Category / Research themes

BU’s Dr. Iannuzzi editing special issue HEALTHCARE

international, Publishing, Women's Academic Network, writing

Dr. Laura Iannuzzi, based in the Centre for Midwifery & Women’s Health, is acting as one of the two guest editors of a Special Issue for the international journal Healthcare.  This Special Issue called ‘Advancing Midwifery and Nursing Practice: Equity, Inclusion and Integrated Care’ currently has a call out for contributions. Details can be found by clicking here!

Healthcare is looking for authors to submit papers exploring strategic directions for midwifery and nursing in advancing inclusion, equity, and health.  This Special Issue is open to topics such as integrated care strategies and long-term care models, professional nursing roles, evidence-based interventions, and community-engaged approaches. The proposed theme aligns with Healthcare’s focus on multidisciplinary research and practical solutions that improve health outcomes across populations.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Strategic frameworks and global policy implications for midwifery and nursing;
  • Educational innovations to promote equity and development;
  • Evidence-based clinical practices focused on underserved populations;
  • Community health initiatives and participatory care models;
  • Coordinated interprofessional models and organizational frameworks that promote inclusive and equitable care;
  • Impacts of global crises (e.g., pandemics, conflict) on midwifery and nursing practices.

The Guest Editors are Dr. Simona Fumagalli and Dr. Laura Iannuzzi

World War II: Eating tulip bulbs

international, writing

Tulip bulbs can be eaten, but it is not a common source of human food. Eating tulip bulbs helped many Dutch people in the Hunger Winter, the last winter of the Second World War (1944-1945). During the German occupation the Dutch suffered from a shortage of food.  In the collection of my mother, I found a short book published in 1941 with a made-do-and-mend approach about growing your own food.  My mother died this summer at the age of 92.

The book ‘Veel groenten van weinig grond’ (in Dutch: Many vegetables from little soil) gives advice to readers on how to grown vegetables in small plots of land, gardens, etc.  This book in the first year of the occupation does not mention the use of tulips as food. Hidden in the book was a typed one-page sheet with three instruction for tulips followed by five recipes.

The main message seems to be that the preparation of the tulip bulbs as well as the taste is very much like potatoes.  For example, the recipe for tulip bulb puree includes boiling the bulbs, one packet of vanilla sugar or vanilla essence, three spoons of honey, artificial honey or syrup, mix well and add warm water.

 

Prof. Edwin van Teijlingen

Faculty of Health, Environment & Medical Sciences

Health promotion paper read 8,000 times

international, open access, Publishing, writing

This morning ResearchGate informed us that our paper ‘Understanding health education, health promotion and public health‘ [1] which was published in 2021 has been read 8,000 times.  This thinking piece delves into the differences between the concepts of: (a) health education; (b) health promotion; and (c) public health. This confusion does not limit itself to the individual terms, but also to how these terms relate to each other. Some use terms such as health education and health promotion interchangeably; others see them clearly as different concepts. The paper starts by outlining the authors’ understanding of these individual terms.

They suggest how the five principles of health promotion as outlined by the World Health Organization (WHO, 1984) fit into Tannahill’s (2009) model of three overlapping areas: (a) health education; (b) prevention of ill health; and (c) health protection. Such schematic overview places health education within health promotion and health promotion itself in the centre of the overarching disciplines of education and public health.  The authors hope their article helps reduce confusion among all those interested in our discipline, including students, educators, journalists, practitioners, policymakers, politicians, and researchers.

 

Prof. Edwin van Teijlingen

CMWH

 

Reference:

  1. van Teijlingen, K. R., Devkota, B., Douglas, F., Simkhada, P., & van Teijlingen, E. R. (2021). Understanding health education, health promotion and public health. Journal of Health Promotion, 9(01), 1–7. https://doi.org/10.3126/jhp.v9i01.40957

 

Conducting training in Kathmandu by BU academic

international, PG research

This week Dr. Pramod Regmi, who is Principal Academic in International Health in the Faculty of Health & Social Sciences, taught a CPD refresher workshop on systematic reviewing in Kathmandu.  This workshop is part of our long-standing Memorandum of Agreement between Bournemouth University (BU) and Manmohan Memorial Institute of Health Sciences (MMIHS) in Nepal.  The teaching aimed to refresh knowledge and provide practical training on various aspects of the systematic review process, including literature searching, study selection, data extraction, critical appraisal, and synthesis. The programme, which included both staff and Master students, was jointly organized by MMIHS and BU.

