Saturday Onsite Presentation Session 1

Qualitative/Quantitative International Psychology

Session Chair: Md Ashraful Kabir

09:30-09:55

68690 | Child Protection in Violent Contexts in Different Normative Systems from an Occidental Perspective

Guillermina Garcia Viazzi, Buenos Aires University, Argentina

This study aims to examine the approaches and solutions proposed by various regulatory systems about child abuse and mistreatment. The focus is on the legal systems of the United States of America and Argentina, which have taken different stances on the Convention on the rights of the child. Two legal cases, one from California State and another from La Pampa Province, are used as examples. The analysis of these specific cases was carried out through the comparison of the legislation applied in the matter by both countries, taking into account the consequences suffered by the children and the legal protection that professionals or public officials have in the intervention of these cases, in order to understand what are the legal gaps and/or adaptation of procedures necessary for effective child protection. Additionally, the paper suggests a comprehensive therapeutic approach to trauma that considers the difficulties and complexities of these cases, including the needs of vulnerable populations and the limitations of the healthcare system, to find a more holistic and effective solution to child abuse and mistreatment.

09:55-10:20

69218 | The Lived Experience of Post-Stroke Loss and Coping Strategies of

Singaporean First-Time Stroke Survivors and Family Caregivers

Shaik Amin, Nanyang Technological University, Singapore

Ping Ying Choo, Nanyang Technological University, Singapore

Geraldine Tan-Ho, Nanyang Technological University, Singapore

Jimmy Chee Keong Lee, Institute of Mental Health, Singapore

Andy Hau Yan Ho, Nanyang Technological University, Singapore

Background: First-time stroke Survivors (SS) and family caregivers (FC) experience multiple non-death losses. Current conceptualizations of these losses are largely derived from Western contexts. This study is the first to examine the lived experiences of post-stroke loss and recovery in Asian SS and FC. Methods: Interpretative phenomenological analysis was performed on qualitative dyadic interview data (N = 6) drawn from an ongoing longitudinal study in Singapore. The study included cognitively stable participants with first-time stroke at mild to moderate severity, discharged from in-patient care no longer than 3 months, and adequate communicative capabilities. Results: N=6 dyads were mainly spouses. SS were predominantly male aged between 38 to 72 and FC were mostly female aged between 37 to 52. Data analyses revealed 22 descriptive themes which were further sorted into six conceptual categories to form the Family Coping Model at Stroke Onset: (i) The Unfamiliar Body, (ii) Prioritizing Recovery, (iii) The Unprepared Surrogate, (iv) Cultivating Resilience, and (v) Trajectory Partnership are themes that represent the experience of post-stroke loss by survivors and family caregivers and their individual and joint coping strategies; (vi) Compassionate Healthcare encapsulates the needs of survivors and family caregivers from the healthcare ecosystem. Conclusions: The personal motivations of both SS and FC were reflective of a strong sense of familial duty with interdependence being reserved for pragmatic and practical issues. An absence of emotion-based coping and entrapment in a post-stroke liminal state call for the adaptation of dignity-focused, family-centered interventions for this unique population.

10:20-10:45

66902 | Challenges and Opportunities in Organizing Non-communicable Diseases Services in Rural Bangladesh: A Primary Healthcare System Perspective

Md Ashraful Kabir, Monash University, Australia

Md Nazmul Karim, School of Public Health and Preventive Medicine, Australia

Baki Billah, School of Public Health and Preventive Medicine, Australia

Introduction: The rapid rise of non-communicable diseases (NCDs) such as cervical cancer, diabetes mellitus, cardiovascular diseases, chronic respiratory illnesses, and mental illness remain a major public health challenge in Bangladesh. Older population (≥ aged 60) living in the rural settings bear the high burden of NCDs. Effective health system is crucial to organize quality NCD services. This study examined the health system challenges and opportunities in organizing NCD services for major NCDs at rural settings. Methods: We conducted 15 in-depth interviews with first-line healthcare providers, 14 key informant interviews with facility-level providers and managers, and 16 focus group discussions with community members. Using health system dynamics framework, data were analyzed thematically. The triangulation of methods, participants, and sites was performed to validate the information provided. Results: Organization of NCD services was influenced by a wide range of health system factors, including lack of following standard treatment guidelines and protocols, under-regulated informal and profit-based private healthcare sectors, poor health information system and record-keeping, and poor stewardship. Furthermore, the lack of functional referral services; insufficient medicine, diagnostic facilities, logistics supply; and untrained workforces emerged as key weaknesses. The availability of NCD-related policy documents, the vast network of healthcare infrastructure, increased demand for NCD services were identified as the major opportunities. Conclusion: Despite the substantial potential, the health system challenge impeded the delivery of NCD services at rural settings. This weakness needs be to addressed to organize quality NCD services to better respond to the rising burden of NCDs.

10:45-11:10

68315 | The Intersection of Social Locations in Asian American Couples: A Qualitative Inquiry

Karen Quek, California State University, United States

Christie Eppler, Seattle University, United States

Natalie Wei-Mun Hsieh, Fuller School of Psychology, United States

Individuals’ social locations including gender, socioeconomic status, ethnicity, sexual orientation, spirituality, and vocation define their social position and status in a given society and culture. These also create social inequalities among individuals in relationships. The complexity of couple dynamic is likely to create an interpersonal hierarchy between husbands and wives. Research consistently shows that couples’ relational processes are ubiquitously intertwined, and that their social location matters. Based on subjective values associated with different social locations, the interlink of various locations between husbands and wives in a marital relationship could construct uneven martial power dynamics, whereby the unequal power is produced, reproduced and or transformed through day-to-day interaction. The study used the intersectionality approach to provide a theoretical frame to understand how interlocking locations of gender, socioeconomic status, ethnicity, sexual orientation, spirituality, and vocation shape and transform relational outcomes within the cultural and dominant discourses in the context of marital relationships. A qualitative study was conducted to investigate the lived experiences of 20 Asian American couples with young as they negotiate identity and roles in early parenthood within the context of their social locations. The thematic analysis highlighted collectivist cultural values and spirituality as significant in guiding how partners understand identity and negotiate relationship roles in marriage. The intersection of various social locations challenged traditional husband and wives' roles and gender expectations for wives. Implications for Asian American couples, and for the application of intersectionality theory to diverse populations will be discussed.

11:25-11:50

11:25-12:40