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A postmodernist look at the position of marketing at the turn of the millennium. Devises a dream‐like conversation between four professionals (a doctor, a lawyer, an accountant and a marketer). Each representative defends the status of the profession, with the focus on the marketer. Considers the opinion of others of the role of the marketer and reflects on its development and obstacles to development.

The study of Malcolm Tims, principal at Boobook Primary School, is one example of the descriptive case studies written for ten primary school principals in one N.S.W. Inspectorate. The Stephens Tissue Perfusion Monitor was used as a physiological device to monitor the levels of stress. A plethysmograph worn by the principal and connected to a small transmitter relayed signals to a receiver connected to the Tissue Perfusion Monitor. As stress levels increased, the amount of blood flowing to the tissues decreased and this was shown on the meter and numerically represented as the Tissue Perfusion Index (TPI). As stress levels decreased the TPI levels rose. Each principal was observed for several days and detailed notes were made of the various factors that caused the stress levels to vary. Changes of staff, conflicting values, attitudes and behaviours in teachers and executive staff, staff meetings and poor performance of ancillary staff were common stressors. Recalcitrant pupils, dissatisfied parents, and dealings with other officials, curriculum and policy changes, problems with school buildings and equipment (including break‐and‐enters), work overload and time pressures were also significant stressors. Principals' days seemed to be characterised by a large number of “hassles” and “uplifts”, with intervening periods of either heavy of severe stress or periods of relative calm. Stress levels were found to decrease when positive and beneficial events occurred. The study was able to determine 14 categories of such “uplifts”. Positive support, a “challenge” mentality, confidence, a higher locus of control, as well as individual application of techniques for relaxation, appeared to assist principals in lowering stress levels.

This paper aims to offer a family carer's personal account of the importance of relationships between the person with dementia, their carer, family, friends, health and social care professionals, and the workforce who offer care, from pre‐diagnosis through 16 years of decline to death.

A personal account from the point of view of a former carer of a person with dementia.

The thread throughout the narrative of this paper is the necessity for everyone who comes into contact with the person with dementia to develop a much greater understanding of what it is like to live with the condition and as a result, how more enlightened care and support can be offered. Central to this is access to expert advice concerning dementia care and support in order to achieve the main goal of protecting and maintaining relationships.

The author draws on personal experiences and reflects on the lessons learned during the time as her husband's carer and information she wished she had possessed earlier.

Strategy, organisation change, leadership.

MBA Level/Managing Change and Leadership courses.

This case follows the journey of Malcolm Wall Morris, Chief Executive Officer of Dubai Multi Commodities Centre (DMCC), in his transformation of the organisation from a slow, unfocused organisation to one that is operationally efficient with a positive culture. The case ends by pushing students to think beyond the structural and cultural changes that took place, to the next level of change that must happen for DMCC to ensure sustainable growth.

Understand issues that are related to change management in an organisation and being aware of the potential ways to manage it; recognize the role of leadership in driving and managing change; recognize that the issues discussed are not limited to the case of DMCC, but are applicable to all other organisations who seek sustainable growth in the long run.

Teaching Notes are available for educators only. Please contact your library to gain login details or email support@emeraldinsight.com to request teaching notes.

This chapter draws upon the sociological concept of rationalization to explore the role and practice of sports medicine. It highlights attempts by the profession to create a rationalized model of health care for sports participants – particularly those involved in high-performance sports settings and the enabling and constraining elements of its enactment.

The chapter explains how changes in the organization of sports medicine have dovetailed with the increasing rationalization of sport which has been significant in enacting changes in sports medicine that are aligned with a more rationalized model of care.

Key findings from the literature highlight the difficulties of implementing rationalized health care policy into practice. Specifically, the chapter examines macro-organizational changes to the structure of sports medicine and the extent to which sports medicine represents a rationalized model of health care by virtue of micro-organizational constraints.

While the discussion draws upon a breadth of research by sociologists of sport who have examined sports medicine practices, the chapter draws heavily on the UK model of sports medicine care in high-performance sport and thus the conclusions may not be wholly transferable to non-UK and non-sports contexts.

Since often missed in forensic care settings, little is known about how the autism spectrum disorder (ASD) social and communication deficit impacts on rehabilitation work, particularly when accompanied by intellectual disability. The purpose of this paper is to show how Baron-Cohen’s empathizing – systemizing theory can elucidate common processes in the interaction-based risk-reduction work carried on between ASD forensic patients and their clinicians.

Conversation analysis (CA) is used to analyse the talk of two ASD men engaged in risk reduction work with their clinicians on a forensic intellectual disability ward in a medium secure psychiatric hospital in the UK. The clinicians include two forensic nurses and a speech and language therapist.

Clinicians adapt to their patients’ systematic processes particularly with regard to helping them understand complex social phenomena such as others’ emotional displays and their understanding of empathy.

Since ASD in forensic care is poorly researched, clinicians have little in the way of guidance about the interactive strengths and weaknesses of their ASD patients, despite risk reduction work being carried out by means of conversational interactions. This paper demonstrates some key aspects of ASD clinical interactions which may be used to inform treatment strategies elsewhere in the forensic establishment.

By using Baron-Cohen’s empathizing systemizing theory in combination with CA, this paper aims to bring understanding of ASD interaction up to date. This is of particular importance for this poorly researched patient group, who, because of the way in which they differ to standard psychiatric patients, are at risk of being detained for lengthy periods where treatment strategies are not designed to fit their social and communicative profiles.

When I was fresh out of college, I had a boss I'll call Malcolm (because that was his name). Malcolm was the most efficient delegator I've ever encountered. When work landed on his desk, he went into warp drive and, less than a minute later, had dumped it on a subordinate's desk. And for the remaining six hours, 55 minutes, of every seven‐hour work day (in those days almost everyone, at every level, left at five), Malcolm sat behind a gleaming desk unmarred by so much as a scrap of paper, studiously contemplating his lap. In that lap, hidden behind the desk, was a copy of the daily racing form. (Malcolm spent every lunch hour at OTB and every weekend during the racing season at Belmont.)

To examine the ways in which sports-related brain injury (concussion and subconcussion) is both similar to and different from other injuries and to set out a sociological understanding of the injury, its manifestation and management.

There is a broad contextualization of the ‘issue’ of concussion and the processes that have brought this to the fore, an examination of the ways in which concussion has been figuratively clouded from plain view, and an outline of the main contributions of the social sciences to understanding this injury – the culture of risk and the mediating effect of social relationships. The chapter concludes by questioning whether the emergence of concerns over chronic traumatic encephalopathy has stimulated a fundamental change in attitudes towards sport injuries, and if this has had a significant impact on the social visibility of concussion.

The two available sociological studies of the lived experiences of concussion are situated within a broader analysis of the politicization of sports medicine and the emergence of a particular social discourse around sports-related brain injury.

The difficulties emanating from the dominance of a biomedical approach to concussion are discussed along with the need for further research, incorporating a more holistic view of concussion, as a bio-psycho-social phenomenon.