Creating community life among immigrant survivors of torture and their allies.

This qualitative study describes how immigrant survivors of torture in the United States built relationships among each other to form a psychological sense of community. Eight men and seven women from 11 different countries were recruited through a torture treatment center and a survivor-led advocacy and support coalition. This qualitative study explored how participants described their experiences of community life. An advisory group that included torture survivors, torture treatment practitioners, abolition advocates and academic experts guided the study. Data was analyzed using inductive and phenomenological theories. The construct of psychological sense of community articulated by McMillan and Chavis1 provided the conceptual framework for the evaluation of how a psychological sense of community was developed. Torture survivors with their allies formed community boundaries based on a deep understanding of the impact of torture. The safety afforded through the community boundaries was reinforced by shared condemnation of torture in all circumstances. Within the security of the community's boundaries, members shared their experiences to enable their own and others' recovery from torture. As community members exchanged advice and support, survivors met one another's needs, providing physical and emotional relief from the effects of their torture. As individuals and a community, they influenced each other's identities as survivors rather than victims. Advocating for those who remained vulnerable to torture was important to their identification as survivors. Through these exchanges, community members influenced one another and developed trusting relationships and emotional bonds. This study illuminates how community life enabled survivors to contribute to, and benefit from, each other's journeys.

Understanding student complaints in the service learning pedagogy.

This study draws upon student evaluations across 3 years of service learning (SL) courses at a large, urban, faith-based university identifying issues of greatest concern to students. Analysis of qualitative responses revealed perspectives on the limits, pitfalls, and barriers to successful SL student work in the community replicated over the 3 year timeframe. Over 2,200 written responses were coded and tested for reliability for each of 3 years. The top three comments SL students were most likely to express included: (1) concern about their placement in the community, for example, that sites were not prepared or that further goal-setting, communication and training by the university was necessary; (2) that the university's choice of sites may have been ill considered; and, (3) that there were problems with time and scheduling. Ongoing assessment of students' perspectives on their placement experience identifies practices that can enhance their learning and contributions toward building stronger communities.

Alternative medical interventions used in the treatment and management of myalgic encephalomyelitis/chronic fatigue syndrome and fibromyalgia.

BACKGROUND: There have been several systematic reviews attempting to evaluate the efficacy of possible treatments for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and fibromyalgia (FM). However, information regarding the efficacy of complementary and alternative medicine (CAM) has not been comprehensively or systematically covered in these reviews, despite its frequent use in the patient community. PURPOSE: The purpose of this study was to systematically review and evaluate the current literature related to alternative and complementary treatments for ME/CFS and FM. It should be stressed that the treatments evaluated in this review do not reflect the clinical approach used by most practitioners to treat these illnesses, which include a mix of natural and unconventionally used medications and natural hormones tailored to each individual case. However, nearly all clinical research has focused on the utility of single CAM interventions, and thus is the primary focus of this review. METHODS: Several databases (e.g., PubMed, MEDLINE,((R)) PsychInfo) were systematically searched for randomized and nonrandomized controlled trials of alternative treatments and nonpharmacological supplements. Included studies were checked for references and several experts were contacted for referred articles. Two leading subspecialty journals were also searched by hand. Data were then extracted from included studies and quality assessments were conducted using the Jadad scale. RESULTS: Upon completion of the literature search and the exclusion of studies not meeting criterion, a total of 70 controlled clinical trials were included in the review. Sixty (60) of the 70 studies found at least one positive effect of the intervention (86%), and 52 studies also found improvement in an illness-specific symptom (74%). The methodological quality of reporting was generally poor. CONCLUSIONS: Several types of alternative medicine have some potential for future clinical research. However, due to methodological inconsistencies across studies and the small body of evidence, no firm conclusions can be made at this time. Regarding alternative treatments, acupuncture and several types of meditative practice show the most promise for future scientific investigation. Likewise, magnesium, l-carnitine, and S-adenosylmethionine are nonpharmacological supplements with the most potential for further research. Individualized treatment plans that involve several pharmacological agents and natural remedies appear promising as well.