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Open Access
Article
Publication date: 8 July 2019

Vanessa Pinfold, Ceri Dare, Sarah Hamilton, Harminder Kaur, Ruth Lambley, Vicky Nicholls, Irene Petersen, Paulina Szymczynska, Charlotte Walker and Fiona Stevenson

The purpose of this paper is to understand how women with a diagnosis of schizophrenia or bipolar disorder approach medication decision making in pregnancy.

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Abstract

Purpose

The purpose of this paper is to understand how women with a diagnosis of schizophrenia or bipolar disorder approach medication decision making in pregnancy.

Design/methodology/approach

The study was co-produced by university academics and charity-based researchers. Semi-structured interviews were conducted by three peer researchers who have used anti-psychotic medication and were of child bearing age. Participants were women with children under five, who had taken anti-psychotic medication in the 12 months before pregnancy. In total, 12 women were recruited through social media and snowball techniques. Data were analyzed following a three-stage process.

Findings

The accounts highlighted decisional uncertainty, with medication decisions situated among multiple sources of influence from self and others. Women retained strong feelings of personal ownership for their decisions, whilst also seeking out clinical opinion and accepting they had constrained choices. Two styles of decision making emerged: shared and independent. Shared decision making involved open discussion, active permission seeking, negotiation and coercion. Independent women-led decision making was not always congruent with medical opinion, increasing pressure on women and impacting pregnancy experiences. A common sense self-regulation model explaining management of health threats resonated with women’s accounts.

Practical implications

Women should be helped to manage decisional conflict and the emotional impact of decision making including long term feelings of guilt. Women experienced interactions with clinicians as lacking opportunities for enhanced support except in specialist perinatal services. This is an area that should be considered in staff training, supervision, appraisal and organization review.

Originality/value

This paper uses data collected in a co-produced research study including peer researchers.

Details

Mental Health Review Journal, vol. 24 no. 2
Type: Research Article
ISSN: 1361-9322

Keywords

Article
Publication date: 1 February 2001

Alison Faulkner and Vicky Nicholls

This article provides a discussion of the value of user‐led research in mental health, with particular reference to the Strategies for Living project at the Mental Health…

Abstract

This article provides a discussion of the value of user‐led research in mental health, with particular reference to the Strategies for Living project at the Mental Health Foundation.

Details

Journal of Integrated Care, vol. 9 no. 1
Type: Research Article
ISSN: 1476-9018

Article
Publication date: 1 August 2003

Sarah Wright and Karen Ledger

In this article, Sarah Wright introduces the Strategies for Living project; Karen Ledger then describes her experiences of working as a researcher within the programme.Strategies…

Abstract

In this article, Sarah Wright introduces the Strategies for Living project; Karen Ledger then describes her experiences of working as a researcher within the programme.Strategies for Living was established as a project within the Mental Health Foundation in 1997, after the publication of a survey, Knowing our Own Minds (Faulkner, 1997). This survey was groundbreaking as, at the time, no other piece of research had directly asked people who used mental health services what they found useful as support for living and coping with mental distress.The report from the survey stated ‘we are all the primary experts on our own mental health, and about what works for us’. This belief underpins the work of Strategies for Living.

Details

A Life in the Day, vol. 7 no. 3
Type: Research Article
ISSN: 1366-6282

Article
Publication date: 1 May 2001

Adam Pozner

In this issue we include profiles of the Ermis database, now available on the net, and the Survivor Research Network. Many of you will already be familiar with Ermis which has for…

Abstract

In this issue we include profiles of the Ermis database, now available on the net, and the Survivor Research Network. Many of you will already be familiar with Ermis which has for a number of years been providing invaluable information on who's doing what and where in the field of employment and disability, both in the UK and abroad. If you haven't encountered Ermis before, it's well worth a visit to their site. The Survivor Research Network is a user‐led programme that aims to support and promote research led by people with personal experience of mental health problems, and is part of the Mental Health Foundation's Strategies for Living Project.

