Social isolation relates to a lack of social contacts and interactions with family members, friends or the wider community, and results in diminished health and well-being. And yet many interventions aimed at enhanced social participation are not effective because they do not match the needs of the socially isolated older adults themselves. Little is known about the experiences of socially isolated older adults and their need for help and support. In this paper, we use concepts from Giddens' structuration theory to understand the strategies they use to deal with social isolation in everyday life. We report on findings from in-depth interviews with 25 community-dwelling socially isolated older adults (aged 63-86). Most of them were interviewed two or three times with in-between periods of one to three years. The study shows that they see few possibilities for changing their situation. They consider their social skills as inadequate and choose a mode of behavior that they habitually follow and which implies a certain degree of safety. At the same time, these strategies further lower their chances of social integration and intensify their isolation. These long-term patterns of socialization make social isolation a persistent problem that in many cases takes on a structural character. This mechanism makes social isolation difficult to break through. Most socially isolated older adults have no desire to tackle their isolation but hope to solve their problems by themselves for as long as possible. Practical help may contribute to their self-reliance.

Childcare settings offer an ideal opportunity for children to become acquainted with risk-taking in play, which promotes healthy growth and development. Van Rooijen and Newstead’s (2016) model, based on a review of international literature, has identified the main challenges for childcare professionals when promoting risky play, namely; conflicting pressures from cultural and regulatory factors, parental concerns, personal attitudes and constructs of children. We used an online questionnaire to examine whether these challenges impact on children’s risk-taking play in Dutch childcare contexts. Dutch professionals encounter barriers; especially in external regulations, organization protocols, and parental overprotectiveness. We adjusted the model to gain further insight in influencing factors and their interrelatedness in a Dutch context. Our findings indicate that professionals can be supported with knowledge about and openness in discussion on risky play and with the tools necessary to support autonomy in daily pedagogical decision-making which then supports children’s age-appropriate risk-taking opportunities.

Firefighters are reluctant to talk about firefighters’ humor with outsiders. This closed attitude has led to a lack of understanding of this important coping strategy in the outside world. It is not clear how firefighters experience humor and its role as part of the fire service culture and why they consider humor to be important when coping with critical incidents. Data has been collected by means of 20 participant observations and 72 interviews with Dutch firefighters from 37 different fire stations. Joking culture and joviality are important elements of the Dutch fire service culture. Firefighter humor usually creates unity, but can also lead to exclusion. Whether a joke is perceived as funny depends on who makes the joke, the moment, the content, and the frequency of the joke. Black humor is used as a means to start a conversation and, indirectly, to make it possible to discuss emotions and it tends to positively influence group dynamics. However, black humor is absent in the case of certain critical incidents because of personal boundaries and unwritten rules. The absence of humor is a sign for the crew commander to pay extra attention to coping.

Throughout the years, care ethicists have raised concerns that prevalent definitions of empathy fail to adequately address the problem of otherness. They have proposed alternative conceptualizations of empathy that aim to acknowledge individual differences, help to extend care beyond one’s inner circle, and develop a critical awareness of biases and prejudices. We explore three such alternatives: Noddings’ concept of engrossment, Meyers’ account of broad empathy, and Baart’s concept of perspective-shifting. Based on these accounts, we explain that care ethics promotes a conceptualization of empathy that is radical in its commitment to engage otherness and that is characterized by being: (1) receptive and open, (2) broad and deep in scope, (3) relational and interactive, (4) mature and multifaceted, (5) critical and reflective, (6) disruptive and transformative. This type of empathy is both demanding and rewarding, as it may inspire health professionals to rethink empathy, its challenges, and its contribution to good care and as it may enrich empathy education and professional empathy practices in health care.

Purpose: How firefighters cope with critical incidents is partly influenced by the culture of the fire brigade. The purpose of this study is to better understand how informal peer support helps firefighters cope with critical incidents.Design/methodology/approach: An ethnographic field study of explorative nature was conducted. Data were collected by means of 20 participating observations and 72 interviews with Dutch firefighters from 37 different fire brigades. The analysis was an iterative process alternating data collection, analysis and theory formation processes.Findings: Firefighters will turn to informal peer support to cope with critical incidents provided that facilitating circumstances are present and there is adherence to certain implicit rules. The collective sharing of memories, whether immediately post-incident or after the passage of time, helps firefighters process critical incidents and serves to promote unit cohesion. Most firefighters reported these informal debriefings to be preferable to the formal sessions. By comparison, a minority of firefighters reported that they did not benefit at all from the informal interactions.Research limitations/implications: This study only focused on the informal peer support given by colleagues. Future research should focus on: (1) The possible differences between men and women as to what extent informal peer support is experienced after critical incidents, (2) Commanding officers: how do they, given their hierarchical position, experience coming to terms with critical incidents, (3) Premeditated critical incidents and the role of informal peer support, (4) Similarities and differences between career and non-career firefighters in experiencing and coping critical incidents.Practical implications: Firefighters are an under-researched group in academic literature, that would benefit from mental health counsellors having a better understanding of their unique work culture and the complexity of the firefighting profession. More knowledge about the role of informal peer support is necessary to tailor help and aftercare more effectively to their needs.Originality/value: Most studies confirm the importance of informal peer support when coping with critical incidents. This study provides initial, in-depth evidence of the role of informal peer support in helping firefighters cope with critical incidents.

Resilience is considered an important solution to problematic personal debt. European debt policy and research generally focuses on the financial resilience of individuals against life events that may generate debt problems. However, many studies overlook the social dimensions of resilience with regards to tackling problematic personal debt. In this article, we therefore explore the meaning and practices of fostering social resilience in people with severe debt problems, from the perspective of social workers, debt counsellors and volunteers working in a disadvantaged urban community in Rotterdam, the Netherlands. We conducted a case study and used qualitative research methods. The findings reveal that debt problems may lead to a state of inertia in people; an incapability to move, act on or change direction within a given situation. Social workers try to foster social resilience by generating a form of movement in this inert state, and by moving along with people as they work on their debt problems at their own pace and in their local environment. This endeavour involves three interactive practices: taking the lead, activating and connecting. We conclude that fostering resilience is less about tackling debt problems head-on, and more about nurturing positive change in people’s everyday lives and actions.