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Publication date: 3 August 2011

Georgiann Davis

Purpose – Intersexuality is examined from a sociology of diagnosis frame to show how the diagnostic process is connected to other social constructions, offer new support…

Abstract

Purpose – Intersexuality is examined from a sociology of diagnosis frame to show how the diagnostic process is connected to other social constructions, offer new support that medical professionals define illness in ways that sometimes carries negative consequences, and illustrate how the medical profession holds on to authority in the face of patient activism.

Methodology/approach – Data collection occurred over a two-year period (October 2008 to August 2010). Sixty-two in-depth interviews were conducted with individuals connected to the intersex community including adults with intersexuality, parents, medical professionals, and intersex activists.

Findings – Medical professionals rely on essentialist understandings of gender to justify the medicalization of intersexuality, which they currently are doing through a nomenclature shift away from intersex terminology in favor of disorders of sex development (DSD) language. This shift allows medical professionals to reassert their authority and reclaim jurisdiction over intersexuality in light of intersex activism that was successfully framing intersexuality as a social rather than biological problem.

Practical implications – This chapter encourages critical thought and action from activists and medical professionals about shifts in intersex medical management.

Social implications – Intersexuality might be experienced in less stigmatizing ways by those personally impacted.

Originality/value – The value of this research is that it connects the sociology of diagnosis literature with gender scholarship. Additional value comes from the data, which were collected after the 2006 nomenclature shift.

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Article
Publication date: 11 May 2015

Hyeongi Baek and Mun Koo Kang

The purpose of this study was to construct a mind counseling ontology to efficiently facilitate the diagnosis of the diseases of mind. To determine the structure of mind…

Abstract

Purpose

The purpose of this study was to construct a mind counseling ontology to efficiently facilitate the diagnosis of the diseases of mind. To determine the structure of mind counseling ontology, this study conducted analysis on structural forms available in counseling books and other related fields and adopted essential ones in the explanation of counseling. The processing of the diseases of mind was divided into three stages: cause, symptoms and counseling. The stages were analyzed one by one in terms of process, functional elements and relevant technique necessary at each stage.

Design/methodology/approach

In the mind counseling list, there are 12 different diagnoses of diseases of mind that are classified into four classes. Thus, the causes, symptoms, prescription and medical history for 12 diseases of mind are defined as a higher rank concept of mind counseling ontology. The causes, symptoms, prescription and medical history consist of definition, affective characteristics and related factors, while the potential diagnosis consists of definition and risk factor. This information does specify detailed notions in the diagnosis of diseases of mind, but considering the limitation of not being able to represent all the diseases, this study enables a counseling center to give and use individual definitions of diagnostic terminology of their own.

Findings

This study adopted the top-down approach, in which mind counseling ontology defines a higher rank concept, the terminology in diagnosing diseases of mind, based on the list of terms from the counseling record that specifies the abstract concepts of the diagnosis. The bottom-up approach was also incorporated, which defines the diagnostic terms extracted from the counseling record as a subordinate concept of the mind counseling ontology. Thus, the development of the mind counseling ontology involves the combination of top-down and bottom-up approaches to the construction of ontology.

Originality/value

This research has significance in that it deals with the fundamental problem of the mind aiming for a true change and healing of it, which is the ultimate purpose of this ontology, especially in the circumstances where research on ontology in diagnosing the diseases of mind is unprecedented.

Details

Journal of Systems and Information Technology, vol. 17 no. 2
Type: Research Article
ISSN: 1328-7265

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Article
Publication date: 1 February 2001

Bob Grove

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A Life in the Day, vol. 5 no. 1
Type: Research Article
ISSN: 1366-6282

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Article
Publication date: 10 April 2017

Kate Daellenbach and Joy Parkinson

The elaboration of framing in social movement theory offers a different perspective than is typically taken in social marketing. This paper explores how social marketing…

Abstract

Purpose

The elaboration of framing in social movement theory offers a different perspective than is typically taken in social marketing. This paper explores how social marketing may benefit from this alternate lens.

Design/methodology/approach

The construction, features and processes associated with collective action frames in social movements are examined and explored via two social causes: obesity and disaster preparation.