May be an image of 8 people and text that says "HEALTHSCIENCES SCIENCES अफहेलसाराइन्सेज હહર इन्सज"

The staff at MMIHS also welcome BU’s Ph.D. student Ms. Anjana Paudyal.  Anjana is currently in Nepal as part of the UK’s Turing Scheme Traineeship Programme.  Over the past few years MMIHS have kindly hosted several BU students who came to Nepal under the Turing Scheme.  Anjana’s Ph.D. focuses on human trafficking, which is form of modern slavery.  Despite being a global problem, modern slavery is understudied and poorly understood. Victims of modern slavery are exploited and can experience significant physical, psychological, or sexual, and reproductive health problems. Until recently, there has been little research in this field, especially in low-income countries such as Nepal.  Anjana”s Ph.D. fits in with BU’s collaboration with the US-based La Isla Network, the Johns Hopkins University Bloomberg School of Public Health and the Nepal Development Society (for details click here!).   Led by La Isla Network, we are leading the first-ever international effort to research and address trafficking among Nepalese labour migrants. The work is funded by a $4 million cooperative agreement awarded by the U.S. Department of State’s Office to Monitor and Combat Trafficking in Persons, International Programs.

 

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Free event on Solutions to Inequalities in Dementia Diagnosis and Care

Dr Catherine Talbot is hosting the upcoming EquaDem Quarterly Network Event on the afternoon of 3rd September at Bournemouth Gateway Building. This free, in-person event brings together researchers, students, health and social care professionals, third-sector workers, and people with lived experience to explore how we can collectively reduce inequalities in dementia diagnosis and care.

The event will feature short presentations from Dr Gladys Yinusa, who will discuss how nutritional care can be tailored to support people with dementia and carers; Sue Warr from PramaLife, who will highlight the charity’s work delivering dementia awareness training and running local support groups; and, a public advisor researcher from the EquaDem Network, who will provide an update on their ongoing work.
Attendees will also take part in networking activities designed to spark discussion about solutions to address dementia inequalities.
Register your attendance for free here: Equadem Quarterly Network Event Bournemouth Tickets, Wednesday 3 September 2025 at 12:30 PM | Eventbrite

Digital Health and AI: Paving the Way for Health Equity in Maternal and Infant Care

The long awaited 10-year health plan for England emphasises the use of digital technologies and the aspiration to “make the NHS the most AI-enabled health system in the world”. This requires expertise in artificial intelligence and data science, but interdisciplinary collaboration is also essential if we are to make this a reality.

The Maternal and Infant Health Equity Research Centre (MIHERC) aims to do this by bringing together experts in maternal health, behavioural science, AI and digital health to help drive innovative solutions through co-production and real partnership, ensuring better outcomes for all women and babies. MIHERC is led by Professor Hora Soltani at Sheffield Hallam University (SHU) in collaboration with key partners including Bournemouth University (BU), the City of Doncaster Council and South Yorkshire Digital Health Hub.

Alongside Professor Vanora Hundley, who has been appointed as a Capacity Training and Development Lead, Professor Huseyin Dogan and Prof Alessandro Di Nuovo from MIHERC will be co-leading the cross-cutting workstream titled “digital, data, monitoring, evaluation and implementation science” as part of the NIHR Maternity Disparities consortium. This workstreams aims

– to identify and test trusted, reliable AI technologies for deployment by the NHS to help reduce disparities;

– to develop and refine equity monitoring, real-world evaluation and implementation science methods for use in maternity disparities research, with a focus on enhancing their robustness and practical application;

– to embed advanced analytic and digital tools and implementation frameworks into maternity disparities research to improve the rigor and impact of studies on equity; and

– to build a community of practice within and external to consortium to develop analytical, methodological, and implementation science capacity.

The BU key academics are: Huseyin Dogan, Vanora Hundley, Edwin van Teijlingen, and Deniz Çetinkaya. Please do get in touch with the MIHERC team for further information.

