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The overall aim is to assess the superior of human- or design-centric source. This research compares the categories covered in a checklist by pain-points and needs identified individually using human- and design-centric sources. Data from 6 projects of a design course is used. It is found that there is no significant difference in the number of categories covered by pain-points and needs but the categories are not the same. This calls for integrating both sources in comparison to using only one source for designing which can potentially help to identify diverse and relevant outcomes.
The British colonisers introduced urban planning in Zimbabwe in 1890. The 1933 Planning Act, situated largely in the realities of Britain at the time, institutionalised planning as a practice for adoption by urban local authorities. The legislation was amended in 1945 to embrace changes noted in the countryside so that it became a Town and Country Planning Act. Noticing that some of the developments were exceeding one district, in 1976 the Planning and Country Act was revised to become the Regional, Town and Country Planning Act. It was revised in 1995 and still retains the title. The legislative instrument guides planning practice, directing regional, master and local planning. It covers aspects of development control, subdivision and consolidation. It would appear that all was going well until the practice began to be challenged in the 2000s, as retaining colonialist rigidity made development cumbersome if the necessary approvals were not in place. The 2005 Operation Murambatsvina was perhaps one of the worst human disasters in the land, with the planned city displacing the poor. A host of challenges exist, yet opportunities are there to improve planning in Zimbabwe.
What is sustainable development about? Development means an unfolding of the individual and the collective along the dimensions of body, mind and spirit. Sustainability refers to the capability to uphold and develop a certain desired situation. Sustainable development can thus be interpreted as the wish and capability to preserve the quality of (human) life and its unfoldment, in harmony with other living beings and within the terrestrial constraints. It represents ideals and aspirations. Key aspects are the way in which the collective organizes their realization through institutions, and on the basis of which views of Nature and of needs.
Schema therapy could have very easily been named as ‘needs therapy’, so central is the concept of core emotional needs to the practice of modern schema therapy. Borrowing from the basic needs concept and theories of attachment that had been well developed in the developmental psychology literature, Young described the following core domains as pivotal to understanding problems that emerge in the developmental period: (1) Secure attachments to others (includes safety, stability, nurturance, and acceptance); (2) Autonomy, competence, and sense of identity; (3) Freedom to express valid needs and emotions; (4) Spontaneity and play; (5) Realistic limits and self-control. Need satisfaction during childhood leads to the development of healthy schemas and related functional affective and behavioural patterns, while early need frustration leads directly to the development of early maladaptive schemas (EMS) and related negative patterns of behaviour and maladaptive coping styles. This chapter describes the central theories and concepts which underpin schema therapy practice including the original set of eighteen schemas, as well as schema modes and the schema mode model.
What makes us want to create? I provide an overview of intrinsic and extrinsic motivation and their relationship with creativity before switching to needs, work orientation, and purpose. Creativity can help inspire us and drive us forward. It can be a source of passion or a vehicle to express it. We can enter the magical feeling of flow when we create. And across longer periods of time we can experience growth and have a sense of meaningful progress through creative work.
Education and child development are intrinsically intertwined. For us, development is not a predetermined unmediated unfolding of moves toward maturity. Rather, development is seen in relation to cultural expectations recognizing the potential agency of the learner in relation to these expectations. Hedegaard’s Wholeness Approach with its three different perspectives, the societal, the institutional practices and the person’s perspective is central to how we understand children’s development. The societal perspective, gives the conditions that a society with it cultural traditions and values create for children’s participation in different institutional practices. The practice perspective focuses on children’s participation in the different activity settings that characterize a given institutional practice like the breakfast and leaving for school setting, and the homework setting in a family. The demands children meet through participation in these settings are the focus for understanding children’s interactions with caregivers and their social situations. The person perspective focuses on the children’s intentions, agency and motive orientations, which may be different for children in different age periods. We have argued that age periods and the demands children meet as they move through different societal practices are crucial for understanding their social situation of development. Vygotsky’s account of the neoformation of higher psychological functions is introduced and how their emergence in a child’s consciousness changes a child’s relation to their environment and in particular their emotional relation to their world.
