School of Community and Public Health

Permanent link for this collectionhttps://hdl.handle.net/10292/10764

The School of Community and Public Health includes the following groups: • Public Health • Hauora Māori • Disaster Risk Management and Development • Pacific Health • Violence and Trauma • Health Law and Ethics • Psychotherapy • Counselling • Mental Health & Addictions • Lived Experience

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Now showing 1 - 20 of 568

Remaking the Imago Paterna: A Heuristic Enquiry
(Informa UK Limited, 2026-01-30) Oram, L; Tudor, K
Jung’s imago encapsulates mythic, internal representations of others, born from subjective experience, culture, and archetypes. Often, psychotherapy analyzes and reconstructs this image. In this article, heuristics were used to explore the first author’s image of his father—assembled from fragmented subjectivity and absence. Following Moustakas’s phases, he engaged archetypal themes, literature, and poetry to confront and reimagine this image. Viewed as a mythic journey, psychotherapy becomes both a creative act and a transgenerational rite of passage. The rewriting of imago through therapy reimagines relationships and narratives, complicating Western ideals of individuality while reframing familial and archetypal connections.
Communal to Individual Midwifery Care: Cultural Practices and the Maternity Journey of Sub-Saharan African Women in New Zealand
(Elsevier BV, 2026-02-12) Fougang, Daina Charnelle; Wepa, Dianne; Mpofu, Charles
Maternal health disparities persist globally, including among Sub-Saharan African immigrant women in high-income countries. Many come from contexts where pregnancy, childbirth, and the postpartum period are embedded in communal traditions. In Aotearoa New Zealand, the birthplace of cultural safety, limited research has examined African women’s maternity experiences. This study forms part of a midwife-led qualitative exploration of the maternity journeys of women from Sub-Saharan Africa in New Zealand, using interpretive description informed by cultural safety and structural competency. Semi-structured interviews were conducted with eleven women between July 2024 and January 2025. Data were analysed inductively using Braun and Clarke’s reflexive thematic analysis. Participants described a repertoire of cultural practices, including herbal and dietary remedies, postpartum rituals, and newborn care customs. Herbal medicine was used to ease labour and promote physiological birth, while cultural nutrition supported recovery and breastfeeding. The extended family played a vital role in postpartum recovery and breastfeeding support. Migration, however, disrupted this communal model, leaving women socially isolated in New Zealand. Participants reported loneliness, lack of family care, and, in some cases, a history of postpartum depression. Despite these challenges, women demonstrated resilience, adapting practices and advocating through transnational family ties and community networks. Participants' cultural practices strongly shape maternity expectations yet often conflict with New Zealand’s individualised model of care. Addressing these gaps requires culturally safe, structurally competent maternity models that integrate positive cultural traditions and reduce the risk of isolation. The next phase of this project describes women’s clinical maternity care experiences, highlights how structural barriers, misdiagnoses rooted in cultural assumptions, and limited recognition of traditional practices further compromise the delivery of woman-centred care.
Developing Ethical Guidelines for Positive Psychology Practice: An On-going, Iterative, Collaborative Endeavour
(Informa UK Limited, 2019-08-20) Lomas, T; Roache, A; Rashid, T; Jarden, A
As positive psychology has developed as a field, questions have arisen around how to ensure best practice, including with respect to ethics. This issue is particularly pertinent vis-à-vis its applied dimensions, such as positive psychology interventions by students and graduates of MAPP programmes. However, the field has hitherto lacked clear ethical guidelines to assist practitioners. Aiming to address this gap, the authors have devised a set of guidelines, in collaboration with key stakeholders across the positive psychology community, published in the International Journal of Wellbeing. The current article briefly summarises the importance, development, content, and future directions of these guidelines, thus providing a concise overview of this important project. It is hoped that this article, together with the guidelines themselves, will not only highlight the importance of ethical practice, but offer practical suggestions for guiding practitioners in the field.