Bournemouth University Showcases Defence Innovation at BattleLab’s South West Regional Defence & Security Cluster Event

What a brilliant and absolutely packed South West Regional Defence & Security Cluster showcase event at the BattleLab on July 2nd, 2025! The team, led by Professor Huseyin Dogan, proudly showcased Bournemouth University’s capabilities in the defence sector.

The Bournemouth University team included Finn Morgan, Nigel Davies, Serdar Akar, and Egemen Oner, alongside their client, Dr. Shamal Faily from the Defence Science and Technology Laboratory (Dstl). Among the 180 guests and exhibitors, the BU team presented three Dstl-funded projects covering critical areas such as human factors, risk-informed decision-making, and cyber resilience.

   

Featured Dstl-Funded Projects:

  • Tool-support for embedding safety, security, and human factors analysis into Secure by Design requirements.
  • Risk-Informed Decision-Making (RIDM) in Intentional Electromagnetic Interference (IEMI).
  • Towards Productive Cyber Resilience and Safety Analysis in Model-Based System Engineering (MBSE).

Collaboration for Secure by Design Practices

In addition to the BattleLab showcase, Dr. Duncan Ki-Aries and Prof. Huseyin Dogan also partnered with Mima, a human-centred design consultancy. Their collaboration focused on developing and evaluating a Minimum Viable Product (MVP). This MVP demonstrates how safety, security, and human factors analysis can be seamlessly integrated into Secure by Design requirements practices. The tool was successfully demonstrated at the Dstl Portsdown West site in June 2025, further highlighting Bournemouth University’s expertise in developing secure and effective systems for defence applications.

If you’re interested in learning more about these impactful projects, please don’t hesitate to get in touch with Prof. Huseyin Dogan and Dr. Duncan Ki-Aries.

 

AI and Visual Anthropology & Sociology

international, open access, Publishing, writing

Scholars worldwide are in dialogue about using Artificial Intelligence (AI) in various fields of research.  Of course, AI can make certain kinds of work more efficient, this is also the case in social science research. Although ethical use of AI is still fuzzy, the use of AI in visual anthropological and sociological research that entails the Interpretive Approach raises several questions. The editorial  team of Dhaulagiri Journal of Sociology and Anthropology, including BU’s Professor Edwin van Teijlingen, just published a research note raising three key questions: First, are researchers satisfied with the interpretation (the meaning created) by AI, i.e., the authenticity of the interpretation?; (b) Secondly, can AI reach the depth of the details of the visual object being interpreted? And thirdly, what ethical issues would AI-based research encounter if AI were highly supportive?

They agree that answering these questions is not easy. Since a detailed analysis of these components needs rigorous research work, we consider issues that will be the basis for further research in this editorial note. Hence, the purpose of this editorial note is to bring the research agenda to the forefront of researchers for further investigation rather than answering specific research questions mentioned above.

 

Reference:

  1. Khattri, M. B., Pandey, R., Roy, R. K., Subedi, M., van Teijlingen, E., Parker, S., & Bhandari, P. (2025). Ethical Dilemmas in Visual Anthropology and Sociology in the Era of Artificial Intelligence. Dhaulagiri Journal of Sociology and Anthropology, 19(1), i-v. https://doi.org/10.3126/dsaj.v19i1.80819

Academics write for newspaper in Nepal

innovation, international, open access, Publishing, writing

Yesterday the online newspaper Online Khabar in Nepal published an opinion piece in English written by three Bournemouth University academics working with a colleague in Kathmandu.  This interdisciplinary piece ‘Resilient through experiences: Unlocking the entrepreneurial prowess of Nepal’s left-behind women‘ brings together ideas gained from many different studies and disciplines.  The three authors from Bournemouth University are: Dr. Sukanya Ayatakshi-Endow, Prof. Edwin van Teijlingen, and Dr. Pramod Regmi, and they collaborated with Dr. Rashmee Rajkarnikar who is based at Nepal’s oldest and largest university, Tribhuvan University.  The four authors brings insights from economics, business studies, sociology, women’s studies, migration studies and health.

