title: Clitoral surgery on minors: an interview study with clinical experts of differences of sex development

authors: Liao, Lih-Mei

subjects: Science & Technology

abstract: Objectives Clitoral surgery on minors diagnosed with differences of sex development is increasingly positioned as a violation of human rights. This qualitative study identified how health professionals (HPs) navigate the contentious issues as they offer care to affected families.

Design Qualitative analysis of audio-recorded semistructured interviews with HPs. All of the interviews were transcribed verbatim for theoretical thematic analysis.

Setting Twelve specialist multidisciplinary care centres for children, adolescents and adults diagnosed with a genetic condition associated with differences of sex development.

Participants Thirty-two medical, surgical, psychological and nursing professionals and clinical scientists in 12 specialist centres in Britain and Sweden formed the interview sample.

Results All interviewees were aware of the controversial nature of clitoral surgery and perceived themselves and their teams as non-interventionist compared with other teams. Data analyses highlighted four strategies that the interviewees used to navigate their complex tasks: (1) engaging with new thinking, (2) holding on to historical assumptions, (3) reducing the burden of dilemmas and (4) being flexible. In response to recent reports and debates that challenge clitoral surgery on minors, HPs had revised some of their opinions. However, they struggled to reconcile their new knowledge with the incumbent norms in favour of intervention as they counsel care users with variable reactions and expectations. The flexible approach taken may reflect compromise, but the interviewees were often trapped by the contradictory values and assumptions.

Conclusions If the pathology-based vocabularies and narratives about genital diversity could be modified, and normative assumptions are questioned more often, clinicians may be more adept at integrating their new knowledge into a more coherent model of care to address the psychosocial concerns that genital surgery purports to overcome.

text: Clitoral surgery on minors: an interview study with clinical experts of differences of sex development Objectives Clitoral surgery on minors diagnosed with differences of sex development is increasingly positioned as a violation of human rights. This qualitative study identified how health professionals (HPs) navigate the contentious issues as they offer care to affected families.

Design Qualitative analysis of audio-recorded semistructured interviews with HPs. All of the interviews were transcribed verbatim for theoretical thematic analysis.

Setting Twelve specialist multidisciplinary care centres for children, adolescents and adults diagnosed with a genetic condition associated with differences of sex development.

Participants Thirty-two medical, surgical, psychological and nursing professionals and clinical scientists in 12 specialist centres in Britain and Sweden formed the interview sample.

Results All interviewees were aware of the controversial nature of clitoral surgery and perceived themselves and their teams as non-interventionist compared with other teams. Data analyses highlighted four strategies that the interviewees used to navigate their complex tasks: (1) engaging with new thinking, (2) holding on to historical assumptions, (3) reducing the burden of dilemmas and (4) being flexible. In response to recent reports and debates that challenge clitoral surgery on minors, HPs had revised some of their opinions. However, they struggled to reconcile their new knowledge with the incumbent norms in favour of intervention as they counsel care users with variable reactions and expectations. The flexible approach taken may reflect compromise, but the interviewees were often trapped by the contradictory values and assumptions.

Conclusions If the pathology-based vocabularies and narratives about genital diversity could be modified, and normative assumptions are questioned more often, clinicians may be more adept at integrating their new knowledge into a more coherent model of care to address the psychosocial concerns that genital surgery purports to overcome.

year: 2019

title: Task-Based Language Teaching (TBLT): A Vietnamese case study using narrative frames to elicit teachers’ beliefs

authors: Barnard, Roger

subjects: Task-Based Language Teaching

abstract: Like many other methodological innovations, Task-Based Language Teaching (TBLT) has been applied to many English language curriculums across Asia. However, little research has been done to explore what teachers know and believe about these reforms in their specific contexts. This paper derives from an in-depth study of teacher cognition in Vietnamese high schools using multi-methods of data collection. It will present and discuss findings from one of the methods used to elicit teachers’ knowledge and attitudes - ‘narrative frames’ (Barkhuizen & Wette, 2008). Specifically, teachers were asked to write (in Vietnamese) reflective comments about their attitudes towards TBLT, and their recent experience of applying it in their classroom. After presenting some of the findings, the application and usefulness of this approach to data collection in relatable contexts will be considered.

text: Task-Based Language Teaching (TBLT): A Vietnamese case study using narrative frames to elicit teachers’ beliefs Like many other methodological innovations, Task-Based Language Teaching (TBLT) has been applied to many English language curriculums across Asia. However, little research has been done to explore what teachers know and believe about these reforms in their specific contexts. This paper derives from an in-depth study of teacher cognition in Vietnamese high schools using multi-methods of data collection. It will present and discuss findings from one of the methods used to elicit teachers’ knowledge and attitudes - ‘narrative frames’ (Barkhuizen & Wette, 2008). Specifically, teachers were asked to write (in Vietnamese) reflective comments about their attitudes towards TBLT, and their recent experience of applying it in their classroom. After presenting some of the findings, the application and usefulness of this approach to data collection in relatable contexts will be considered.

year: 2010

title: Overview of the Kukutaaruhe Gully restoration initiative: Part 1

authors: Elliot Noe, Elizabeth

abstract: Kukutaaruhe Gully is a minor branch of Hamilton’s extensive gully system, and runs from the corner of Bankwood and Clarkin Road, behind Fairfield College, connecting with Donny Park in the north and out into the Waikato River. The Kukutaaruhe Education Trust was established to support the implementation of the Fairfield Project, which is a partnership between Ngati Wairere, local community and Fairfield College. The project’s goals include the establishment of an ecological and environmental education centre on the approximately 12 ha of land behind Fairfield College and restoration of the adjacent Kukutaaruhe Gully. In 2019, the University of Waikato’s Environmental Research Institute was contracted by the Kukutaaruhe Education Trust to create an Overview of the Kukutaaruhe Gully restoration initiative. This is one in a three-part series created together under one contract:
• Part 1 of 3 is the first document presented here, an Overview of the Kukutaaruhe Gully Restoration Initiative
• Part 2 of 3, the Operational Forest Restoration plan for Kukutaaruhe Gully
• Part 3 of 3 is an Ecological Restoration Plan Template.

text: Overview of the Kukutaaruhe Gully restoration initiative: Part 1 Kukutaaruhe Gully is a minor branch of Hamilton’s extensive gully system, and runs from the corner of Bankwood and Clarkin Road, behind Fairfield College, connecting with Donny Park in the north and out into the Waikato River. The Kukutaaruhe Education Trust was established to support the implementation of the Fairfield Project, which is a partnership between Ngati Wairere, local community and Fairfield College. The project’s goals include the establishment of an ecological and environmental education centre on the approximately 12 ha of land behind Fairfield College and restoration of the adjacent Kukutaaruhe Gully. In 2019, the University of Waikato’s Environmental Research Institute was contracted by the Kukutaaruhe Education Trust to create an Overview of the Kukutaaruhe Gully restoration initiative. This is one in a three-part series created together under one contract:
• Part 1 of 3 is the first document presented here, an Overview of the Kukutaaruhe Gully Restoration Initiative
• Part 2 of 3, the Operational Forest Restoration plan for Kukutaaruhe Gully
• Part 3 of 3 is an Ecological Restoration Plan Template.

year: 2020-10