Risk Factors for Depression in Pacific Adolescents in New Zealand: A Network Analysis
(Elsevier, 2022-05-19) Gossage, Lisa; Narayanan, Ajit; Dipnall, Joanna; Iusitini, Leon; Sumich, Alexander; Berk, Michael; Wrapson, Wendy; Tautolo, El-Shadan; Siegert, Richard
Background: Network analysis provides opportunities to gain a greater understanding of the complex interplay of risk factors for depression and heterogeneous symptom presentations. This study used network analysis to discover risk factors associated with both depression severity and depression symptoms amongst Pacific adolescents in New Zealand. Methods: Mixed graphical models with regularization were fitted to data from a community sample of New Zealand born, Pacific adolescents, (n = 561; 51% male; Mean age (SD) = 17 (0.35)) and associations between a wide range of potentially explanatory variables and depression severity and depression symptoms investigated. The associations identified were then tested for reliability, using resampling techniques and sensitivity analysis. Results: In the networks, the explanatory variables associated with both depression severity and depression symptoms were those related to quality of the relationships with mother or friends, school connectedness, and self-assessed weight, but the symptoms they were associated with varied substantially. In the depression severity networks, impulsivity appeared to be a bridging node connecting depression severity with delinquency and negative peer influence. Limitations: The data were analysed cross-sectionally, so causal inferences about the directions of relationships could not be inferred and most of the data were self-reported. Conclusions: The results illustrate the varied way that adolescent depression can manifest itself in terms of symptoms and suggest specific items on the depression inventory that might be suitable targets for prevention strategies and interventions, based on the risk factor - depression symptom profiles of individuals or groups.
Coordinating Response During Disaster: The 2023 Cyclone Gabrielle in the Hawke’s Bay Region as Case Study
(Australian Institute for Disaster Resilience, 2026-02-04) Mistry, Priyanka; Le Dé, Loïc; Miller, Todd
Cyclone Gabrielle struck Aotearoa New Zealand in February 2023 and was one of the most devastating disaster events in the country’s recent history. Response efforts involved a wide range of stakeholders and exposed critical coordination challenges. This study examined the effectiveness of these responses through 15 semi-structured interviews with representatives from national and local emergency management agencies, non-government organisations and community groups, as well as marae [meeting place] leaders involved in the response. It focused on the coordination among these different actors to identify strengths, gaps and challenges, and to understand the implications for disaster resilience. Findings reveal systemic issues in communication and coordination that hindered timely and equitable response, particularly in reaching people in rural areas, collaborating with Māori communities and engaging volunteers. Cultural disconnects, under-utilisation of local networks and training gaps for surge staff and emergency personnel also limited response effectiveness. The study highlights the need to strengthen pre-disaster relationships with iwi [tribes], marae and community-based groups to enhance workforce preparedness and embed culturally responsive practices.
The Coercive Edge of Kindness: A Critical Analysis of 'Random Acts' in Nursing
(Wiley, 2026-01-28) Jackson, Debra; Bond, Carmel; McCormack, Brendan; Watson, Adrianna; Wilson, Denise; Cleary, Michelle
Kindness is frequently framed as an unassailable virtue, celebrated across social, professional and political domains as a simple and uncomplicated good. It is rarely problematised, and its assumed benefits are seldom interrogated, leaving kindness largely positioned as a self-evident moral imperative. In this paper, we adopt a Foucauldian lens, not to seek an essential definition of kindness, but to consider how it circulates and operates discursively, what effects it produces and what is surrendered in its performance. We position kindness as a discourse that does not merely encourage compassion or generosity but also regulate behaviour, shapes subjectivities and establishes boundaries around what may or may not be said. Through such mechanisms, the imperative to 'be kind' can act to silence resistance, temper critique and foster compliance, functioning as a subtle technology of governance. By problematising kindness in this way, we reveal how a practice so often presented as wholly benevolent can also operate as a powerful disciplinary force. We suggest that alternatives to the disciplinary framing of kindness may be found within First Nations knowledge systems, which offer different ways of understanding generosity and care beyond Western institutional logics. Our purpose is not to argue for the abandonment of kindness, but to highlight that it should not be accepted uncritically; its operations and consequences must be understood in order for it to be engaged ethically and politically.
