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The purpose of this paper is to provide an overview of the application of therapeutic community (TC) method in non-TC environments.
Abstract
Purpose
The purpose of this paper is to provide an overview of the application of therapeutic community (TC) method in non-TC environments.
Design/methodology/approach
Milieu treatment is defined and differentiated from TC “proper”. Literature is reviewed covering attempts to use TC methods in inpatient wards, across hospitals, and more recently in the criminal justice system and more widely through the enabling environments initiative.
Findings
It is unclear whether TC milieu treatments proved helpful in acute ward environments in their heyday in the 1950s, 1960s and 1970s, in particular those involving people suffering from acute psychosis, and the changing landscape of psychiatric provision may make further investigation difficult. The reasons for this, and for the difficulties reaching a firm conclusion, are outlined. In contrast, TC milieu interventions appear to be demonstrating usefulness more recently in less mixed populations without the implementation of full TC “proper”.
Research limitations/implications
Much of the research is old and the methodology poor, which limits the conclusions that can be drawn.
Practical implications
Recent innovations pick up in a more accessible way principles of therapeutic communities that can inform and improve care in a variety of contexts. They are sufficiently well defined to lend themselves to research, which should now be a priority.
Originality/value
After a gap in developments in the field, recent innovations are reintroducing elements of TC functioning to new contexts including criminal justice settings, inpatient wards, homeless shelters and city communities.
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Maria Anne Skaates, Henrikki Tikkanen and Kimmo Alajoutsijärvi
Many types of commercial professional services are commonly sold as projects. Therefore this article draws on the project marketing literature to elucidate the international…
Abstract
Many types of commercial professional services are commonly sold as projects. Therefore this article draws on the project marketing literature to elucidate the international marketing of professional service projects. After an initial literature review, the project marketing milieu concept’s a priori territorial definition is critically examined on the basis of cases concerning the internationalization of Nordic architectural firms. It is hypothesized that territoriality plays the biggest role in situations where a firm is moving from one national milieu with well‐established norms, rules, and representations to another national milieu with similarly well‐developed norms, rules, and representations, yet that there also exist global milieux. Managerial implications concerning professional service firms’ preparation for entering a foreign milieu as well as subsidiary or office establishment abroad are provided.
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Izhak Schnell and Michael Sofer
Ethnic entrepreneurs’ networks are analysed on the basis of three complementary dimensions: intensity and complexity of networks; power relations; and entrepreneurs’ horizons of…
Abstract
Ethnic entrepreneurs’ networks are analysed on the basis of three complementary dimensions: intensity and complexity of networks; power relations; and entrepreneurs’ horizons of awareness. The analysis is based on two theoretical propositions. First, firms located in the periphery are weakly embedded in national markets due to their external depended relations. Second, local firms use the tendency to embed themselves in their home regions as a strategy to improve their position in external power relations. The inquiry of Arab industry in Israel suggests that the form and degree of embeddedness of any given firm is affected by the existence of both separate economic milieus: Arab and Jewish. The findings lead us to suggest two concepts. First, over‐embeddedness, which characterises Arab firms that are highly embedded in the local milieu, operate under the influence of kinship structures and a petrified supportive tissue that downgrades networks into cohesive coalitions opposing structural changes. Second, under‐embeddedness, which characterises firms that manage to develop and maintain wide inter‐ethnic dependent sets of networks, but due to lack of power fail to transform them into more rewarding exchanges.
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Annie Tubadji, Masood Gheasi and Peter Nijkamp
An interest in social transmission as a source of welfare and income inequality in a society has re-emerged recently with new vigour in leading economic research (see Piketty, 2014…
Abstract
Purpose
An interest in social transmission as a source of welfare and income inequality in a society has re-emerged recently with new vigour in leading economic research (see Piketty, 2014). This paper presents a mixed Bourdieu-Mincer (B-M) type micro-economic model which provides a testable mechanism for culturally biased socio-economic inter-generational transmission. In particular, the operationalisation of this mixed B-M type model seeks to find evidence for individual and local cultural capital effects on the economic achievements, in addition to the human capital effect, for both migrants and locals in the Netherlands. The purpose of this paper is to examine two sources of wage differential in the local labour market, namely: individual cultural capital (approximated by immigrant background), which affects schooling results; and the local cultural capital (approximated with the cultural milieu), which directly biases the selection of employees.
Design/methodology/approach
The study utilises the 2007-2009 data set for higher professional education (in Dutch termed HBO) graduates registered in the Maastricht database. The Mincer-type equation is augmented with a control variable for the local cultural milieu. The authors cope with this model empirically by means of 2SLS and 3SLS methods.
Findings
The authors find convincing evidence for the existence of both an individual cultural capital and a local cultural capital effect on schooling and wage differentials. This can be interpreted as a migrant background effect leading to a disadvantaged position on the labour market due to less frequently attending high-quality secondary schools.
