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Research and theory on the intervening variables that enable individuals who experience marginalization and oppression to achieve well-being have historically relied on an individual level of analysis. Yet, there is a growing body of literature that highlights the roles that contexts play in facilitating processes that result in wellness among marginalized individuals. This paper proposes a conceptual framework that highlights a specific type of setting, referred to as "counterspaces," which promotes the psychological well-being of individuals who experience oppression. Counterspaces are theorized to enhance well-being by challenging deficit-oriented societal narratives concerning marginalized individuals' identities. The conceptual frame proposed here suggests that "challenging" can occur through at least three processes: (1) narrative identity work, (2) acts of resistance, and (3) direct relational transactions. This paper articulates each of these challenging processes. Additionally, the utility of using the Counterspaces framework for thinking critically about and investigating how settings-and the transactional processes that unfold within them-are associated with the promotion of psychological wellness for various marginalized populations is discussed.
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http://dx.doi.org/10.1007/s10464-012-9497-7 | DOI Listing |
BMC Health Serv Res
September 2025
African Population and Health Research Center (APHRC), APHRC Campus, 2nd Floor, Manga Close off Kirawa Road, P.O. Box 10787-00100, Nairobi, Kenya.
Background: Maternal healthcare (MHC) in Cameroon reflects the persistent challenges in Sub-Saharan Africa, where high maternal mortality continues despite improved service utilization, stressing inequitable effective coverage (EC). This study applied EC cascade analysis-including service contact, continuity, and input-adjusted coverage-to quantify geographic and socioeconomic disparities, informing equity-focused strategies to dismantle structural barriers in the MHC continuum.
Methods: We combined population and health facility data (2018 Cameroon Demographic and Health Survey and 2015 Emergency Obstetric and Neonatal Care Assessment) to estimate the input-adjusted coverage of antenatal care (ANC) and intra-and postpartum care (IPC).
JMIR Res Protoc
September 2025
Moores Cancer Center, University of California, San Diego, La Jolla, CA, United States.
Background: Cancer screening nonadherence persists among adults who are deaf, deafblind, and hard of hearing (DDBHH). These barriers span individual, clinician, and health care system levels, contributing to difficulties understanding cancer information, accessing screening services, and following treatment directives. Critical communication barriers include ineffective patient-physician communication, limited access to American Sign Language (ASL) cancer information, misconceptions about medical procedures, insurance navigation difficulties, and intersectional barriers for multiply marginalized individuals.
View Article and Find Full Text PDFEpidemiology
September 2025
Population Science, American Cancer Society, Atlanta, Georgia, US.
Background: Linking cancer cohort participants to state cancer registries typically relies on personally identifiable information, including Social Security Numbers (SSN), which uniquely identify individuals. However, complete SSN collection can be limited due to privacy concerns. This study evaluates the sensitivity of cancer registry linkage using partial or missing SSN and examines differences by demographic characteristics.
View Article and Find Full Text PDFJ Behav Health Serv Res
September 2025
Center of Practice Transformation, School of Social Work, University of Minnesota-Twin Cities, Saint Paul, MN, USA.
People with mental health and substance use disorders (SUDs) experience worse outcomes, including increased mortality risk, compared to those with SUDs alone. Access to safe, stable housing, in conjunction with treatment, such as intensive outpatient programs (IOP), is vital in early recovery. Nevertheless, those with historically marginalized identities may experience increased disparities in accessing and utilizing services.
View Article and Find Full Text PDFAm J Speech Lang Pathol
September 2025
American Speech-Language-Hearing Association, Rockville, MD.
Purpose: Since its inception, the National Joint Committee for the Communication Needs of Persons with Severe Disabilities (NJC) has focused specifically on advocating for individuals with significant communication support needs resulting from intellectual disability. The purpose of this review article is to describe the history of terminology used to describe this group of individuals, share the results of a recent survey completed by 102 members of our NJC Network, and discuss the implications of decisions regarding terminology in the NJC's ongoing advocacy efforts.
Method: History of terminology used to describe people with intellectual disability is documented by reviewing the literature, policies, professional organizations, and self-advocacy groups that used various terms from the early 20th century to present day.