II. Patients of the department of psychological medicine,guy's hospital,london 1

Abstract

Harvey Dean (1998) rejects my (Wakefield, 1988a; 1988b) argument that minimal distributive justice is the essential mission of social work and that treatment of mental disorder is not part of the profession's essential mission but rather a derived task. He argues that social work has broader ethical aims that encompass both pursuit of justice and treatment of mental disorder. In this article, 1 review my earlier position and respond to Dean's objections. I argue that Dean's narrativist account of the profession's ethical aims is overly broad and that he confuses non‐disordered psychological problems with mental disorders. I conclude that neither my “minimal distributive justice” view of social work's mission nor my exclusion of treatment of mental disorder from the profession's essential mission are disconfirmed by Dean's arguments.     

Discourse and class struggle: The politics of industry in early modern England

This article addresses the relationship between early (or 'proto') industrialization, and the emergence, between c.1549 and c.1622, of an increasingly important discourse which set out to understand, interpret and solve problems attributed to it. The argument focuses partly on the early politics of industry, to show that the changes that took place in districts affected by industrial development were not and could not be restricted to those districts.     

Mental health practice in primary care: Some perspectives concerning the future of social work in organized delivery systems

Abstract

The rise of managed care as the dominant form of healthcare delivery in the U.S. clearly has dramatic implications for the profession of social work. Thus far and for good reasons, the professional dialog about managed care has largely focused on . the threats posed to the professional agenda of social work by managed care in its various forms. This article considers some of the more positive aspects of the transformation from fee‐based to population‐based healthcare systems, in particular the vigorous trend toward multidisciplinary primary care and collaborative mental health practice in primary care settings. It is argued that the market forces behind this trend also promote the emergence of models of social work practice that better integrate historically dichotomized aspects of health and mental health practice. Also considered are implications for social work education and the division of labor among the healthcare professions.     

The governance of charitable trusts in the nineteenth century: The West Riding of Yorkshire

Charitable donations were essential to social welfare provision in England and Wales in the eighteenth and nineteenth centuries. This article uses a principal-agent framework to examine the governance problems faced by endowed charities - problems that were uniquely acute because, on one side, the principal (the charity's benefactor) was usually long since dead and, on the other, the main intended beneficiaries (the poor) were inarticulate and politically impotent. The reports of the Charity Commissioners on a sample of endowed charities operating in Yorkshire are used to exemplify the type of governance problems encountered. Such difficulties involved the charities' structure, their resource base and their management. It is shown that the benefactors' intentions were most readily frustrated, and the intended beneficiaries most readily denied their welfare provision, when the politically and socially powerful condoned the alteration of the trusts' functions. This was most obvious in the second half of the nineteenth century for the provision of 'doles' to the poor and for the provision of free grammar schools.     

Reflective Practices for Engaging in Trauma-Informed Culturally Competent Supervision

ABSTRACT

Race, ethnicity, and culture are critical components that affect and shape the supervisory relationship, yet literature about ways to acknowledge and actively engage them from a trauma-informed approach has been limited. To enhance the discussion of this issue, this article first reviews leading theoretical aspects of supervision designed to train practitioners in the field of mental health, followed by a discussion of race, ethnicity, and culture in supervision and, finally, provides reflective practices for engaging in trauma-informed culturally competent supervision.     

Methodology for Discovering and Teaching Countertransference Toward Elderly Clients

Abstract

This article will describe a method that has been effective in helping students, paraprofessional counselors as well as mental health professionals identify countertransference reactions in themselves. It offers instructors and clinical supervisors a way to teach about countertransference toward elderly clients. This technique can be utilized in a variety of work settings such as classrooms, mental health clinics, multi-purpose centers for older adults and private practice.     