Findings

A social movement perspective on framing highlights the need to better understand variations in how groups may perceive a problem and its solutions. It suggests a range of considerations and options in constructing and participating in the development of collective action frames, which are suggested to benefit social marketing initiatives and, thus, society.

Research limitations/implications

Further research in societal well-being and the meso-level of social change should consider adopting a social movement framing perspective. A list of questions is provided to guide future research.

Practical implications

Mobilising a group into action is often a necessary and effective step in realising social change. The questions raised in social movement framing will equip practitioners and researchers with greater understanding of the issue, the context and potential solutions, ultimately to encourage positive social movements and social benefit.

Originality/value

While calls have been made for broader perspectives in social marketing, little attention has been given to social movements. This paper offers a way forward with respect to framing.

Details

Journal of Social Marketing, vol. 7 no. 2
Type: Research Article
ISSN: 2042-6763

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Article
Publication date: 18 October 2018

Alistair George Tough and Paul Lihoma

The purpose of this research is to identify ways in which medical record keeping systems and health information systems might be integrated effectively and sustainably…

Abstract

Purpose

The purpose of this research is to identify ways in which medical record keeping systems and health information systems might be integrated effectively and sustainably. The aims include minimising the workload of busy frontline health professionals and radically improving data quality.

Design/methodology/approach

This is a qualitative research project, grounded in the theoretical stance that information systems are sociotechnical systems. The primary focus of this research is on real-life custom and practice. The study population consisted of participants in information systems. As is common in qualitative research, sampling was purposive rather than statistically representative.

Findings

This research suggests one unconventional conclusion. New approaches that use intermediate and hybrid technologies may have a better prospect of delivering satisfactory, realistic and affordable medium- to long-term solutions than strategies predicated on the assumption that only systems that are wholly electronic are worth considering.

Originality/value

This research is original in the sense that it investigated records rather than information technology systems. The findings are likely to be of applicability in other developing countries, especially those that share legacy systems with Malawi, such as Botswana, Tanzania, Zambia and Zimbabwe.

Details

Records Management Journal, vol. 28 no. 3
Type: Research Article
ISSN: 0956-5698

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Article
Publication date: 1 December 2002

Mitsuru Kodama

This paper describes the importance of strategic community creation as a new management style. It verifies that video‐based information networks utilizing information and…

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Abstract

This paper describes the importance of strategic community creation as a new management style. It verifies that video‐based information networks utilizing information and multimedia technologies enhance the quality of competencies and knowledge possessed by strategic communities, and it also verifies, through case studies, these networks are valid as organizational learning support systems within the strategic communities. Innovations in the area of veterinary medicine utilizing video‐based information networks over the past four years in Japan are taken as examples. This paper describes how knowledge and competencies within strategic communities comprising “industry, government, and academia” are enhanced, how the new virtual methods of telemedicine and distance learning are incorporated into the business process, and how “concepts of regionally linked cooperative bodies” are realized.

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Business Process Management Journal, vol. 8 no. 5
Type: Research Article
ISSN: 1463-7154

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Article
Publication date: 27 November 2018

Stephanie Hunter, Eleanor Craig and Jake Shaw

Within the current offender personality disorder (OPD) pathway in the UK, black, Asian and minority ethnic (BAME) populations are underrepresented. Fewer BAME offenders…

Abstract

Purpose

Within the current offender personality disorder (OPD) pathway in the UK, black, Asian and minority ethnic (BAME) populations are underrepresented. Fewer BAME offenders are engaging with services despite being proportionately identified for inclusion and referred on to the pathway. The paper aims to discuss this issue.

Design/methodology/approach

This qualitative study explored the experiences of 11 BAME men engaged in a prison-based OPD service for young offenders to identify the highlights and challenges of engagement within the service and to what extent they experienced a sense of inclusion/belonging.

Findings

Thematic analysis was used to identify three overarching themes and sub-themes. Why am I going to be an Outcast? describes the barriers to engagement encountered by the participants; and Give it a Try and Nothing but Respect describe the process of overcoming these barriers. Barriers revolved around the experiences of judgement, alienation and hopelessness. These were overcome through peer encouragement, developing relationships with staff and freedom to regulate levels of engagement.