The implications for morality and natural law of Hobbes’s skilful employment of Neoplatonist metaphysics such as Avicenna’s, entailing a sharp division between the human soul and the human body, are spelled out in Chapter 3. This shows that the concept of need, rather than right is central to Hobbes’s natural law and political theory. Judgements concerning needs, including the needs of others, represent a constant source of legitimacy for acting in the state of nature and in the commonwealth. A thorough analysis of the doctrine of necessity in Leviathan, Hobbes’s masterpiece, follows. The superior and absolute sovereignty that Leviathan evaluates and proposes is the true and scientific concept of sovereignty in a commonwealth, by reference to the needs of human nature and also in accordance with divine command. Hobbes exploits his doctrine of metaphysics of necessity to explain that that type of absolute sovereignty is compatible with freedom; after all, each free act of every human being is necessary in the sense of a metaphysics of necessity.
Evidence on post-diagnostic support for people with young onset dementia is scarce. Previous studies have employed a problem-focused approach; however, evidence on ‘what works’ in real-life practice is essential to develop recommendations for service design and delivery. This study aimed to provide insight into ‘what works’ from the perspectives of people with young onset dementia and their supporters. We gathered free-text responses on positive service experiences via a UK cross-sectional survey. Inductive thematic analysis was used to identify the objectives of positive services and the needs these met. Follow-up interviews enabled in-depth insights from people with diverse diagnoses, ages and social situations. These were analysed using a template drawn from the survey. The 233 survey respondents gave 856 examples of positive support. Analysis of 24 follow-up interviews led to 16 themes clustered under three superordinate themes: ‘maintaining autonomy’, ‘being myself’ and ‘togetherness’. We found that positive services address the disruptions to sense of agency, selfhood and meaningful relationships that are experienced by those with young onset dementia. The study provides an in-depth understanding of the needs met by positive services for younger people with dementia. Our nuanced findings on good practice can inform age-specific guidelines for young onset dementia and indicate how personalisation can work in practice to help people with young onset dementia to maintain identity, autonomy and connections.
The opportunity to perform play behaviour may be an important ontogenic activity that stimulates behavioural variability and may enhance an individual's coping capacity later in life. Play behaviour in juveniles may be enhanced by the presence of cage enrichments relevant to the animal's motivations and natural behavioural repertoire. The present study aimed to investigate play behaviour in juvenile farmed mink reared and housed with the cage enrichments standard for the Dutch housing system (ie a cylinder and platform) and in an experimental group of animals with the same standard enrichments but with additional access to swimming water. Juvenile mink with access to swimming water played significantly more in the main cage than mink reared and housed with the cylinder and platform but without swimming water. The results suggest that swimming water presents the animals with biologically relevant stimuli that directly or indirectly influence the development of play behaviour. Specific implications for the animals' long-term welfare are discussed. Future studies should elucidate the effects of juvenile play on the occurrence of abnormal behavioural patterns in adulthood more precisely and more thoroughly.
In this chapter we examine the historical background to poverty research, the definition and concepts of poverty, and how is it experienced by individuals, families, and communities. The focus is mainly on the UK and on qualitative studies. Poverty is a cause of human suffering and the experiences of people living in poverty are mediated by social divisions such as gender, ethnicity, and disability. It can be understood in terms of the need of material resources, but also in terms of its psychosocial effects. It has clear effects on mental and physical health. Many aspects of the lives of people in poverty parallel the position of people with mental health conditions: lack of agency, opportunity, and voice; living compromised lives with stigma and discrimination; and struggling with day-to-day functioning, employment, and housing. Poverty impacts negatively on self-esteem and produces feelings of shame and guilt in response to inadequate material and social situations. It is possible that some of the mechanisms for understanding mental ill-health may also be shared with those related to poverty.
This chapter outlines the levels of poverty, debt, and financial hardship in people with mental health conditions, the social security system, and living conditions, including neighbourhood deprivation, housing, and transport. People with mental health conditions are more likely to be excluded from material resources than others in society. They are over-represented in low-income group, those living in poor housing, and deprived environments. They are likely to be in debt or have other financial difficulties and to be receiving inadequate amounts of state benefits. The severity of the condition and its longevity exacerbates the degree of exclusion. There appears to be a two-way relationship between mental ill-health and material deprivation: social and environmental aspects of material exclusion play a role in the cause of mental ill-health and mental ill-health leads to material exclusion. Poverty mediates the relationship between mental health conditions and the many other social problems that people face, as well as impeding their ability to cope with their mental health difficulties. People’s responses to poor conditions are universal and, for those with mental health conditions, may be more appropriately seen as a consequence of their impoverished circumstances rather than due to their mental health conditions.
