Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 178
Filtrar
Mais filtros

Tipo de documento
Intervalo de ano de publicação
1.
Soc Psychiatry Psychiatr Epidemiol ; 59(3): 409-416, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37400665

RESUMO

How are we to best grapple with the notion of the Social in mental health landscapes? This piece of speculative work explores a series of tensions that emerge in our attempt to contemplate, engage with, and address the social in mental health spaces. First, I will explore the tensions created by disciplinary demands for specialisation, questioning the value of this with regard to treating social and emotional bodies which continually reject such fragmentation. This line of inquiry then leads to reflection on the value of a social topology-enabled through the application of intersectionality principles, Black Sociological analytical frameworks, including the worldview approach, and societal psychological perspectives on knowledge and action. I argue the possibilities in actioning these approaches emerge through the application of a social-political economy of mental health, that holds the complexity presented by the totality of social life as it potentially relates to mental health. The piece seeks to advance a space of thinking on how we transition global mental health projects to be more effectively situated in a needed commitment for social justice as a remedy and repair to broken social worlds.


Assuntos
Saúde Mental , Humanos
2.
Health Promot Int ; 39(5)2024 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-39308189

RESUMO

This perspective piece calls for health promotion action to regulate alcohol product marketing targeting women and create environments where it is possible to mitigate the harms of alcohol and protect women's health. Drawing on the Global Alcohol Action Plan in the context of the Australian National Women's Health Strategy 2020-30, we consider critical actions for gender-responsive health promotion to protect women from the ways alcohol companies market their products utilizing women's gendered social roles and entrenched stereotypes. We show how these subtle yet powerful gendered approaches to alcohol marketing have the potential for harm yet are not covered by the current mechanisms of the self-regulated Alcohol Beverages Advertising Code. We draw on the World Health Organization's 2024 Framework on Gender-Responsive Approaches to the Acceptability Availability and Affordability of Alcohol and make a call to regulate alcohol marketing targeting women.


Assuntos
Bebidas Alcoólicas , Promoção da Saúde , Marketing , Saúde da Mulher , Humanos , Feminino , Promoção da Saúde/métodos , Austrália , Publicidade , Papel de Gênero , Consumo de Bebidas Alcoólicas/prevenção & controle
3.
Popul Stud (Camb) ; : 1-16, 2024 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-39258743

RESUMO

Building on research on cohort-specific trends in life-course differentiation and destandardization, our study seeks to explore how patterns of family-life-course diversity relate to characteristics of sociopolitical regimes. Applying sequence analysis, we analyse cohort-specific family life courses from nine European countries and Canada, classifying them into five sociopolitical regimes (Nordic, Anglo-Saxon, Mediterranean, Continental, Eastern). We use data from the Harmonized Histories and the German National Educational Panel Survey. Our results indicate that sociopolitical regimes differentiate patterns of life-course diversity quite well in the Nordic, Anglo-Saxon, and Eastern European countries but to a lesser degree in the Mediterranean and Continental countries. In methodological terms, our results suggest that distinguishing patterns of diversity between and within life courses helps to create a more nuanced empirical account of changing life-course patterns, particularly in a cross-national perspective.

4.
Fam Process ; 63(2): 749-767, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38258316

RESUMO

How Black Americans in the United States (U.S.) make sense of a sociopolitical climate marked by racist imagery, tensions, and police violence is important to understand given the numerously documented detrimental effects of racism-related stress on the well-being of Black parents and children. Informed by Racism-Related Stress Theory, the current study employed a convergent parallel mixed methods design to better understand the ways racism-related stressors in the sociopolitical climate impacted the daily lives and mental health of a sample of Black families with low income. Seventy-eight Black American preadolescents (Mage = 11.0; 43.6% girls) and their parents (79% mothers; 76% living below the U.S. federal poverty level [FPL]) from the southwestern U.S. reported their symptoms of depression and how they had been affected by racial stressors in the sociopolitical climate between Fall 2018 and Summer 2019. A nested sample of 10 parents (80% mothers; 80% living below the FPL) from the quantitative sample also participated in a semi-structured interview. Meta-inferences across methods were drawn pertaining to the influence of child gender on parents' interpretation of effects for children, the toll racism-related stress in the sociopolitical climate takes on Black families, and the transferal of effects on parents to children through parenting and parental depressive symptoms. Findings spotlight the need for policies and family-centered programming that address the racism-related stress faced by many Black youth and their families. Providing families with opportunities and tools that can potentially mitigate harmful effects and foster empowerment could promote positive and lasting change.


