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Since the early 1980s, breakaway training has been synonymous with many prevention and management of violence and aggression (PMVA) training programmes in social care and NHS settings. However, for almost three decades, this community has continued to accept a training approach that has been largely unsupported by a robust underpinning methodology or evidence base. The validity of this historical training approach will be examined in context with the available literature, and will seek to identify the fundamental flaws that have been inherent in the traditional system. This paper will conclude by making some practical suggestions on how the efficacy of personal protective training may be improved, based on the emerging findings from other scientific fields.

Misconceptions about the health effects of coffee and caffeine are common, and, as only a tiny amount of published research ever reaches the public eye, this is perhaps not surprising. The inconsistent and often contradictory results within any subject in coffee/caffeine and health research leads to further confusion, while the stimulatory effects of caffeine are subject to considerable inter‐individual variation, affecting personal attitudes (whether positive or negative) towards caffeinated beverages. Assessing individual research studies on their own merit, and putting into perspective the overall data on a number of health topics, from cardiovascular disease to cancer, does suggest that the health risks of moderate coffee or caffeine consumption are not as great as may have been assumed. Individuals should perhaps not be concerned about the effects of drinking coffee on their physical wellbeing.

WE live at the present time under a constant bombardment of exhortation from governments, industrial leaders, trade associations and publicists. They regularly stress the hazards of the competitive world around us. Through all the warnings of this chorus of Cassandras runs a uniform theme. It is that unless we increase productivity the economic future of this country is precarious.

The medicalization thesis derives from a classic theme in the field of medical sociology. It addresses the broader issue of the power of medicine – as a culture and as a profession – to define and regulate social behavior. This issue was introduced into sociology 50 years ago by Talcott Parsons (1951) who suggested that medicine was a social institution that regulated the kind of deviance for which the individual was not held morally responsible and for which a medical diagnosis could be found. The agent of social control was the medical profession, an institutionalized structure in society that had been given the mandate to restore the health of the sick so that they could resume their expected role obligations. Inherent in this view of medicine was the functionalist perspective on the workings of society: the basic function of medicine was to maintain the established division of labor, a state that guaranteed the optimum working of society. For 20 years, the Parsonian interpretation of how medicine worked – including sick-role theory and the theory of the profession of medicine – dominated the bourgeoning field of medical sociology.