Speaking to Silence: Palestine, Psychotherapy, and Transactional Analysis
(Auckland University of Technology (AUT) Library, 2025-12-09) Khader, N; Joudeh, J; Pool, J; Bunsie, Z; Fong Clarke, S; Turner, N; Tudor, K
This article, written by members of the group ‘Transactional Analysis and Palestine’, offers seven individual but related reflections on psychotherapy—the field, its practice, and its practitioners— in the context of the genocide in Gaza, and the work of the group to date. It discusses silence, colonisation, decolonising psychotherapy, dissociation, and power, and ends with some reflections on the purpose, structure, and process of the group, and on allyship.
Exploring the Determinants of Intrauterine Device Acceptance in Family Planning in Kolaka, 2024
(Atlantis Press International BV, 2025-11-17) Permatasari, Andi Ita; Yusran, Sartiah; Jufri, Nurnashriana; Andajani, Sari
The usage of intrauterine devices (IUDs) as a long-term contraceptive method remains low in Kolaka Regency. This study aims to analyze the determinants influencing family planning acceptors’ interest in IUD usage, focusing on factors such as knowledge, attitudes, spousal support, number of children, and the availability of health facilities. An analytical cross-sectional design was employed, involving 185 women as research subjects. Data were collected through structured interviews using a questionnaire to assess the relevant factors. The findings reveal that attitude, spousal support, number of children, and health facility availability significantly impact family planning acceptors’ interest in IUDs, with a p-value < 0.05. Among these, spousal support was the most influential variable, exhibiting an odds ratio (OR) of 87.127, followed by attitude (OR = 6.559) and education (OR = 2.932). The number of children had the smallest effect, with an OR of 0.237. In conclusion, attitude, spousal support, number of children, and health facilities are key determinants of family planning acceptors’ interest in IUD use in Kolaka Regency in 2024. To enhance IUD adoption, it is recommended that the Family Planning Coordination Board (BKKB) of Kolaka Regency strengthen health promotion efforts regarding IUD usage among mothers and women of childbearing age.
Investigating Factors Associated With the Adoption of Intrauterine Contraceptive Devices (IUDs) by Women of Reproductive Age in Puuwatu District, 2023
(Atlantis Press International BV, 2025-11-15) Yafie, Zurezki Yuana; Yusran, Sartiah; Susanty, Sri; Zainuddin, Asnia; Asriati, Asriati; Binekada, I Made Christian; Andajani, Sari
Indonesia is the fourth most populous country in the world, with a population that continues to grow steadily. Effective contraception is essential for managing this growth, and the Intrauterine Contraceptive Device (IUD) is a prominent long-term method in the country. This study aims to analyze the factors influencing IUD usage among Women of Reproductive Age (WRA) in Puuwatu District in 2023. This quantitative research utilized a cross-sectional design, surveying 87 WRA who use either IUD or non-IUD contraceptive methods in Puuwatu District, Kendari City. Independent variables examined include parity, economic status, knowledge, attitudes, husband support, and healthcare provider support, while the dependent variable is the choice to use IUD. Data analysis employed univariate, bivariate, and multivariate methods, including chi-square tests and logistic regression. The analysis revealed the following p-values: parity (0.41), economic status (0.293), knowledge (0.036, OR: 3.839), attitude (0.06, OR: 3.424), husband support (0.023, OR: 3.361), and healthcare provider support (0.72). Significant relationships were found between knowledge, attitude, and husband support, with knowledge being the most influential factor in IUD usage among WRA in Puuwatu District in 2023. No significant associations were identified for parity, economic status, or healthcare provider support.
