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This paper considers some political and ethical issues associated with the ‘academic intellectual’ who researches social movements. It identifies some of the ‘lived contradictions’ such a role encounters and analyses some approaches to addressing these contradictions. In general, it concerns the ‘politico-ethical stance’ of the academic intellectual in relation to social movements and, as such, references the ‘theory of the intellectual’ associated with the work of Antonio Gramsci. More specifically, it considers that role in relation to one political ‘field’ and one type of movement: a field which we refer to, following the work of Peter Sedgwick, as ‘psychopolitics’, and a movement which, since the mid- to late-1980s, has been known as the ‘psychiatric survivor’ movement—psychiatric patients and their allies who campaign for the democratisation of the mental health system. In particular, through a comparison of two texts, Nick Crossley's Contesting Psychiatry and Kathryn Church's Forbidden Narratives, the paper contrasts different depths of engagement between academic intellectuals and the social movements which they research.  相似文献   
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This article is a tribute to Jean Sanville, a distinctive leader in our field whose voice and vision continue to shape the practice of psychoanalysis through the lens of clinical social work. The article highlights Dr. Sanville’s professional contributions while showing her personal impact within a supervisory relationship that becomes a deep and enduring friendship.  相似文献   
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Social workers increasingly practice in medical settings; however, there are few applications of clinical practice theories at their disposal. Using fictional composite cases based on the writers’ experiences in medical social work, the authors illustrate how clinical practice theories can be used in the assessment and treatment of Veterans. These cases illustrate real world applications of clinical practice theories for what is often seen as task-oriented work. The authors place case management or casework in medical settings within the confines of clinical social work and suggest clinical practice theories have important applications to these efforts.  相似文献   
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Training birth attendants (TBAs) provide essential maternal and infant health care services during delivery and ongoing community care in developing countries. Despite inadequate evidence of relevance and effectiveness of TBA training programmes, there has been a policy shift since the 1990s in that many donor agencies funding TBA training programmes redirected funds to providing skilled attendants during delivery. This study aimed to assess the ways in which a TBA training programme in India has been successful in disseminating evidence-based knowledge on birthing practices. TBAs practicing within 16 villages targeted by training programme initiatives were administered with structured questionnaires. The post training birthing practices of trained (24) and untrained (14) TBAs was compared and birthing practices adopted by women assisted by trained (16) and untrained (9) TBAs was analysed. Positive post training practices were hand washing, use of a clean blade for cutting the cord, immediate breastfeeding and weighing of babies. Nevertheless, the training could be further improved with up to date and evidence-based information and more comprehensive instructions. The findings suggest an integration of local and evidence-based knowledge is needed to improve the training. Raising community awareness of public health measures related to maternal and child health is also recommended.  相似文献   
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The challenges that arise in respect of child abuse reports made in the context of domestic violence and/or acrimonious separation have been the subject of recent academic discussion. This paper adds a service user perspective to the debate and reports on the findings from a study conducted in the Republic of Ireland. In addition to the previously established evidence about such cases, it demonstrates the level of powerlessness and frustration experienced by families who found it difficult to have their needs heard or met. It also illustrates the very detrimental emotional impact on children and parents who frequently encountered indifference as well as insensitive and gendered responses from child protection staff. The findings indicate that mainstream statutory child protection services do not have the capacity to deal with these complex cases, and advocates the adoption of alternative approaches. Importantly, the study demonstrates the necessity to pay attention to the views of service users in developing an appropriate response.  相似文献   
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In Sweden, care of elderly people is a public responsibility. There are comprehensive public policies and programs providing health care, social services, pensions, and other forms of social insurance. Even so, families are still the major providers of care for older people. In the 1990s, the family was "rediscovered" regarding eldercare in Sweden. New policies and legislative changes were promoted to support family caregivers. The development of services and support for caregivers at the municipal level has been stimulated through the use of national grants. As a result, family caregivers have received more recognition and are now more visible. However, the "Swedish model" of publicly financed services and universal care has difficulty addressing caregivers. Reductions in institutional care and cutbacks in public services have had negative repercussions for caregivers and may explain why research shows that family caregiving is expanding. At the same time, a growing "caregivers movement" is lobbying local and national governments to provide more easily accessible, flexible, and tailored support. In 2009, the Swedish Parliament passed a new law that states: "Municipalities are obliged to offer support to persons caring for people with chronic illnesses, elderly people, or people with functional disabilities." The question is whether the new legislation represents a paradigm shift from a welfare system focused on the individual to a more family-oriented system. If so, what are the driving forces, motives, and consequences of this development for the different stakeholders? This will be the starting point for a policy analysis of current developments in family caregiving of elderly people in Sweden.  相似文献   
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