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Beware of gifts
No full textThe apparently simple act of a patient giving a gift to a doctor to thank them for their care can have unexpected repercussions for the doctor-patient relationship. Dr Gabrielle Pendlebury explores the ethical arguments and looks at how a busy practitioner can negotiate this act without causing embarrassment or prompting a loss of trust
Katie Argent on Woman's Hour. What to do when your child favours one parent over the other. 08 August 2018, BBC Radio 4 [Starts at 33:12]
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Investing in a resilient generation: Keys to a mentally prosperous nation
Get PDFClosing the mental health treatment gap is an impossible dream if we fail to stem the tide of people living with mental ill-health. While there remains an urgent need to significantly improve access to support and
treatment, this alone is not sufficient. We must look ‘upstream’ and shift
the focus towards maximising young people’s resilience and minimising
the risks to their mental health. It is by closing the prevention gap that
we can close the treatment gap too.
As this report demonstrates, there is sufficient evidence to act now to
begin the systematic shift of paradigm envisaged by the Commission.
Such a decisive step would position the UK as a global leader in
addressing the single largest global health challenge. To delay is
to countenance avoidable harm. The costs of failing to marshal the
necessary resources and implement large-scale programmes are huge.
The time for small-scale pilots is over. It is time to change the paradigm
and close the prevention ga
The suicide of the Soviet Union, Brexit and Svetlana Alexievich’s ‘Secondhand time’
No full textSpurred by Literature Nobel Laureate Svetlana Alexievich’s empathic reports in Secondhand time: The last of the Soviets—An Oral History (2016), the authors reflect on the dynamics of suicide and self-harm at individual and communal and national levels. Themes explored in relation to two of Alexievich’s individual cases of suicide, the demise of the Communist Party of the Soviet Union and the Soviet Union itself, as well as the result of the Brexit referendum, include feelings of hopelessness, fantasies and experiences of transcendence and the will to control. The necessity of a pluralistic perspective and the possibility of complementary or alternative understandings of Alexievich’s accounts and the people and events discussed in this article are acknowledged
Technology at work: An investigation of technology as a mediator of organizational processes in the human services and the implications for consultancy practice.
Get PDFIncreasing technology use in the organization of human services is seen as essential to achieving greater efficiency and effectiveness. However, the promises may not be realised if technology generates processes and structures that are misaligned to the primary task of the service. How and why this occurs, and the role of unconscious and emotional factors, is insufficiently understood. There is limited guidance on how to work with technology in complex services where anxiety, and defences against it, may be a significant factor. Drawing on systems-psychodynamics, actor-network and process theory, this research addresses these gaps through a methodology in which human and technology are seen to operate symmetrically in the ongoing formation of organizations. The research studies child welfare and mental health services as an ‘extreme case’ for technology implementation as the site of significant transformation and powerful human dynamics. Data are gathered via a visual method known as the social photo-matrix in which participants, all practitioners in these services, generate and respond to images on the theme of ‘technology at work’. It is found that technology reduces an organization’s capacity for processing emotion which leaves staff with increased anxiety and fewer ways to modify it. Technology mediates organizational processes to make them fit the models of measurement and efficiency by which it operates, and transforms the reality of services both on the ground and in the minds of the people within them. It is concluded that these processes make staff less available to provide compassionate, empathic care for service users, and generate organizational processes that may not be aligned to the task of providing human services. The implication for leaders and consultants is that it is only possible to realise the promises of technology if it is engaged with thoughtfully, in an environment where anxieties can be managed
Narrative Matters: Stop running and start thinking
No full textA work discussion group creates space for colleagues both to learn from and support one another. I outline some of the historical events that led to this powerful method of professional development, and how it works today
Hormone management of trans women
No full textIn the previous issue, the authors introduced some principles underlying the medical management of transgender people, before focusing on trans men. In this article they look at the hormonal management of men transitioning to a female gender