Assuntos
Negro ou Afro-Americano , Racismo , Humanos , Feminino , Masculino , Negro ou Afro-Americano/psicologia , Criança , Racismo/psicologia , Adulto , Estresse Psicológico/psicologia , Estresse Psicológico/etnologia , Política , Pais/psicologia , Depressão/etnologia , Depressão/psicologia , Pobreza/psicologia , Estados Unidos , Sudoeste dos Estados Unidos
5.
Am J Community Psychol ; 73(3-4): 473-489, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38151829

RESUMO

Youth sociopolitical development (SPD) is a powerful protective and promotive factor for marginalized adolescents' social, emotional, physical, and academic well-being. Despite having unique insight and experiential knowledge about SPD processes, youth have been excluded from conceptual framework and model development. As part of a Youth Participatory Action Research project, 11 adolescents (ages 14-19) and one adult ask "How do adolescent community organizers with varying social and political experiences conceptualize youth SPD?" We used a multiple case study design, with a grounded theory analytic approach. The YPAR collective identified four interrelated, experiential domains of youth SPD: thinking, feeling, doing and relating. Within each domain, we identified and defined key constructs and practices. The YPAR collective's qualitative inquiry resulted in more nuance for existing frameworks of critical consciousness and critical action, and the collective pushes the SPD field to better integrate social and emotional aspects of SPD practice. They offer a conceptual framework that is rooted in their experiential, sensory, learned, and social knowledge, from a multiple-marginalized positionality. These insights enrich the fields of SPD research and practice.


Assuntos
Política , Humanos , Adolescente , Feminino , Masculino , Adulto Jovem , Teoria Fundamentada , Pesquisa Qualitativa , Marginalização Social/psicologia , Grupos Raciais/psicologia
6.
J Community Psychol ; 52(1): 58-73, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37606630

RESUMO

Prior research on psychological empowerment has found that community participation is associated with socio-political control, which takes place when people perceive control in their socio-political contexts. However, the process by which this relationship occurs remains an understudied area for migrants. This study aims to: (a) analyze the differences in socio-political control, critical thinking, and ethnic identity according to membership in migrant community-based organizations; and (b) propose a predictive model of socio-political control. A total of 239 first-generation migrants living in northern Italy completed a questionnaire (48.4% belonged to a migrant community-based organization). Members were found to have higher levels than nonmembers in all the variables. A moderated mediation model was proposed, whereby ethnic identity was a mediator between community participation and socio-political control, and critical thinking was a negative moderator between ethnic identity and socio-political control. Practical implications for enhancing socio-political control among migrants in receiving societies are discussed.


Assuntos
Migrantes , Humanos , Inquéritos e Questionários , Participação da Comunidade , Itália
7.
Am J Psychother ; 77(3): 141-145, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38711402

RESUMO

Dissociative identity disorder is a posttraumatic, psychobiological syndrome that develops over time during childhood. Despite empirical evidence supporting the validity of this diagnosis and its relation to trauma, the disorder remains a misunderstood and stigmatized condition. This article highlights expert consensus guidelines and current empirical research on the treatment of dissociative identity disorder. In addition, the authors describe the Lived Experience Advisory Panel (LEAP), which was designed to leverage the expertise of individuals with dissociative identity disorder to combat stigma and improve research, clinical programming, professional education, and public outreach related to the disorder. This article also describes how LEAP members have partnered with other researchers to create new knowledge through participatory action research in order to advance equitable service provision and effect positive change.


