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Article
Publication date: 5 January 2022

Cathy Brennan, Sonia Saraiva, Elizabeth Mitchell, Richard Melia, Lydia Campbell, Natalie King and Allan House

There are calls for greater regulation of online content related to self-harm and suicide, particularly that which is user-generated. However, the online space is a source of…

Abstract

Purpose

There are calls for greater regulation of online content related to self-harm and suicide, particularly that which is user-generated. However, the online space is a source of support and advice, including an important sharing of experiences. This study aims to explore what it is about such online content, and how people interact with it, that may confer harm or offer benefit.

Design/methodology/approach

The authors undertook a systematic review of the published evidence, using customised searches up to February 2021 in seven databases. The authors included empirical research on the internet or online use and self-harm or suicide content that had been indexed since 2015. The authors undertook a theoretically driven narrative synthesis.

Findings

From 4,493 unique records, 87 met our inclusion criteria. The literature is rapidly expanding and not all the evidence is high quality, with very few longitudinal or intervention studies so little evidence to understand possible causal links. Very little content online is classifiable as explicitly harmful or definitively helpful, with responses varying by the individual and immediate context. The authors present a framework that seeks to represent the interplay in online use between the person, the medium, the content and the outcome.

Originality/value

This review highlights that content should not be considered separately to the person accessing it, so online safety means thinking about all users. Blanket removal or unthinking regulation may be more harmful than helpful. A focus on safe browsing is important and tools that limit time and diversify content would support this.

Details

Journal of Public Mental Health, vol. 21 no. 1
Type: Research Article
ISSN: 1746-5729

Keywords

Article
Publication date: 1 March 2006

Lynne Mitchell and Elizabeth Burton

Design for dementia has, to date, focused on the internal, generally institutional environment of care homes and dementia care facilities. Yet the majority of older people with…

Abstract

Design for dementia has, to date, focused on the internal, generally institutional environment of care homes and dementia care facilities. Yet the majority of older people with dementia live at home, around one third of these on their own. Unless outdoor environments are designed to help older people with dementia continue to use their local neighbourhoods they will become effectively housebound. This paper presents the findings of a three‐year research project conducted by the WISE (Wellbeing in Sustainable Environments) research unit of the Oxford Institute for Sustainable Development at Oxford Brookes University. The researchers were funded by the EPSRC EQUAL initiative to examine how the outside environment could be made dementia friendly. This unprecedented research investigated the perceptions, experiences and use of the outdoor environment by older people with dementia and identified design factors that influence their ability to successfully use and negotiate their local neighbourhoods. The research found that dementia‐friendly outdoor environments are places that are familiar, legible, distinctive, accessible, comfortable and safe. The findings have enabled the researchers to provide some preliminary recommendations for designers, at all scales from urban design to the design of street furniture, on the criteria to consider in developing dementia‐friendly urban areas.

Details

Quality in Ageing and Older Adults, vol. 7 no. 1
Type: Research Article
ISSN: 1471-7794

Keywords

Book part
Publication date: 11 December 2007

Elizabeth Mitchell Armstrong

Why does bioethics need to be re-imagined? And what would a re-imagined bioethics look like and do? These questions are at the heart of this section. The bioethics enterprise in…

Abstract

Why does bioethics need to be re-imagined? And what would a re-imagined bioethics look like and do? These questions are at the heart of this section. The bioethics enterprise in the United States has taken a very particular form, as many sociological commentators have pointed out. At the center of bioethics is autonomy as the dominant feature of the bioethics landscape. This emphasis on autonomy has its roots in American individualism, as well as the congruent history of bioethics and the civil rights movement in the United States. With autonomy at the center of the frame, many other features of the landscape loom large: attention to the individual as the epicenter of the bioethical dilemma, a concordant emphasis on rights, an enduring inattention to the social relationships in which individuals are embedded, the institutions that constrain individual action, and the social structures that channel individual lives, and, finally, the heavy weight accorded to the provision of information to enable patient-directed decision making as the ultimate ethical duty of the clinician. Relegated to the background – indeed more often than not barely visible on the far horizon – are welfare, care, justice, kin, culture, and society itself. While the sociological critique of bioethics for this peculiarly narrow and microscopic view is not new, the three chapters in this section prove that it remains as relevant as ever. More importantly, they demonstrate how expanding the borders of bioethics to encompass the social context actually affords us a stronger vantage point to assess the moral significance of our actions.

