Desired Outcomes for Children and Adolescents with Autistic Spectrum Disorders

Within children's services, frameworks for assessing outcomes have been developed in the absence of consultation with children with autistic spectrum disorders and their parents. The research reported here worked with parents, other key adults and children with autistic spectrum disorders to identify desired outcomes. It found similarities with non‐autistic children in terms of the broad types of outcomes desired. However, the presence of autism meant either new or different sorts of outcomes were reported. Implications in terms of the ways outcomes for autistic children are defined and measured, and the role of services in achieving outcomes is discussed. © 2006 The Author(s).     

Regression of area mortality rates on explanatory variables: what weighting is appropriate?

"One can often gain insight into the aetiology of a disease by relating mortality rates in different areas to explanatory variables. Multiple regression techniques are usually employed, but unweighted least squares may be inappropriate if the areas vary in population size. Also, a fully weighted regression, with weights inversely proportional to binomial sampling variances, is usually too extreme. This paper proposes an intermediate solution via maximum likelihood which takes account of three sources of variation in death rates: sampling error, explanatory variables and unexplained differences between areas. The method is also adapted for logit (death rates), standardized mortality ratios (SMRs) and log (SMRs). Two [United Kingdom] examples are presented."     

Government guidance for the Care Act: undermining ambitions for change?

The UK Government claims to be creating a historic change to social care in England through the Care Act by putting people in control of their support. However, this is fundamentally contradicted by the draft guidance published to support the Act. This amounts to a formula for maintaining the prevailing resource-limited approach to assessing and meeting needs. This reality is obscured by a welter of choice and person-centred rhetoric. However, it need not be like this. Councils with a genuine commitment to being person-centred could refer directly to the Care Act to create an alternative future, while service users and their allies could bring about systemic changes if they use the Act to establish new rights.     

The eligibility question – the real source of depersonalisation?

There have been a number of high-profile strategies over recent decades to raise social care above what is widely regarded as an unacceptable service in the United Kingdom. Quite apart from all too frequent high-profile scandals, it is seen as a service that is depersonalising and stigmatising. None of the strategies to bring about change, most of them introduced to great fanfares, have delivered the changes they promised. This article sets out a view that the reason why they have all failed is that none of them have identified or therefore tackled the underlying problem, which is the relationship between needs and resources. Underfunding has long been a serious concern for campaigning organisations. The article does not detract from that contention. However, it sets out how strategies to manage the gap between needs and resources, more than the funding gap per se, are themselves the root cause of depersonalised and chronically impoverished services. The unlikely source of these strategies can be traced to the unintended consequences of an Act of Parliament that had the best of intentions.     

尼采对历史及其历史教学的批判

尼采认为 ,历史是人的生命意志的反映 ,它是英雄人物在瞬间的艺术创作冲动的产物。人的历史开始于“个人具有创造性的自我解放欲望之际” ,这是尼采历史观的原始起点和意义支撑。他认为真正的历史应该有利于人的创造力的发挥和个体生命的解放 ,而现在的历史已经背离了历史的本来意义 ,成了生命发展的桎梏和障碍。现代历史教育是错误历史观与错误人生观相结合的产物 ,是一种摧残人性的教育 ,它使受教育者变得虚伪、迟缓、猜疑、抵触 ,并以软弱的人格、麻木的心态期待着刺激性“事件”的发生 ,哪怕它危及自己的生命。     

巫术的历史作用及其终结

巫术作为一种社会现象 ,在历史上曾起过一定的积极作用 ,如可以增强人类控制客观世界的意识 ,扩展人类控制客观世界的领域 ,增强人类战胜敌手的信心 ,此外还具有组织作用、道德教化作用、精神安慰作用、交流娱乐作用等。但一方面由于巫术的荒谬性 ,巫术一再失败 ,使人们对它失去了信心 ;另一方面 ,巫术的抽象功能被后来发展起来的宗教所代替 ,实用功能被科学所代替 ,因而 ,巫术在主流文化中的历史作用已经终结 ,但仍在文化的细枝末节中广泛存在着