Shulamit Ramon, Helen Brooks, Sarah Rae and Mary-Jane O’Sullivan
This review paper will look at internationally existing publications in the English language on mental health shared decision making (SDM) implementation of a variety of…
Abstract
Purpose
This review paper will look at internationally existing publications in the English language on mental health shared decision making (SDM) implementation of a variety of interventions, including different methodologies and research methods, age groups and countries. The purpose of this paper is to provide an overview of: process, degree and outcomes of implementation; barriers and facilitators; perspectives on implementation by different stakeholders; analysis of the process of implementation in mental health services through the lenses of the normalisation process theory (NPT).
Design/methodology/approach
Following a targeted literature search the data were analysed in order to provide an overview of methodologies and methods applied in the articles, as well as of the variables listed above. Three different types of information were included: a content analysis of key issues, reflective understanding coming out of participating in implementation of an SDM project in the form of two narratives written by two key participants in an SDM pilot project and an NPT analysis of the process of implementation.
Findings
Only a minority of mental health SDM research focuses on implementation in everyday practice. It is possible and often desirable to achieve SDM in mental health services; it requires a low level of technology, it can save time once routinized, and it is based on enhancing therapeutic alliance, as well as service users’ motivation. Implementation requires an explicit policy decision, a clear procedure, and regular adherence to the aims and methods of implementation by all participants. These necessary and sufficient conditions are rarely met, due to the different levels of commitment to SDM and its process by the different key stakeholders, as well as due to competing providers’ objectives and the time allocated to achieving them.
Originality/value
The review indicates both the need to take into account the complexity of SDM, as well as future strategies for enhancing its implementation in everyday mental health practice. Perhaps because applying SDM reflects a major cultural change in mental health practice, current value attached to SDM among clinicians and service managers would need to be more positive, prominent and enduring to enable a greater degree of implementation.
Details
Keywords
Jane O’Sullivan and Alison Sheridan
Popular representations of the workplace have tended to construct women as unsuited to management and leadership roles. In their reflective capacity these popular fictional texts…
Abstract
Popular representations of the workplace have tended to construct women as unsuited to management and leadership roles. In their reflective capacity these popular fictional texts illustrate the workplace. In their capacity to construct popular perceptions of “reality”, the texts offer an important insight into women’s and men’s understandings and expectations of their workplace relationships. In this article we reflect on how popular films, plays and television shows can make visible some manifestations of the kinds of resistance women continue to experience in non‐traditional domains such as management. While these kinds of texts have not been central to the analysis of workplace relations within the management literature, we argue that as social documents they have much to contribute to an understanding of the limited advancement of women.
Details
Keywords
Alison Sheridan and Jane O'Sullivan
This paper aims to demonstrate how close analysis of cultural narratives can be employed as effective pedagogical tools in the explication and critique of specific workplace…
Abstract
Purpose
This paper aims to demonstrate how close analysis of cultural narratives can be employed as effective pedagogical tools in the explication and critique of specific workplace issues relevant to health management education.
Design/methodology/approach
Two narratives have been selected to illustrate this point: the apparently “fictional” UK-based medical television drama series Bodies (2005-2006) and the apparently “factual” report of an Australian state government public inquiry into acute health care, the Garling Report.
Findings
Through their demonstration of how analyses of selected segments of these texts can be used in health management education, the authors conclude that the comparative analyses of ostensibly “fictional” and “factual” narratives allow for analysis and critique of the inadequacies of new public management (NPM) applied to the health care industry, leading to a greater understanding of wider ideological effects on public perceptions.
Practical implications
The authors argue that these understandings enliven students' learning experiences, and that such comparative analyses should be applied more widely across health management education to develop students' critical skills and openness to exploring alternative models.
Originality/value
Comparative analysis of cultural texts is novel in health care education, and allows for the interrogation of ideology and its effects.
