Community consultation is increasingly favoured as a means of ensuring that health services adequately meet population needs, yet research, has highlighted the frequency of inadequate and tokenistic ...consultation. Our aim was to address the gap in understanding of the mechanisms of successful community consultation by being the first study to examine consultation events for older adults in one of the most deprived local authority areas in the UK. A naturalistic world café was co‐designed with a community engagement service. Adults aged 68–91 years (n = 103) participated in one of two world café discussions. Qualitative findings demonstrated the mechanisms behind and the added value of consultation with disadvantaged older adults. Forums were found to not only offer space within which opinions could be voiced, they also supported information gathering, the adoption of civic responsibilities and social activities. Understanding of the added value of consultation forums may incentivise service providers to facilitate more meaningful consultation and encourage scholars to examine think more critically about social mechanisms that promote active ageing.
This article provides an overview and critical analysis of inquiries into historical institutional child abuse and examines their multiple functions and complex effects. The article takes a broadly ...international view but focuses primarily on Australia, the UK and Ireland, jurisdictions in which there have been major national inquiries. Drawing on sociological and other social science literature, it begins by considering the forms, functions, and purposes of inquiries. An overview of emergent concerns with institutional abuse in the 1980s and 1990s is then provided, followed by an examination of the response of many governments since that time in establishing inquiries. Key findings and recommendations are considered. The final sections of the article explore the evaluation of inquiries, both during their operation and in their aftermath. Policy change and legislative reform are discussed but the focus is on aspects often underplayed or overlooked, including an inquiry’s credibility, its role in processes of knowledge production, and the part it plays in producing social and cultural shifts. In the context of growing numbers of inquiries across Western democracies, including the Australian Royal Commission into Institutional Responses to Child Sexual Abuse, it is argued that grasping the complexity of the inquiry mechanism, with its inherent tensions and its multiple effects, is crucial to evaluating inquiry outcomes.
Abstract
Chronic exposure to manganese (Mn) is associated with neuroinflammation and extrapyramidal motor deficits resembling features of Parkinson’s disease. Activation of astrocytes and microglia ...is implicated in neuronal injury from Mn but it is not known whether early life exposure to Mn may predispose glia to more severe inflammatory responses during aging. We therefore examined astrocyte nuclear factor kappa B (NF-κB) signaling in mediating innate immune inflammatory responses during multiple neurotoxic exposures spanning juvenile development into adulthood. MnCl2 was given in drinking water for 30-day postweaning to both wildtype mice and astrocyte-specific knockout (KO) mice lacking I kappa B kinase 2, the central upstream activator of NF-κB. Following juvenile exposure to Mn, mice were subsequently administered 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) at 4 months of age. Animals were evaluated for behavioral alterations and brain tissue was analyzed for catecholamine neurotransmitters. Stereological analysis of neuronal and glial cell counts from multiple brain regions indicated that juvenile exposure to Mn amplified glial activation and neuronal loss from MPTP exposure in the caudate-putamen and globus pallidus, as well as increased the severity of neurobehavioral deficits in open field activity assays. These alterations were prevented in astrocyte-specific I kappa B kinase 2 KO mice. Juvenile exposure to Mn increased the number of neurotoxic A1 astrocytes expressing C3 as well as the number of activated microglia in adult mice following MPTP challenge, both of which were inhibited in KO mice. These results demonstrate that exposure to Mn during juvenile development heightens the innate immune inflammatory response in glia during a subsequent neurotoxic challenge through NF-κB signaling in astrocytes.