Originality/value
More importantly, the authors find evidence for a classical Myrdalian effect of self-fulfilling prophecy, in which graduates with second-generation migrant background have a disadvantaged position due to access only to poorer quality of schooling.
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Focuses on exploring the extent and patterns of innovation in the West Midlands region, based primarily on data generated by the Price Waterhouse West Midlands Business Survey, a…
Abstract
Focuses on exploring the extent and patterns of innovation in the West Midlands region, based primarily on data generated by the Price Waterhouse West Midlands Business Survey, a bi‐annual survey of around 1,000 businesses. Explores regional development and innovation within a framework developed by Camagni, which focuses on agglomeration economies and the creation of an innovative milieu within a regional economy. Suggests two methods to encourage innovation within the UK’s West Midlands region through support to associated expenditures (training and exporting). In the context of a rising currency the research suggests that innovating firms have a strategy to overcome adverse currency movements.
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Vår Mathisen, Geir Fagerheim Lorem, Aud Obstfelder and Per Måseide
The concept of user participation is well accepted internationally. Nevertheless, studies show that both patients and health professionals find it challenging to maintain…
Abstract
Purpose
The concept of user participation is well accepted internationally. Nevertheless, studies show that both patients and health professionals find it challenging to maintain patient-centred ideals in the context of severe mental illness. The purpose of this paper is to explore how professionals deal with the ideals in light of patients’ right to participate in planning and decision making regarding milieu therapeutic measures and activities.
Design/methodology/approach
This is a qualitative study with an interactionist approach based on fieldwork at three district psychiatric centres in Norway during 2011-2012. The observations focused on patient-staff interaction in milieu therapeutic activities. Interviews were based on observed situations.
Findings
Adherence to treatment, rules and routines restricted patient autonomy. The professionals’ practical orientation towards routines overrode the ideals of patients’ rights. The staff regarded user participation primarily as participation in organised and mandatory activities. Refusal to comply was met with different sanctions, e.g. the prospect of being discharged.
Originality/value
Although user participation calls for patient-centred approaches, there is some debate about the challenges and premises for cooperation with persons suffering from severe mental conditions. This study adds insight into the everyday organisational context that facilitates or impedes user participation. It helps to explain why the user perspective can be overlooked, thus providing important information to both clinicians and policy makers who aim to fulfil the patient’s right to participate in planning and decision making regarding treatment and care.
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Trine Elisabeth Iversen, Kristin Horndalsveen, Espen Matre, Tine Finstad Henriksen, Sarah Fusche, Arvid Nikolai Kildahl and Trine Lise Bakken
There are few publications on personality disorder in adults with intellectual disability (ID), and on borderline personality disorder (BPD) specifically. Publications concerning…
Abstract
Purpose
There are few publications on personality disorder in adults with intellectual disability (ID), and on borderline personality disorder (BPD) specifically. Publications concerning treatment are sparse, despite the high symptom burden in these patients. This paper aims to discuss these issues.
Design/methodology/approach
Six patients with BPD and ID were recruited from the same inpatient unit. Behaviour problems and mental health symptoms were scored on admission and discharge. Information about treatment, length of stay, etc. was taken from case files.
Findings
Both mental health symptoms measured by the SCL-90-R, and behaviour problems measured by the Aberrant Behaviour Checklist were significantly reduced on discharge. In the active treatment period, the two main aspects of treatment were validation and practicing new solutions when emotional and behavioural problems occur, i.e. skills training.
Research limitations/implications
The limitations related to this study are that the study is conducted in one milieu only. Another limitation is that the patients were admitted over a five-year period, where, some changes were made in the treatment approach.
Practical implications
Inpatient treatment of this patient group seems to be effective if individually adjusted to the patient’s psychopathology, ID and communication style. Close co-operation between the individual therapist and milieu therapists is essential.
Originality/value
There is a need for intervention studies on BPD in ID. This study may be a valuable contribution.
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This paper seeks to examine the milieu of reporting in two villages operating on Koro Island, Republic of Fiji Islands. It aims to analyse how both western‐narrow and traditional…
Abstract
Purpose
This paper seeks to examine the milieu of reporting in two villages operating on Koro Island, Republic of Fiji Islands. It aims to analyse how both western‐narrow and traditional reporting offers rural villages extensive opportunities to discharge responsibilities of stewardship, accountability and accounts of the activities of farmers and stores in an agrarian setting, whether the activities are subsistence‐ or cash‐based.
Design/methodology/approach
Fieldwork was conducted in two villages of Koro Island, Nacamaki and Nabuna, to ascertain the milieu of reporting, and open‐ended interviews were conducted with villagers from both villages. The “view from the centre” is adopted here, rather than the “view from the periphery”.