Details
Keywords
Discusses the link between organizational context and the nature ofeffective teamwork. Using a variety of examples from the police force,highlights the importance of the explicit…
Abstract
Discusses the link between organizational context and the nature of effective teamwork. Using a variety of examples from the police force, highlights the importance of the explicit authority structure in terms of providing clear leadership and accountability. Other types of organizations are unable to provide this sort of absolute parameters, particularly since the trend is towards leaner, flatter structures and empowered workforces. Staff are likely to find themselves in a number of teams, all working to different agendas and with little guidance about priorities. One solution is to focus on translating the business strategy into clearly defined goals so that the context for teamwork is explicit and the priority of the outcome is clear.
Details
Keywords
David Punter and Glennis Byron note how the Gothic novel has been divided into two categories: the ‘Male’ and ‘Female’ Gothic. Where the former emphasizes violence and ghosts, the…
Abstract
David Punter and Glennis Byron note how the Gothic novel has been divided into two categories: the ‘Male’ and ‘Female’ Gothic. Where the former emphasizes violence and ghosts, the latter focuses on female representation and the disavowal of the supernatural. The Hollywood Gothic films of the 1940s can be said to translate this aspect of the Female Gothic onto the cinema screen: Rebecca (1940), Gaslight (1944) and Secret Beyond the Door (1947) all feature narratives stressing the haunting nature of domestic spaces but there are no actual ghosts present. Robert Zemeckis’s What Lies Beneath (2000) breaks this convention. The film clearly draws on the Female Gothic lineage, situating Claire as a Gothic heroine, and yet there is an important difference: the supernatural is now an integral – and acknowledged – part of the story. This chapter explores this twenty-first century change, arguing that whilst the inclusion of the supernatural can be said to break with previous definitions of the Female Gothic, What Lies Beneath’s depiction of a ghost actually re-imagines and re-emphasizes the concerns at the centre of this tradition: the dramatization of marital and domestic experiences; an interrogation of feminine perception; and the reality of male violence against women.
Details
Keywords
Population control as a state-sponsored activity came into prominence following the publication of Ehrlich’s The Population Bomb in 1968. This was taken up by the IPCC, but by…
Abstract
Population control as a state-sponsored activity came into prominence following the publication of Ehrlich’s The Population Bomb in 1968. This was taken up by the IPCC, but by 1994, this changed and any mention of population reduction as a part-solution to CO2-induced global warming became taboo. Later, when drastic reductions in birth rates as measured by Total Fertility Rates (TFR) were observed in economically advanced countries, books were written to celebrate the fact. The population bomb, it seems, had been defused spontaneously, or so it was claimed. The new problem for many states was the decline of their native populations, and the aging workforce triggering the need for mass immigration to fill the gaps. This chapter traces the ebb-and-flow of Population Policy related to climate change and net-zero. The current ‘hands-off, the problem is solved’ policy is a grievous mistake and may hasten the Major ‘Population Correction’ (he means catastrophic near wipeout) described by William E Rees in 2023. If States and inter-governmental organisation would get behind a policy of non-coercive population reduction, then the goal of net-zero can be achieved quicker and more easily.
Details
Keywords
Jeremiah J. Lynch and Stephen James Minton
In the century from 1868 to 1969, over 105,000 children were detained in industrial schools in Ireland, having been committed by the courts. The purpose of this paper is to…
Abstract
Purpose
In the century from 1868 to 1969, over 105,000 children were detained in industrial schools in Ireland, having been committed by the courts. The purpose of this paper is to examine, and offer suggestions regarding the contexts of the peer physical and sexual abuse and bullying that went on in the industrial schools.
Design/methodology/approach
This paper draws on the accounts of survivors, the results of research conducted by academics and journalists and recent reports compiled by legislative enquiries into industrial schools in Ireland, with particular reference being made to the the six industrial schools run by the Christian Brothers.
Findings
The specific parameters of how the industrial school system developed in Ireland rendered detainees powerless and voiceless, and these factors also facilitated the physical and sexual abuse of child and adolescent detainees by adults in this institutions. Serious instances of peer physical and sexual abuse also went on in these schools. It is argued that such patterns of peer abuse are best understood as occurring within the psychosocial contexts of primary adjustment, collaboration and re-enactment.
Practical/implications
It is suggested that the context of peer abuse in institutions is important for researchers and practitioners to attend to.
