title: (Self-) surveillance and (self-) regulation: living by fat numbers within and beyond a sporting culture

authors: McMahon, Jennifer Ann

subjects: body

abstract: This paper utilises Foucault's theory of disciplinary power and concepts of surveillance, regulation and technologies of the self. The concepts are used to explore practices that we associate with the notion of swimmers ‘living by fat numbers' during their competitive swimming careers as adolescents and post-career as adult women. Extracts from narrative accounts generated via in-depth interviews are presented and analysed utilising some Foucauldian concepts relating to power and surveillance. The paper illustrates the ways in which fat, weight and food numbers are a focus of surveillance and regulation by others and by swimmers themselves. Particular thinking and practices relating to the body, weight, food and performance are shown to become embedded, accepted and normalised within a sporting culture and be sustained beyond it some 10–30 years on. The paper raises issues for those within and beyond sporting cultures to engage with; relating to the enduring long-term impact of the normalisation of body practices amidst discourses of performance and perfection in sport.

text: (Self-) surveillance and (self-) regulation: living by fat numbers within and beyond a sporting culture This paper utilises Foucault's theory of disciplinary power and concepts of surveillance, regulation and technologies of the self. The concepts are used to explore practices that we associate with the notion of swimmers ‘living by fat numbers' during their competitive swimming careers as adolescents and post-career as adult women. Extracts from narrative accounts generated via in-depth interviews are presented and analysed utilising some Foucauldian concepts relating to power and surveillance. The paper illustrates the ways in which fat, weight and food numbers are a focus of surveillance and regulation by others and by swimmers themselves. Particular thinking and practices relating to the body, weight, food and performance are shown to become embedded, accepted and normalised within a sporting culture and be sustained beyond it some 10–30 years on. The paper raises issues for those within and beyond sporting cultures to engage with; relating to the enduring long-term impact of the normalisation of body practices amidst discourses of performance and perfection in sport.

year: 2012

title: Mindfulness-based stress reduction intervention in a sample of pregnant women in a rural area.

authors: Williams, Stephen Gordon

subjects: mindfulness

abstract: In this study, nine pregnant women in a rural area were assessed for a range of affective and mood disorders, as well as for coping self-efficacy and use of mindfulness in daily life. A mindfulness-based stress reduction intervention was implemented using “Healing Rhythms”, a commercially available computer-based mindfulness software programme, which uses biofeedback to assist in teaching self-regulation and mindfulness-based approaches for reducing stress. The programme was supplied already loaded onto laptops which were lent to participants for the study. Most participants showed improvements on measures of Trait anxiety and coping self-efficacy, with two participants whose scores at baseline met clinical criteria for depression dropping significantly to a non-clinical score at the end of the programme. Participants were interviewed and most reported satisfaction with using the programme, and a belief that it could be useful for other pregnant women especially where women felt challenged by stressors during pregnancy. The aim of the study was to identify whether a computer-based mindfulness programme for stress reduction would have utility and efficacy in a rural population. The results suggest that there were measureable gains for most participants, and that such a programme could be a supportive and helpful option for rural women who wish to learn how to better manage perinatal stress.

text: Mindfulness-based stress reduction intervention in a sample of pregnant women in a rural area. In this study, nine pregnant women in a rural area were assessed for a range of affective and mood disorders, as well as for coping self-efficacy and use of mindfulness in daily life. A mindfulness-based stress reduction intervention was implemented using “Healing Rhythms”, a commercially available computer-based mindfulness software programme, which uses biofeedback to assist in teaching self-regulation and mindfulness-based approaches for reducing stress. The programme was supplied already loaded onto laptops which were lent to participants for the study. Most participants showed improvements on measures of Trait anxiety and coping self-efficacy, with two participants whose scores at baseline met clinical criteria for depression dropping significantly to a non-clinical score at the end of the programme. Participants were interviewed and most reported satisfaction with using the programme, and a belief that it could be useful for other pregnant women especially where women felt challenged by stressors during pregnancy. The aim of the study was to identify whether a computer-based mindfulness programme for stress reduction would have utility and efficacy in a rural population. The results suggest that there were measureable gains for most participants, and that such a programme could be a supportive and helpful option for rural women who wish to learn how to better manage perinatal stress.

