The purpose of this paper is to identify and describe, in a systematic way, the various academic discourses on the rationale for shared decision making (SDM) in mental health…
Abstract
Purpose
The purpose of this paper is to identify and describe, in a systematic way, the various academic discourses on the rationale for shared decision making (SDM) in mental health care, and so provide a comprehensive account of the ways in which this emerging field is being conceptualised in the research literature.
Design/methodology/approach
This study is a systematic review of peer-reviewed papers presenting a rationale for SDM in mental health. Relevant databases were searched from inception to July 2016. Data were analysed using a thematic analysis which aimed to identify and describe different discourses on the rationale for SDM in mental health care. Data were extracted into a standardised data extraction form which contained fields representing the developing thematic framework, study information and research methodology.
Findings
An initial search returned returned 1,616 papers, of which 175 were eligible for inclusion in this review. The authors developed ten distinct but interrelated themes which capture the various academic discourses on the rationale for SDM and represent some compelling arguments for SDM from a range of different perspectives including ethical, clinical, “user” focussed, economic and political. Dominant narratives in the literature linked SDM to the recovery moment and person-centred care, and adherence and engagement with mental health services.
Research limitations/implications
The authors are unable to make any conclusions about the strength of evidence for these rationales. The review was restricted to peer-reviewed publications, published in English.
Practical implications
The findings could be a useful framework to support the selection of outcome measures for SDM evaluations.
Originality/value
There have been no systematic reviews published in this area previously.
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Alan Quirk, Sarah Smith, Sarah Hamilton, Donna Lamping, Paul Lelliott, Daniel Stahl, Vanessa Pinfold and Manoharan Andiappan
A psychometrically validated measure is needed to evaluate outcomes in carers of people with mental health problems, including dementia. This study aims to develop and validate…
Abstract
Purpose
A psychometrically validated measure is needed to evaluate outcomes in carers of people with mental health problems, including dementia. This study aims to develop and validate the Carer well‐being and support questionnaire (CWS).
Design/methodology/approach
Development and evaluation of the measure was conducted in three phases. The authors deconstructed an existing questionnaire (CUES‐C) to produce a long version measure. This was trialed with carers to reduce the number of items and a preliminary evaluation of the psychometric properties of the remaining items was undertaken. A second field test was conducted with the item‐reduced questionnaire measure to evaluate acceptability, reliability and validity.
Findings
The CWS well‐being scale shows moderate acceptability and good reliability and validity. The CWS support scale shows moderate acceptability and good reliability; validity testing for the support scale is limited by the lack of appropriate validating measures.
Practical implications
The CWS is a reliable, valid measure of carer well‐being and support, reflecting important aspects of carers' lives.
Originality/value
This paper provides researchers and practitioners with a tool that can be used to measure and address areas of support for carers. This is important in assessing the effectiveness of new interventions and approaches.
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Lars Engwall, Enno Aljets, Tina Hedmo and Raphaël Ramuz
Computer corpus linguistics (CCL) is a scientific innovation that has facilitated the creation and analysis of large corpora in a systematic way by means of computer technology…
Abstract
Computer corpus linguistics (CCL) is a scientific innovation that has facilitated the creation and analysis of large corpora in a systematic way by means of computer technology since the 1950s. This article provides an account of the CCL pioneers in general but particularly of those in Germany, the Netherlands, Sweden, and Switzerland. It is found that Germany and Sweden, due to more advantageous financing and weaker communities of generativists, had a faster adoption of CCL than the other two countries. A particular late adopter among the four was Switzerland, which did not take up CCL until foreign professors had been recruited.
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A recent biography claims that Georges Simenon, of Maigret fame, knew more than 1200 prostitutes. A recent psychiatrist is on record as saying that Ian Fleming had to sublimate a…
Abstract
A recent biography claims that Georges Simenon, of Maigret fame, knew more than 1200 prostitutes. A recent psychiatrist is on record as saying that Ian Fleming had to sublimate a paranoid madness by writing about James Bond. We know now that Enid Blyton hated children and didn't get on with her husband, that Agatha Christie mysteriously disappeared and reappeared, and that the later Dorothy L Sayers turned against crime fiction because she felt it would corrupt social morals. Authors are a very strange bunch indeed, and their quirks and quaintnesses are legion: here is just a small platoon of gossipy tittle‐tattle, in the interests of clearing the air, not letting go of a good thing, and flying the flag.
