Empirical studies in the creative arts therapies (CATs; i.e., art therapy, dance/movement therapy, drama therapy, music therapy, psychodrama, and poetry/bibliotherapy) have grown rapidly in the last 10 years, documenting their positive impact on a wide range of psychological and physiological outcomes (e.g., stress, trauma, depression, anxiety, and pain). However, it remains unclear how and why the CATs have positive effects, and which therapeutic factors account for these changes. Research that specifically focuses on the therapeutic factors and/or mechanisms of change in CATs is only beginning to emerge. To gain more insight into how and why the CATs influence outcomes, we conducted a scoping review (Nstudies = 67) to pinpoint therapeutic factors specific to each CATs discipline, joint factors of CATs, and more generic common factors across all psychotherapy approaches. This review therefore provides an overview of empirical CATs studies dealing with therapeutic factors and/or mechanisms of change, and a detailed analysis of these therapeutic factors which are grouped into domains. A framework of 19 domains of CATs therapeutic factors is proposed, of which the three domains are composed solely of factors unique to the CATs: “embodiment,” “concretization,” and “symbolism and metaphors.” The terminology used in change process research is clarified, and the implications for future research, clinical practice, and CATs education are discussed.
Mechanisms that drive the intergenerational transmission of poverty have been studied widely, but to understand how these mechanisms are at work in real life we require studies on perspectives of families who themselves are living in poverty. In this study, we combine the perspectives of multiple generations of family households in a rural area in the Netherlands. We want to understand from their own perspective what prevents these families from escaping poverty. Twenty-three family households participated in intergenerational interviews. Results show that recurrent mechanisms were often perceived to relate to rearing practices, norm-setting and geographical mechanisms (immobility and perceived place-based stigma). Family habitus structures the mechanisms that prolong and perpetuate poverty.
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Artikel proefschrift Jos Dobber verschenen in Frontiers in Psychiatry 24 maart 2020: Background: Trials studying Motivational Interviewing (MI) to improve medication adherence in patients with schizophrenia showed mixed results. Moreover, it is unknown which active MI-ingredients are associated with mechanisms of change in patients with schizophrenia. To enhance the effect of MI for patients with schizophrenia, we studied MI's active ingredients and its working mechanisms. Methods: First, based on MI literature, we developed a model of potential active ingredients and mechanisms of change of MI in patients with schizophrenia. We used this model in a qualitative multiple case study to analyze the application of the active ingredients and the occurrence of mechanisms of change. We studied the cases of fourteen patients with schizophrenia who participated in a study on the effect of MI on medication adherence. Second, we used the Generalized Sequential Querier (GSEQ 5.1) to perform a sequential analysis of the MI-conversations aiming to assess the transitional probabilities between therapist use of MI-techniques and subsequent patient reactions in terms of change talk and sustain talk. Results: We found the therapist factor “a trusting relationship and empathy” important to enable sufficient depth in the conversation to allow for the opportunity of triggering mechanisms of change. The most important conversational techniques we observed that shape the hypothesized active ingredients are reflections and questions addressing medication adherent behavior or intentions, which approximately 70% of the time was followed by “patient change talk”. Surprisingly, sequential MI-consistent therapist behavior like “affirmation” and “emphasizing control” was only about 6% of the time followed by patient change talk. If the active ingredients were embedded in more comprehensive MI-strategies they had more impact on the mechanisms of change. Conclusions: Mechanisms of change mostly occurred after an interaction of active ingredients contributed by both therapist and patient. Our model of active ingredients and mechanisms of change enabled us to see “MI at work” in the MI-sessions under study, and this model may help practitioners to shape their MI-strategies to a potentially more effective MI.
The denim industry faces many complex sustainability challenges and has been especially criticized for its polluting and hazardous production practices. Reducing resource use of water, chemicals and energy and changing denim production practices calls for collaboration between various stakeholders, including competing denim brands. There is great benefit in combining denim brands’ resources and knowledge so that commonly defined standards and benchmarks are developed and realized on a scale that matters. Collaboration however, and especially between competitors, is highly complex and prone to fail. This project brings leading denim brands together to collectively take initial steps towards improving the ecological sustainability impact of denim production, particularly by establishing measurements, benchmarks and standards for resource use (e.g. chemicals, water, energy) and creating best practices for effective collaboration. The central research question of our project is: How do denim brands effectively collaborate together to create common, industry standards on resource use and benchmarks for improved ecological sustainability in denim production? To answer this question, we will use a mixed-method, action research approach. The project’s research setting is the Amsterdam Metropolitan Area (MRA), which has a strong denim cluster and is home to many international denim brands and start-ups.