year: 2012

title: How do colorectal cancer patients rate their GP: a mixed methods study

authors: Blackmore, Tania Louise

subjects: Science & Technology

abstract: Background: New Zealand (NZ) has a high incidence of colorectal cancer (CRC) and low rates of early diagnosis. With screening not yet nationwide, the majority of CRC is diagnosed through general practice. A good patient-general practitioner (GP) relationship can facilitate prompt diagnosis, but when there is a breakdown in this relationship, delays can occur. Delayed diagnosis of CRC in NZ receives a disproportionally high number of complaints directed against GPs, suggesting deficits in the patient-GP connection. We aimed to investigate patient-reported confidence and ratings of their GP following the diagnostic process. 
Methods: This study is a mixed methods analysis of responses to a structured questionnaire and free text comments from patients newly diagnosed with CRC in the Midland region of NZ. A total of 195 patients responded to the structured questionnaire, and 113 patients provided additional free text comments. Descriptive statistics were used to describe the study population and chi square analysis determined the statistical significance of factors possibly linked to delay. Free text comments were analysed using a thematic framework. 
Results: Most participants rated their GP as ‘Very good/Good’ at communication with patients about their health conditions and involving them in decisions about their care, and 6.7% of participants rated their overall level of confidence and trust in their GP as ‘Not at all’. Age, gender, ethnicity and a longer diagnostic interval were associated with lower confidence and trust. Free text comments were grouped in to three themes: 1. GP Interpersonal skills; (communication, listening, taking patient symptoms seriously), 2. Technical competence; (speed of referral, misdiagnoses, lack of physical examination), and 3. Organisation of general practice care; (appointment length, getting an appointment, continuity of care). 
Conclusions: Māori, females, and younger participants were more likely to report low confidence and trust in their GP. Participants associate a poor diagnostic experience with deficits in the interpersonal and technical skills of their GP, and health system factors within general practice. Short appointment times, access to appointments and poor GP continuity are important components of how patients assess their experience and are particularly important to ensure equal access for Māori patients.

text: How do colorectal cancer patients rate their GP: a mixed methods study Background: New Zealand (NZ) has a high incidence of colorectal cancer (CRC) and low rates of early diagnosis. With screening not yet nationwide, the majority of CRC is diagnosed through general practice. A good patient-general practitioner (GP) relationship can facilitate prompt diagnosis, but when there is a breakdown in this relationship, delays can occur. Delayed diagnosis of CRC in NZ receives a disproportionally high number of complaints directed against GPs, suggesting deficits in the patient-GP connection. We aimed to investigate patient-reported confidence and ratings of their GP following the diagnostic process. 
Methods: This study is a mixed methods analysis of responses to a structured questionnaire and free text comments from patients newly diagnosed with CRC in the Midland region of NZ. A total of 195 patients responded to the structured questionnaire, and 113 patients provided additional free text comments. Descriptive statistics were used to describe the study population and chi square analysis determined the statistical significance of factors possibly linked to delay. Free text comments were analysed using a thematic framework. 
Results: Most participants rated their GP as ‘Very good/Good’ at communication with patients about their health conditions and involving them in decisions about their care, and 6.7% of participants rated their overall level of confidence and trust in their GP as ‘Not at all’. Age, gender, ethnicity and a longer diagnostic interval were associated with lower confidence and trust. Free text comments were grouped in to three themes: 1. GP Interpersonal skills; (communication, listening, taking patient symptoms seriously), 2. Technical competence; (speed of referral, misdiagnoses, lack of physical examination), and 3. Organisation of general practice care; (appointment length, getting an appointment, continuity of care). 
Conclusions: Māori, females, and younger participants were more likely to report low confidence and trust in their GP. Participants associate a poor diagnostic experience with deficits in the interpersonal and technical skills of their GP, and health system factors within general practice. Short appointment times, access to appointments and poor GP continuity are important components of how patients assess their experience and are particularly important to ensure equal access for Māori patients.

year: 2021-04-08