as workfare volunteers in the Netherlands. As many theorists have argued, the longterm unemployed struggle to maintain self-esteem. We found that workfare projects that introduce them to voluntary work can help them regain self-respect through four types of emotional labour: feeling respected through their newfound status, enjoying a craft, being able to perform in less stressful working environments, and taking pride in the meaning bestowed by voluntary work. But the emotional labour necessary to experience their situation more positively also increases the risk of experiencing negative emotions, thereby posing new threats to the fragile self-respect of unemployed citizens.

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Decoding the neural responses to experiencing disgust and sadness.

Being able to classify experienced emotions by identifying distinct neural responses has tremendous value in both fundamental research (e.g. positive psychology, emotion regulation theory) and in applied settings (clinical, healthcare, commercial). We aimed to decode the neural representation of the experience of two discrete emotions: sadness and disgust, devoid of differences in valence and arousal. In a passive viewing paradigm, we showed emotion evoking images from the International Affective Picture System to participants while recording their EEG. We then selected a subset of those images that were distinct in evoking either sadness or disgust (20 for each), yet were indistinguishable on normative valence and arousal. Event-related potential analysis of 69 participants showed differential responses in the N1 and EPN components and a support-vector machine classifier was able to accurately classify (58%) whole-brain EEG patterns of sadness and disgust experiences. These results support and expand on earlier findings that discrete emotions do have differential neural responses that are not caused by differences in valence or arousal.

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Decoding the neural responses to experiencing disgust and sadness.

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Writing the Self and Bereavement

That expressive writing can be a beneficial response to trauma or grief is well-established in the literature. Grief research also shows that the majority of people are resilient in the face of the death of loved ones. That said, traditional rituals around loss are no longer ubiquitous, well-known phase models of bereavement are contested, and ‘unfinished business’ can create difficulties in the face of loss. Increasingly, bereavement scholars speak of a need for individuals in western society to make meaning of their own grief through narrative construction, though little is said about what constitutes a beneficial story. The author takes an autoethnographic approach to write and reflect on her spouse’s illness and death and explores through a multi-voiced expressive dialogue a personal issue around her bereavement. In an analysis of her writing, using Dialogical Self Theory, she identifies markers which may be indicative of the development of a beneficially constructed narrative. The model of writing-for-transformation is used to describe the overall intent of the process, while the dialogical markers show how progress may be identified. Reinekke Lengelle (2020) Writing the Self and Bereavement: Dialogical Means and Markers of Moving Through Grief, Life Writing, 17:1, 103-122, DOI: 10.1080/14484528.2020.1710796

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Self-managed programmes in homeless care as (reinvented) institutions

Purpose: Self-managed institutional homeless programmes started as an alternative to regular shelters. Using institutional theory as a lens, we aim to explore the experiences of stakeholders with the institutional aspects of a self-managed programs.Method: The data we analysed (56 interviews, both open and semi-structured) were generated in a longitudinal participatory case-study into JES, a self-managed homeless shelter. In our analysis we went back and forth between our empirical data and theory, using a combination of systematic coding and interpretation. Participants were involved in all stages of the research.Results: Our analysis revealed similarities between JES and regular shelters, stemming from institutional similarities. Participants shared space and facilities with sixteen people, which caused an ongoing discussion on (enforcement of) rules. Participants loathed lack of private space. However, participants experienced freedom of choice over both their own life and management of JES and structures were experienced more fluid than in regular care. Somestructures also appeared stimulated self-management.Conclusion: Our analysis showed how an institutional context influences self-management and suggested opportunities for introducing freedom and fluidity in institutional care.

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Understanding how engagement in a self-managed shelter contributes to empowerment

Experiencing Nature Final Report.

Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study

Feeling connected after experiencing digital nature

The (im)possibility of new learning and selfdirection.

The fragility of self-respect

Decoding the neural responses to experiencing disgust and sadness.

Writing the Self and Bereavement

Self-managed programmes in homeless care as (reinvented) institutions

Projects 1

Experiencing a VR Roller Coaster

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Understanding how engagement in a self-managed shelter contributes to empowerment

Experiencing Nature Final Report.

Self-management behaviour after a physiotherapist guided blended self-management intervention in patients with chronic low back pain: A qualitative study

Feeling connected after experiencing digital nature

The (im)possibility of new learning and selfdirection.

The fragility of self-respect

Decoding the neural responses to experiencing disgust and sadness.

Writing the Self and Bereavement

Self-managed programmes in homeless care as (reinvented) institutions

Projects 1

Experiencing a VR Roller Coaster