Person, Paideia, Politeia: The Person, Education, and Politics in Person-Centered Psychology
(Informa UK Limited, 2025-04-21) Tudor, K
This article, based on a keynote speech delivered at PCE2024 in Athens, Greece, aims to strike some keynotes on the theme(s) of the conference, that is, person, paideia (education), and politeia (politics). Despite its centrality to person-centered psychology, the concept of the person is under-theorized. First, expanding on Schmid’s identification of two strands in Rogers’ thinking about the person (the individualistic and the relational), the article explores the contextual person, that is a person who is inevitably embedded in a number of contexts, not least their culture. Second, the article revisits the radicalism of Rogers’ ideas about education, including that of educating therapists, and considers this in the light of the pressures on training as manifested in neoliberal institutions–and institutes–of education/training. Third, the article considers person-centered politics, specifically, the politics of theory, and how person-centered psychology can represent itself externally with more coherence and confidence–for the betterment of people, education and the (political) world. Notwithstanding this presentation as a journal article, its style retains something of the directness of the original form in addressing the original in-person and online audience–and, now, the reader.
Trauma-Informed Mental Health: Supporting Young People Involved With Child Protection Services
(Taylor and Francis Group, 2025-07-17) Appleby, Jo
Reported in this article are research findings about effective mental health practices for young people involved with child protection services. Five care-experienced young people and 45 stakeholders were interviewed to gather stories of effective mental health practice in Aotearoa New Zealand. The results illustrated what trauma-informed practice can look like throughout the mental health engagement, assessment, and intervention stages. The foundation of trauma-informed mental health care for this population is a deep understanding of the impact of trauma upon young people, recognition of care-experienced young people as a priority population, and a commitment from mental health services to responsively serve these young people. IMPLICATIONS Well-resourced specialised trauma-informed mental health care is important for young people who have been involved with child protection services, many of whom face inequitable barriers in accessing quality mental health care. Trauma-informed clinicians, including social workers, recognise trauma responses as adaptive behaviours rather than a reason to decline mental health service provision. Trauma-informed mental health interventions are based on principles of choice and predictability. Systemic trauma-informed care aligns with critical social work perspectives and antioppressive practice.
Relationships Between Ethical Conduct, Ethics Review and Education Within Scholarship of Teaching and Learning Research: Exploring Student Perspectives From Sweden and Aotearoa New Zealand
(SAGE Publications, 2025-08-03) Lees, Amanda B; Godbold, Rosemary; Walters, Simon; Eliasson, Inger
Participant input in determining ethical conduct in research has the potential to play a greater role in shaping research ethics. Our study explored perspectives on ethical conduct in Scholarship of Teaching and Learning (SoTL) research from forty-two students from two universities, one in Sweden and one in Aotearoa New Zealand (NZ), where ethics review requirements for tertiary SoTL research significantly differ. A combination of global and local values informed participants' decisions. Commonly, students expected participation to be voluntary and informed, with grades protected. Students considered participation in SoTL research based on the trustworthiness of the teacher. We found two local differences. Firstly, a utilitarian justification was present within participatory decisions of the Swedish cohort, while a justice lens predominated among NZ students. Secondly, hands-on learning experiences may help nurture the capacity for moral judgment about research and research ethics. This appeared more likely in Sweden, where fewer ethics review restrictions exist for SoTL research.
The Use of Therapeutic Outcome Measures by Australian Psychotherapists and Counsellors
(Psychotherapy and Counselling Federation of Australia, 2025-05-15) Bloch-Atefi, Alexandra; Day, Elizabeth
Background Outcome measures are increasingly emphasised as effective tools in Australian mental health policy. However, limited understanding exists about usage patterns and barriers among counsellors and psychotherapists practising in Australia. This study addresses this gap by examining the prevalence, usage, and perceptions of outcome measures within the Australian counselling and psychotherapy workforce. Objectives This study explored whether and why members of the Psychotherapy and Counselling Federation of Australia (PACFA) use outcome measures and identified what factors influence their choices. Method A mixed-methods design was used, combining quantitative and qualitative data from an online survey distributed to PACFA members. A total of 1,177 respondents participated, representing 34% of PACFA’s registered clinicians. Quantitative data were analysed using descriptive statistics via the Statistical Package for the Social Sciences, and qualitative responses were analysed thematically. Results The majority of respondents (76.6%) used outcome measures regularly, primarily because of institutional requirements and their utility in tracking client progress. Barriers included time constraints, complexity of use and evaluation of the measures, and perceived misalignment with client-centred approaches. Non-users cited concerns about the incompatibility of standardised tools with therapeutic models focused on relational dynamics. Conclusions/Implications The study finds a need for outcome measures that align with diverse therapeutic approaches and for training practitioners to use them effectively. These findings are timely as the Australian government moves towards establishing national standards for the sector and have implications for policy, practice, and professional development. Future research should focus on developing flexible, user-friendly tools and addressing barriers to their adoption in both public and private practice settings.
