The decision making process of older adults who elect to receive ECT

Although there is extensive literature on electroconvulsive therapy (ECT), little documentation exists about how an individual makes the decision to receive ECT. This phenomenological study is an exploratory examination of the decision making process of older adults with mental illness who elect to receive ECT. Study participants included 7 older adults without dementia from a suburban geriatric medicine/psychiatry practice who elected to receive ECT. The lived experience of decision making as perceived by these 7 participants was a process that moved them toward wellness. The data revealed four significant themes: Support, Trust, Past Experience, and Desperation. An overriding substantive theme identified as an obstacle was the Stigma of Mental Illness. This study provided a basis for planning clinical practice and building further research.     

The role of HRD in bridging the research-practice gap: the case of learning and development

ABSTRACT

An enduring challenge for HRD is ensuring academic research achieves impact on professional practice. We have located this research within debates about the research-practice gap. To investigate this challenge, we analyse case studies of academic impact from all disciplines submitted to the United Kingdom’s 2014 research assessment exercise (REF 2014). We found that Learning and Development was a primary focus of significant number of impact case studies submitted across all disciplines compared to other areas of HR and HRD. We also found that Learning and Development was a key path to Impact. These findings reveal that Learning and Development in a work context plays a pivotal role in helping researchers irrespective of discipline achieve impact. Our findings therefore speak to the research-practice gap across academia. We conclude by considering the potential role for HRD in generating impact.     

Abusive supervision and work–family conflict: The path through emotional labor and burnout

Building on the theoretical foundations of conservation of resources theory, this research provides insights into the relationship of abusive supervision with work–family conflict (work-to-family and family-to-work). Further, it is the first attempt to incorporate the emotional labor to burnout link as the mediating process between abuse and conflict. Using a sample of 328 individuals working fulltime we examined both the direct relationship of abuse with conflict as well as the indirect relationship through surface acting (emotional labor) and burnout. Our results suggest that abusive supervision influences conflict and the relationship is partially mediated through the surface acting to burnout path.     

Restudying Cañamelar of The People of Puerto Rico

This article discusses an unknown restudy of one locale of the People of Puerto Rico Project–my own. From 1980 to 1982 the author did ethnographic fieldwork in Bo. Jauca, Santa Isabel, the research site of Sidney Mintz. Building on Mintz's work, my goal was to take our shared historical materialism further, into a broader analysis of capitalism, colonialism, class, politics, and power. Where Mintz framed his study within production units, such as Colonia Destino and Central Aguirre, my study began with analysis of the oligarchic structure of the United States sugar industry as a whole, and how it shaped colonial policy. Where the People of Puerto Rico Project reconstructed insular class and political patterns as context for local studies, the restudy took islandwide class structure and political positions as a focus of analysis in itself. Where the earlier work chronicled the rise of a plantation system and rural proletariat, the later study explored their decline—why did the Puerto Rican sugar industry collapse, and how did seemingly homogenous Jauquenos differentiate into a graded system of stratification? The years from 1948 to 1982 saw other class transformations, as the rural proletariat was recast into the larger, more diffuse, and less politically potent category of “the poor” and life circumstances of all Jauqenos became more individuated and dependent on state power centers in San Juan and Washington.     

E-Priming the Listener: Sensitizing Students to Listening for Verbal Aggression

This paper argues that the concept of E-Prime (E′) holds practical benefits to effective listening for students of interpersonal communication. In advancing this argument, the paper includes a concise review of relevant literature on E-Prime, defensiveness, and conflict, with particular emphasis on verbal aggression. The literature demonstrates that traditional imperatives to reduce listener defensiveness need careful consideration. In fact, offering unqualified assertions for listeners to reduce defensiveness may place students at undue risk for harm. This paper reviews pedagogical uses of E-Prime in interpersonal communication courses.     

Psychosocial Correlates of Methamphetamine Use

Methamphetamine (MA) abuse is a devastating problem that has been sweeping the United States from west to east and has reached epidemic proportion in many areas. Literature on the drug itself, its history, and its effects are reviewed. The current project aimed to examine the psychosocial correlates of MA use using Hudson's Multi-Problem Screening Inventory (MPSI). The MPSI was given to a control group consisting of undergraduate social work students (n = 17) and a group of past-year MA users (n = 15). Differences between users and non-users were examined across the 27 domains of the MPSI, and subscales for which MA users exceeded the clinical cutting score were noted. In addition, the correlation between severity of craving for MA and MPSI scores was examined. MA users differed significantly from non-users on the depression, partner, child and neighbor problems, aggression, fearfulness, ideas of reference, phobias, guilt, disturbed thinking, memory loss, and drug abuse subscales. MA users exceeded clinical cutting scores on all of these scales except child problems; fearfulness; ideas of reference; self-esteem; sexual discord; personal stress; friend, school and coworker problems; and confused thinking. Severity of craving was correlated with MPSI score on all MPSI scales except self-esteem; sexual discord; mother, father, friend, coworker, school and family problems; suicide; non-physical abuse; and alcohol abuse. Interesting findings regarding the control group are also discussed.     

“This Is Our Gender Person”

Despite the prevalence of gender experts in international development institutions, their impact in terms of transformative feminist politics remains questionable. Gender experts, and their profession more broadly, have been strongly criticized by a range of feminists working in academic contexts. In particular, some have argued that neoliberalism and feminism have converged,  framing the role of gender experts as primarily to legitimate and embed neoliberal models of development. This article engages with these critiques from the perspective of the gender expert her/himself, drawing on first-hand experiences to tease out some of the tensions and complexities of this work. After setting out some general challenges for gender experts, I focus on one particular aspect of the current gender and development paradigm – the “business case” for gender equality – and explore how it feels to work within such a framework. In doing so, I aim to reflect on the possibilities of promoting transformative change whilst at the same time acknowledging and embracing the dilemmas and contradictions involved in the daily politics of working as a gender expert.     

The crisis of the state in a globalizing world

Abstract

The sovereign territorial state now appears to have been a contingent product of a particular time and space—early modern Europe. In fact, it is a very distorted view of even the Westphalian era not to recognize that it was always at least as much about empires as it was about states. Looking back, the entire Westphalian era is but a small slice of human history that itself has been quite varied and is still in transition—if not transformation—in our present globalizing era. The state is increasingly challenged and enfeebled today, and the world is witnessing a widespread crisis and decentralization of authority. Actors other than states have more and more influence and control over specific issues, but still are a long way from enjoying the legitimacy established states once had.

Remarks for a Plenary Roundtable at the First Global International Studies Conference, Istanbul Bilgi University, 24–27 August 2005, with H. N. Süleyman Demirel, former President of the Republic of Turkey, and chaired by Prof. Dr Ilter Turan, President of the Turkish International Studies Association. These remarks reflect a perspective on global politics developed by Professor Ferguson in collaboration with Prof. Richard W. Mansbach, Iowa State University, USA.