Embodiment and agency: toward a holistic synthesis for developmental science.

Relational, systems-oriented approaches are strongly positioned to advance theory and research in developmental science and to cement a process orientation to development at all levels of organization--from the biological to the psychological and sociocultural--despite continued prominence in the field of biologically reductionist explanatory accounts. However, the inclusive, explanatorily pluralistic ontological framework involved in adopting a relational perspective on developing systems is not always fully appreciated, explicitly articulated or even followed by devotees of the perspective. In this chapter, we highlight the importance of holistically couching interlevel relations--those that obtain vertically between levels of organization, such as between the biological and psychological levels--in terms of wholes and parts and of recognizing the different modes of causal explanation that obtain depending on whether the relations move from parts-to-whole or whole-to-parts.

Promotoras as mental health practitioners in primary care: a multi-method study of an intervention to address contextual sources of depression.

We assessed the role of promotoras--briefly trained community health workers--in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. A multi-method design included quantitative and ethnographic techniques to study predictors of depression and the intervention's impact.

An ethnography of clinic "noise" in a community-based, promotora-centered mental health intervention.

Community-based health interventions have emerged as a growing focus for anthropological research. The application of ethnographic approaches in clinical practice settings reveals that community-based interventions must grapple with "noise," or unanticipated factors such as patients' own perceptions of illness and treatment, primary care providers' non-adherence to guidelines-based treatment, the social dynamics of the clinic site itself, and incomplete understanding and acceptance of an intervention by a clinic's staff members. Such noise can influence the implementation and quality of treatment.