Assuntos
Transtorno Dissociativo de Identidade , Humanos , Transtorno Dissociativo de Identidade/terapia , Transtorno Dissociativo de Identidade/psicologia , Estigma Social , Psicoterapia/métodos
8.
J Undergrad Neurosci Educ ; 22(2): A90-A98, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39280710

RESUMO

Education scholars have called for an increased focus on developing curricula based on culturally relevant pedagogy (Ladson-Billings, 1995). A key tenet of Ladson-Billings' (1995; 2014) theory of culturally relevant pedagogy is the development of students' sociopolitical consciousness, whereby students feel empowered and encouraged to evaluate and solve real-world interdisciplinary problems. Here, we propose that open science datasets could serve as a valuable tool for neuroscience educators to foster their students' sociopolitical consciousness. Using the open data available through the Seattle Alzheimer's Disease Brain Cell Atlas (SEA-AD) as a case study, this article will explore how open science can be leveraged as a tool to encourage socioscientific thinking amongst neuroscience students. We overview a collection of lessons created by the Allen Institute's Education & Engagement team that provides a scaffolded exploration of an open science resource through a socioscientific lens. We supplement our discussion of the lessons with feedback from students who completed the lessons during a day-long workshop hosted at the Allen Institute in Seattle, WA. We conclude by reflecting on the future role this type of interdisciplinary, open science-based approach to curricula could have across neuroscience education more broadly.

9.
Proc Natl Acad Sci U S A ; 117(43): 27054-27058, 2020 10 27.
Artigo em Inglês | MEDLINE | ID: mdl-33046627

RESUMO

Previous research suggests that stressors may trigger the onset of acute cardiovascular disease (CVD) events within hours to days, but there has been limited research around sociopolitical events such as presidential elections. Among adults ≥18 y of age in Kaiser Permanente Southern California, hospitalization rates for acute CVD were compared in the time period immediately prior to and following the 2016 presidential election date. Hospitalization for CVD was defined as an inpatient or emergency department discharge diagnosis of acute myocardial infarction (AMI) or stroke using International Classification of Diseases, 10th revision codes. Rate ratios (RR) and 95% confidence intervals (CIs) were calculated comparing CVD rates in the 2 d following the 2016 election to rates in the same 2 d of the prior week. In a secondary analysis, AMI and stroke were analyzed separately. The rate of CVD events in the 2 d after the 2016 presidential election (573.14 per 100,000 person-years [PY]) compared to the rate in the window prior to the 2016 election (353.75 per 100,000 PY) was 1.62 times higher (95% CI 1.17, 2.25). Results were similar across sex, age, and race/ethnicity groups. The RRs were similar for AMI (RR 1.67, 95% CI 1.00, 2.76) and stroke (RR 1.59, 95% CI 1.03, 2.44) separately. Transiently heightened cardiovascular risk around the 2016 election may be attributable to sociopolitical stress. Further research is needed to understand the intersection between major sociopolitical events, perceived stress, and acute CVD events.


Assuntos
Infarto do Miocárdio/epidemiologia , Política , Estresse Psicológico/complicações , Acidente Vascular Cerebral/epidemiologia , Adolescente , Adulto , Idoso , California/epidemiologia , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/etiologia , Estudos Retrospectivos , Acidente Vascular Cerebral/etiologia , Adulto Jovem
10.
Risk Anal ; 2023 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-38043921

RESUMO

As today's engineering systems have become increasingly sophisticated, assessing the efficacy of their safety-critical systems has become much more challenging. The more classical methods of "failure" analysis by decomposition into components related by logic trees, such as fault and event trees, root cause analysis, and failure mode and effects analysis lead to models that do not necessarily behave like the real systems they are meant to represent. These models need to display similar emergent and unpredictable behaviors to sociotechnical systems in the real world. The question then arises as to whether a return to a simpler whole system model is necessary to understand better the behavior of real systems and to build confidence in the results. This question is more prescient when one considers that the causal chain in many serious accidents is not as deep-rooted as is sometimes claimed. If these more obvious causes are not taken away, why would the more intricate scenarios that emanate from more sophisticated models be acted upon. The paper highlights the advantages of modeling and analyzing these "normal" deviations from ideality, so called weak signals, versus just system failures and near misses as well as catastrophes. In this paper we explore this question.