While the steep increases in rates of incarceration seen in the United States in the late twentieth century have begun to level out, one form of incarceration has seen more…
Abstract
While the steep increases in rates of incarceration seen in the United States in the late twentieth century have begun to level out, one form of incarceration has seen more drastic reductions in rates of use in the 2010s: long-term solitary confinement. Across the United States, prisons that once isolated prisoners for decades at a time stand hauntingly empty. The solitary confinement reform movement provides an important lens for examining what happens when an entrenched punitive practice faces widespread and sustained criticism and reveals the multiple paradigms through which reform operates – through politics, litigation, or charismatic leadership.
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This paper has five objectives. First, to draw attention to serious weaknesses in Kaminsky's analysis of the South Australian “Freedom and Authority” memorandum. Second, to sketch…
Abstract
This paper has five objectives. First, to draw attention to serious weaknesses in Kaminsky's analysis of the South Australian “Freedom and Authority” memorandum. Second, to sketch out how Kaminsky could have presented a more realistic picture of A.W. Jones's position both with regard to the memo, and school governance in general. Third, to show that had Kaminsky pursued this suggested line of analysis he would have found that Jones confused ends‐type policy‐making with technico‐professional decision‐making, which led Jones into error concerning the respective roles of lay people and professionals in educational policy‐making. Fourth, to illustrate how Jones's radical indictment of the lack of “democracy” in Australian schools in the mid 1970s was conjoined with conservative and technocratic decisional proposals. Finally, to suggest that the issues raised in my criticism of Kaminsky and Jones are of crucial importance to all those interested in school governance.
Cedric Joseph Oliva and Alan Gómez Larriva
In the context of American institutions of higher education, the practical implementation of strategies associated with the development of L3+ or multilingual education often…
Abstract
In the context of American institutions of higher education, the practical implementation of strategies associated with the development of L3+ or multilingual education often remain difficult to implement. Furthermore, students who reach the university level with pre-acquired bi/multilingual and bi/multicultural skills may perceive their competencies as trivialized and undervalued due to the lack of linguistically relevant opportunities available to them.
By contrast, the recent implementation of a multilingual course titled “Intercomprehension of the Romance languages: a pathway to Multilingualism,” at California State University, Long Beach (2014–2018) and St. Lawrence University (2018) offers bi/multilingual students the tools to develop skills geared toward language learning in a continuous effort to appraise, nurture, and upraise the ever-growing linguistic diversity present among students and faculty members in universities across the United States. This course and its iterations specifically benefit students’ pre-existing bi/multilingual competencies while offering them opportunities to reinforce and expand their multilingual repertoire. Students learn how to read in 5+ Romance languages, reinforce their knowledge of English, as well as of their Romance language, all while strengthening their metalinguistic awareness by learning how to navigate a larger repertoire of either foreign or unknown related languages.
In addition to discussing the pedagogical and theoretical framework of the course, the authors propose to explore how this innovative approach favors the development of multilingualism among students in North-American universities by examining course demographic data collected from several of these courses and key results relating certain aspects of students’ initial contact with new languages through intercomprehension.
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Since the shootings at Kent State University (KSU) in 1970, students and activists have held commemorative ceremonies to mark that event. The university ignored that past and…
Abstract
Since the shootings at Kent State University (KSU) in 1970, students and activists have held commemorative ceremonies to mark that event. The university ignored that past and decided to build a gym annex covering part of the land on which the National Guard had maneuvered in 1970. Led by the May 4th Coalition, activists sought to persuade the university to change the building's location. The student concern was the preservation of what they viewed as “sacred” ground which would be buried underneath the annex. At the 1977 annual commemoration speakers raised the annex issue and the newly formed May 4th Coalition ultimately occupied the site of the planned building with a tent city. That occupation was forcefully removed, and the university did build the facility where planned. The physical and spatial aspects of the commemoration of the Kent State shootings did, over time, lead the university to take on the responsibility to memorialize that conflict. This paper focuses on two interrelated issues: (1) the efforts of the May 4th Coalition and residents of Tent City to block or move the gym annex and (2) the refusal of KSU for years to recognize the broad significance of the events of May 1970 and their attempt to ignore or bury it.