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There are many grounds for arguing that people with a range of disabilities have more in common than they have differences. However, those grounds to date have not resulted in a unified social movement. This paper examines one possible reason for that lack of unity: the particular force of being unreasonable in modern society. However, being unreasonable is not limited to those with a psychiatric diagnosis, nor does a lack or loss of reason take a simple common form within that group: it is a highly nuanced and context-specific matter. This complexity is discussed in relation to a set of inter-related questions about legalism, morality and post-enlightenment concerns with order and rationality. The paper concludes with a discussion of scenarios available to new social movements concerned with disability.  相似文献   
2.
How does the chief executive of a large complex organization maintain strategic momentum? This represents a great challenge when there are no obvious external threats, and no obvious reasons for having a concerted action. Floris Maljers, Charles Baden-Fuller and Frans van den Bosch explore the inherent tensions which exist between stability and change. Change is necessary to maintain success, but too much change is disastrous. The authors argue that there are several possible solutions to this paradox, including that of generating periods of intense activity followed by periods of comparative stability and incremental improvement. Using the introspection of one of the CEOs of Unilever, who held office from 1984 to 1994, the authors examine how these tensions were played out and resolved.  相似文献   
3.
This article seeks to understand environmental effects on associational interdependencies, be they competitive or collaborative, in a polarized organizational population. To do so, it builds on the density‐dependent model and the ecology of ideologies. Especially interested in the effect of context on density‐dependent processes, I compare different Turkish ideological movements in Amsterdam and Berlin. Amsterdam represents an open and supportive environment for such movements, whereas Berlin constitutes a more closed and hostile one. By analysing the founding and disbanding rates of Turkish immigrant organizations in Amsterdam and Berlin during the period 1965–2000, the article demonstrates how the increasing density of Turkish ideologies has affected interdependencies in two main ways: by heightening competition, particularly between ideologically similar organizations, and by increasing counter activities between opposing movements. It also shows that the influence of context is limited. An open environment does not significantly influence the vitality rates of ideologies or further collaboration among or between them. On the contrary, it seemingly increases competition and fragmentation because more resources and opportunities are available. More signs of collaboration and mutualism are found in Berlin's closed environment.  相似文献   
4.

Background

According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period.

Aim

The goal of this study was to evaluate the satisfaction and outcomes of the obstetric and neonatal care of women who received comprehensive support during pregnancy, childbirth and the postpartum period, and compare them to women who received shared care.

Methods

This was a prospective comparative study between two models of care in low risk pregnant women. The satisfaction and outcomes of care were evaluated using the French version of the Women’s Experiences Maternity Care Scale, two months after giving birth.

Findings

In total, 186 women in the comprehensive support group and 164 in the control group returned the questionnaire. After adjustment, the responses of those in the comprehensive support programme were strongly associated with optimal satisfaction, and they had a significantly lower epidural rate. No differences were observed between the two groups in the mode of delivery. The satisfaction relative to this support programme was associated with a birth plan for intrapartum and postnatal care.

Conclusions

Team midwifery had a positive impact on satisfaction, with no adverse effects on the obstetric and neonatal outcomes, when compared to shared care.  相似文献   
5.
Traditionally, immigrants’ propensity to naturalize is attributed to individual characteristics and the origin country. Recently scholars increasingly recognise that naturalisation decisions do not take place in a vacuum: they are conditioned both by the individual life course of immigrants, such as the age at migration and family situation, as well as the opportunity structure set by citizenship policies of the destination country. Yet it is less clear what impact specific policy changes have, and to whom these changes matter most. In this paper we address these questions by analysing citizenship acquisition among first generation immigrants in the Netherlands in light of a restriction in citizenship policy in 2003. We employ unique micro-level longitudinal data from Dutch municipal population registers between 1995 until 2012, which allow us to track naturalisation among different immigration cohorts. We find evidence that indeed naturalisation is part of a larger life course trajectory: immigrants who arrive at a younger age in the Netherlands naturalise more often and so do immigrants with a native partner, or a foreign-born partner who also naturalises. Policy also matters: migrants naturalise later and less often under more restrictive institutional conditions, especially migrants from less developed and politically unstable countries of origin.  相似文献   
6.
Can citizenship improve the economic integration of immigrants, and if so, how? Scholars traditionally understand a citizenship premium in the labour market, besides access to restricted jobs, as the result of a positive signal of naturalisation towards employers. While we do not discard these mechanisms, we argue that explanations should also take into account that migrants anticipate rewards and opportunities of naturalisation by investing in their human capital development. We thus expect to observe improved employment outcomes already before the acquisition of citizenship. We use micro-level register data from Statistics Netherlands from 1999 until 2011 (N?=?94,320) to test this expectation. Results show a one-time boost in the probability of having employment after naturalisation, consistent with the prevalent notion of positive signalling. However, we find that the employment probability of naturalising migrants already develops faster during the years leading up to citizenship acquisition, even when controlling for endogeneity of naturalisation. We conclude that it is not just the positive signal of citizenship that improves employment opportunities, but also migrants’ human capital investment in anticipation of naturalisation.  相似文献   
7.
An organization is a collection of members where each of them performs a task with a given cost and receives a reward. The net benefit to the organizer is given by the gross revenue less the sum of all compensations paid. The organizer will try to select that rewards schema which maximizes his expected benefit.The paper analyzes the organizer's optimal rewards selection in a Markovian decision process framework, as an expected cost (of rewards) minimization problemI owe many debts to Jacob Marschak who has inspired and encouraged my work during my stay at the Western Management Science Institute. Acknowledgements with thanks are due to the Italian C.N.R. and the Western Management Science Institute for research support.  相似文献   
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