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211.
The confidential patient: the social construction of therapeutic relationships in general medical practice 总被引:3,自引:0,他引:3
The interpersonal relationship between doctor and patient is fundamental to general medical practice. In this paper we explore the ways in which general practitioners make sense of the changing political economy of this relationship, as it is restructured by ideas about the patient as consumer, and as it increasingly constitutes the consultation as a point of interaction that may be intrinsically therapeutic. In particular, we explore the ways in which the consultation is the site of negotiated power relations between doctor and patient, and is the site of the doctor's negotiation of powerful discourses of professional and institutional identity. 相似文献
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This paper describes the evaluation of a three year Initiative run by the YMCA. The aim of the Initiative was to set up 30 different projects in YMCA centres in England, to provide help and support to the parents of teenagers. The Initiative was evaluated by the Trust for the Study of Adolescence. Funding was agreed for 29 projects, which included group‐based courses, ‘Dads and Lads’ projects, mediation schemes, transition evenings, and families and computing courses. A variety of outcomes from these projects are identified, both for parents, young people, project workers, and the YMCA as an organisation. Key issues and learning points from the Initiative are also identified. Finally, some general comments are made about strategies to provide support to the parents of teenagers. Copyright © 2002 John Wiley & Sons, Ltd. 相似文献
215.
Ann Richardson 《Disability & Society》1989,4(1):81-92
Parents whose son or daughter has a mental handicap face a difficult decision about when is the right time to 'let go'. Many are highly ambivalent, torn between their own wish to keep their son or daughter with them and their concern that he or she might need to leave home in order to develop greater independence. Making the break raises fundamental questions about relationships within the family and family members' needs for one another. This article explores these questions through the use of an interview with one mother, whose son had left home two years earlier. Some comments on the issues raised are also provided, including some recommendations for local practice. 相似文献
216.
Sufficient conditions are given to ensure the existence of a sequence of strongly consistent estimators of the true parameter for a nonlinear regression model naving random regressors and a multiplicative disturbance term. Special cases of this result include the least absolute value and the least squares estimation procedures. 相似文献
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Richardson VE 《Journal of women & aging》1999,11(2-3):49-66
A feminist analysis of retirement is presented by questioning the applicability of traditional definitions and theories of retirement to retired women. The effects of marriage, caregiving and other family obligations on women's retirement are examined within the context of salient social, psychological and economic factors. An empowerment-oriented perspective that considers interactions and connections between family and work roles, public and private and personal and political levels are recommended to alleviate the high poverty rates among older women, to promote parity among men and women during retirement and to emancipate women from substantial involvement in unpaid work, specifically, caregiving and home labor. 相似文献
219.
Despite the highly disrupted nature of abandoned industrial sites, they have significant human and ecological value. Ecological recovery at such sites is determined by complex interactions between natural factors and anthropogenic influences. Here we describe the land-use history and ecology of a former industrial wasteland. The spatial and temporal distribution of human disturbance at the study site included early farming, clay mining, brick making and landfilling, activities which have had profound and lasting ecological impacts resulting in a diverse but highly disrupted successional mosaic. Understanding the postdisturbance ecological recovery at this site has required a knowledge of natural factors such as slope, soil types and bedrock geology and hydrology, coupled with a detailed knowledge of the land-use history. Compared to recovery trajectories from many types of natural disturbance, ecological change at this site has been slower and more variable. Understanding ecological history has been crucial in projecting future changes as well as in making wise decisions about use and management practices for the site. 相似文献
220.
Richardson JM 《Physician executive》1991,17(1):39-42
Effective communication is the fundamental principle for managing organizations. Building effective communication should begin with improvements at the lowest level, one-to-one. Conflict in an organization is an indication of the most basic communication failure. Failure to talk with someone. Failure to notify someone of something before it becomes public. Failure to involve someone in a problem-solving process. 相似文献