Exploring How Diverse Students Arrive and Thrive Through Undergraduate Community and Public Health Pathways in Aotearoa New Zealand
(Auckland University of Technology (AUT) Library, 2025-12-04) Stretton, Caroline; Hay, Deborah; Trafford, Julie; Dang, Duyen; Stretton, Todd
Introduction Aotearoa New Zealand faces challenges in recruiting and retaining students in undergraduate health pathways. This is particularly the case for Māori students and Pacific students, which has an impact on sustaining a health workforce that fully reflects the diverse communities it serves. Innovative health science pathways at Auckland University of Technology (AUT), including Case Management, Health Management, Public and Environmental Health, and the Individual pathway, are intended to provide routes into diverse roles oriented toward community and public health. Yet, beyond anecdotes, little is known about students' experiences of these journeys. This study aimed to explore students' experiences, including reasons for choosing these programmes, levels of preparedness, challenges faced, and factors contributing to their sense of thriving. Methods Semi-structured individual interviews were conducted with seven students, with an additional focus group specifically offered for three Pacific students to ensure Pacific voices were well-represented in the study. Key themes were identified from the data using framework analysis. The study design was informed by student demographic data gathered from the university’s student management system. Results/Discussion Demographic data about students enrolled in the pathways revealed between 20-37% identified as from Pacific communities, significantly higher than other pathways in health and university-wide at AUT. The health management students were significantly older, and several participants had transitioned from clinical pathways including nursing, midwifery and physiotherapy. Many student participants discovered unexpected career opportunities they felt would enable them to make meaningful contributions to the health workforce. Students described a process of reframing expectations through an increasing awareness of the real-world applications of their courses. The flexibility of these pathways allowed this diverse group of students to balance competing life demands while pursuing an education for health-related careers. While positive about their pathways, some students still sought clearer professional direction due to the broad nature of the community and public health workforce. For Pacific students in particular, supportive relationships with lecturers proved crucial for engagement and success. Conclusion The community and public health pathways at AUT provide students with an opportunity to educate themselves for health-based careers in Aotearoa New Zealand. Students were positive about their experiences, giving several examples of academic, intrapersonal and interpersonal growth and thriving. Further promotion of these pathways at pivotal transition points in the student journey can enhance their visibility, viability, and value.
Safe, Connected, and Accessible: Young People Shaping the Healthy Streets Approach in Tauranga, Aotearoa New Zealand
(Auckland University of Technology (AUT) Library, 2025-11-10) Bibby, Simone; Conn, Cath; Trafford, Julie
The Healthy Streets Approach is being progressively adopted both internationally and across Aotearoa New Zealand. It serves as an urban planning and transport framework prioritising people’s health and wellbeing in the design and management of streets. The Tauranga City Council has adopted the Healthy Streets Approach to help achieve its urban vision and strategy for Tauranga, a rapidly growing city on the North Island of Aotearoa New Zealand. This study partnered with young people in Tauranga to explore their role in enhancing the implementation of the Healthy Streets Approaches in their city. Given the emphasis on youth voice in the study, a participatory action research (PAR) methodology was employed. Six young people aged 22 to 27 partnered with the primary author - a young person living in Tauranga - to co-design the study. The young people actively participated as co-researchers in focus group discussions and various participatory methods including mapping, drawing, videoing, and journaling their journeys through Tauranga. The co-researchers identified four themes: infrastructure and physical environment, alternatives to driving, the importance of the environment, and the contribution of services. Young people in the study value cities that make them feel safe, and connected to their community and the environment, encourage safe alternatives to driving, and provide easy access to services. The study led to the development of an infographic tool for use by urban decision-makers and agencies. This infographic was co-designed with the young people and aims to communicate their findings from the study. The infographic is intended to serve as a knowledge-translation tool for decision makers providing practical steps when partnering with young people in the design of healthy cities. The study emphasises the importance of youth engagement in urban design and planning, advocating for the inclusion of young people's perspectives in creating safer, more connected, healthier, and sustainable cities. Future research should investigate how cultural connections to urban spaces impact the health and wellbeing of young people. It should also explore how embedding cultural values and worldviews into city planning can deepen young people's sense of connection to their environments and communities.
