Re-examining Children's Consent to Medical Treatment

The question of consent to the medical treatment of children is looked at across the four disciplines of law, medicine, psychology and philosophy. The conclusion is reached that while there is a remarkable consensus on the issues considered to be important, none of the disciplines provides a complete answer to the problems involved. As an experiment, reference is made throughout the article to various literary conceptions of childhood. It is hoped that some of these may give cause for thought about how children are treated by the professions. The article was prepared for publication before release of the judgements of the High Court in Re Marion in May 1992 (renamed Secretary, Department of Health and Community Services v JWB and SMB on appeal). In the appeal a majority of the High Court followed the Full Court of the Family Court in Re Marion and confirmed that judicial consent is required for the medical treatment of children in some cases. The notion of treatment being therapeutic or non-therapeutic was not accepted, the majority preferring to rest judgement on assessments of the risks and gravity of consequences of a wrong decision (JWB and SMB 79,180 and 79,206–7). There are many other points of interest discussed by the High Court, for example, Brennan J's comments on the absurdities of the concept of substituted consent (79,196–7), Deane J's acceptance that the issues involved were moral and social and therefore beyond legal competence (79,208) and McHugh J's understanding of the sources of the parental power to consent (79,214). Although adding authority to some of the views expressed in the Full Court of the Family Court, the judgements of the High Court do not dispose of debate on the issues raised in the article.     

Research with children: sharing the dilemmas

This paper identifies a number of significant gaps between the principles of good practice in research with children and the practical realities of conducting a research project with children. The context of the discussion is an ongoing research study of children and young people in Scotland with a parent or carer with HIV. The paper argues that conducting research with what is a hidden (and in many ways secret) population throws into sharp relief some difficulties and contradictions that are at the heart of the research process. The paper does not intend to present easy answers to the complex questions that it raises: the research project it describes is ongoing and not yet at the stage of disseminating findings in any definitive way. Moreover, it seems likely that there are no answers to the questions raised, but that the act of posing the questions may contribute to the development of better, more reflexive research with children.     

Mobilities and Knowledge Transfer: Understanding the Contribution of Volunteer Stays to North–South Healthcare Partnerships

In this paper, I review recent literature on the relationship between human mobility and knowledge transfer processes, and apply some of the more theoretical ideas to an evaluation of the kinds of mobility in which UK participants engage in the context of North–South healthcare partnerships (HCPs). Much of the contemporary research on highly skilled mobility highlights the role that short stays and circular mobility play in knowledge transfer processes. I consider the value of short stays in the travel–mobility–migration continuum and the contribution they make to the transfer, translation and effectiveness of knowledge. Healthcare partnerships are best conceptualized as knowledge networks, with various forms of mobility (both physical and virtual) playing a critical role in network‐generation, evolution and impact. I outline the findings of two studies. The first is an evaluation of HCPs (Ackers and Porter, 2011) and the second an in‐depth ongoing evaluation of one HCP known as the Liverpool–Mulago Partnership or LMP¹ (Porter et al., 2011). The results raise questions about the relationship between the different types of mobility that participants in HCPs (predominantly professional volunteers) engage in, particularly the duration and repeated quality of stays, and knowledge transfer processes. Williams argues that “there are still major gaps in our understanding of the specific contribution of international migration to knowledge transfer, of the processes involved, and of the conditions that facilitate this” (2006 588). In this paper, I begin to close some of these gaps and advance our understanding of the relationship between different forms of mobility and knowledge transfer processes, in the hopes that this will build the evidence base supporting the contribution of North–South HCPs to the achievement of the Millennium Development Goals ² .     

Dating and Sexual Behavior Among Single Parents of Young Children in the United States

Theory and research on partnered parents suggests trade-offs between parenting and sexuality, with those trade-offs most pronounced among mothers of young children. However, little research has focused on how a growing demographic of single parents negotiates dating and sexual activity. The current study drew upon a 2012 nationally representative sample of 5,481 single Americans 21 years of age and older, of whom 4.3% were parents of a child age five or younger. Dependent variables were sexual thoughts, frequency of sexual activity, number of sexual partners in the past year, dates during the previous three months, and whether one was actively seeking a relationship partner. Covariates included parental age, sex/gender, sexual orientation, education, and income. Using the entire sample of singles, we found no main effects of number (0, 1, 2+) of children aged five years and younger or number of children aged two years and younger on dating and sexual behavior variables. Next, using analyses restricted to single parents (n = 2,121), we found that single parents with a child aged five years or younger, adjusting for covariates, reported greater frequency of sexual activity and first dates but no differences in other outcomes compared with single parents of older children.     

The Experiences of Care Leavers (Post-care Adults) in Social Work Education

This paper explores the experiences of social work students on qualifying degree programmes in the UK who have previously been in care or ‘looked after’. Using a sample drawn from three social work programmes in the North West of England, a semi-structured interview schedule was constructed, with the support of social workers who had been in the care system, to examine the individual journeys of 11 students. This paper aims to explore, with this group of students, how their experiences relate to their decision to apply for a place on a social work course, their experience of admission and the duration of the programme. The paper is of particular relevance to social work educators and makes specific suggestions regarding how current practice in social work education might improve.     

The magic in the (extra)ordinary: Intensive validation to recalibrate the life-worlds of adolescents exposed to abuse

This qualitative case study aimed to explore environmental circumstances and interactional processes that appeared to be relevant for the dynamics of resilience in adolescents exposed to child abuse. Fieldwork at a learning and coping centre for children and their families was combined with semi-structured interviews with adolescent participants aged 12 to 18 years. A critical realist approach was used to unpack what has been called the ‘ordinary magic’ of resilience. We found that intensively validating qualities of both the environment and relationships seemed to be driving components for resilience. Borrowing ideas from the sociometer theory, we propose that particularly the consistent intensiveness may offer a recalibration of the adolescents' immediate life-worlds, in terms of how they perceive the people they meet and the environments they step into. In keeping with the transactional-ecological model of resilience, we suggest that such a recalibration leads to altered social agency that becomes visible through their immediate social participation.     

An Ethical Analysis of the Second Amendment: The Right to Pack Heat at Work

We examine the issues concerning the legality and ethicality of the Second Amendment right to bear arms balanced by the employer's duty to provide a safe workplace for its employees. Two court rulings highlight this balancing act: McDonald et al. v. City of Chicago et al. and District of Columbia v. Heller. “Stand Your Ground” and “Castle Doctrine” laws in the recent Trayvon Martin shooting on February 26, 2012 are also applicable. Various ethical frameworks examine the firearms debate by viewing the Second Amendment from three perspectives. These include a pro‐gun perspective drawing upon libertarianism and fundamental rights; a moderate gun perspective drawing upon consequentialism and stakeholder theory; and finally, an anti‐gun perspective drawing upon a Public Health Ethics and peace ethics approach. We explore the issue of gun control from a business perspective as employers face ethical decisions in responding to legislation that allows guns in the workplace and/or in employer parking lots while still being responsible to provide a safe workplace for their employees. We make recommendations regarding how companies should manage by proactively avoiding legal challenges to employees' rights to own and carry guns into the workplace. This includes emphasis on enhanced security, Human Resource policies and monitoring rapidly changing laws.