Home About us Contact
|
Home About us Contact | ||
|
|
||
Health Context (health + context)
Selected AbstractsCommunity as practice: social representations of community and their implications for health promotionJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 2 2007Christine Stephens Abstract Health promotion researchers and practitioners have increasingly turned to community-based approaches. Although there has been much work around the diverse understandings of the term in areas such as community psychology and sociology, I am concerned with how such understandings relate directly to community health research and practice. From a discursive perspective ,community' is seen as a socially constructed representation that is used variously and pragmatically. However, from a wider view, community can be seen as a matter of embodied practice. This paper draws on social representations theory to examine the shifting constructions of ,community', the functional use of those understandings in social life, and the practices that suggest that it is important to attend to their use in particular contexts. Accordingly, the paper argues that meanings of community in the health promotion or public health context must be seen as representations used for specific purposes in particular situations. Furthermore, the broader notion of embodied practice in social life has implications for community participation in health promotion. Copyright © 2007 John Wiley & Sons, Ltd. [source] DECENTRALIZING HEALTH SERVICES IN THE UK: A NEW CONCEPTUAL FRAMEWORKPUBLIC ADMINISTRATION, Issue 2 2008STEPHEN PECKHAM Decentralization is a central plank of current government health policy. However, it is possible to discern both centralist and decentralist movements in the UK. This paper examines existing frameworks of decentralization in relation to identifying whether policy is decentralist or not and identifies a number of problems that limit their value. Key problems relate to the way decentralization is conceptualized and defined. Existing frameworks are also highly contextualized and are therefore of limited value when applied in different contexts. The paper then presents a new framework which, it is argued, provides a more useful way of examining centralization and decentralization by providing a way of categorizing policies and actions and avoids the problems of being contextually constrained. The paper ends with a discussion of how the framework can be applied in a health context and shows how this framework helps avoid the problems found in previous discussions of decentralization. [source] Dirty questions: Indigenous health and ,Western research'AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 3 2001Kim Humphery Objective: This paper explores both Indigenous and non-indigenous critiques of ,Western' research frameworks in an Aboriginal health context. It also discusses the ,reform' of Aboriginal health research practices since the 1980s, particularly in relation to the development of ethical guidelines. Method: The text is based on both archival research and a critical review of secondary literature. Conclusions and implications: It is argued here that efforts to reform the practices of mainstream Indigenous health research since the 1980s have oscillated between taking concrete steps towards actually changing research practice and placing too great a reliance on written guidelines and positive rhetoric. In offering this analysis, the paper argues for a more challenging conception of reforming mainstream research, involving an emphasis on shifts in institutional arrangements as well local research practices. [source] Acknowledging communication: a milieu-therapeutic approach in mental health careJOURNAL OF ADVANCED NURSING, Issue 6 2008Solfrid Vatne Abstract Title.,Acknowledging communication: a milieu-therapeutic approach in mental health care Aim., This paper is a report of a study to develop milieu therapists' acknowledging communication in their relationships with patients. Background., Gunderson's therapeutic processes in milieu therapy have come into use in a broad range of mental health contexts in many countries. Research in nursing indicates that validation needs a more concrete development for use in clinical work. Methods., Schibbye's theory, ,Intersubjective relational understanding', formed the theoretical foundation for a participatory action research project in 2004,2005. The data comprised the researcher's process notes written during participation in the group of group leaders every second week over a period of 18 months, clinical narratives presented by participants in the same group, and eight qualitative interviews of members of the reflection group. Findings., The core concept in acknowledging communication, mutuality, was described as inter-subjective sharing of feelings and beliefs in a respectful way. Participants presented their process of development as a movement from knowing what was best for the patient (acknowledging patients as competent persons, a milieu-therapy culture based on conformity), to appreciating diversity and stubborn talk, to reflective wondering questions. Misunderstanding of acknowledgement occurred, for instance, in the form of always being supportive and affirmative towards patients. Conclusion., The concrete approaches in acknowledging communication presented in this article could be a fruitful basis for educating in and developing milieu therapy, both for nursing and in a multi-professional approach in clinical practice and educational institutions. Future research should focus on broader development of various areas of acknowledging communication in practice, and should also include patients' experiences of such approaches. [source] Family therapy finding room to wriggle and room to breathe in mental health contextsJOURNAL OF FAMILY THERAPY, Issue 3 2009Mark Rivett No abstract is available for this article. [source] | ||||||||||