The Potential of a Rights-based Approach to Refugee-focused Mental Health Policy in Aotearoa New Zealand
(Taylor & Francis Group, 2024-09-16) Vanderpyl, Lucie; Charania, Nadia; Treharne, Gareth J; Al Naasan, Zeina
In accordance with international human rights commitments, individuals with a refugee background have the right to mental health services that are available, accessible, acceptable, and of good quality. However, refugee-background individuals living in Aotearoa New Zealand experience a myriad of barriers at the individual, community, and policy level that impede access to appropriate mental health services. This commentary puts forward the argument that the incorporation of a human rights-based approach to mental healthcare service at a policy level is essential for reducing barriers to care and increasing the accessibility of mental health services. The article provides key recommendations for reforming the current New Zealand Refugee Resettlement Strategy (NZRRS) to include rights-based indicators for children and youth, to monitor accessibility relative to geographic location, to disaggregate data, to extend the 12-month monitoring period and to extend monitoring beyond one mental health visit. Further research is needed to understand how best to implement these recommendations and develop insight into how Aotearoa New Zealand can more effectively uphold the rights of refugee-background individuals with the ultimate goal of developing a mental health system that is more inclusive and responsive to their needs.
Chinese and Indian Migrant Mothers’ Perceptions and Experiences of Utilising Maternal and Early Childhood Healthcare Services in Aotearoa New Zealand: A Qualitative Descriptive Study
(Informa UK Limited, 2024-07-14) Bhatia, Anjali; Qi, Hongxia; Charania, Nadia A
Although the health system in Aotearoa New Zealand is based on universalism and equity, disparities exist in the uptake and quality of health care for ethnic-migrant mothers and their children. This qualitative descriptive study explored the perceptions and experiences of Chinese and Indian migrant mothers (N = 24) accessing maternal and early childhood healthcare services. Semi-structured interviews and focus groups were conducted and data were analysed using reflexive thematic analysis. Three themes were generated. Migrant mothers displayed limited awareness of services available for themselves and their children, and experienced difficulties navigating the complex and fragmented health system. Transnational ties influenced mothers’ expectations of care and health seeking practices for themselves and their children. Mothers shared suggestions for a system that is inclusive of migrants’ needs, such as offering orientation sessions to raise awareness and ease navigation challenges, having interpreters available and translated resources to support language challenges, and improve postpartum support as mothers adapt to motherhood. To improve health equity, it is important that national policy supports improvements to the health system to address the challenges faced by ethnic-migrant families when navigating health services.
