Between exclusion and colonisation: seeking a place for mad people’s knowledge in academia

The omnipresent psychiatric narrative of mental illness has always had its counter-narrative – the life stories of people labelled mad. The relationship between these two accounts has always been one of domination: mad voices have been – and continue to be – not heard, overwritten, silenced or even erased in the course of psychiatric treatment. As survivor researchers who have had these kinds of experiences, we wish to discuss parallels between this tradition and some contemporary academic efforts that claim to disrupt it.     

Retribution or Rehabilitation? Conflicting Goals of US Policies Pertaining to Drug Felonies and Their Impact on Women

Both retributive and rehabilitative views are present in US public policy regarding individuals convicted of drug-related felonies, and the impact of these policies on women is examined in this article. While federal aid program policies are frequently punitive and restrictive, criminal justice policies often focus on treatment and increased access to housing. Implications for women and families are discussed and recommendations made.     

Policy and Historical Context of Disaster Relief in Aceh Relevant Factors in Social Work Assessment

The article discusses the multi-dimensional challenges in response to the tsunami in Aceh province of Indonesia in 2005. Disaster mitigation and community rehabilitation were hampered due to the absence of viable local organization, weak government social service system, and post-armed separatist conflict in the province. The Indonesian Professional Social Worker Association developed a strength-based approach for families in this situation using community resource persons.     

脑卒中后不同类型失语患者的语言康复治疗

目的观察脑卒中后不同类型失语患者的语言康复训练疗效。方法对脑卒中后运动性失语、感觉性失语、完全性失语和命名性失语患者进行语言康复训练。结果运动性失语及命名性失语患者训练前后评分成绩间差异具有显著性意义（P〈0．01，P〈0．05），而感觉性失语和完全性失语患者训练前后总评分成绩间差异不具有显著性意义（P〉0．05）。结论语言康复训练对失语患者的语言康复有重要促进作用，其中运动性失语及命名性失语患者语言康复训练疗效较好，而感觉性失语和完全性失语患者语言康复训练疗效差，加强心理治疗对脑卒中后失语患者的语言康复不容忽视。     

禁毒社会工作的理论、政策与实践——以上海为例

上海自2003年开始进行禁毒社会工作制度创新.经过近五年的探索,上海不仅在禁毒社会工作实践方面积累了丰富的经验,而且初步建构了一个实践的禁毒社会工作理论框架.上海禁毒社会工作的理念、实践经验以及面临的挑战都具有标本价值.     

黄土高原植被建设中几个方向性问题的探讨

黄土高原植被建设多年来存在着造林成活率低、保存率低、林木生长率低的所谓“三低”现象。其原因很多 ,既有自然问题 ,也有技术问题 ,还存在着管理问题。生态学理论和多年的实践证明 ,仿拟自然植被群落结构是植被建设的基础 ;实施抗旱集流造林技术是植被建设的核心 ;开展人工植苗造林是植被建设的主要手段 ;加强对病、虫、鼠、兔、牛、羊危害的防治是植被建设的关键。这些方面的问题解决了 ,必将再造一个“山川秀美”的黄土高原地区。     

老年人股骨颈骨折术后的康复治疗

目的提高老年人股骨颈骨折术后的生活质量和康复效果。方法使用CPM及各关节主动被动活动,进行康复训练,整个过程注意患者的心理康复。结果本组病例均正常出院,经过两年随访,优良率为90.2%。结论老年股骨颈骨折术后患者经过科学的康复治疗后,可明显提高患者生活质量,达到康复目标。     

The social role of alcohol in Russian culture

The year 1995 marks the tenth anniversary of the beginning of perestroika in Russia. The country has paid with its health for all the social, economic and political reforms. The chronic state of social stress, which is already in its tenth year, has led to a sharp growth in alcoholism and drug addiction, an increasing prevalence of neurosis and psychosomatic diseases and an increase in the death rate and decrease in the birth rate. This is the degeneration of the Russian nation. Alcohol stimulates and alcoholism indicates the process of self-destruction of the population. Unfortunately, there are no accurate statistics on alcohol consumption and problems in Russia today, as there is no state monopoly on alcohol production and sale and no common drug treatment service for the whole country. According to generalized estimates from epidemiological investigations, the average prevalence of alcoholism is 200–250 per 1000 adults, but this differs significantly in different professional groups: 10% of the workers in the nuclear energy industry suffer from alcoholism, 35% of the sailors, 22% of the workers in the machine-tool industry and 42% of the people working in the woodworking industry. There is one woman alcoholic for each 5 men. On average, only 1 of every 7 alcoholics seeks medical and social aid. The main cause of alcoholism is alcoholism itself -its uncontrolled and expanding reproduction. The investigation of alcoholism is being intensively removed from the clinical to the social sphere. It can be explained by understanding the role of social and psychological factors in the origin and development of alcoholism and the harsh socio-economic consequences and moral damage. The appearance of a new class of specialists - social workers - in Russia in 1991 was predetermined by these factors. The main objective of social workers is to fight social diseases and alcoholism in particular as the most terrible social disease of the Russian Federation. The history and place of alcohol in modern Russian culture, the stages and forms of the development of alcoholism and its ethnocultural peculiarities in different social strata of the population are described in this article. The reasons for and consequences of alcoholism are systematized, and the principles and directions of the activity of the social services in dealing with the treatment of alcoholism and rehabilitation of the diseased are defined.     

Patient Abuse and Trauma: A Policy Analysis of the Regulation of Seclusion and Restraint in Mental Health Care

Historically, justifications for the seclusion and physical restraint of hospital patients have stereotyped individuals with mental illness as “dangerous” to themselves and others (Huckshorn, 2004a). It can be argued, however, that it is the policies that regulate the use of seclusion and physical and chemical restraints that are dangerous. This article analyzes the Patients’ Rights section of the Hospital Conditions of Participation (CoPs), Part 482 of CFR 42, including sub-sections: e. Standard: Restraint or seclusion; f. Standard: Restraint or seclusion: Staff training requirements; and g. Standard: Death reporting requirements. The set of CoPs regarding Patients’ Rights are analyzed from a value-critical, process-oriented perspective. This article proposes the following six-point framework as uniquely suited to evaluating 42 CFR 428.13: 1) introduction to the background and historical significance of the problem; 2) evaluation of the clarity and measurability of the goals and objectives of the policy; 3) overview of the intended impact of the policy; 4) examination of the value criteria; 5) examination of existing power struggles for those impacted by the policy; and 6) examination of the actual impact of the policy. Results of the policy analysis suggest that the policy does not go far enough to reach its stated goals and objectives in full. In the conclusions, suggestions for further protection of patients’ rights are provided. Examples of alternatives to restraint and seclusion are discussed. Finally, the grave importance of reshaping the culture of mental health care, in terms of life-and-death consequences, is considered.     

The Mother Who Didn't See Her Baby and the Hospital That Didn't See the Psychiatrist

Abstract

This paper discusses the initiation of an infant preschool child psychiatric consultation service in a tertiary level paediatric hospital, where there had been no service such as this in the past ten years. The case presented illustrates the complex nature of both feeding disorders in infants and the cases seen in this tertiary level institution. It also describes a parallel process: The mother who was uninvolved with her infant and the hospital that was indifferent to the child psychiatric-consultation service development process. An understanding of the psychodynamic aspects of the child, the mother, and the interactions between the medical team and the child psychiatrist were crucial to the success of the treatment. This psychodynamic understanding is also essential to the development of a continuing working relationship between the child psychiatric-consultation liaison service and the hospital.