This article considers current concerns with promoting student mental health and wellbeing against the backdrop of critiques of the 'therapeutic turn' in education. It begins by situating accounts of ...'therapeutic education' within broader theorisation of therapeutic culture. In doing so, the importance of this work is acknowledged, but key assumptions are questioned. The emergence of concerns about self-esteem and wellbeing are then examined through an analysis of changing educational aims in Australia. This enables consideration of the broader context for policy reforms and emergent ideas about the importance of fostering wellbeing and attending to the social and emotional aspects of learning. Finally, the article argues for the salience of historicising both educational policy and scholarly critiques of therapeutic education in order to: (1) situate the contemporary emphasis on student wellbeing within a longer history of educational reforms aimed at supporting young people; (2) unsettle taken-for-granted ways in which mental health and wellbeing are currently foregrounded in contemporary schooling; and (3) develop new perspectives on the therapeutic turn in education. Author abstract
"Help for wayward children" Wright, Katie
History of education review,
01/2012, Letnik:
41, Številka:
1
Journal Article
Recenzirano
Purpose - Historical studies of the expert management of childhood in Australia often make passing reference to the establishment of child guidance clinics. Yet beyond acknowledgement of their ...founding during the interwar years, there has been little explication of the dynamics of their institutional development. The purpose of this article is to examine the introduction of child guidance in Australia against the backdrop of the international influences that shaped local developments.Design methodology approach - The article investigates the establishment of child guidance clinics in Melbourne and Sydney in the 1930s. In doing so, it explores the influence of American philanthropy, the promise of prevention that inspired the mental hygiene movement, and some of the difficulties faced in putting its child guidance ideals into practice in Australia.Findings - American philanthropy played an important role in the transnational carriage of ideas about mental hygiene and child guidance into Australia. However, it was state support of child guidance activities that proved critical to its establishment. In addition to institutional developments, what also emerges as important in the 1930s is the traction gained in the broader realm of ideas about "adjustment" and mental health, particularly in relation to the efficacy of early intervention and multidisciplinary approaches to treating problems of childhood.Originality value - In tracing its early development, the article argues for the importance of understanding child guidance not only in terms of its administrative successes and failures, but also more broadly in terms of how early intervention as an influential mode of thought and practice took root internationally.
The damaging effects of abuse in childhood were repeatedly emphasised in public hearings and in media coverage of the Royal Commission into Institutional Responses to Child Sexual Abuse. Testimony ...from earlier Australian inquiries, which documented widespread experiences of child maltreatment, particularly in institutions, also underscored the ongoing and often intergenerational impact of abuse. Taking institutional child abuse inquiries as a case study, this article examines how psychological and therapeutic concepts have been mobilised politically. It argues that therapeutically oriented and psychologically informed cultural narratives of childhood trauma and its ongoing effects have provided a framework for making sense of long-term experiences of adversity and suffering and have enriched attention to "the question of justice" for survivors of historical institutional child abuse.
Inventing the ‘normal’ child Wright, Katie
History of the human sciences,
12/2017, Letnik:
30, Številka:
5
Journal Article
Recenzirano
Odprti dostop
Constructions of normality and abnormality in discussions of young people changed considerably in the early to mid-twentieth century in many parts of the world, including Australia. The perennial ...trope of youth as a threat assumed a distinctly new form in this era, as the troubled and troublesome child, the incipient and confirmed delinquent, was reconfigured through emerging knowledges of the human sciences. Exploring the effects of new concerns with the ‘normal’, this article begins by examining the construct of normalcy and its interdependency with notions of the ‘abnormal’, particularly juvenile delinquency, as the antithesis of personal and social adjustment. Yet the discursive strategies that saw delinquency, at one level, recognized as a complex and multi-causal problem also construed it as amenable to clinical solutions, notably psychological intervention. The article explores how emergent ideas of the importance of early intervention created divisions between three groups of youthful populations: the ‘normal child’ deemed well adjusted, the ‘problem child’ thought to be responsive to adjustive measures, and the ‘confirmed delinquent’, whose behaviour was considered intractable and was thus unlikely to attain the socially desired status of normalcy.
Psychedelic compounds are on the cusp of being approved by medical regulators for treatment‐resistant mental health disorders. Following promising clinical trials, and as rates of mental ill health ...rise globally, psychedelic medicine presents a new paradigm for treating depression, anxiety, addiction and post‐traumatic stress disorder. The novelty of psychedelic therapies, the cultural stigma they elicit, and the challenges of regulation and implementation urgently call for a sociological lens onto this emerging field of psychiatry. This article identifies key sociological issues related to the medicalisation of psychedelic‐assisted therapies. It begins with a brief overview of the field's history and current treatment approaches. We then identify and critically examine three areas of sociological interest: the of role advocacy in the advancement of scientific research and the destigmatisation of psychedelics; issues related to the medicalisation and pharmaceuticalisation; and integration into healthcare systems. The challenges and affordances of psychedelics to existing therapeutic models, regulation and monetisation are highlighted, and the socio‐political context of the pharmaceutical industry, research, investment and implementation is examined. Drawing on health science literature in this field, the article offers a sociological lens on clinical psychedelic medicine as an emerging and potentially paradigm shifting field of psychiatry and psychotherapy.
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