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1 – 10 of 54An inquiry into the constitution of the experience of patienthood. It understands “becoming a patient” as a production of a subjectivity, in other words as a process of…
Abstract
Purpose
An inquiry into the constitution of the experience of patienthood. It understands “becoming a patient” as a production of a subjectivity, in other words as a process of individuation and milieu that occurs through an ontology of production. This ontology of production can, of course, also be understood as a political ontology. Therefore, this is, first of all, an inquiry into a mode of production, and, secondly, an inquiry into its relation to the issue of social justice – because of effects of digital divisions. In these terms, it also reflects on how expert discourses, such as in medical sociology and science studies (STS), can (and do) articulate their problems.
Approach
An integrative mode of discourse analysis, strongly related to discursive institutionalism, called semantic agency theory: it considers those arrangements (institutions, informal organizations, networks, collectivities, etc.) and assemblages (intellectual equipment, vernacular epistemologies, etc.) that are constitutive of how the issue of “patient experience” can be articulated form its position within an ontology of production.
Findings
The aim not being the production of a finite result, what is needed is a shift in how “the construction of patient experience” is produced by expert discourses. While the inquiry is not primarily an empirical study and is also limited to “Western societies,” it emphasizes that there is a relation between political ontologies (including the issues of social justice) and the subjectivities that shape the experiences of people in contemporary health care systems, and, finally, that this relation is troubled by the effects of the digital divide(s).
Originality
A proposal “to interrogate and trouble” some innovative extensions and revisions – even though it will not be able to speculate about matters of degree – to contemporary theories of biomedicalization, patienthood, and managed care.
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Adam J. Vanhove, Tiffany Brutus and Kristin A. Sowden
In recent years, a wide range of psychosocial health interventions have been implemented among military service members and their families. However, there are questions over the…
Abstract
In recent years, a wide range of psychosocial health interventions have been implemented among military service members and their families. However, there are questions over the evaluative rigor of these interventions. We conducted a systematic review of this literature, rating each relevant study (k = 111) on five evaluative rigor scales (type of control group, approach to participant assignment, outcome quality, number of measurement time points, and follow-up distality). The most frequently coded values on three of the five scales (control group type, participant assignment, and follow-up distality) were those indicating the lowest level of operationally defined rigor. Logistic regression results indicate that the evaluative rigor of intervention studies has largely remained consistent over time, with exceptions indicating that rigor has decreased. Analyses among seven military sub-populations indicate that interventions conducted among soldiers completing basic training, soldiers returning from combat deployment, and combat veterans have had, on average, the greatest evaluative rigor. However, variability in mean scores across evaluative rigor scales within sub-populations highlights the unique methodological hurdles common to different military settings. Recommendations for better standardizing the intervention evaluation process are discussed.
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P. D. Harms, Dina V. Krasikova, Adam J. Vanhove, Mitchel N. Herian and Paul B. Lester
This chapter examines the role of stress and emotional well-being as critical antecedents of important outcomes in the military context. In it, we provide a framework for…
Abstract
This chapter examines the role of stress and emotional well-being as critical antecedents of important outcomes in the military context. In it, we provide a framework for understanding the sources of stress among military personnel. Using this model, we review the risk factors associated with combat and deployment cycles in addition to protective factors, such as personality characteristics and social support, which mitigate the effects of stress on emotional well-being and performance. Finally, we evaluate efforts by military organizations to enhance the emotional well-being of service members through training programs designed to build resiliency.
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Elizabeth Hooper and Lee Chapman
Purpose – To investigate the potential impacts of future climate change in the United Kingdom on its road and rail networks.Methodology/approach – The climate change impacts of…
Abstract
Purpose – To investigate the potential impacts of future climate change in the United Kingdom on its road and rail networks.
Methodology/approach – The climate change impacts of increasing summer temperatures, decreasing winter temperatures, increased heavy precipitation, greater numbers of extreme weather events and rises in sea level are reviewed.
Findings – Surface transportation is the most exposed element to the localised impacts of climate change. High summer temperatures will result in road rutting, rail buckling and decreased thermal comfort, whereas more intense winter precipitation will cause flooding, landslips and bridge scour across all modes. For all impacts, it is the extreme events (e.g. heat waves and storms) that are potentially the most devastating. As shown, there are some positive climate change impacts. For example, in the case of winter maintenance, all transport networks stand to benefit.
Originality/value – In order for transport to react appropriately to the potential changes in climate, it is essential to understand how the road and rail networks may be affected and to build strategies for both adaptation and mitigation into plans for future developments for both modes.
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Elizabeth C. Vozzola, Paul A. Cimbala and Karen Palmunen
Moral exemplars provide us with important case studies of optimal moral flourishing. Although most historians rate Abraham Lincoln as the most moral American president, their…
Abstract
Moral exemplars provide us with important case studies of optimal moral flourishing. Although most historians rate Abraham Lincoln as the most moral American president, their analyses do not utilize the perspective of moral development theory or research. This project asked whether such a perspective could contribute to a better understanding of Lincoln’s abundantly well-examined self and actions. This study examined the moral self of U.S. President Abraham Lincoln through close textual analysis of his brief autobiographical writings and his ethical turning point, his 1854 Peoria Speech attacking the morality of slavery. Even the limited sample of one major speech and three brief writings about life events provided evidence for the usefulness of McAdams’ method of examining life narratives for central themes and textual elements and for Colby and Damon’s (1992) method of interviewing exemplars and identifying common traits. Our methods allowed for no carefully constructed interview or clarification questions but rather relied on historical texts constructed for political goals. Major figures in the exploration of moral selves suggest that the centrality of morality to people’s sense of self lies at the heart of moral motivation and action. Studies of historical moral exemplars provide individuals and organizations with powerful role models for optimal ethical functioning and highlight the importance of fostering the centrality of morality in organizational leaders.
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This chapter investigates journalistic practice in Greece during the period of the memoranda (2010–2015). By focussing on press journalism, the research probes journalistic…
Abstract
This chapter investigates journalistic practice in Greece during the period of the memoranda (2010–2015). By focussing on press journalism, the research probes journalistic practice and structuration by investigating how communicating with political sources and managing incoming information took place in the significant case of the Greek memoranda. Furthermore, this chapter investigates these practices in order to determine what they can reveal about the Greek press system as well. An innovative multilevel theoretical framework is introduced that combines insights from political economy and framing theory, in order to shed light on journalistic practice in content production, and media system structures. Original data stemming from 12 semistructured interviews with Greek journalists that covered that memoranda are presented, in order to reveal the structuration of Greek journalism and how the structure of the newspaper constraints journalistic practice in content production and in the collection of information from political sources. This chapter ultimately argues that Greek press journalism developed in an even further entrenched political role during and postcrisis, due to the political and economic developments of the crisis and their impact in the press system. This entrenched political role had a significant role in how incoming information regarding the memoranda was managed and what kind of options Greek journalists had when constructing news about the case.
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Zubair Ali Shahid and Leonie Hallo
Current internationalisation and international business (IB) theories are silent on the intermittent internationalising experiences of small and medium size enterprises (SMEs…
Abstract
Current internationalisation and international business (IB) theories are silent on the intermittent internationalising experiences of small and medium size enterprises (SMEs) from emerging economies (EEs). The aim of this chapter is to examine the role that networks play in facilitating SMEs from EEs subsequent behaviour following intermittent (exit and subsequent re-entry) internationalising experiences, and to build the theory of this process. Internationalisation of SMEs is a complex phenomenon. Utilising qualitative interview-based data from 15 Pakistani and Chinese SME entrepreneurs, industry experts and government representatives, this study concludes the following: SMEs from EEs continuously reconfigure existing products, resources and markets through networks while reducing and reviving levels of commitment with partners in international markets. Additionally, entrepreneurs from these markets proactively choose to dissolve existing relationships, withdraw from foreign markets to seek new partnerships and diversify resources to reduce foreign market uncertainty. However, some SME entrepreneurs seek to re-enter into previous markets utilising prior relationships and networks. Hence, successful management of network relationships over time is a challenge for internationalising SMEs.
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Tova Band-Winterstein, Hila Avieli and Yael Smeloy
In face of global deinstitutionalization policy, some aging parents find themselves confronting violence and crime in the family due to abusive behavior from their adult child…
Abstract
Purpose
In face of global deinstitutionalization policy, some aging parents find themselves confronting violence and crime in the family due to abusive behavior from their adult child with mental disorder. The aim of this paper is to explore and understand the meaning given by aging parents to this deviant behavior and the different ways in which they cope with a lifetime in the shadow of violence.
Design/Methodology/Approach
Data collection was performed through in-depth semi-structured interviews with 16 parents, followed by content analysis.
Findings
Three themes that expressed the meaning attributed to life with ACMD in the shadow of violence: (1) constructing parental identity in a shared reality of violence, (2) social and family networks as a resource in coping with ACMD, and (3) keeping a daily life routine as an anchor in a vulnerable, abusive relationship
Practical Implications
Intervention with such families should focus on the life review process as a therapeutic tool. Interventions should also provide a “safety belt,” including health services, public social networks, and knowledge regarding their right for self-protection.
Originality/Value
Old age becomes an arena for redefined relationships combining increased vulnerability, needs of both sides, and its impact on the well-being of the ageing parents. This calls for better insights and deeper understanding in regard to intervention with such families.
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