Beyond normalization and impairment: theorizing subjectivity in learning difficulties – theory and practice

Normalization and social role valorization continue to play a central role in shaping debates and practice relating to learning difficulties. In the context of recent arguments this paper draws on the work of Foucault to deconstruct these theories. Foucault’s work alerts us to a conceptual confusion at their heart which reproduces a common but problematic individual–society dualism. There is an implicit, and problematic, presence in the theories of a pre‐social individual conceived as having essential impairments and who is passive in the face of negative socialization. We propose that Foucault’s ‘ethical’ domain of inquiry, with its concern for how people actively understand themselves and govern their conduct in relation to specific values and a ‘truth’ that they are obliged to recognize in themselves, provides the basis for returning the individual‐as‐subject to theories in an active, critical manner.     

A brief moment of glory: the impact of the therapeutic community movement on the drug treatment systems in the UK

The introduction of concept-based therapeutic communities, based upon the model pioneered by Charles Dederich with the Synanon community in California, was a significant development in the evolution of drug treatment provision in the UK. For a short period in the 1970s, these communities enjoyed unparalleled influence in the development and direction of treatment approaches across the whole spectrum of services. This article considers the developments in psychiatry and social care that prepared the ground for that phenomenon. In addition, the article considers the subsequent demise in the importance of therapeutic communities to the direction of drug policy and the implications that this might have for future development of residential treatment services.     

Optimizing the Collections Process in Consumer Credit

This paper builds a dynamic programming model to optimize the collections process in consumer credit. It determines which collections actions should be undertaken and how long they should be performed, including theoretical results about the form of the optimal policy under certain conditions. Finally, a case study is described based on data from the collections department of a European bank.     

Staff and family attitudes to fences as a means of detaining people with dementia in residential aged care settings: The tension between physical and emotional safety

This study investigates staff and family attitudes towards the use of the fences that surround many aged care facilities in Australia, in the context of indefinite detention of people with dementia. This indefinite detention has been described in a report from an Australian Senate Inquiry as “a significant problem within the aged care context”, which “is often informal, unregulated and unlawful”. Five focus groups comprising direct care workers, family members, nurse unit managers and facility managers discussed the reasons for and their attitudes towards fences. The results show a tension between the provision of physical and emotional safety. This is to say that even while it is illegal to detain people with dementia against their will, and even while participants understood the negative impact of fences on the well‐being and emotional safety of people with dementia, they accepted and supported the presence of perimeter fences because they provided the perception that fences kept people with dementia physically safe. This has implications for redressing the balance between physical and emotional safety in policy and practice.     

Community Service and Political Identity Development in Adolescence

This article addresses the interconnection of political socialization and identity development. We begin with Erikson's work, which identified the development of political commitment in adolescence as a key aspect of identity formation. We then seek to shed light on the social processes through which youth become engaged in political activities and issues. We discuss the influences of family and peers as well as participation in community service and other civic activities. The development of social responsibility and agency, and an understanding of the complexity of social issues are considered as important facets of political commitment. Data from a case study of Black urban adolescents who participated in a year-long service learning program are used to illustrate our perspective. We conclude that social-historical context, instantiated in social relationships and actions, plays a pivotal role in the process and shape of political socialization and identity formation.     

Defining high-performance teams and physician leadership

Learn to define the essential hallmarks of high-performing teams and look at the role of physician management in this team-based environment.     

Dual-earner parents’ work-family time: the effects of atypical work patterns and non-parental childcare

Finding time to both earn money and raise children is demanding. Within the constraints and opportunities of their employment and social policies affecting work and family, parents seeking to manage their time may use a number of strategies. For example, they can outsource childcare or adopt atypical work patterns: non-standard work schedules, self employment, working from home. In this paper we compare the effects of these measures on the household time use and gender division of labour of dual-earner couples with children, using data from the Australian Bureau of Statistics Time Use Survey, 2006 (n?=?772 couples). We find that these strategies do help households manage their work and family time. However, this is almost exclusively a result of women changing their time use. Such measures generally enable mothers, not fathers, to adjust paid work around family commitments, and offer little amelioration of gendered divisions of labour. This reinforces normative gender-role expectations and is probably a result of institutional constraints, including sparse social policy and workplace support for mothers?? full-time employment and for fathers?? involvement in childcare.     

Diversion From the Juvenile Justice System: Observations of a Teen Court Program

Teen courts are a multidisciplinary intervention used to divert youth with minor offenses from the juvenile justice system. Observations were conducted at 13 hearings in an urban jurisdiction, with information gathered about the youth respondent, peer jurors, and adult volunteers. Peer jurors engaged in the majority of communication with the respondent during hearings. Adult volunteers, often members of the legal or judicial community, fulfilled supporting functions. Findings suggest that a youth-oriented process with support from adult volunteers can result in active participation from youth, and that teen courts provide opportunities for community involvement.     

Non-parental childcare,time pressure and the gendered division of paid work,domestic work and parental childcare

What impact does out-sourcing childcare have on the time parents spend on paid work, domestic work and childcare, and how they share these tasks between themselves? Using data from the Australian Bureau of Statistics (ABS) Time Use Survey (TUS) 2006 we investigate the effects of formal and informal non-parental childcare on the time use of couples with children aged 0–4 years (N=348). We examine associations between non-parental care and (1) couples' combined time in paid work, domestic work and childcare, (2) parents' time separately by gender in paid work, domestic work and childcare (subdivided by activity type) and (3) parents' self-reported time pressure. Total workloads (the sum of paid work, domestic work and childcare) are neither higher nor lower when non-parental care is used, either for households combined or for each gender separately. The way time is spent, and how activities are divided by gender does differ, however. For mothers the use of any non-parental care and more hours in formal care is associated with more paid work hours, less childcare time and higher self-reported time pressure. Fathers' time is more constant, but they report higher subjective time pressure with increasing hours of formal non-parental care.