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Content available
Book part
Publication date: 11 December 2007

Abstract

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Article
Publication date: 1 July 1993

Laurie Lomas and Elizabeth Mitchell

Focuses on achievement motivation in part‐time students. Althoughthe research has focused on teachers, it is felt that findings have ageneral application. Increasingly, employers…

Abstract

Focuses on achievement motivation in part‐time students. Although the research has focused on teachers, it is felt that findings have a general application. Increasingly, employers in all fields are expecting staff to undergo periods of part‐time training. Obviously, it is extremely advantageous to both employer and employee if a high achievement drive is maintained. Special coping strategies are needed. Considers many different issues involved, and highlights ways in which an achievement culture may be fostered.

Details

Education + Training, vol. 35 no. 7
Type: Research Article
ISSN: 0040-0912

Keywords

Book part
Publication date: 11 December 2007

Elizabeth Mitchell Armstrong

Like all tribes, bioethics has its own origin myths. According to these myths, bioethics emerged in the latter half of the twentieth century when new technologies and scientific…

Abstract

Like all tribes, bioethics has its own origin myths. According to these myths, bioethics emerged in the latter half of the twentieth century when new technologies and scientific developments challenged the norms that had traditionally governed clinical practice. Theologians, philosophers, clergy, judges, lawyers, journalists and ordinary people – the “strangers at the bedside” in David J. Rothman's memorable phrasing – began to take an interest in moral matters that previously had been the realm of physicians alone. Codes of research ethics were formulated in response to the Nazi atrocities; hospital ethics committees were established in sensitivity to the emerging notion of “patients’ rights.” Bioethics was born.

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Article
Publication date: 1 June 2010

Rita Newton, Marcus Ormerod, Elizabeth Burton, Lynne Mitchell and Catharine Ward‐Thompson

The design and maintenance of the physical external environment facilitate people's ability to get out and about. In particular, effective design of the neighbourhood street can…

Abstract

The design and maintenance of the physical external environment facilitate people's ability to get out and about. In particular, effective design of the neighbourhood street can support older people's independence (such as being able to go shopping) and increase social interaction and community engagement, reducing reliance on care in the home. Interviews were conducted with 200 people aged 65+ to assess their preferences for a range of street attributes. A structured questionnaire was used, in conjunction with photo elicitation. The analysis identified the components of a street that make a person feel safe and influence their decision to go out, such as adequate seating and smooth pavements. The results found that if these components are absent, some older people limit outdoor activity for a range of reasons. The implications are that older people's quality of life can be significantly improved by good street design.

Details

Journal of Integrated Care, vol. 18 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Book part
Publication date: 11 December 2007

Barbara Katz Rothman

I am a sociologist. It is the way I think, the way I work, and the methods and the theory and the imagination I bring to the world.

Abstract

I am a sociologist. It is the way I think, the way I work, and the methods and the theory and the imagination I bring to the world.

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Book part
Publication date: 11 December 2007

Elizabeth Ettorre

Prenatal comes from the Latin words ‘prae’ and ‘natalis’ meaning ‘before’ and ‘to be born’, respectively (Concise Oxford Dictionary, 1995). This word is semiotically loaded…

Abstract

Prenatal comes from the Latin words ‘prae’ and ‘natalis’ meaning ‘before’ and ‘to be born’, respectively (Concise Oxford Dictionary, 1995). This word is semiotically loaded because ‘prenatal’ connotes the time before being born. The word itself signifies the foetus (who is ‘before being born’) not the pregnant body within whom the foetus grows. If medical experts working within the discipline of reproductive medicine concentrate more on the foetus and its health than the pregnant woman, they take this meaning to heart. Experts argue that ‘a multidisciplinary approach to the foetus is essential part of antenatal screening’ (Malone, 1996, p. 157), a view suggesting that the foetus, more than a pregnant woman, is the physician's main focus during the prenatal period.

Details

Bioethical Issues, Sociological Perspectives
Type: Book
ISBN: 978-0-7623-1438-6

Article
Publication date: 1 January 1954

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

Abstract

Aarhus Kommunes Biblioteker (Teknisk Bibliotek), Ingerslevs Plads 7, Aarhus, Denmark. Representative: V. NEDERGAARD PEDERSEN (Librarian).

Details

Aslib Proceedings, vol. 6 no. 1
Type: Research Article
ISSN: 0001-253X

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