Societal addiction therapy: from motivational interviewing to Community Engaged Scenario Planning

Costanza, Robert; Atkins, Paul W. B.; Bolton, Mitzi; Cork, Steven J.; Grigg, Nicky; Kasser, Tim; Kubiszewski, Ida

doi:10.1016/j.cosust.2017.02.011

Cited by 8 publications

(6 citation statements)

References 27 publications

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“…This includes transforming existing economic frameworks and policies, as has been done in Bhutan, and taking the lead, mainly for the state agencies to develop policies that focus on enhancing human wellbeing (Costanza et al, 2014a). Extending development to emphasize and advance human wellbeing (both qualitative and quantitative standards) should be the focus if we want to really develop and improve people's quality of life (Costanza et al, 2007(Costanza et al, , 2017b).…”

Section: Discussionmentioning

confidence: 99%

Ecosystem Services and Human Wellbeing-Based Approaches Can Help Transform Our Economies

2022

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Despite wider recognition of human interdependence with the rest of nature, our economies continue to fail to adequately value ecosystem services. This failure is largely attributed to the economic frameworks and related measures that focus on the production and consumption of marketed goods and services, but do not consider the other essential elements upon which our lives depend. This paper highlights how the Ecosystem Services approach can shift the focus to human wellbeing while remaining within biophysical planetary boundaries. An Ecosystem Services approach applies three fundamental principles of Ecological Economics: sustainable scale, efficient allocation, and fair distribution, which are vital for sustainable economies and societies. We provide case studies, from both a local and national scale, demonstrating how such an approach offers a holistic perspective of understanding what “development” actually means. Transforming our economies to appropriately consider planetary limits, overcome societal addictions, learn from Indigenous and local communities about ways of sustainable living, and realizing the importance of ecosystem services will contribute to developing economies that are resilient, and that enhance sustainable human wellbeing.

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Section: Discussionmentioning

confidence: 99%

Ecosystem Services and Human Wellbeing-Based Approaches Can Help Transform Our Economies

2022

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“…Despite the potential for applied theatre approaches to facilitate new perspectives and shifts in attitudes/beliefs, several studies suggest that direct attempts at persuading a person to change their behaviors are typically met by cognitive resistance. 13 Costanza et al 14 remind us that persuasion for behavioral change is most often met with defensive denial. As an alternative to confrontational persuasive approaches, Costanza et al 14 advocate for increasing use of the successful aspects of motivational interviewing to facilitate behavior change, including strategies such as alliance-building, empathy, and reflective listening.…”

Section: Introductionmentioning

confidence: 99%

“…13 Costanza et al 14 remind us that persuasion for behavioral change is most often met with defensive denial. As an alternative to confrontational persuasive approaches, Costanza et al 14 advocate for increasing use of the successful aspects of motivational interviewing to facilitate behavior change, including strategies such as alliance-building, empathy, and reflective listening. Glasman and Albarracin 15 found, in their meta-analysis of the relationship between attitudes and behaviors, several factors that correlate with the degree to which attitudes guide future behavior.…”

Section: Introductionmentioning

confidence: 99%

A Mixed-method Analysis of Community-Engaged Theatre Illuminates Black Women’s Experiences of Racism and Addresses Healthcare Inequities by Targeting Provider Bias

Wasmuth

Pritchard

Milton

et al. 2020

INQUIRY

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Theatre has been a powerful means of eliciting social change. This paper describes methods and outcomes of a theatre project to reduce healthcare inequities experienced by Black women. We conducted narrative interviews with a convenience sample of Black women and conducted thematic analysis of interview transcripts to learn about their experiences of healthcare and to inform development of a professional theatrical production. To assess the impact of the performance on the audience, we used a single post-test concurrent mixed-methods design using a self-created Likert-type survey that included space for open-ended responses. Ten Black women completed narrative interviews. Thematic analysis revealed 5 main themes: being ignored, being accused, being talked-down to, fearing harm, and being hurt. Narratives were used to create a script that centered on these themes, and that was professionally produced and performed. Audience members (n = 113, 25% healthcare providers) produced a mean total post-test score of 19.28 (agree/strongly agree) on a 25-point survey with 2 items scoring in the 2 to 3 range (disagree/not sure). Thematic analysis data revealed the extent to which Black women experienced discrimination in multiple settings. Quantitative survey data suggested audience members conceptually understood and were aware of inequity, but open-ended responses revealed this information was new for some, and prior knowledge for others. The audience reported planning to change personal behaviors that may contribute to inequity. Participants were unsure if they had contributed to inequity in the past. The performance stimulated conversation about implicit bias and discrimination and encouraged audience members to examine their contributions to the problem. Future pre-post studies are needed to better assess the impact of the performance. Theatre has the potential to illuminate the extent and nature of discrimination in healthcare and society, and to foster conversations that allow audience members to consider their own potential contributions to discrimination.

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“…Welfare expansion thus seems to depend on economic growth, a circumstance that may in turn be translated into a health issue in terms of dependency, and there is much and growing scholarship (e.g., Daly, 1974; Jackson, 2009; Mishan, 1967; Rees, 1999; Slaughter, 2012; van Griethuysen, 2010) concurring in the diagnosis that capitalist welfare ‘societies are addicted to growth’ (Haapanen & Tapio, 2016, p. 3495). Where this dependency is not diagnosed in individual consumers in terms of a behavioural addiction (Higham et al., 2016; Ryan, 2013), the issue emerges that therapeutic interventions that might work at an individual level must be scaled up to different levels of society (Costanza et al., 2017a, 2017b) in a bid to solve the most urgent ecological problems and, perspectively, achieve all sustainable development goals.…”

Section: Totalitarian Implications Of Positive and Planetary Health E...mentioning

confidence: 99%

Health beyond medicine. A planetary theory extension

Roth

Valentinov

2022

Sociology Health & Illness

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In Niklas Luhmann’s vision of the modern functionally differentiated society, health presents one of the essential function systems, along with politics, law, economy and science. While he devoted much effort to elaborating the theoretical foundations of the latter function systems, his work on the health system was relatively sparse. This research gap has been rendered particularly acute by the recent COVID‐19 crisis. In reconstructing and updating the Luhmannian analysis of this system, this article presents a three‐dimensional concept of organic, psychic and social health and highlights the risks raised by a potential overexpansion of the health concept to the planetary level. The most important of these risks is shown to be the potential rise of totalitarian social control that exceeds classical forms of medical social control. The proposed argument not only contributes to the public criticism of the political responses to the COVID‐19 crisis but also fills in some missing pieces of Luhmann’s seminal elaboration of the health system.

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Societal addiction therapy: from motivational interviewing to Community Engaged Scenario Planning

Cited by 8 publications

References 27 publications

Ecosystem Services and Human Wellbeing-Based Approaches Can Help Transform Our Economies

Ecosystem Services and Human Wellbeing-Based Approaches Can Help Transform Our Economies

A Mixed-method Analysis of Community-Engaged Theatre Illuminates Black Women’s Experiences of Racism and Addresses Healthcare Inequities by Targeting Provider Bias

Health beyond medicine. A planetary theory extension

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