Sacrificed lives: Mimetic desire,sexual difference and murder

Abstract

This essay explores the theme of sexual difference in relation to sacrifice by contrasting Girard's account of mimetic desire and cultural violence with Kristeva's extensive reflections on allied themes. Inspired by Reineke's critique of Girard the object of the paper is to generate discussion concerning the ethical implications of recognizing the play of sexual difference in any theory of sacrifice. Specifically it aims to contribute towards a subversion of the sexually specific violence of patriarchy.     

How valid are the common concerns raised against water birth? A focused review of the literature

BackgroundWomen have birthed in water for many years, with researchers finding a number of benefits for mother and baby. Despite these benefits, many health institutions and clinicians are hesitant to support women's access to water immersion in birth for a number of reasons. As such, this paper aimed to (1) select five common concerns raised against water birth and (2) examine whether research supports these concerns as being evidence-based.MethodA literature review was conducted to (1) select the concerns for review and to (2) review each selected concern as to whether they were supported by the current evidence. A recent review of women's access to, and uptake of, water immersion in Queensland, Australia, was also used to determine the concerns for review in order to better capture concerns relevant to Australian practice.FindingsThree clinical concerns were selected for review: water aspiration, neonatal and maternal infection, and neonatal and maternal thermo-regulation; and two concerns around the practice of water birth were selected: skills and education of workforce, and emergency procedures in case of maternal collapse. The three clinical concerns were not found to be supported by the available evidence and the two practice concerns can be addressed by appropriate policy, guidelines and practice.ConclusionThe reviewed common concerns against water birth are not evidence-based nor are they sufficient to prevent women from accessing the use of water in labour and birth. Health institutions and clinicians should ensure they take adequate precautions to enable women access to this valued and effective method of birth.     

Women from refugee backgrounds and their experiences of attending a specialist antenatal clinic. Narratives from an Australian setting

ProblemIn response to an identified need, a specialist antenatal clinic for women from refugee backgrounds was introduced in 2008, with an evaluation planned and completed in 2010.QuestionCan maternity care experiences for women from refugee backgrounds, attending a specialist antenatal clinic in a tertiary Australian public hospital, be improved?MethodsThe evaluation employed mixed methods, generating qualitative and quantitative data from two hospital databases, a chart audit, surveys and interviews with service users, providers and stakeholders. Contributions were received from 202 participants.FindingsThe clinic was highly regarded by all participants. Continuity of care throughout the antenatal period was particularly valued by newly arrived women as it afforded them security and support to negotiate an unfamiliar Western maternity system. Positive experiences decreased however; as women transitioned from the clinic to labour and postnatal wards where they reported that their traditional birthing and recuperative practices were often interrupted by the imposition of Western biomedical notions of appropriate care. The centrally located clinic was problematic, frequently requiring complex travel arrangements. Appointment schedules often impacted negatively on traditional spousal and family obligations.ConclusionsProviding comprehensive and culturally responsive maternity care for women from refugee backgrounds is achievable, however it is also resource intensive. The production of translated information which is high quality in terms of production and content, whilst also taking account of languages which are only rarely encountered, is problematic. Cultural competency programmes for staff, ideally online, require regular updating in light of new knowledge and changing political sensitivities.     

“Starting To Feel Like A Chick”

This article explores the relationship between Campion's campion, jane. 2003. Interview with Lizzie Francke in. Sight and Sound, 13(11): 19 (November) [Google Scholar] In the Cut (2003 in the cut (film) (2003) Jane Campion (dir.), Australia/USA/UK, Sony Pictures [Google Scholar]) and the HBO television series Sex and the City (1998 sex and the city (television series) (1998–2004) USA, HBO, Seasons 1-6 [Google Scholar]–2004), and in particular, the series' concluding two episodes, “An American Girl in Paris (Parts Une and Deux).” It argues that In the Cut, despite its visual and narrative references to film noir, is most usefully seen, as Felperin observed in Sight and Sound, as a film for and about “the Sex and the City generation.” In its representation of contemporary New York, and of female friendship, in its exploration of the relationship between femininity, feminism and fantasy, and in its account of the problems of female authorship, it both evokes and interrogates the dominant themes of the hugely successful HBO series. In doing so, it also exposes the losses, repudiations, and violence which form the repressed shadow to the fantasised resolution which Sex and the City offers: that of a feminised New York as the place in which romance can be re-authored by women to serve a post-feminist female narcissism.     

Designer nations: Neo-liberal nation branding – Brand Estonia

This article critically examines the emergence of nation branding as a commercial practice at the end of the Cold War by conceptualizing it as a means for nations to redefine and reposition themselves within the master narrative of globalization. It examines the industry literature of the nation branding movement, which seeks to legitimate the practice. It argues that nation branding is an engine of neo-liberalism that explicitly embraces a reductive logic, which privileges market relations (market fundamentalism) in articulations of national identity; also contends that nation branding is a risky business that can backfire, since its success depends, in large part, on the intuitive knowledge of individual industry ‘creatives’. It maintains that the methodology of nation branding, qua methodology, is profoundly anti-democratic. It offers recommendations for making nation branding more transparent and accountable to democratic values, but also explores Umberto's concept of ‘semiotic guerrilla warfare’ as a possible strategy for disrupting nation branding and redirecting initiatives to rethink national identity in more democratic directions.     

Female sterilization in Aberdeen: Preliminary findings

2,500 women whose first marriage was continuing and who were living with their husbands at the time of hospital admission were sterilized in Aberdeen between 1963 and 1971. The social and demographic characteristics of these women are analysed, and a preliminary analysis by marriage cohort is presented. Those marriage cohorts in which sterilization was being performed for the first time mainly on young women with small families are identified. The family size of sterilized women was found to be substantially higher than that of women from the same marriage cohort who had not undergone the procedure. The contribution to total fertility made by the various forms of foetal wastage is assessed. Women whose sterilization was performed in association with a termination of pregnancy were found to have patterns of foetal loss which differed markedly from those of women who were not pregnant at the time of the operation.     

Cognitive model of patient aggression towards health care staff: The patient's perspective

Abstract

Aggression towards health care staff has become the focus for research as well as for government intervention. Negative effects upon staff and organizations have been established, yet few detailed explanations are offered for this aggression, and none represents the patient's perspective. This paper presents a model from the patient's perspective that takes account of situational variables, while also focusing upon patient cognitions. It also considers physiological responses related to arousal that might underpin aggression in an anxiety-provoking situation. In a previous study the frequency with which aggression was preceded by some anxiety-provoking event and the extent to which assailants displayed diminished cognitive processing were established; these were incorporated into the model. Increased anxiety commonly experienced by patients can have a negative effect upon cognitive processing. Anxiety generates a hyper-vigilance for threatening stimuli, induces selective attentional bias for threat, and causes a narrowing of attention, thus reducing cues and information upon which to make accurate appraisals and attributions. With such impairments, patients may make negative rather than positive attributions regarding actions of staff, which are frequently anxiety provoking. Thus, patients perceive staff behaviour as threatening rather than benign, and in the absence of positive attributions it will invoke an aggressive response. What health care staff perceive as aggression may be seen by patients as a defence against perceived attack. Changes in policy that take this into account may reduce future aggressive incidents.