The Prevalence and Predictors of Clinical Breast Cancer Screening in Sub-saharan African Countries: A Multilevel Analysis of Demographic Health Survey
(Frontiers Media SA, 2024-09-13) Hailegebireal, AH; Bizuayehu, HM; Wolde, BB; Tirore, LL; Woldegeorgis, BZ; Kassie, GA; Asgedom, YS
Background: Despite a higher rate of breast cancer in sub-Saharan Africa (SSA), efforts to treat the disease through breast cancer screening are suboptimal, resulting in late diagnosis of breast cancer and poor outcomes. Several studies have been conducted in SSA countries about screening uptake, yet they addressed country or sub-country level data and did not consider both individual and beyond-individual factors related to screening. Hence, pooled prevalence as well as multilevel correlates of screening in the region is sparse, which have been addressed by this study using the most recent data among women with SSA. Methods: This study was conducted using the Demographic Health Survey data (2013–2022) from six countries, and a total weighted sample of 95,248 women was examined. STATA version 16 was used for the data analysis. Multilevel mixed-effects logistic regression was performed and significant predictors were reported using adjusted odds ratios (aOR) with 95% confidence intervals (95% CI). Results: The overall weighted prevalence of clinical breast cancer screening was 14.23% (95% CI: 13.97–14.75), with Namibia and Tanzania having the highest (24.5%) and lowest (5.19%) screening rates, respectively. Higher breast cancer screening uptake was observed among women of advanced age (35–49) [aOR = 1.78; 95% CI: 1.60, 1.98], had higher educational levels [aOR = 1.84; 95% CI: 1.66, 2.03], cohabited [aOR = 1.37; 95% CI: 1.21, 1.55], in the richest wealth quintile [aOR = 2.27; 95% CI: 1.95, 2.64], urban residents [aOR = 1.21; 95%CI: 1.10, 1.33], multiparous [aOR = 1.47; 95% CI: 1.30, 1.68], visited health facilities [aOR = 1.64; 95% CI: 1.52, 1.76], and read newspapers [aOR = 1.78; 95%CI: 1.60, 2.15]. Conclusion: The prevalence of clinical breast cancer screening was low (14%). Strengthening awareness campaigns, improving healthcare infrastructure, health education, universal health coverage, and screening program access, with a focus on rural areas, women who lack formal education, and low socioeconomic status, are critical to increasing breast cancer screening rates and equity. Scale-up local and regional collaborations and the involvement of media agencies in the implementation of screening programs, advocacy, dissemination of information, and integration of screening programs with their routine care, such as perinatal care, can boost the screening. The existing health service delivery points also need to focus on integrating breast cancer screening services with routine care such as perinatal care.
Ngā Tāpiritanga: Secure Attachments from a Māori Perspective
(Te Mātāpuna | AUT Library, 2018-09-24) Fleming, Anna Hinehou
While Western attachment theory has tended to focus on the interpersonal attachments between people, indigenous Māori attachment perspectives have always included connections and relationships to aspects outside of the interpersonal domain. Collective, cultural and tikanga-based extrapersonal relationships are significant in Te Ao Māori and include connection to whānau/hapū/iwi (extended family and community groups), whenua (land and the natural world), and wairua (interconnection and spirituality). Alongside vital interpersonal relationships, these extrapersonal connections are substantial to the development of an indigenous Māori self which is well and supported within a holistic framework. This article explores the extrapersonal connections outlined above, their importance to Hauora Māori and implications for the practice of psychotherapy in Aotearoa New Zealand. Whakarāpopotonga I te wā e warea ana te arotahi kaupapa piripono a te Uru ki te piringa whaiaro tangata ki te tangata, ko tā te Māori tirohanga piripono he whakauru i ngā here ngā whanaungatanga ki ngā āhuatanga i tua atu i te ao whaiaro. He take nunui te whānau kohinga ahurea o te Ao Māori whakakaohia ki tēnei te here ā-whānau, ā-hāpū, ā-iwi (whānau whānui me ngā rōpū hāpori), te whenua, te taiao me te wairua (ngā taura here, te waiuratanga). I tua atu o ngā here whaiaro he wāhanga tino nui tō ēnei kohinga ahurea ki te whanaketanga o te mana motuhake o te tangata whenua Māori e ora ana e tautokohia ana e te papa whānui nei. E wherawhera ana tēnei tuhinga i ngā here whakawaho kua whakaarahia i runga ake nei, te hira o ēnei ki te Hauora Māori me ngā whakahīrau mō ngā mahi hauora hinengaro i Aotearoa.
Te Au Marama: Bound to the Movements of Taiao
(Auckland University of Technology, 2025-11-24) Warbrick, Isaac; Heke, Deb; Johnson, Tom

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