11.
Risk Anal ; 2023 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-37698146

RESUMO

There is considerable research on the influence of political partisanship on vaccine acceptance. However, the current study is one of the first to investigate how political identification is related to risk and benefit perceptions vis-à-vis vaccines. Based on survey data collected in the United States regarding four different vaccines at three points in time (n = 383 for April-June 2012; n = 364 for March 2020; n = 334 for April-May 2020), Democrats were found to have more positive attitudes toward vaccinations in general and hold more favorable risk and benefit perceptions of pandemic and routine vaccines overall compared to Republicans. However, the onset of a pandemic can serve as an equalizing force and motivate similar risk and benefit perceptions across party lines, but this force can wane quickly when the information environment is politicized. For political partisans who are ideologically oriented to be more hesitant toward vaccines, two conditions can help sustain their favorable vaccine perceptions during a pandemic: (a) when they identify with the governing political party, and (b) when there are consistent reassurances of vaccine safety and effectiveness from their partisan leadership. Given that risk and benefit perceptions were found to be consistently associated with vaccine acceptance across contexts in this study, communication aimed at encouraging vaccinations should always address the risks and benefits of a vaccine in ways that are tailored for individuals with different political affiliations.

12.
Public Health ; 217: 133-137, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36889051

RESUMO

OBJECTIVES: Healthcare systems' reliance on taxes varies across countries with corresponding heterogeneity in public's willingness to pay taxes (WTP) for national healthcare provision. Turkey, a developing country that witnessed a major healthcare transformation, provides a unique context to understand what motivates WTP in a non-Western context. STUDY DESIGN: This is a cross-sectional study. METHODS: We used the data from the International Social Survey Programme module on health and healthcare in Turkey. The data were collected from a nationally representative sample of adults aged >18 years (n = 1559). Using logistic regression models, we examine the association of sociopolitical values and sociodemographic factors with individuals' WTP to improve public healthcare. RESULTS: We find that sociopolitical values are more closely associated to the WTP in Turkey compared with sociodemographic factors. However, egalitarianism and humanitarianism were differentially linked to the WTP. Humanitarianism was positively associated, whereas egalitarianism was negatively associated with WTP. CONCLUSIONS: This study shows the prevalence of value-based approach to healthcare provision support in a developing country in the height of healthcare reforms.


Assuntos
Fatores Sociodemográficos , Impostos , Adulto , Humanos , Turquia , Estudos Transversais , Atenção à Saúde , Inquéritos e Questionários
13.
J Community Psychol ; 51(7): 3044-3059, 2023 09.
Artigo em Inglês | MEDLINE | ID: mdl-37209669

RESUMO

Research suggests that the 2016 US election was a potential stressor among Latinos residing in the United States. Sociopolitical stressors targeted toward ethnic minority communities and become embodied through psychosocial distress. The current study investigates if and how sociopolitical stressors related to the 45th President, Donald Trump, and his administration are associated with psychological distress in early pregnancy of Latina women living in Southern California during the second half of his term. This cross-sectional analysis uses data from the Mothers' Cultural Experiences study (n = 90) collected from December 2018 to March 2020. Psychological distress was assessed in three domains: depression, state anxiety, and pregnancy-related anxiety. Sociopolitical stressors were measured through questionnaires about sociopolitical feelings and concerns. Multiple linear regression models examined the relationship between sociopolitical stressors and mental health scores, adjusting for multiple testing. Negative feelings and a greater number of sociopolitical concerns were associated with elevated pregnancy-related anxiety and depressive symptoms. The most frequently endorsed concern was about issues of racism (72.3%) and women's rights (62.4%); women endorsing these particular concerns also had higher scores on depression and pregnancy-related anxiety. No significant associations were detected with state anxiety after correction for multiple testing. This analysis is cross-sectional and cannot assess causality in the associations between sociopolitical stressors and distress. These results are consistent with the hypothesis that the 2016 election, the subsequent political environment, and the anti-immigrant rhetoric and policies of former President Trump and his administration were sources of stress for Latinos residing in the United States.


