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While shared decision making (SDM) in general health has proven effectiveness, it has received far less attention within mental health practice with a disconnection…
While shared decision making (SDM) in general health has proven effectiveness, it has received far less attention within mental health practice with a disconnection between policy and ideals. The purpose of this paper to review existing developments, contemporary challenges, and evidence regarding SDM in mental health with a particular focus on the perspectives of service users.
This is a review of international papers analysed using narrative synthesis of relevant data bases.
The review shows significant barriers to the utilisation of SDM including ethical and legal frameworks, accountability and risk. The medical model of psychiatry and diagnostic stigma also contributes to a lack of professional acknowledgement of service user expertise. Service users experience an imbalance of power and feel they lack choices, being “done to” rather than “worked with”.
The paper also presents perspectives about how barriers can be overcome, and service users enabled to take back power and acknowledge their own expertise.
This review is the first with a particular focus on the perspectives of service users and SDM.
This review paper will look at internationally existing publications in the English language on mental health shared decision making (SDM) implementation of a variety of…
This review paper will look at internationally existing publications in the English language on mental health shared decision making (SDM) implementation of a variety of interventions, including different methodologies and research methods, age groups and countries. The purpose of this paper is to provide an overview of: process, degree and outcomes of implementation; barriers and facilitators; perspectives on implementation by different stakeholders; analysis of the process of implementation in mental health services through the lenses of the normalisation process theory (NPT).
Following a targeted literature search the data were analysed in order to provide an overview of methodologies and methods applied in the articles, as well as of the variables listed above. Three different types of information were included: a content analysis of key issues, reflective understanding coming out of participating in implementation of an SDM project in the form of two narratives written by two key participants in an SDM pilot project and an NPT analysis of the process of implementation.
Only a minority of mental health SDM research focuses on implementation in everyday practice. It is possible and often desirable to achieve SDM in mental health services; it requires a low level of technology, it can save time once routinized, and it is based on enhancing therapeutic alliance, as well as service users’ motivation. Implementation requires an explicit policy decision, a clear procedure, and regular adherence to the aims and methods of implementation by all participants. These necessary and sufficient conditions are rarely met, due to the different levels of commitment to SDM and its process by the different key stakeholders, as well as due to competing providers’ objectives and the time allocated to achieving them.
The review indicates both the need to take into account the complexity of SDM, as well as future strategies for enhancing its implementation in everyday mental health practice. Perhaps because applying SDM reflects a major cultural change in mental health practice, current value attached to SDM among clinicians and service managers would need to be more positive, prominent and enduring to enable a greater degree of implementation.
This chapter focuses on the value of TED Lectures on the issue of domestic violence and abuse (DVA). It outlines a generic framework with which to understand and analyse…
This chapter focuses on the value of TED Lectures on the issue of domestic violence and abuse (DVA). It outlines a generic framework with which to understand and analyse the impact of TED Lectures on a theme as complex as DVA is, in the context of popular Western culture. It does so by looking in details at the Ted Lecture of Leslie Morgan Steiner from 2012, which aims to answer the question ‘Why Domestic Violence Victims Don't Leave: Crazy Love’ through her own personal experience.
In the attempt to understand the impact of this TED Lecture we look at the literature on TED Lectures, the unique aspects of DVA, who is the presenter, the impact and its components, the active viewers who sent written comments on the Ted Lectures, the technical effect, the comparison with two other Ted Lectures on DVA, ending by identifying gaps in the analysis provided by the three Ted Lectures.
Presenters share with the viewers their personal experience, as well as their experience as activists in organisations and programmes set out to change the status quo in the field of DVA.
The lectures impact through layers of emotional and intellectual facets, which speak to the individuals viewing them through the lens of their own emotional and intellectual experiences of DVA on the one hand, while on the other hand being also influenced by the mode of presentation and the presenter her/himself.
Introduction: Media representation of intimate partner violence (IPV) can influence public opinion and understanding of the phenomena and guide health policies. The…
Introduction: Media representation of intimate partner violence (IPV) can influence public opinion and understanding of the phenomena and guide health policies. The current review has the aim to explore and discuss international, scientific literature focused on the portrayal of IPV in written forms of news media.
Method: Searching through EBSCO and PubMed, 2,435 studies were found and 41 were included in the current review.
Results: Bias in the portrayal of IPV was found within the studies included. While IPV-related news was mainly focused on male-perpetrated violence within heterosexual couples, little attention was paid to same-sex intimate partner violence (SSIPV). Newsworthy stories dominate IPV reporting within news media and a sensationalistic style was often employed. Furthermore, contextual information was often limited and the adoption of a thematic frame was rare, while news media were found to commonly employ an episodic frame. Official sources and family, friends and neighbours were the most quoted sources in news articles, while IPV experts were rarely drawn on for information. Regarding media representation of perpetrators, mainly regarding male abusers, news articles reported several reasons behind the violence with the consequence to justify and exonerate them from their responsibilities. Female perpetrators were found to be depicted, in some cases, as ‘mad’ or ‘bad’ people. Finally, victim-blaming content emerged within many of the articles included.
Conclusion: Bias in the media representation of IPV emerged in the current review, which needs to be addressed to positively influence public opinion and to promote an adequate understanding of the phenomena.
Media power plays a role in determining which news is told, who is listened to and how subject matter is treated, resulting in some stories being reported in depth while…
Media power plays a role in determining which news is told, who is listened to and how subject matter is treated, resulting in some stories being reported in depth while others remain cursory and opaque. This chapter examines how domestic violence and abuse (DVA) is reported in mainstream and social media encompassing newspapers, television and digital platforms. In the United Kingdom, newspapers have freedom to convey particular views on subjects such as DVA as, unlike radio and television broadcasting, they are not required to be impartial (Reeves, 2015).
The gendered way DVA is represented in the UK media has been a long-standing concern. Previous research into newspaper representations of DVA, including our own (Lloyd & Ramon, 2017), found evidence of victim blaming and sexualising violence against women. This current study assesses whether there is continuity with earlier research regarding how victims of DVA, predominantly women, are portrayed as provoking their own abuse and, in cases of femicide, their characters denigrated by some in the media with impunity (Soothill & Walby, 1991). The chapter examines how certain narratives on DVA are constructed and privileged in sections of the media while others are marginalised or silenced. With the rise in digital media, the chapter analyses the changing patterns of news media consumption in the UK and how social media users are responding to DVA cases reported in the news. Through discourse analysis of language and images, the potential messages projected to media consumers are considered, together with consumer dialogue and interaction articulated via online and social media platforms.
In this chapter, the authors focus on a range of Australian news articles selected for their relevance to key themes in the area of child abuse and examine two high…
In this chapter, the authors focus on a range of Australian news articles selected for their relevance to key themes in the area of child abuse and examine two high profile cases of child abuse deaths that were extensively reported on by the media and led to system reform. Challenges for media reporting on child abuse in Australia including a changing media landscape, lack of available child abuse data and lack of publicly available serious case reviews are discussed. The authors argue that there is a need for attention to be paid to children's resistance and agency in the context of violence and abuse to counter the objectification of children and uphold their rights. Following Finkelhor (2008), the authors argue that media reporting on child abuse in Australia reflects a general approach to child abuse that is fragmented, with different types of abuse viewed as separate from one another, and call for a more integrated understanding of child abuse. The authors highlight the complexity of media responses to child abuse in Australia, noting that while the social problem of child abuse can be misrepresented by the media, media reporting has also triggered significant systemic reform and advocated for children in cases where other systems failed them.