Findings
The study shows that people of both Nacamaki and Nabuna villages have adapted their specific reporting styles according to the circumstances facing them. Despite being only 5 km apart, two sharply contrasting village reporting milieux emerge. One relies greatly on the use of both Traditional oral and Western‐narrow hand‐written reports to fulfil accounts of entities (co‐operative and individual farmers) operating in the village. The other prefers oral communication to any form of written communication to raise accounts of villagers' collectivist and independently charged, agrarian‐based activities.
Research limitations/implications
The study raises three sets of policy issues that are central to the development of reporting in Eastern Fijian villages. Numerous resources are unnecessary in presenting a western‐narrow account of transactions when the accounts are supplemented by a traditional reporting mien. Western‐narrow reporting appears to be well received by co‐operative members and individually oriented farmers. In the absence of Western‐narrow reporting, Traditional reporting seems to serve the needs of both communally oriented and individualistically inclined villagers. The results of the study underlie both the complexity of village life in determining systems of reporting and the fragility of written reporting in Eastern Fijian outer island villages.
Practical implications
The study shows the way in which Eastern Fijian villages resolve subsistence and cash exchanges at the social level, taking into account local conventions, customs, laws, rituals and values.
Originality/value
The originality of the paper rests in considering villagers' own reporting through internal points of reference, providing space for interrelations between traditional Fijian values, the island landscape and the cultural geography.
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The purpose of this paper is to link the social interactions between principals and their teachers to teachers’ perceptions of their students’ engagement with school, empirically…
Abstract
Purpose
The purpose of this paper is to link the social interactions between principals and their teachers to teachers’ perceptions of their students’ engagement with school, empirically testing the theoretical proposition that principals influence students through their teachers in the US charter school environment. The mediating influence of latent beliefs of trust and support are tested in this process.
Design/methodology/approach
By analyzing pooled network and survey data collected in 15 Indianapolis charter schools using stepwise, fixed-effects regression techniques, this study tests the association between interactions of principals and teachers, on the one hand, and teachers’ perceptions of student engagement, on the other. The extent to which latent beliefs about teachers – in particular, trust in teachers and support of teachers by the administrators – mediate this relationship is also tested.
Findings
Direct relationships between principal-teacher interactions and latent beliefs of trust and support are confirmed. Direct relationships between latent beliefs and perceptions of academic and school engagement are also confirmed. There is a relationship between principal-teacher interactions and teacher perceptions of student engagement, but the mediating effect of latent beliefs of trust and support accounts for much of the direct association. The reachability of the principal remains a significant and direct influence on teachers’ perceptions of academic engagement after accounting for trust and support.
Research limitations/implications
Moving beyond principals’ personality dispositions in management and turning to the social relationships that they form with teachers adds to the understanding of how principal leadership affects student learning. Empirically distinguishing between the actual interactions and social dispositions of principals helps inform practical implications. Focussing on how principals’ social interactions with teachers influence teachers’ perceptions of students’ engagement provides a theoretical link as to how principals indirectly influence student achievement.
Practical implications
The relationships that principals build with teachers have real implications on the beliefs of trust and support among teachers in a school and have a ripple effect on teachers’ perceptions of student engagement. These findings therefore suggest that frequently moving principals among schools is not an ideal policy.
Originality/value
This study tests the theoretical boundaries of school organization research by using a within-schools design with charter schools. It also links leadership research to outcomes typically restricted to research on school culture and climate.
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Annie Tubadji and Peter Nijkamp
Theoretical and empirical research on the impact of immigrants for local development is rather inconclusive regarding the direction of said impact. The purpose of this paper is to…
Abstract
Purpose
Theoretical and empirical research on the impact of immigrants for local development is rather inconclusive regarding the direction of said impact. The purpose of this paper is to identify relationships between human capital and cultural capital, in the context of local labour market productivity.
Design/methodology/approach
As the key constituents of human capital, identified in the literature, are both the locally generated through investment in education and the inflowing through immigration human capital, the paper examines those jointly in a close-to-reality-model. To this end, the paper operationalizes and infers data on the “melting pot” of EU15, NUTS2 level. The sources of the data are the Eurostat Regional Database and the World Value Survey, which have served to construct both a cross-section for the year 2001. These data sets allows us to examine the different groups of migrating and local human capital, their interaction and joint impact on local productivity through three stage least square estimations of the simultaneous equations CBD model.
Findings
The evidence suggests that benefits from immigrants differ, not only due to their human capital, but also due to their culturally biased different bargaining power on the labour market.
Originality/value
The main advantage of the suggested model of productivity is that, in addition to accounting for the filigree composition of human capital, it also takes into consideration the cultural capital present in a locality. In this manner, the authors are able to examine the interaction between the quality of the incoming human capital and the cultural encounter context (generating the cultural “milieu” effect) of the modern diverse city.
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