Practical implications

Practice and policy implications are considered to support similar services in addressing the barriers to engagement faced by BAME individuals. Areas for future research are also recommended.

Originality/value

Currently, no research has directly explored the under-representation of young BAME offenders with emerging personality disorder in the OPD pathway. The findings provided an insight into some of the difficulties these young BAME offenders faced when accessing this service, alongside aspects which maintained their engagement.

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Article
Publication date: 1 March 1999

Lawrance Hurst

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Structural Survey, vol. 17 no. 1
Type: Research Article
ISSN: 0263-080X

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Article
Publication date: 27 April 2010

David Birnbaum and Jude Van Buren

This paper aims to describe the history and growth of mandatory public reporting of healthcare‐associated infection rates and the philosophy and implementation of an…

Abstract

Purpose

This paper aims to describe the history and growth of mandatory public reporting of healthcare‐associated infection rates and the philosophy and implementation of an evidence‐based total‐quality‐oriented state government program and also to provide critical appraisal of recognized assumptions underlying this movement.

Design/methodology/approach

This paper provides a narrative review of pertinent evaluation research literature and the authors' own experience.

Findings

Washington is one of few states that hired experts in the subject area to develop its new program. It is one of the first exploring optimal ways to validate the rates reported, and one of very few taking evidence‐based approaches to all aspects of program design.

Practical implications

The work provides a model for less‐developed agencies to follow.

Originality/value

This is a new and unprecedented role for state health departments, but offers opportunities to raise standards of practice through continuous quality improvement approaches with hospital partners while regaining public trust through transparency. Weak evidence supporting fundamental assumptions, and failure of prior approaches, indicate that we must explore new paths rather than follow established ones.

Details

Clinical Governance: An International Journal, vol. 15 no. 2
Type: Research Article
ISSN: 1477-7274

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Article
Publication date: 16 September 2021

Gary Lamph, Jake Dorothy, Tamar Jeynes, Alison Coak, Raeesa Jassat, Alison Elliott, Mick McKeown and Tim Thornton

The label “Personality Disorder” continues to divide opinion. Challenges to the terminology of personality disorder led by people with lived experience and supported by…

Abstract

Purpose

The label “Personality Disorder” continues to divide opinion. Challenges to the terminology of personality disorder led by people with lived experience and supported by critical practitioners and academics are tempered by acknowledgement of certain positive social consequences of obtaining a diagnosis. This study aims to engage service users and staff in a process of inquiry to better understand the complexities of views on the terminology of Personality Disorder.

Design/methodology/approach

This study set out to qualitatively explore the views of a range of people with lived, occupational and dual lived experience/occupational expertise, relating to the diagnostic label of Personality Disorder, via participatory and critical group debate. The World Café approach is an innovative methodology for participatory inquiry into subjective views suited to exploring the contested subject matter.

Findings

This study identified contrasting opinions towards the label of Personality Disorder and provides insight into the concerns described for both keeping and losing the label. Although many felt the words “personality” and “disorder” are not in themselves helpful, certain positive views were also revealed. Perspectives towards the label were influenced by the way in which diagnosis was explained and understood by patients and practitioners, alongside the extent to which service provision and evidence-based interventions were offered.

Research limitations/implications

The findings have the potential to contribute to the ongoing critical debate regarding the value of the Personality Disorder construct in the provision of care and support. Specific emphasis upon the relational framing of care provision offers a means to ameliorate some of the negative impacts of terminology. Perspectives are influenced in the way the label is understood, hence, attention is required to enhance these processes in clinical practice. There is much more study required to overcome stigmatisation, prejudice, and lack of knowledge and understanding. Further research identifying means for challenging stigma and the factors contributing to positive clinical interactions are required.

Originality/value

This study brings together a wide range of views and experiences of mental health professionals, individuals lived experiences and those who align to both lived and occupational expertise. A safe space was provided via the uniquely co-produced World Café research event to bring together discussion and debates from mixed perspectives makes this a novel study. The focus being on perspectives towards contested language, labelling and social impact adds to scholarship in this field.

Details

Mental Health Review Journal, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1361-9322

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