Details

A Life in the Day, vol. 5 no. 2
Type: Research Article
ISSN: 1366-6282

Article
Publication date: 10 August 2009

Carol Munn‐Giddings, Melanie Boyce, Lesley Smith and Sarah Campbell

This article gives an overview and selected findings from a study funded by the Mental Health Foundation in 2007, which was collaboratively carried out by researchers at Anglia…

Abstract

This article gives an overview and selected findings from a study funded by the Mental Health Foundation in 2007, which was collaboratively carried out by researchers at Anglia Ruskin University and two freelance researchers. The research team included members with direct and indirect experience of mental distress. The findings add to our knowledge of an under‐studied part of the voluntary sector: organisations run for and by people who share the same health or social condition. The reported study explored and identified the innovative organisational features and funding arrangements of four mental health user‐led organisations, as well as assessing service users' perceptions of the role that such organisations play in promoting social inclusion and recovery from their mental health problems.

Details

A Life in the Day, vol. 13 no. 3
Type: Research Article
ISSN: 1366-6282

Keywords

Article
Publication date: 1 August 1994

Francis A. Buttle

The Co‐ordinated Management of Meaning (CMM) is a social constructionisttheory of human action which provides insight into the structure andprocess of multi‐person decision…

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Abstract

The Co‐ordinated Management of Meaning (CMM) is a social constructionist theory of human action which provides insight into the structure and process of multi‐person decision making. In the CMM analysis presented here, the Hughes family′s vacation decision making supplies an episode within which the family′s socially constructed resources are expressed and recreated. CMM is a technology offering considerable promise to new paradigm consumer researchers.

Details

European Journal of Marketing, vol. 28 no. 8/9
Type: Research Article
ISSN: 0309-0566

Keywords

Book part
Publication date: 27 October 2016

Alexandra L. Ferrentino, Meghan L. Maliga, Richard A. Bernardi and Susan M. Bosco

This research provides accounting-ethics authors and administrators with a benchmark for accounting-ethics research. While Bernardi and Bean (2010) considered publications in…

Abstract

This research provides accounting-ethics authors and administrators with a benchmark for accounting-ethics research. While Bernardi and Bean (2010) considered publications in business-ethics and accounting’s top-40 journals this study considers research in eight accounting-ethics and public-interest journals, as well as, 34 business-ethics journals. We analyzed the contents of our 42 journals for the 25-year period between 1991 through 2015. This research documents the continued growth (Bernardi & Bean, 2007) of accounting-ethics research in both accounting-ethics and business-ethics journals. We provide data on the top-10 ethics authors in each doctoral year group, the top-50 ethics authors over the most recent 10, 20, and 25 years, and a distribution among ethics scholars for these periods. For the 25-year timeframe, our data indicate that only 665 (274) of the 5,125 accounting PhDs/DBAs (13.0% and 5.4% respectively) in Canada and the United States had authored or co-authored one (more than one) ethics article.

Details

Research on Professional Responsibility and Ethics in Accounting
Type: Book
ISBN: 978-1-78560-973-2

Keywords

Article
Publication date: 3 August 2022

Ru Ying Cai, Emma Gallagher, Kaaren Haas, Abigail Love and Vicki Gibbs

Many autistic adults experience unemployment, which may impact their financial circumstances. However, no research has examined their personal financial circumstances. Therefore…

Abstract

Purpose

Many autistic adults experience unemployment, which may impact their financial circumstances. However, no research has examined their personal financial circumstances. Therefore, this study aims to examine the self-reported income, savings and debt of autistic adults living in Australia, as well as the demographic associates and predictors of income and savings.

Design/methodology/approach

Sixty-four autistic adults aged 18–67 years (Mage = 32.78, SDage = 11.36) completed an online survey containing questions relating to their financial circumstances and the autism spectrum quotient-short.

