Trust,uncertainty and identity in health-related decision-making: the role of key professionals

There is a growing literature examining the way service users make choices in the context of complex and frequently changing forms of welfare provision and increasingly personalised services in England. Despite criticisms of the individualistic, consumerist assumptions underpinning these policies, little is known about the relational contexts of individuals’ lives and the role of professional support in choice-making. Drawing on interviews with ‘key professionals’, identified by service users as having played a crucial role in recent important choices, this paper explores how these choices are made with the support of those who are trusted to provide assistance. Placing ‘key professionals’ at the centre of the analysis, the distinct experiences of people with fluctuating and sudden-onset health conditions are examined. The analysis highlights the particular value of relationships that pay close attention to transitional health identities and the co-production of health-related decisions.     

论战时比例性原则的适用：要素、标准与价值评判

参照国际公约的相关规定,首先就战时比例性原则的概念与内涵进行了探讨,附带损害和军事利益是该原则的两大构成要素,适用战时比例性原则的标准可分为理性指挥官标准、演算法标准、个案分析法标准、累积法标准、＂针对性杀戮案＂中的三条件标准与军事必要性标准等,对于该原则的适用需要结合有关理论和实践,最后通过对相关条款加以阐释的方式,就比例性原则的适用问题进行综合性的价值评判,以求更好地适应于未来实践的具体需要。     

Maltreatment and Internal Representations of Relationships: Core Relationship Themes in the Narratives of Abused and Neglected Preschoolers

This study examined whether the predominance of particular themes in maltreated pre-schoolers' stories about relationships is related to type of maltreatment they experienced. The MacArthur Story Stem Battery was administered to 49 maltreated and 22 non-maltreated children. Children's representations of self and other were extracted from the resulting stories using the Core Conflictual Relationship Theme Method. Significant differences were found among the physically abused, sexually abused, neglected, and comparison subgroups with respect to the predominance of specific relationship themes in their stories. Both physically abused and neglected children represented the self as angry and opposing others more frequently than non-maltreated children. Neglected children represented others as hurt, sad, or anxious more frequently than both abused and non-maltreated children. Compared with all other children, sexually abused children represented others more frequently as liking them, and compared with physically abused children, expressed more frequent wishes to be close to others. This study supports the hypothesis that maltreated children's internal representations of relationships are related to their experiences of specific types of maltreatment.     

Development of outstanding leadership: A life narrative approach

Developmental events of a sample of outstanding leaders experienced in early life were examined. Relevant sections of 120 biographies of outstanding leaders in the 20th Century were content coded using a life narrative framework. The results indicated that individuals evidencing a particular leadership type (charismatic, ideological, or pragmatic) and orientation (socialized or personalized) were linked to certain types of developmental events. Similarly, event content was found to vary between the leader styles. Specific kinds of experiences were also related to various indices of leader performance. Practical and theoretical implications of these findings are discussed.     

Over the Colombian Rainbow

This poststructural narrative research intends to contribute a better understanding of some lesbian, gay, bisexual, and transgendered (LGBT) people's meanings, interactions, and reflections through the analysis of Colombian government's master narratives and LGBT advocates’ counter-narratives. A better understanding between the Colombian government and LGBT activists is needed in order to build bridges that allow the parties to construct pathways to new stories that legitimize them and will support solutions to their conflicts. The author argues that LGBT counter-narratives are repairing the damaged identities of LGBT in Colombia, even though they have not become master narratives.     

内地与香港：残疾人社会支持比较

与香港比较,内地残疾人社会支持理念相对落后;力量相对单薄;方式相对单一;内容相对贫乏。应学习和吸收香港残疾人社会支持的先进经验,在社会支持理念方面,实现由人道主义向公民权利的转变;社会支持方式方面,实现由政府提供向政府购买的转变;社会支持主体方面,实现由家庭、政府为主向非政府组织为主的转变;社会支持内容方向,实现由救助主导型向发展主导型的转变。     

Resistance to dominant narratives and the construction of identity legitimacy: counterstories of Chinese migrant workers with pneumoconiosis

This study is focused on the pneumoconiosis workers’ illness narratives in Bashan Town in Chongqing. In-depth interviews were used to gather their illness narratives, and a “counterstory” framework was adopted for the critical analysis of the resistance of these texts to the dominant discourse. The results showed that these pneumoconiosis counterstories to be legitimacy narratives that sought four types of legitimacy: medical, suffering, moral, and public. Three opposing identity relations were explored in these narratives: qualified vs unrecognized pneumoconiosis patients, bearers of great suffering vs complainers without cause and neglected within the pneumoconiosis group vs Invisible pneumoconiosis. These identity relations strengthened the pneumoconiosis workers’ confrontation with the illegitimacy of the main social narrative, and they were used in the attempt to construct a legitimized self-identity. The study also identified three narrative strategies used to resist the oppressive dominant narrative, they are revelation, refusal and contestation. Finally, the author proposed that these counterstories consisted a weapon for the weak to voice their legitimacy concerns and offered recommendations for the prevention and treatment of pneumoconiosis.     

Preface

No abstract available for this article.     

Fathers' Stories of Resistance and Hegemony in Organizational Cultures

This article focuses on the practices of resistance and hegemony that oppose change in gender cultures in organizations. It suggests that analysis of the narratives produced by organizational actors is a fruitful method with which to deal with issues of this kind. In particular, the analysis concentrates on how resistance and hegemony practices may affect the implementation of changes promoted at a normative level — as in the case of the Italian law that has extended the right to take parental leave for childcare to men as well, in opposition to the dominant cultural models of gender. The analysis of the experiences reported by men belonging to different organizations, and having in common the use of parental leave to spend time with their children, allows us to reflect upon the fact that the symbolic orders of gender in organizations cannot be challenged at a normative level if the change does not affect the organizational culture, becoming embedded in everyday organizational practices.     

诉讼和谐何以可能——以刑事诉讼为分析对象

论及诉讼和谐何以可能，必须把握诉讼和谐的三个基础：道德基础、利益基础与程序基础。诉讼和谐在于人道主义的道德秩序，在于规避零和博弈的利益格局，在于正当程序。