New paper published on disability in women & girls

international, open access, Publishing, Women's Academic Network, writing

Yesterday (25 June) the online journal PLoS One published ‘Life-time experience of violence among women and girls living with disability in Nepal‘ our latest study on disability in Nepal [1].  This cross-sectional study was conducted in 28 municipalities representing all seven provinces as well as all three ecological regions of Nepal. A total of 1,294 women and girls with disability aged 15–59 years participated in  2021. We trained local enumerators using the KoBo application on smartphones or tablets. Both written and oral informed consent was sought from all participants. Cross-tabulations were performed in STATA 18 to determine the distribution of the prevalence of violence. Also, bivariable and multivariable logistic regression models were fitted to establish association between the participants’ characteristics and odds of experiencing violence.

Overall, 457 (35.32%) women living with disabilities had ever experienced violence at a point in their lifetime. Psychological/emotional violence was the most prevalent violence (74.40%) followed by physical violence (31.07%) and denial of services (28.67%). Age was positively associated with the likelihood of experiencing violence. Women belonging to the Brahman/Chhetri ethnic group had reduced odds of violence [AOR = 0.56; 95%CI: 0.37–0.85] compared to Hill Dalits. Divorced or separated women showed a markedly higher likelihood of experiencing violence [AOR = 6.69; 95%CI: 2.31–19.40] compared to currently married women. Participants who had not witnessed violence against other women exhibited significantly higher odds of experiencing violence [AOR = 1.86; 95%CI: 1.20–2.89]. Women living in the Koshi province [AOR = 4.04; 95%CI: 2.54–6.42], Madhesh province [AOR = 2.16; 95%CI: 1.15–4.08] and Bagmati province [AOR = 2.21; 95%CI: 1.41–3.46] reported significantly higher odds of experiencing violence compared to those in Karnali.

The paper concludes oncludes that age, ethnicity, marital status, and provincial residence are significant predictors of violence among women and girls living with disability in Nepal. Interventions aimed at addressing violence against women living with disability in Nepal must prioritize older women and those who were previously married. Also, policy-makers may want to consider giving priority must be given to those provinces where the prevalence and risk of experiencing violence is highest.

The study was funded The United Nations Women Trust Fund,  and the paper is freely available in the Open Access journal.  We previously published on research into disability in Nepal in 2023 [2].

Prof. Edwin van Teijlingen

Centre for Midwifery & Women’s Health

Visiting Faculty, Centre for Disability Studies, Mahatma Gandhi University, Kerala, India.


References:

  1. Simkhada P, Basnet S, Sharma S, van Teijlingen E, Wasti SP, Dahal T, et al. (2025) Life-time experience of violence among women and girls living with disability in Nepal. PLoS One 20(6): e0326659. https://doi.org/10.1371/journal.pone.0326659.
  2. Simkhada, P, Shyangdan, D, van Teijlingen E, Kadel, S, Stephen, J., Gurung, T. (2013) Women’s Knowledge & Attitude towards Disability in Rural Nepal. Disability & Rehabilitation 35(7): 606-13. http://informahealthcare.com/doi/abs/10.3109/09638288.2012.702847

Global Consortium for Public Health Research 2025

international, Publishing, Research themes, writing

This week the 3rd Annual Meeting of the Global Consortium for Public Health (GCPHR) takes place at the University of Huddersfield on June 25th-26th.  GCPHR 2025 was attended by people involved in global health research from the UK, India, Nepal, Qatar, and Ghana.  Building on the success of the 2023 inaugural two-day meeting and the second annual event in 2024, the 2025 meeting brought together a diverse community of health researchers, practitioners, policy-makers and global health leaders. This initiative has as its main aim to facilitate the exchange of knowledge, promote innovation, and strengthen international collaboration.

Bournemouth University academics have been involved since GCPHR’s inception, and this year Prof. Edwin van Teijlingen from the Centre for Midwifery & Women’s Health (CMWH) contributed to a panel discussion on ‘Innovating Tomorrow: National and Global Research in the Age of AI’.  He presented around the pros and cons of Interdisciplinary Research in Global Health. Together with colleagues Edwin has published several papers on interdisciplinary research [1-3] and collaborative writing of research output with a range of colleagues from different disciplines [4-5].

Prof. Padam Simkhada from the University of Huddersfield (and Visiting Faculty in BU’s Faculty of Health & Social Sciences outlined the recently awarded British Academy grant on ‘Evidence-based Policy-Making in Nepal’.  The latter project, which includes BU’s Dr. Pramod Regmi as co-investigator, also has policy-makers in Nepal as collaborators, giving it great potential to become a REF Impact Case-Study.