Findings

Overall, the authors found that many autistic adults are financially disadvantaged. The mode of income levels was below AU$25,000, which is substantially lower than the mean annual Australian full-time income of AU$89,123. Higher savings was associated with not having any debt or having a greater ability to repay debt. Autism traits were positively associated with income levels. As predicted, being employed was associated with and predicted higher income. People who were employed were four times more likely to have a higher income than unemployed individuals. The authors did not find a relationship between having a co-occurring mental condition with income or savings. The authors also did not find a significant association between employment status and savings.

Practical implications

These research findings have implications on how we can improve the financial circumstances of autistic adults and provide additional evidence for the importance of increasing employment opportunities for autistic individuals.

Originality/value

To the best of the authors’ knowledge, this is the first study to examine the personal financial circumstances of autistic adults.

Details

Advances in Autism, vol. 9 no. 1
Type: Research Article
ISSN: 2056-3868

Keywords

Book part
Publication date: 10 June 2009

Joann Segovia, Vicky Arnold and Steve G. Sutton

Multiple stakeholders in the financial reporting process have articulated concerns over the rules-based orientation that U.S. accounting standards have adopted. Many argue that a…

Abstract

Multiple stakeholders in the financial reporting process have articulated concerns over the rules-based orientation that U.S. accounting standards have adopted. Many argue that a more principles-based approach to standards setting, typified by international accounting standards, would improve the quality of financial reporting and strengthen the auditor's position when dealing with client pressure, thereby enabling a focus on transparency and fairness of financial reports. In early 2009, the U.S. appeared poised to transition U.S. accounting standards to international accounting standards. The transition decision was made after the recommendations of the SEC Advisory Committee on Improvements to Financial Reporting (i.e., SEC Pozen Committee) publicly expressed strong support in its final report (SEC, 2008a). The SEC in turn issued its “Roadmap for the Potential Use of Financial Statements Prepared in Accordance with International Financial Reporting Standards by U.S. Issuers on November 14, 2008” (SEC, 2008b) outlining the transition procedures. However, with Shapiro taking over as chairperson of the SEC, this move now appears less likely pending a stronger review of how principles-based international standards may impact the strength of financial regulatory oversight – a potential delay met with disdain by the pro principles-based European regulatory community (Doran, 2009). While transition to international standards continues to progress, little research examining whether principles-based standards affect auditor decision-making has been conducted. The purpose of this study is to explore the impact of principles- vs. rules-based standards on auditors' willingness to allow preparers leeway in reporting practices and to consider how auditors' decision behavior is influenced by potential client pressure and/or opposing pressure from the SEC. Based on a sample of 114 experienced auditors, the results show that auditors are more willing to allow clients to manage earnings under rules-based standards; and, these results are persistent even under external pressure. Results also indicate that more experienced auditors are less willing to allow clients who exert high pressure to report earnings aggressively, while SEC pressure has more affect on less experienced auditors. These results provide important insights to the FASB, SEC, and IASB as they weigh arguments underlying the principles- vs. rules-based debate.

Details

Advances in Accounting Behavioral Research
Type: Book
ISBN: 978-1-84855-739-0

Book part
Publication date: 18 July 2013

Vicki Lawal, Christine Stilwell, Rosemary Kuhn and Peter G. Underwood

This chapter examines the efforts undertaken to restructure the legal education system in South Africa and Nigeria. It investigates the connection between contextual influences…

Abstract

This chapter examines the efforts undertaken to restructure the legal education system in South Africa and Nigeria. It investigates the connection between contextual influences and professional development, particularly with respect to the concept of legal information literacy and the value of acquired educational skills in the context of legal practice. The chapter provides insights to the needs and challenges for graduate requirement for legal information literacy skills in the effort to ensure productivity in the legal education system in Africa. Data were obtained using both quantitative and qualitative approaches. Outcomes from the study were supportive of the importance of information literacy as central to the development of professional competence. Findings also point to a need for greater collaboration between the legal education system and the legal profession in narrowing the gap between the teaching and practice of law specifically in the design and implementation of an information literacy framework for the legal education system.

Details

Developing People’s Information Capabilities: Fostering Information Literacy in Educational, Workplace and Community Contexts
Type: Book
ISBN: 978-1-78190-766-5

Keywords

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