Cultural practice and utopian desire in German Social Democracy: Reading Adolf Levenstein's Arbeiterfrage (1912)

During the Wilhelmine period, leaders of the German Social Democratic Party began to redefine socialism as a 'cultural movement' which was concerned as much with the educational, artistic and leisure-time needs of workers as it was with trade union struggles and the future prospect of revolutionary social transformation. This drew them into a debate about the relationship between politics and 'culture', understood in terms of both 'high' and 'mass' culture, and the role of the latter in mobilizing German workers to the cause of socialism. Drawing on the methods of cultural studies, this article offers a close reading of Adolf Levenstein's important survey of the attitudes, 'hopes and wishes' of male rank-and-file Social Democrats and trade unionists from 1912, and his other related publications, in order to examine the ways in which German workers assigned meanings to cultural texts. In this way, it identifies the utopian political investments revealed in workers' leisure-time practices, ranging from poetry writing to novel reading, and their challenges to the structuring binarisms - oppositions between culture and politics, high culture and mass culture, art and everyday life, the masculine and the feminine, and reality and fantasy - of Social Democratic cultural politics in pre-war Germany.     

Professional Dissonance

Abstract

Social workers in mental health face a complex climate where they encounter value-laden intervention choices daily. Examples of these choices may include deciding to initiate treatment in spite of a client's wishes to the contrary, making a decision to break confidentiality, feeling pressured to diagnose a client with a reimbursable condition despite a treatment philosophy that may be to the contrary, or feeling the need to “pick and choose” therapy topics in light of severe shortages in benefit coverage. These and other scenarios put social work clinicians at risk for professional dissonance or what has been called a feeling of discomfort arising from the conflict between professional values and expected or required job tasks. The current article explores professional dissonance as a pertinent concept for social work in general, and mental health social work in particular. The theory base of the concept is explored as well as its utility for understanding burn-out in a deeper way.     

The market place as space in early modern England

The reinsertion of space into critical theory (Soja, LeFebvre) has stimulated some historians to reconsider space in its historical contexts. Exactly how one elucidates spatial organization-as represented space or as space produced by social action and practice-continues to exercise our minds. What we can be more certain about is that significant spaces existed which were, and were regarded by contemporaries, as public and open and that these spaces were sites of social action (but also, it should not be forgotten, of concealed activity too). In early modern England, market places constituted spaces of social and 'political' action and interaction, among which penance and punishment were important aspects. From office causes in ecclesiastical act books and from directions by the justices at quarter sessions, the social and 'political' employment of market places can be illuminated, particularly here in the archdeaconries of Colchester, Leicester, Nottingham and Essex, and from the sessions for Wiltshire and Somerset. Moreover, penance and punishment directed to market places reveal much about spatial relationships more widely, not least between administrative jurisdictions and people in spaces and between the urban and rural situation. In this way, we can begin to assemble the jigsaw which will illuminate further how space was formed by people in the past.     

Athena's Legacy: Preparing Women for a Mentoring Program

ABSTRACT

A community-based research study conducted in 2004 identified a number of women from disadvantaged communities who sought mentoring in personal, educational, and vocational aspects of their lives. Informed by this earlier research, a program titled Map Your Future was developed, and a pilot mentoring program commenced in 2005. This article describes the group program that was developed to prepare the women for a mentoring relationship, and the research methodology underpinning its development. It concludes with an exploration of the women's experiences of the program.     

Efficacy of an Educational Program for Relatives of Persons in the Early Stages of Alzheimer's Disease

Abstract

This article describes the results of an educational intervention for family caregivers of persons in the early stages of Alzheimer's disease. A total of 45 family caregivers participated in this intervention that consisted of five weekly educational sessions about the disease and aspects of caring for someone in the early stages. Measures of knowledge about Alzheimer's disease, self-efficacy, reactions to patients' memory impairment, and level of depression at pretest and posttest were analyzed. Participants' knowledge about the disease improved substantially, self-efficacy and reactions to patients' impairments improved moderately, and level of depression showed no significant improvement. Results suggest that this intervention has merit for family caregivers coping with the early stages of Alzheimer's disease. Implications for implementation and evaluation are discussed.     

