There is a growing trend in psychiatry that claims that all goal‐orientated therapy is predictive of healthy outcomes. However, there is evidence that an excessive focus on…
Abstract
There is a growing trend in psychiatry that claims that all goal‐orientated therapy is predictive of healthy outcomes. However, there is evidence that an excessive focus on materialistic goals may be related to problems with ‘mood’. The exact way in which goals are internalised and affect our unconscious motivations is here explored in a clinical context.
Details
Keywords
One of the aims of this review will be to draw upon Wright and colleagues' (2000) claim that the ‘labelling’ field needs theoretical development. By comparing and contrasting the…
Abstract
One of the aims of this review will be to draw upon Wright and colleagues' (2000) claim that the ‘labelling’ field needs theoretical development. By comparing and contrasting the two main approaches to understanding diagnostic practices, Modified Labelling Theory (MLT; Scheff, 1999; Wright et al, 2000) and the medical model (Wolff, 1991); we can further hypothesise on the social function of diagnostic practices. The three main areas of conceptual overlap between MLT and the medical model are as follows.1) Psychological processes play a key role.2) Diagnosed individuals are interpersonally (or culturally) diverse and tend to challenge implicit (‘unspoken’) social norms.3) This diversity may increasingly result in the labelled being socially excluded, under the guise of being ‘violent’, ‘odd’ or ‘deviant’.Karpman's (1968) drama cycle offers a social cognitive model that explains the co‐dependant social function of the violent persecutor role. When the roles become unjustifiably (ie. Large et al, 2008; Fazel et al, 2009) pervasive and stymied (as in the case of labelled individuals), labelling becomes understood as functioning as analogous to a caste system. This innovative hypothesis could generate both research impetus, as well as implications for clinical practice.
Details
Keywords
Introduction: As we enter a period of economic downturn, the question of further demonstrating meaningful child and adolescent mental health services (CAMHS) outcomes becomes more…
Abstract
Introduction: As we enter a period of economic downturn, the question of further demonstrating meaningful child and adolescent mental health services (CAMHS) outcomes becomes more salient (Department of Health, 2010). Early research had been stymied by a need to develop age‐appropriate measures (Roth & Fonagy, 2005), as well as childhood being a culturally specific and historically changing construct (Buchanan, 1996). However, Weisz et al (1995; 2005) argued that the current literature provides a basis for understanding what practices are effective.Method: A range of search terms, including ‘child mental health’, ‘CAMHS’ and ‘evidence base’ were entered into ASSIA, EBSCOhost, IngentaConnect, PsychINFO and Web of Knowledge. This revealed 197 hits. Only 19 papers focused upon the ‘implications of the evidence base’. Due to conceptual overlap, three papers were reviewed in greater depth. Additionally, due to the nature of the question, I reviewed two seminal texts to better understand the theoretical framework that constructed the area.Findings: Any conclusions drawn from the evidence base are largely influenced by three main tensions and limitations. These are: 1) the need to demonstrate the efficacy and cost effectiveness of CAMHS; 2) the impact of the theoretical allegiances of researchers (Kuhn, 1970); 3) the need to meet and better integrate a range of theoretical perspectives (particularly social approaches) into the evidence base (Department of Health, 2001; World Health Organization, 2000).Conclusions: The current evidence base is well placed to direct clinicians upon treating conditions that commonly present to CAMHS. However, there are significant tensions and limitations within the literature, which future research may be well placed to reconcile. Once these have been addressed training, supervision and consultancy, to inform the future direction of CAMHS.
Details
Keywords
The Equal Pay Act 1970 (which came into operation on 29 December 1975) provides for an “equality clause” to be written into all contracts of employment. S.1(2) (a) of the 1970 Act…
Abstract
The Equal Pay Act 1970 (which came into operation on 29 December 1975) provides for an “equality clause” to be written into all contracts of employment. S.1(2) (a) of the 1970 Act (which has been amended by the Sex Discrimination Act 1975) provides:
Zahra Tabaei Aghdaei, Janet R. McColl-Kennedy and Leonard V. Coote
The purpose of this paper is to: (1) better understand the structure (hierarchy) of customer goals providing conceptual clarity; and (2) propose a hierarchy of customer goals…
Abstract
Purpose
The purpose of this paper is to: (1) better understand the structure (hierarchy) of customer goals providing conceptual clarity; and (2) propose a hierarchy of customer goals conceptual framework that explicates how healthcare customer goals are linked to drivers and outcomes, thus building theory and informing practice.