 

 

 

 

 

 

 

 

References:

  1. Shanker, S., Wasti, S.P., Ireland, J., Regmi, P., Simkhada, P., van Teijlingen, E. (2021) The Interdisciplinary Team Not the Interdisciplinarist: Reflections on Interdisciplinary Research, Europasian Journal of Medical Sciences 3(2): 1-5. https://doi.org/10.46405/ejms.v3i2.317
  2. van Teijlingen, E., Regmi, P., Adhikary, P., Aryal, N., Simkhada, P. (2019). Interdisciplinary Research in Public Health: Not quite straightforward. Health Prospect, 18(1), 4-7. https://doi.org/10.3126/hprospect.v18i1.19337
  3. Wasti, S. P., van Teijlingen, E., Simkhada, P. (2020) Public Health is truly interdisciplinary. Journal of Manmohan Memorial Institute of Health Sciences, 6(1):21-22.
  4. Harvey, O., van Teijlingen, A., Regmi, P.R., Ireland, J., Rijal, A., van Teijlingen, E.R. (2022) Co-authors, colleagues, and contributors: Complexities in collaboration and sharing lessons on academic writing, Health Prospect 21(1):1-3. https://www.nepjol.info/index.php/HPROSPECT/article/view/39320/31432
  5. Hundley, V., Luce, A., Simkhada, P., van Teijlingen, E. (2022) Collaborative Writing for Publication, In: Wasti, S.P., et al. (Eds.) Academic Writing and Publishing in Health & Social Sciences, Kathmandu, Nepal: Himal Books: 15-19.

Workshop on Domiciliary Care Worker Training: Virtual Reality for DRA

Event Date and time: Tuesday, 15 July 2025, 1200-1600 GMT

Event Location: Bournemouth Gateway Building, St Pauls Lane, Bournemouth, BH8 8GP Room BG

(Refreshments and Lunch will be provided)

Join us to explore the use of Virtual Reality (VR) for training and evaluating dynamic risk assessment (DRA) in domiciliary care settings.

This stakeholder workshop will seek insights on the following research questions:

  • How does the domiciliary care sector and FE colleges currently train and assess their workforce/students to risk assess in a patient’s home?
  • How can a VR app be used by the domiciliary care sector and FE colleges to improve the learning and evaluation of dynamic risk assessment (DRA) skills?
  • To what extent can VR DRA improve DCWs’ (domiciliary care workers) awareness of risks in a patient’s home?

 Featured Speakers (TBC):

  • Skills for Care, the strategic workforce development and planning body for adult social care in England.
  • Partners in Care BCP Dorset
  • BU Nursing Academics
  • Demo of BU’s VR for DCW DRA prototype

 Who Should Attend?

  • Domiciliary care providers
  • Workforce Educators
  • Tech innovators in healthcare
  • Government Policy / CQC professionals

 About CfACTs+ Project

This project explores how creative technologies like VR can transform training, improve operational efficiency, and support workforce development; see:

https://www.bournemouth.ac.uk/research/centres-institutes/centre-applied-creative-technologies/centre-applied-creative-technologies-plus-cfacts

 Reserve Your Spot Today!

This event is free, but places are limited.

Register via Eventbrite
https://www.eventbrite.co.uk/e/workshop-on-domiciliary-care-worker-training-virtual-reality-for-dra-tickets-1433020275219?aff=oddtdtcreator

Event Funded by:

BU Early Career Researcher Network (ECRN) & Research Knowledge Exchange Development Framework (RKEDF)

 

World Drowning Prevention Day at BU

international, PG research, Publishing, writing

Next month on July 25th  Bournemouth University will join in with the world-wide celebrations of World Drowning Prevention Day 2025.  The first achievement to highlight is Dr. Jill Nash interesting piece recently published in The Conversation, in which she highlights Five ways to keep teenagers safe by the water [1]. It is also worthwhile to read last year’s contribution to World Drowning Prevention Day by Jill on the dangers of being near water and the role emotions play in making safer decisions [2].