Assuntos
Depressão , Hispânico ou Latino , Angústia Psicológica , Feminino , Humanos , Gravidez , Estudos Transversais , Depressão/psicologia , Hispânico ou Latino/psicologia , Estados Unidos , Política
14.
J Community Psychol ; 51(3): 1345-1364, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-36173087

RESUMO

This article explores the sociopolitical development (SPD) of youth activists involved in climate justice and gun violence prevention movements. Interviews with 52 youth members of five different youth-led activist organizations and follow-up surveys supplied the data. We found that involvement in youth-led activist organizations facilitates a particular kind of SPD we term "intersectional politicization." Intersectional politicization involves critical intersectional reflection paired with critical intersectional action. Critical intersectional reflection entails analysis of how marginalized populations are impacted by particular social problems and how various social issues and forces of oppression interconnect. Critical intersectional action consists of participating actively in multiple movements or activist organizations to address distinct issues simultaneously. Intersectional politicization is fostered through organizational trainings and programming, collaborative work with other organizations, dialog with fellow activists, and online activist content. Intersectional politicization raises new considerations for research on critical consciousness and youth SPD.


Assuntos
Comportamento do Adolescente , Ativismo Político , Adolescente , Humanos , Organizações , Inquéritos e Questionários , Política
15.
Addict Res Theory ; 31(5): 307-312, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37981984

RESUMO

The present paper highlights how alcohol use disorder (AUD) conceptualizations and resulting diagnostic criteria have evolved over time in correspondence with interconnected sociopolitical influences in the United States. We highlight four illustrative examples of how DSM-defined alcoholism, abuse/dependence, and AUD have been influenced by sociopolitical factors. In doing so, we emphasize the importance of recognizing and understanding such sociopolitical factors in the application of AUD diagnoses. Last, we offer a roadmap to direct the process of future efforts toward the improved diagnosis of AUD, with an emphasis on pursuing falsifiability, acknowledging researchers' assumptions about human behavior, and collaborating across subfields. Such efforts that center the numerous mechanisms and functions of behavior, rather than signs or symptoms, have the potential to minimize sociopolitical influences in the development of diagnostic criteria and maximize the treatment utility of diagnoses.

16.
J Ethn Subst Abuse ; 22(3): 606-625, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34533434

RESUMO

While Black girls have lower rates of drug use, they face worse health and wellbeing consequences associated with drug use. Understanding which strengths-based factors serve as buffers to limit adverse outcomes related to drug use among Black girls is essential for prevention. This study investigated the mediating role of sociopolitical control on drug use among Black girls (n = 340). Using path analysis, models were tested to include the variables of interest. Sociopolitical control (e.g. leadership competency and policy control) significantly mediated the relationship between ethnic identity and social support on drug use. Implications from this study may consider bolstering empowerment-based strategies in drug use prevention for Black girls.

17.
J Pers ; 90(4): 527-540, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-34655470

RESUMO

OBJECTIVE: Prior literature indicates that nontraditional attitudes are linked to higher intelligence. However, such attitudes in adolescence often accompany counter-normative, delinquent-type behaviors, which are themselves negatively linked with intelligence. This points to the possibility of suppression in the relationship between intelligence and nontraditional attitudes. METHOD: We analyzed a large community sample of 17 year olds (N = 3330) with data on intelligence, nontraditional attitudes, and a diverse collection of self- and teacher-reported counter-normative behaviors. Developmental questions for these relationships were examined through cross-sectional comparisons between the adolescents and their parents as well as longitudinal analysis of the adolescent sample across emerging adulthood. RESULTS: Youth who endorsed nontraditional attitudes had lower school grades, earlier age at first sex, heavier substance use, and were perceived as more oppositional by their teachers. Each of these problem behaviors was inversely related to intelligence. Accordingly, the positive correlation between nontraditional attitudes and intelligence was much weaker in adolescents as compared to their middle-aged parents. Longitudinal analyses revealed that the association between nontraditional attitudes and intelligence strengthens in early adulthood. CONCLUSIONS: Associations between intelligence and sociopolitical attitudes can be obscured even by seemingly distal psychological characteristics.