Children are more vulnerable than adults but have greater adaptive potential. They need thinking about in the context of their families and communities even if separated from them. Effects of adversity vary according to the developmental stage at which they occur, and subsequent development can also be compromised. Key developmental stages are considered, attending to what harms can be sustained, and what may be protective.
Post-migration factors affecting outcome are also reviewed, including poor housing, poverty, bullying, racism, isolation, and prolonged uncertainty.
Intervention requires building a relationship and a network of support, and possibly sequential episodes of care with incremental and ‘portable’ gains: meeting basic needs first by attending to accommodation, safety, links with schools and language skills. Age-appropriate explanations are essential.Some specific interventions are reviewed.
The chapter concludes by revisiting the need for support and protection, and understanding developmental needs and family dynamics.This can promote healthy development and reduce intergenerational transmission of trauma.
This chapter offers a pluralistic analysis of human motivation as an alternative to utility maximization. Its unifying theme is that choices are underpinned by means-end chains where the underlying “end” can be usefully viewed as the desire to be able to predict and control what is going on in one’s life (as argued in personal construct psychology where people are viewed as if they are like scientists). This includes meeting a hierarchy of needs, as Maslow argued: life is out of control if people can’t meet basic survival needs, are finding everything chaotic, can’t find a view of themselves (their identity) on which to build their lives in society (in relation to fashion and status) and cannot explore what they can achieve or engage in activities that fascinate them. This means that consumption can be for creative and/or defensive reasons. Given how sensory systems work, people also need to have novel things to explore. After examining these views of motivation, the chapter describes research tools from personal construct psychology that can be used for uncovering how people see their options and why they are interested in, or wish to avoid, particular aspects of them.
This chapter is about the relationship between needs and rights, and what that means for social work practice. Social workers can be regarded as professional need-definers. They are constantly in the process of identifying, and then trying to meet, human needs, as described back in 1945 by Charlotte Towle (Towle 1987). Scarcely a day would pass in any social worker’s life when the word ‘need’ is not used on dozens of occasions. Social workers do ‘needs assessments’, talk about the needs of individuals, of families, of client groups (e.g. the aged), of communities, of agencies, of service delivery systems (e.g. the health care system) and of the whole society (e.g. the need for a better income security system). Social workers talk about ‘unmet need’, ‘needing more resources’, ‘doing a needs survey’, ‘needing more social workers’ and ‘needing supervision’. ‘Need’ is one of the most commonly used words in the social work vocabulary, and it is significant that more often than not it is used, in the words of Noel and Rita Timms, ‘in the absence of any deep sense of puzzlement about the concept’ (Timms & Timms 1977: 141).
Anglo-Norman sources often ignore what we call the economy, or only make very quick allusions to it, thus leaving in the shadows the most dynamic moment of economic growth that this space has ever known. The narrative texts nevertheless make it possible to approach the representations that the clerics of the twelfth century had of the concrete problems of the satisfaction of needs and of the socially useful and morally virtuous use of natural wealth. The theme of hunger, common in the sources of the Rhenish regions, does not appear very frequently, and most often in connection with war. But the reading of texts by William of Malmesbury relating to the reign of William Rufus and the life of Bishop Wulfstan of Worcester also shows that the value of rulers, whether king or bishop, was measured by the subsistence of the inhabitants, especially the poorest. The question of the relationship between resources and needs, and more generally that of livelihood, thus appears to be a major political problem.
The policy background is provided that underpins the assessment of needs in intellectual disabilities mental health services. Developments since the publication of the 1st edition of the CANDID are provided along with an updated list of measures and instruments used to assess needs in this population.