Vinayak & me: Hindutva and the politics of naming

This article examines political and intellectual influences of Vinayak Damodar Savarkar's Hindutva: Who is a Hindu? (published in 1923) on the development of nationalism in India. The article argues that contemporary political concerns about national identity raised in India have historical links that go back to Savarkar's text, especially the discourses on the politics of naming. The article considers the implications of these writings on one of Savarkar's disciples: Dr Dattatrey Parchure, an individual who had acquired notoriety for his role in Mohandas K. Gandhi's assassination in 1948. By examining Dr Parchure's life-story, the article shows how transformations in the family, the medical profession, masculinity and religion were directly intertwined with an emergent Hindu nationalism. But more specifically, the article examines Dr Parchure's decision to name children Vinayak as a way of evoking a mental image of Savarkar as an icon in everyday life and to propagate the ideals of Hindutva . The article posits that the politics of figures like Dr Parchure and Savarkar reflect a conjuncture in the development of nationalism in India during the colonial period, and their legacies continue to influence the making of today's post-colonial nationalism.     

The Geriatric Worker in a Community Mental Health Clinic:

Special geriatrics services are now a reality in many community mental health clinics, thus making it timely for clinicians and administrators to look at the problems faced by geriatric workers in that setting. This article addresses the problems in the worker's role by first comparing it to those of other special population mental health workers. Systemic difficulties and structural problems of the job are examined with emphasis on the worker's experiences and feelings. The author contends that the worker's issues parallel those of elderly clients. Solutions for changing negative aspects of the separate service role are discussed and their impact on service delivery described.     

Providing Mental Health Services to Older People Living in Rural Communities

Summary

Rural dwelling elders who experience mental health problems often have difficulty finding help since rural communities often lack adequate mental health service providers. This paper reports on the initial phase of a 5-year, interdisciplinary clinical research study that is testing the effectiveness of providing a home delivered, therapeutic psychosocial intervention, aimed at improving the emotional well-being and the quality of life of medically frail elders who live in rural communities. In the early phases of this study, the clinical research team encountered a number of interesting and often unanticipated challenges as it attempted to recruit study participants and provide services to them. In this article, we examine these challenges and share what we have learned so far about providing mental health services to elderly persons living in rural environments.     

The Use of a Mutual Aid Group with Home Attendants

SUMMARY

This article reflects the experience of six home attendants whose clients were individuals diagnosed with Alzheimer's and other related dementias. It examines how they used a mutual aid group to discuss the stresses, professional and personal problems that resulted from their work.     

Puzzling pieces: a sensory design learning tool

ABSTRACT

This article gives an account of an activity that is part of a collection of instructional materials for learning about sensory aspects of design for products, environments, and services. It describes the participants’ experiences and reflections in a workshop at DeSForM, the 10th Conference on Design and Semantics of Form and Movement. The article highlights the participants’ engagement with one of the exploratory activities, Puzzling Pieces, that was in the process of being developed. The unique ways in which the attendees translated theoretical multi-sensory design perspectives into activities for heightening multi-sensory awareness and consciousness of sensory interactions suggest that this activity may be a useful tool for finetuning the sensory design process.     

Sensing Voice

ABSTRACT

Through a consideration of the underwater singing practiced by contemporary American soprano and performance artist Juliana Snapper, this article addresses the inherent relation between materiality and the voice, the sensed and the embodied. I focus on the physical and sensory properties of singers' and listeners' bodies; the space within and the matter through which sound disperses; and how the relation between these aspects plays an integral part in what it feels like to sing, and what it is possible to hear. I aim to demonstrate that a sensory reading of singing and listening may capture dimensions of the voice that are difficult, if not impossible, to account for using conventional analyses of music or standard readings of vocal repertoire. However, a sensory approach to sound does not offer a stable explanation of what sound or music is. Instead each such account unveils a composite manifestation of our understanding of sound at a given moment in time and space.