Assuntos
Atitude , Grupo Associado , Adolescente , Adulto , Estudos Transversais , Humanos , Inteligência , Pessoa de Meia-Idade , Pais
18.
Memory ; 30(10): 1302-1318, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-35974671

RESUMO

In this study, we investigated the impact of a highly consequential public event, the July 15 Coup Attempt, on the structure and organisation of events in Turkish collective memory. To do this, we followed up on our earlier work (Mutlutürk, Tekcan, & Boduroglu, 2021) that used the multidimensional scaling approach to identify critical dimensions in public event representational space. Participants rated the similarity of 15 key public events in a pairwise fashion, across three waves of data collection. They were also asked to report for which political party they had voted in the most recent election. We replicated our earlier results that public events were distinguished based on their political and nonpolitical characteristics; political events were clustered based on their specific attributes. Despite substantial stability in the organisation of collective memories across three time points, the post-coup representational space among voters of the ruling party changed, eliminating clusters within the political dimension and resulting in the ruling party achieving a central and anchor status. These findings suggest that, transformative events may have the potential to impact the structure and organisation of collective memory representations and sociopolitical identity may have to do with the stability of collective memories.


Assuntos
Meio Ambiente , Política , Humanos
19.
Proc Natl Acad Sci U S A ; 116(14): 6707-6712, 2019 04 02.
Artigo em Inglês | MEDLINE | ID: mdl-30782833

RESUMO

Network approaches in archaeology offer a promising avenue for facilitating bottom-up, comparative approaches to sociopolitical organization. While recent applications have focused primarily on migration and demographic trends, identity and identity politics, and the dynamics of geopolitical and regional interaction, little in the way of comparative sociopolitical organization has been attempted. In this study, I present an alternative approach to the use of sociotypological models across southern Appalachia. In particular, I demonstrate the value in employing network analyses as a mode of formally and quantitatively comparing the relational structures and organizations of sociopolitical landscapes; in this case, those traditionally characterized as constellations of chiefdoms. By approaching southern Appalachian histories through the relationships upon which social, political, and economic institutions were actually built, I move the study of southeastern political systems beyond the use of models that emphasize the behaviors of elites and the ruling class as inspired by the ethnographic and ethnohistoric records. To these ends, using a robust regional ceramic dataset, I compare network histories and political landscapes for the southern Appalachian region between ca. AD 800 and 1650. The results of these analyses contribute insights to the study of small-scale political organizations by demonstrating that (i) as chiefdoms developed, leaders drew on preexisting social and political conditions; (ii) while networks of chiefly interaction were defined by instability, wider networks of interaction were much more durable; and (iii) quantitative network analyses and qualitative ethnohistoric accounts can articulate with one another to shed light on indigenous political organization.


Assuntos
Arqueologia , Demografia , Rede Social , Feminino , História do Século XV , História do Século XVI , História do Século XVII , História Medieval , Humanos , Masculino , Mississippi
20.
Risk Anal ; 42(9): 1921-1934, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-33480026

RESUMO

Insights from complexity science can be applied to the analysis of social processes in heterogeneous societies. Many features that characterize and influence complex structures in nearly every domain of nature, technology, and society can be derived from simple modeling processes in physics and chemistry. If one applies these features to the structure of social risks, a number of insights are gained that can be subject to further empirical analysis. In particular, they add-to the well-known steering mechanisms of hierarchy, competition, and cooperation-the contribution of self-organization, the effect of which is underestimated in almost all theories of social science. But in view of the crises facing modern democracy, such as migration and populism, it is precisely this mechanism of dynamic structure generation that is decisive for an effective and fair risk governance. In this article, we analyze the threat to societal diversity and coherence on the basis of complexity science.


Assuntos
Ciências Sociais
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA