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The number of companies reporting mental health problems among staff is increasing. The author argues that initiatives to help staff cope with these difficulties are too late and that it is the duty of organizations to develop a workplace culture and environment where people can be motivated but calm and that other benefits will also flow from this.

The paper reports findings from the CIPD, HSE and NHS as background to a discussion of how auditing unmet human needs might be expected to improve mental health at work.

The paper suggests that a relatively simple and inexpensive approach could change the landscape of human emotion at work and that the process would embed a new culture of understanding and coaching in management.

The conclusions would not necessarily extend to repetitive manufacturing processes and implementation would be difficult in organizations wedded to early twentieth century “scientific” management principles.

The paper has implications for organizations operating in the “knowledge” economy where the management has an interest in developing and retaining a happy and energized staff.

The paper has implications for people whose lives are affected by stress generated by the working environment and culture.

This paper fits two identified needs: to suggest better ways of supporting staff who might develop mental health problems at work and to suggest a framework that will fill the gap left by the approaching demise of the annual review or appraisal process.

Almost all libraries collect fiction. Of course the nature, scope, and organization of the collection varies with the type of library and its clientele. In this column scholars, fans, and just plain readers of diverse fiction formats, types, and genres will explore their specialty with a view to the collection building needs of various types of libraries. In addition to lists of “good reads,” authors not to be missed, rising stars, and rediscovered geniuses, columnists will cover major critics, bibliographies, relevant journals and organizations, publishers, and trends. Each column will include a genre overview, a discussion of access to published works, and a core collection of recommended books and authors. Janice M. Bogstad leads off with a discussion of science fiction. In the next issue of Collection Building, Ian will focus her discussion on the growing body of feminist science fiction with an article entitled, “Redressing an Interval Balance: Women and Science Fiction, 1965–1983.” Issues to follow will feature Kathleen Heim on thrillers, and Rhea Rubin reviewing short story collection building. Should you care to suggest an area or aspect of fiction collection building for discussion or try your hand as a columnist contact the column editor through Neal‐Schuman Publishers.

After discovering that the Advisory Council on the Misuse of Drugs, in their 38 years of public service, had not sought, nor been provided, independent legal advice regarding the breadth and scope of their statutory remit under the Misuse of Drugs Act 1971 (HM Government, 1971), Casey Hardison wrote the following letter to the Council chair addressing this failure.

Associations between fetal alcohol syndrome (FAS) and other conditions have been reported, but the links between FAS and autistic spectrum disorders (ASD) remain unclear. This study explored the relationship between FAS and ASD in individuals attending a specialist diagnostic clinic. Consecutive referrals over 24 months to a specialist neurodevelopmental clinic were evaluated using gold standard methods for FAS diagnosis and ASD. The first 18‐month cohort who met criteria for ASD were compared with controls attending the same clinic but who had not experienced prenatal alcohol exposure (nested data). Data for the whole group were also collected. Twenty‐one fetal alcohol spectrum disorder (FASD) individuals were assessed and 16 (72%) met ICD‐10 criteria for childhood autism. Further significant differences between the prenatally exposed and non‐exposed group with ASD were found in the nested study. The research shows an association between heavy prenatal alcohol exposure and ASD. As this is a small sample in a specialist clinic, the study suggests that a larger, more population‐based study of those exposed to heavy prenatal alcohol is warranted.

This discussion paper reviews and critiques literature related to the evolution of the medical humanities as an academic discipline and its contribution to healthcare provision. We argue that despite considerable advances in the field of medical humanities, needs have been identified for a more inclusive, outward‐facing and applied discipline. These needs can be met in the form of what we have called the health humanities, which both embrace interdisciplinarity and engage with the contributions of those marginalised from the medical humanities ‐ for example, allied health professionals, nurses, patients and carers. It is argued that there is a need for new thinking to develop the discipline of health humanities, to develop, provide and share research, expertise, training and education.

Training clinical child psychologists necessitates explicit attention to the importance of developing cultural competencies for practice in diverse communities. This case study, comprising relevant social history, cultural models of child psychopathology and conceptual analysis of complex systems in bicultural Aotearoa New Zealand, offers salutary lessons for clinical practice internationally. In New Zealand, indigenous perspectives on children's mental health needs are holistic, encouraging trainee practitioners to recognise the systemic influences of extended family, school and community. Accommodating the expectations, values, and hegemony of both Māori and European populations requires service providers to acknowledge a broad interpretation of evidence‐based practice. In terms of true scientific progress, future best practice will require a rapprochement between the traditional knowledge of indigenous cultures and the empirically‐derived insights of psychology as an international discipline. The imperative to share power in decision‐making moves the debate beyond conventional multicultural sensitivities. Moral and political issues are inextricably entwined with clinical and professional activities.

Managers in the UK's National Health Service (NHS) carry responsibility for achieving government targets on the provision of quality care and service to patients. The demands on managers to achieve these targets is significant in itself, but are often multiplied because of having to cope with the conflicting pressures of an organisation that operates with a ‘business’ focus, yet is essentially a caring body that is service‐oriented at heart. These two areas of business and service are not naturally compatible and can create tension. Leaders are expected to bridge the two with ease, with little preparation on how to cope with the conflict that these two paradigms can create.This paper, detailing the authors' work with managers in an NHS acute trust, provides unique insights into ways of dealing with the tensions and challenges that leaders experience. The authors argue that a holistic approach to leadership is required to enable this tension to be managed effectively, which considers the physical, mental and spiritual. Of these three elements it is the spiritual dimension that is the most contentious, difficult and most often avoided aspect to leadership and the authors also found this in their work with this NHS acute trust. The paper introduces a model that highlights the three elements to the holistic approach, and goes on to use it in an analysis of the situation faced by managers. The analysis highlights the importance of balance and need for including more consideration of the spiritual dimension in leaders' activities.

The boatmen on the pleasure boats which ply between Westminster Pier, the Tower and Greenwich have of recent years taken to drawing attention, by megaphone, to the historic places the boats pass on the trip. One of the sights they point out is a warehouse on the south bank near Southwark Bridge which bears a large notice stating that it is the site of the Globe Playhouse. The notice, which is incorrect, is one of the survivals of the controversy which raged in the 1920's as to the position of the “Glory of the Bank”, the Globe Playhouse, where Shakespeare trod the boards and for which some of the world's greatest dramas were written.

Safeguarding people who have sustained a traumatic brain injury (TBI) requires not only knowledge of safeguarding practice and procedures, but also the implications of a brain injury. This paper provides an introduction to the nature and impact of TBI upon individuals and their families. Drawing on anonymised case material and practice experience, it explores how the sequelae of TBI, in particular cognitive, emotional and behavioural changes can produce potential safeguarding issues. The person with TBI's potential vulnerability to different forms of abuse is then considered and the relevance of the legislative framework explored. The paper then summarises key points for safeguarding practice in this complex field. It concludes by emphasising that gaining knowledge of how TBI impacts on individuals and their families is essential to understand their risk of abuse. In doing so, it also highlights that simplistic dichotomies between victim and perpetrator can ignore the complexity of the interactions in which safeguarding occurs.

There is a rich literary tradition of depicting human-dwelling places (usually houses) as living bodies, stretching from the Middle Ages to contemporary fiction. On several occasions, the interaction between the characters in these works and the house-body entity described has taken the form of a digestive journey. Rooms come to symbolise mouths, kitchens and even bowels, and sometimes the human body and mind are gradually incorporated into the external architectural space. This chapter examines two literary works in which this occurs – the ‘House of Temperance’ in Spencer's The Faerie Queene (1590) and Shirley Jackson's novel The Haunting of Hill House (1959). These two examples, from two very different literary traditions (Renaissance allegorical and modern Gothic horror respectively) show the fine line between revelation and horror, how spatial materiality and meaning are flexible and how a building may transform the character within it both psychologically and physically.