In order to achieve much-needed transitions in energy and health, systemic changes are required that are firmly based on the principles of regard for others and community values, while at the same time operating in market conditions. Social entrepreneurship and community entrepreneurship (SCE) hold the promise to catalyze such transitions, as they combine bottom-up social initiatives with a focus on financially viable business models. SCE requires a facilitating ecosystem in order to be able to fully realize its potential. As yet it is unclear in which way the entrepreneurial ecosystem for social and community entrepreneurship facilitates or hinders the flourishing and scaling of such entrepreneurship. It is also unclear how exactly entrepreneurs and stakeholders influence their ecosystem to become more facilitative. This research programme addresses these questions. Conceptually it integrates entrepreneurial ecosystem frameworks with upcoming theories on civic wealth creation, collaborative governance, participative learning and collective action frameworks.This multidisciplinary research project capitalizes on a unique consortium: the Dutch City Deal ‘Impact Ondernemen’. In this collaborative research, we enhance and expand current data collection efforts and adopt a living-lab setting centered on nine local and regional cases for collaborative learning through experimenting with innovative financial and business models. We develop meaningful, participatory design and evaluation methods and state-of-the-art digital tools to increase the effectiveness of impact measurement and management. Educational modules for professionals are developed to boost the abovementioned transition. The project’s learnings on mechanisms and processes can easily be adapted and translated to a broad range of impact areas.
Grote steden staan de komende decennia voor enorme uitdagingen om ruimtelijke herstructurering en versterking van sociaaleconomische posities van bepaalde wijken, te combineren met leefbaarheids-, duurzaamheids-, en mobiliteitsambities. Dit zijn vraagstukken waar bij uitstek verschillende fysieke, sociale, economische en bestuurlijke professionals moeten samenwerken. Dit onderzoek richt zicht op boundary spanners, professionals die een sleutelrol spelen in het verbinden van domeinoverstijgende vraagstukken. Met de toename en complexiteit van maatschappelijke vragen in het grootstedelijke domein groeit ook de behoefte aan en het belang van boundary spanners in het realiseren van effectieve samenwerking. Kennis over de effectiviteit van hun werkpraktijken blijft echter achter. Gezien de urgentie van grootstedelijke vraagstukken, is het van groot belang deze kennis te ontwikkelen. De (grootstedelijke) professionals die in de rol van boundary spanner vervullen of die rol ambiëren vragen zich dan ook af: Hoe krijg ik zicht op mijn eigen boundary spanner praktijk als individu of binnen een team werken, welke mogelijke verbeteringen zijn er in ons handelen en wat daarvan is overdraagbaar naar andere professionals en andere situaties? Door deze praktijkvraag te combineren met theoretische kennis vanuit bestuurskunde en verandermanagement, geeft dit onderzoek antwoord op de overkoepelende onderzoeksvraag: Wat zijn de kenmerken van de werkpraktijken waarin (grootstedelijke) professionals, die we kunnen typeren als of boundary spanners, de grenzen tussen domeinen bij grootstedelijke vraagstukken weten te overbruggen? Het onderzoek is een co-creatie van stedelijke professionals in teams van vijf praktijkcases: het programma Haven-Stad (Amsterdam); de regiodeal Den Haag Zuidwest; het project Cruciale Mijl (Amsterdam); Combiwel buurtwerk (Amsterdam) en het team gebiedsadviseurs (Amsterdam), met onderzoekers van de Centres of Expertise van de Hogeschool van Amsterdam en de Haagse Hogeschool. Dit onderzoek expliciteert de werkregels die boundary spanners in staat stelt om domeinoverstijgend te werken en levert op die manier een wezenlijke bijdrage aan het realiseren van deze grootstedelijke vraagstukken.