The second major piece of research related to drowning prevention at Bournemouth University is the Sonamoni Project. The Sonamoni Project is working with communities in rural Bangladesh utilizing human-centered design (HCD) techniques.  The research project is identifying solutions to reduce the number of drowning deaths in newly mobile children (6-24 months), developing prototype, and assessing the acceptability and usability of potential  interventions. Sonamoni is coordinated by Bournemouth University in collaboration with the University of the West of England (Bristol), the University of Southampton, and the Royal National Lifeboat Institution (RNLI), Design Without Border (DWB) in Uganda and Centre for Injury Prevention and Research, Bangladesh (CIPRB). The interdisciplinary team at Bournemouth University covers three faculties and six academics: Dr. Mavis Bengtsson, Dr. Kyungjoo Cha, Dr. Mehdi Chowdhury, Dr. Yong Hun Lim, Mr. John Powell, and Prof. Edwin van Teijlingen.

This international project funded by the National Institute for Health and Care Research (NIHR) through its Research and Innovation for Global Health Transformation programme, also includes a BU-based PhD student, Mr. Md. Shafkat Hossein.  He recently published the first article related to drowning prevention in Nepal [3].

References:

  1. Nash, J. (2025) Five ways to keep teenagers safe by the water, The Conversation June 20th.
  2. Nash, J. (2024) Why so many people drown at the water’s edge The Conversation July 25th.
  3. Hossain, M. S., Pant, P. R., van Teijlingen, E., Sedain, B., & Rahman, A. (2024). Drowning Prevention should be a Public Health Issue in Nepal. International Journal of Social Sciences and Management, 11(4): 83–87.

Dr. Catalin Brylla Leads Diversity and Inclusion Initiatives for the Society for Cognitive Studies of the Moving Image

Research Ethics

Dr. Catalin Brylla, Principal Lecturer in Film and TV has chaired the DEI Committee for the Society for Cognitive Studies of the Moving Image since 2022, launching several initiatives.  At this year’s conference at the University of Alberta in Canada he organised three related events:

DEI Roundtable and Workshop: Intersectionality, Bias and Positionality

This roundtable featured international scholars, including Charles Kebaya (Machakos University, Kenya), to explore how intersectionality, bias, and positionality shape our work in film and media research. The session was followed by two facilitated workshop groups: one focusing on teaching (including decolonising curricula and participatory learning methods), the other on research (including de-centralising publishing, engaging with Global South scholarship, and community-led research methods).

The workshops offered a space for critical reflection and practical strategies for fostering equity and inclusion in teaching and research, addressing the following questions.

  • How do we approach research and teaching when we acknowledge the researcher’s and teacher’s partial perspective shaped by their intersected social identities?
  • When the positionality of the researcher differs from that of the research participant, research collaborator, screen character or film viewer, how does this frame our analytic lens and the choice of research methods?
  • What happens when we study marginalised groups without their collaborative participation? Do we risk replicating epistemic hierarchies or social practices that have contributed to this marginalisation? (relates to slogan “Nothing about us, without us.” – disability rights movement)
  • In cross-cultural and cross-ability research and teaching, how do we account for not only difference, but for blind spots in acknowledging and respecting different positionalities?
  • How can we design curricula that properly balance between dominant and underrepresented academic and non-academic knowledge structures?

Mentorship Lunch: Learning from Academic Trial and Errors

This event provided an informal and supportive space where senior scholars shared candid reflections on the mistakes, challenges, and lessons that have shaped their academic journeys. We rarely speak openly about trial-and-error experiences in teaching, research, or media practice. Even more rarely do we celebrate these moments or fully recognise the valuable contributions they make to eventual positive outcomes. As a result, when we engage with the work of other scholars—whether through conversation, presentations, or publications—their research is often presented as a neatly packaged narrative of clear and successful results, with little acknowledgement of the mistakes, missteps, and failures that inevitably occurred along the way.

The session covered topics from research and publishing to teaching, grant-writing, and career development, this session invites open discussion with early career researchers about navigating the ups and downs of academic life.

Paper Presentation on Social Cognition, Bias and Audience Perception of Films

Together with Dr. Tico Romao (University of Alberta), Brylla proposed a framework for audience segmentation that focuses on the mapping of intersecting social identities across viewers and screen characters. This type of spectator segmentation offers a more granular alternative to explain divergent viewer responses and biases. This can reveal the often-overlooked gap between authorial intent and spectatorial reception. This framework is especially useful in comparing responses to structured and formalist narratives, as well as more open or ambiguous narrative forms.