Design/methodology/approach
The research draws on 21 in-depth interviews of patients with a chronic disease. Drawing principally on construal-level theory and using manual thematic analysis and Leximancer, this article provides new insights into customer goals.
Findings
In a first, the authors identify a two-dimensional structure for each of the three main goal types, which previously had been viewed as unidimensional. The authors develop a conceptual framework linking drivers of goal setting (promotion/prevention focus world view and perceived role) with goal type (life goals, focal goals and action plan goals and their respective subgoals) and outcomes (four forms of subjective well-being). Visual concept maps illustrate the relative importance of certain health-related goals over others.
Research limitations/implications
The usefulness of the authors’ conceptual framework is demonstrated through the application of their framework to goal setting among healthcare customers, showing links between the structure of goals (life goals, focal goals and action plan goals) to drivers (promotion/prevention focus world view and perceived role) and outcomes (subjective well-being) and the framework's potential application to other service settings.
Originality/value
This study contributes to healthcare marketing and service management literature by providing new insights into goal setting and proposing a novel hierarchy of customer goals conceptual framework linking drivers, goal types and outcomes.
Details
Keywords
Beverley Slater, Jenny Knowles and David Lyon
The Improvement Foundation's Healthy Communities Collaborative (HCC) model combines community development and quality improvement, lay knowledge and professional support in an…
Abstract
The Improvement Foundation's Healthy Communities Collaborative (HCC) model combines community development and quality improvement, lay knowledge and professional support in an innovative community‐led approach aimed specifically at reducing health inequalities. This paper describes the key characteristics of the model and uses an outcomes framework to discuss indicative results from an HCC initiative to promote earlier identification of people at risk of cardiovascular disease, implemented in nine spearhead local authorities.
Details
Keywords
People with learning disabilities who present challenging behaviour are particularly vulnerable to physical abuse. It is argued that training in physical intervention could well…
Abstract
People with learning disabilities who present challenging behaviour are particularly vulnerable to physical abuse. It is argued that training in physical intervention could well be a critical variable in determining whether this abuse takes place. Recommendations designed to minimise the risks associated with physical intervention training are made.
Details
Keywords
Colin Paton and David McMenemy
This research investigates the presence of communitarian philosophy within contemporary Scottish public library strategy, exploring links between philosophy, politics and practice.
Abstract
Purpose
This research investigates the presence of communitarian philosophy within contemporary Scottish public library strategy, exploring links between philosophy, politics and practice.
Design/methodology/approach
The paper follows a qualitative research approach, combining content analysis and discourse analysis methodologies for the analysis of a corpus of Scottish public library trust documentation according to a thematic framework of communitarian values.
Findings
The analysis revealed strong links between trust strategy and communitarian values but also highlighted contradictions within this form of communitarianism which belied a deeper neoliberal philosophical foundation. The research therefore identified a communitarian strategic service shift which introduced benefits of social inclusion, community autonomy and common good but also brought concerns of an inherently weakened communal foundation and the survival of a neoliberal status quo.
Research limitations/implications
The analysis is focused on strategy in Scotland only and thus can only claim to be representative of that country. However, the growth in communitarian strategies in the public sector is informed from the analysis undertaken.
Practical implications
The paper provides a novel analysis of public library strategy and thus contributes to the understanding of public library practice in the modern era.
Social implications
The impacts of communitarian philosophy in the public sphere are under-researched and how these changes impact the mission of libraries needs to be better understood.
Originality/value
This is the first analysis to consider public library strategy from a communitarian point of view. As such, it provides novel insights into a growing area of public service development.