Originality/value
The realities of life in industrial schools in Ireland has been slow to emerge, due to the secrecy with which those institutions have been surrounded. Most accounts have focused on abuse at the hands of adults; this examines peer abuse in those institutions in context.
Details
Keywords
This chapter focuses on spy action as a way to answer the question: where can we find queer female action heroes? The chapter will identify three films – D.E.B.S. (Advocate, 2005…
Abstract
This chapter focuses on spy action as a way to answer the question: where can we find queer female action heroes? The chapter will identify three films – D.E.B.S. (Advocate, 2005), Atomic Blonde (David Leitch, 2017) and The Spy Who Dumped Me (Susanna Fogel, 2018) – worth attention to highlight the potential and problems of the queer female hero in spy action. This chapter examines how each of these spy action films contributes to the ongoing yet uneven development of the female hero as a queer figure in post-millennial action cinema. The chapter will consider to what extent these queer female-led action films may pose a challenge to some of the dominant standards and conventions associated with the action hero, gender roles and the representation of sexuality, but also reinforce others. Some comparisons will be made to James Bond in recognition that the Bond franchise has played an important role in the spy action genre.
Details
Keywords
Mentoring processes and relationships can prove crucial to teachers in the initial phases of the teacher education continuum. Limited research exists regarding mentoring in…
Abstract
Purpose
Mentoring processes and relationships can prove crucial to teachers in the initial phases of the teacher education continuum. Limited research exists regarding mentoring in further education and training (FET) in Ireland. This paper attempts to address this gap, illuminating and unpacking the “mentoring stories” of five teachers in FET.
Design/methodology/approach
The overall project adopted a narrative approach. Data were collected via in-depth interviews, part of which clearly focussed on participants' lived experience of mentoring. Thematic analysis revealed four overarching themes.
Findings
The themes reveal a spectrum of practices and perspectives on the role of mentors. There are ample instances of collegiality, mutual respect and an appreciation of the professional life stage of the mentee. However, evidently a lack of understanding of who mentors are and what they do persists, leading to some informal approaches and opening up the potential for misinterpretation and misalignment.
Originality/value
This paper sheds light on an area of FET practice that has been relatively unseen before now. It gives voice to those who have experienced mentoring in the Irish FET sector that, to a degree, has seen structural and attitudinal transformations in recent times.
Details
Keywords
De/uncolonizing educational visions in the context of insistent and persistent ecological violence is an urgent task, one requiring profound shifts in thinking, being and knowing…
Abstract
De/uncolonizing educational visions in the context of insistent and persistent ecological violence is an urgent task, one requiring profound shifts in thinking, being and knowing. Meraki is a Greek word denoting something done or undertaken with all of one's soul. Metanoia is also a Greek word signifying a deep shift in one's way of life resulting from a profound change of heart and worldview. Metis is a figure in Greek mythology known for wisdom and deep thought, but the word has also been used to mean a deeper spiritual awareness or consciousness. This chapter, written by a Greek educator on Turtle Island, explores the imaginaries of ancient Greek ways of knowing with her responsibilities to support decolonizing processes in the place in which she now lives. The author identifies the process of regeneration, of replacing or restoring damaged or missing dimensions of life as a call to which our educational systems must respond. Regeneration is synonymous with rebuilding, restoration, rehabilitation, revival, rebirth, redemption, renewal, recovery, and reconstruction. Her recognition that metanoia (a profound transformative shift) resulting in regeneration done with meraki (soul) and grounded in metis (wisdom and spiritual knowing) forms the basis of her revisioning of schooling and community. In reclaiming hidden structures of Greek wisdom, the author dives below the often incomplete frames of “western” ways of knowing and discourses to redeem deeper ontological frequencies hidden beneath the surface, joining these in constellation with other de/uncolonizing discourses and movements to redeem a “wholeness of being” that must be regenerated for planetary survival. This chapter traces a vision for leadership that reclaims the depth of Spirit and soul that are the basis upon which we can heal the traumas of the legacies of fragmentation, division and violence and remake/regenerate our educational systems.