Focusing on Swedish home care for older people, this article explores the discursive (re)production of home care as an institution. Equality and universal service provision have been described as defining features of the Nordic care regime. At the same time, Nordic research has highlighted a shift in social care policy, from a focus on universalism and egalitarian ideals towards a focus on freedom of choice, diversity and individualised services. This article takes as a starting point that home care for older people is formed by different and potentially conflicting ideas. We understand home care as a contested formation and define institutional change in terms of ongoing discursive struggles. The analysis draws on qualitative semi-structured interviews with key informants, including politicians, local authority officials and representatives of interest organisations. Informants were engaged in policy making, implementation or advocacy related to care for older people. We examine the meanings attached to home care for older people and the analysis reveals three different discourses – on choice, needs and equality. By comparing and contrasting discourses, we reveal silences, conflicts and tensions, and highlight the politics involved in (re)creating home care as an institution.
The two design stages of The Innovation Pyramid work together to ensure that a complete and detailed design is crafted before any implementation is attempted. The second design stage focuses on Solution Formulation. Before any solution is crafted, the general group directly suffering from the root problem is segmented and a target adopter segment identified. The target adopter segment is described psychographically--based on common unmet or under-met needs, wants and/or desires – versus demographically. Personification of this group segment allows the innovation designer to fully appreciated how the adopter will interact with their innovation. Just as the root problem was gradually honed in on, so too is its solution. A general approach to resolving the target adopter's issue that the designing organization is willing and able to pursue is first identified. A detailed solution is then crafted which has attributes or features that align with the adopter's specific needs, wants and/or desires. This alignment of solution features with adopter needs is at the heart of the innovation's value proposition. The entire pathway through this second stage of design, Solution Formulation, requires multiple, iterative, non-linear steps.
To estimate the prevalence of unmet needs for assistance among middle-aged and older adults with subjective cognitive decline (SCD) in the US and to evaluate whether unmet needs were associated with health-related quality of life (HRQOL).
Design:
Cross-sectional
Setting:
US – 50 states, District of Columbia, and Puerto Rico
Participants:
Community-dwelling adults aged 45 years and older who completed the Cognitive Decline module on the 2015-–2018 Behavioral Risk Factor Surveillance System reported experiencing SCD and always, usually, or sometimes needed assistance with day-to-day activities because of SCD (n = 6,568).
Measurements:
We defined SCD as confusion or memory loss that was happening more often or getting worse over the past 12 months. Respondents with SCD were considered to have an unmet need for assistance if they sometimes, rarely, or never got the help they needed with day-to-day activities. We measured three domains of HRQOL: (1) mental (frequent mental distress, ≥14 days of poor mental health in the past 30 days), (2) physical (frequent physical distress, ≥14 days of poor physical health in the past 30 days), and (3) social (SCD always, usually, or sometimes interfered with the ability to work, volunteer, or engage in social activities outside the home). We used log-binomial regression models to estimate prevalence ratios (PRs). All estimates were weighted.
Results:
In total, 40.2% of people who needed SCD-related assistance reported an unmet need. Among respondents without depression, an unmet need was associated with a higher prevalence of frequent mental distress (PR = 1.55, 95% CI: 1.12–2.13, p = 0.007). Frequent physical distress and social limitations did not differ between people with met and unmet needs.
Conclusions:
Middle-aged and older adults with SCD-related needs for assistance frequently did not have those needs met, which could negatively impact their mental health. Interventions to identify and meet the unmet needs among people with SCD may improve HRQOL.
Cognitive dysfunction is increasingly considered to be the strongest clinical predictor of poor long-term outcome in schizophrenia. Associations have been found between the severity of cognitive deficits and social dysfunction, impairments in independent living, occupational limitations, and disturbances in quality of life (QOL).
Methods
In this cross-sectional study, the relationships of cognitive deficits and treatment outcomes in terms of QOL, needs, and psychosocial functioning were examined in 60 outpatients with schizophrenia who had a duration of illness over 2 years and had been treated with either clozapine or olanzapine for at least 6 months.
Results
The present study suggests that cognitive functioning might be a predictor of work functioning/independent living outcome in stabilized patients with schizophrenia: deficits of visual memory and working memory were negatively associated with occupational functioning, and older patients lived independently and/or in a stable partnership more often. The patients' assessments of QOL and needs for care did not show any significant associations with cognitive functioning.
Discussion
These findings suggest that cognitive functioning is a key determinant of work functioning/independent living for stable outpatients with schizophrenia.