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Article
Publication date: 14 November 2023

Barbara van der Steen, Joke van Saane and Gerda van Dijk

The purpose of this article is to phenomenologically explore the reflective practices of leaders in public organisations amidst a complex societal context in combination with…

Abstract

Purpose

The purpose of this article is to phenomenologically explore the reflective practices of leaders in public organisations amidst a complex societal context in combination with rapid changes. In this article, the authors specifically explore the lived experiences of public leaders to generate new hypotheses concerning their reflective practices.

Design/methodology/approach

The phenomenological methodology consists of analysing the lived experiences of 13 public leaders, collected in an in-depth interview and written reflections.

Findings

The thick data offer new and up-to-date insights into the daily experiences of public leaders concerning their challenges, the effect of the addictive and alienating forces, their reflex to withdrawal when facing emotional incidents and the effects of their contradictory mindsets.

Practical implications

The practical implication is a critical approach towards reflective practices of public leaders. The risk is that reflectivity is approached as a socially desirable instrumental ritual. Considering the needs and desires the public leaders shared, the authors wonder: Is there a growing importance of reflective time and space – or, above all, meaningful relations and resonant moments amidst the alienation forces?

Originality/value

The phenomenological exploration offers concrete insights into the daily experience of public leaders', as opposed to the often-abstract theory. The new hypotheses provide a new starting point for further critical phenomenological research.

Details

International Journal of Public Leadership, vol. 19 no. 4
Type: Research Article
ISSN: 2056-4929

Keywords

Article
Publication date: 2 May 2017

Lotte Ramerman, Gerda de Kuijper and Pieter J. Hoekstra

Antipsychotic drugs are frequently prescribed to people with intellectual disabilities (ID) to ameliorate psychotic symptoms and behavioural symptoms with and without mental…

242

Abstract

Purpose

Antipsychotic drugs are frequently prescribed to people with intellectual disabilities (ID) to ameliorate psychotic symptoms and behavioural symptoms with and without mental condition. Guidelines recommend systematic evaluation of treatment effects and adverse effects, and limiting the treatment duration. Studies have shown that adherence to prescription guidelines is beneficial for clients’ outcomes. Therefore, the purpose of this paper is to investigate the adherence to antipsychotic drug prescription guidelines in two treatment settings.

Design/methodology/approach

A checklist, based on existing antipsychotic drug prescription guidelines, was used to evaluate the adherence of prescribers to guidelines in two settings in the Netherlands, i.e., in specialized intellectual disability (ID) care organizations and mental health care organizations. Data from medical records of clients who used antipsychotic drugs (n=299) were compared to the items of the checklist.

Findings

Treatment effects were measured with validated scales in both settings in only 2.7 per cent of cases. Prescriptions were for problem behaviour in the absence of a psychotic disorder or psychotic symptoms in 90 per cent (specialized ID care) and in 79 per cent (mental health care) of cases. In specialized ID care pipamperone (31.9 per cent) and in mental health care risperidone (48.5 per cent) was most often prescribed. Adverse effects were monitored more frequently in specialized ID care.

Originality/value

The adherence to guidelines for prescribing antipsychotic drug to people with ID is insufficient in the Netherlands, because of shortcomings in the evaluation of treatment and adverse effects.

Details

Advances in Mental Health and Intellectual Disabilities, vol. 11 no. 3
Type: Research Article
ISSN: 2044-1282

Keywords

Book part
Publication date: 2 July 2015

Teana Boston-Mammah

This research paper explores the role of women talk (schmoozing) and the gender gap in urban sociology. In the discussions concerning the changing face of the Dutch inner cities…

Abstract

This research paper explores the role of women talk (schmoozing) and the gender gap in urban sociology. In the discussions concerning the changing face of the Dutch inner cities, there is an increasing tendency for attention to be paid to ethnicity, without a concomitant analysis of the impact of gender in these neighbourhoods. Many Dutch urban theorists focus on examining both the levels and effects of segregation in urban neighbourhoods and how this impacts integration and community building in the Netherlands. This study, in seeking to redress this imbalance, firmly places women at the centre of urban theoretical enquiry. Using the results of unstructured interviews and observation I am able to offer an assessment of the many ways in which ethnically embedded gender relations have impacted on the urban and social spaces known as Afrikaanderwijk. A key line of enquiry being: what role do women play and how are they visible in/at the local neighbourhood level, specifically in the form of everyday, informal social contacts?

Details

Contributions from European Symbolic Interactionists: Conflict and Cooperation
Type: Book
ISBN: 978-1-78441-856-4

Keywords

Book part
Publication date: 10 November 2011

Camilla Perrone

The contemporary city is a field with a myriad of problems that require deep reflection and the questioning of habitual ways of thinking and acting. This chapter examines some of…

Abstract

The contemporary city is a field with a myriad of problems that require deep reflection and the questioning of habitual ways of thinking and acting. This chapter examines some of these, while seeking a path – or perhaps a way out – in order to deal with the difficulties linked to the most pressing emergent phenomena: the multiplication of new citizens, the complicated mosaic of differences, the spread of voluntary communities and the requests for recognition in a socially diverse and multiple society.

The reflections brought together in this chapter leave behind mundane literary routines, imprisoned in the clichés of the discourse on post-modernity, to single out a ‘field of practices’ that is enigmatic but at the same time constitutes and generates a new idea of urbanity. DiverCity (Perrone, 2010) is the literary and evocative figuration that recounts this set of practices. The figuration uses a ‘play on words’ between diversity and city, in which the two concepts are understood as entities with a one-to-one correspondence, an ontological interconnection. DiverCity is the outcome of a process to produce and exchange multiple, plural, interactive (built up during the action), expert and experiential knowledge.

Details

Everyday Life in the Segmented City
Type: Book
ISBN: 978-1-78052-259-3

Keywords

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