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Leptospirosis is largely an occupational disease for people working with livestock in Aotearoa New Zealand. Introduction of livestock vaccination and use of personal protective equipment has been associated with a reduction in the incidence. However, the incidence of occupational leptospirosis remains high, with significant burdens for affected families and healthcare system. For this article, a subset of thirteen participants from a nationwide leptospirosis case-control study (2019-2021) who were diagnosed with leptospirosis and worked with livestock at the time of illness were invited and agreed to a semi-structured interview. Interviewees reflected on their experiences as messages for medical professionals. The analysis of transcripts reveals widely shared experiences with infection, hospitalisation, and treatment, as well as long-term effects and recovery. Conclusions for medical professionals include that ill workers continue to have their diagnosis of leptospirosis delayed. This delay may contribute to more than half the people ill with leptospirosis hospitalised. Further, medical professionals' communication and relationship with ill people strongly colours the latter's experience, for good or for bad. Moreover, most interviewees experienced a recovery process that took several months of feeling tired, which undermined professional performance and emotional wellbeing.

The process of globalisation offers opportunities for a country to progress to be a greater and more competitive nation. The Malaysian government is highly inspired by the concept of globalisation in progressing towards the vision of becoming a developed nation by the year 2020. Globalisation as a process is very demanding, requiring changes to the Malaysian political, cultural, economic, educational and social landscape. These changes have presented immense challenges to Malay adolescents where Western values have conflicted with traditional values and aspirations. Without adequate preparation, the potential incommensurability of values affects the locally defined wellbeing among Malay adolescents. Given that, how Malay adolescents understand and adapt to the globalisation process remains elusive. Therefore, this research is designed to explore the experiences of Malay adolescents who are considered to experience ‗conduct disorders‘ within the Malaysian context of globalisation. This research is a qualitative research inquiry, which utilised Interpretative Phenomenological Analysis (IPA) as a method of analysis. IPA is an approach that explores in detail personal lived experience to examine what the world is like from the point of view of the participants. Initial data was collected from 28 participants with 12 participants selected from a rehabilitation centre for young offenders in Malaysia for a more thorough analysis. The lived experience of the participants is presented and explained through three levels of analysis, the participants' demographic background and history, detailed life experiences of each case and finally, the meaning they attached to their experiences. The analysis suggests that the understanding of the Malay adolescents is constructed reflecting the changes in the dynamic of all segments of life alongside the emerging new lifestyles that are embedded in the processes of globalisation. Their lived experiences are described by referring to a complex relationship with and various tensions between different tenets. Those tenets include the traditional Malay cultures, values, beliefs and practices, which are much influenced by Islamic teaching, and the emergent new values and worldviews associated with globalisation and modernisation. Due to their vulnerability regarding self-characteristics, innate capabilities and the systemic flaws of relevant support systems, they are described as problematic in meeting the new, yet challenging environment. The participants lost their primary and reliable sources of survival. Instead, they are being introduced to various alternative resources that promote values and cultures that are against the normality of local practices. As a result, they end up in the criminal justice system. Realising that they have gone ―off track‖, the participants shared their intention to recover through various strategies, which include both action oriented and cognitive frameworks, but at the same time, they expected to face a range of hassles that may contribute to some difficulties for them to make progress. This research comes out with an argument that questions the appropriateness of the relevance of the diagnostic system of conduct disorders as defined in DSM. The experiences of the participants‘ suggested that they simply reacted to the changing context which offered immense challenges to their lived experiences. Therefore, rather than disordered the adolescents can be understood as responding to the conflicting conditions they face. Keywords: Malay adolescents, globalisation, conduct disorders, lived experiences, Interpretative Phenomenological Analysis

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