ABSTRACT
What does research on informal sector workers and the state entail in the time of Covid-19? The pandemic has limited possibilities for in-person interactions and required adaptations in research approaches. These challenges are exacerbated when the subjects of the research are informal sector workers with limited access to technology and undefined spaces of work. In this article, we argue that the Covid-19 pandemic has magnified distances: between researchers located globally;between researchers and respondents;and between the state and people within informal employment. However, these distances also create new ways of working and opportunities for doing research. We discuss the challenges faced in the field, document the adaptations introduced to ensure robust research in difficult settings, and set out the limitations that remain. We also examine the ethical dimension of confronting dangerous misinformation related to the pandemic while conducting interviews, and the questions it raises about the distance between research and prescriptive advocacy in academia.
ABSTRACT
Diagnosing depression during adolescence is complex due to the variety of manifestations encountered. Besides, depression is a common comorbidity in autism spectrum disorders and can be difficult to diagnose. We report here the case of a 17-year-old adolescent hospitalized for major hetero-aggressive behavior in a context of melancholic depression. We present the multidisciplinary care provided: psychotherapeutic, medication, family, and body packing. The case of this patient was complex due to multiple “internal” constraints linked to comorbidities (autism spectrum disorder, coordination impairment, attention disorder, sluggish cognitive tempo), as well as “external” constraints (complicated family context, worsening of disorders coinciding with the start of the SARS-cov-19 epidemic and the closure of the day hospital supporting him). These factors raised important questions in the choice of treatments for this patient, required several months of hospitalization and opened a discussion around differential diagnoses. © 2022 Elsevier Masson SAS
ABSTRACT
Résumé Le diagnostic de dépression à l’adolescence est complexe du fait de la diversité des manifestations rencontrées. Par ailleurs, la dépression est une comorbidité fréquente dans les troubles du spectre autistique et elle peut poser des difficultés diagnostiques. Nous résumons ici la prise en charge multidisciplinaire (psychothérapeutique, médicamenteuse, familiale, et corporelle par enveloppement) d’un adolescent de 17 ans hospitalisé pour troubles de comportement à type d’hétéro-agressivité majeure dans un contexte de dépression mélancolique. La prise en charge a été complexe du fait de multiples contraintes « internes » liées à des comorbidités (trouble du spectre autistique, trouble de coordination motrice, trouble de l’attention, et lenteur de traitement cognitif), ainsi que des contraintes « externes » (contexte familial compliqué, aggravation des troubles coïncidant avec le début de l’épidémie de SARS-cov-19 et la fermeture de l’hôpital de jour le prenant en charge). L’ensemble de ces facteurs ont entraîné des questionnements importants dans le choix des traitements pour ce patient, ont nécessité plusieurs mois d’hospitalisation et ouvert une discussion autour des diagnostics différentiels. Diagnosing depression during adolescence is complex due to the variety of manifestations encountered. Besides, depression is a common comorbidity in autism spectrum disorders and can be difficult to diagnose. We report here the case of a 17-year-old adolescent hospitalized for major hetero-aggressive behavior in a context of melancholic depression. We present the multidisciplinary care provided: psychotherapeutic, medication, family, and body packing. The case of this patient was complex due to multiple “internal” constraints linked to comorbidities (autism spectrum disorder, coordination impairment, attention disorder, sluggish cognitive tempo), as well as “external” constraints (complicated family context, worsening of disorders coinciding with the start of the SARS-cov-19 epidemic and the closure of the day hospital supporting him). These factors raised important questions in the choice of treatments for this patient, required several months of hospitalization and opened a discussion around differential diagnoses.
ABSTRACT
The pandemic is in many ways a crisis of governance. It has created a set of unique challenges that underscore the need for governments to collect revenue more efficiently and equitably;and to spend it more inclusively, transparently, and accountably, especially on the most vulnerable and marginalised populations. In this article, we suggest a set of governance interventions to help create conditions for building effective and inclusive institutions that can support efforts to build back better. We propose that the impact of the pandemic can be dealt with through a mix of some interventions that deal with the immediate impacts of the crisis, and other interventions that can transform development in the longer term. © 2021 The Authors. IDS Bulletin and Institute of Development Studies.