Towards a new paradigm in health research and practice? Collaborations for Leadership in Applied Health Research and Care.

PURPOSE: Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) are a new UK initiative to promote collaboration between universities and healthcare organisations in carrying out and applying the findings of applied health research. But they face significant, institutionalised barriers to their success. This paper seeks to analyse these challenges and discuss prospects for overcoming them. DESIGN/METHODOLOGY/APPROACH: The paper draws on in-depth qualitative interview data from the first round of an ongoing evaluation of one CLAHRC to understand the views of different stakeholders on its progress so far, challenges faced, and emergent solutions. FINDINGS: The breadth of CLAHRCs' missions seems crucial to mobilise the diverse stakeholders needed to succeed, but also produces disagreement about what the prime goal of the Collaborations should be. A process of consensus building is necessary to instil a common vision among CLAHRC members, but deep-seated institutional divisions continue to orient them in divergent directions, which may need to be overcome through other means. ORIGINALITY/VALUE: This analysis suggests some of the key means by which those involved in joint enterprises such as CLAHRCs can achieve consensus and action towards a current goal, and offers recommendations for those involved in their design, commissioning and performance management.

"Dude! You mean you've never eaten a peanut butter and jelly sandwich?!?" Nut allergy as stigma in comic books.

This article examines the representation of nut allergy in comics aimed at children and young people. It maps the signification and stigma of nut allergy in comics, and includes an outline of the imagery, stereotypes, and connotations that are created on this condition. Three texts are examined: first, Allergic, a semi-autobiographical story by Adrian Tomine aimed at young adults; second, What's Up With Paulina? from the Medikidz series of comic books that aim to help a pre-teenage audience learn about medical conditions; and third, Peanut, a forthcoming comic book by Ayun Halliday aimed at those in their early to mid teenage years. Using textual analysis, we focus on three principal areas of the texts. First, we consider the way in which the allergic character is represented in relation to examples of felt stigma, typified by feelings of shame and rejection, and compare this representation to common stereotypes of disability. Second, we look at the representation of other characters, drawing attention to the way in which stigma is enacted, highlighting acts of overt discrimination. Last, we examine the way in which the event of an allergic reaction is portrayed, considering how this might be used to help children and young people better understand nut allergy and combat the stigma attached to it. Throughout the article we compare the representation of stigma in comics with that depicted in empirical research on children living with nut allergies.