Politicised notions of professional identity and psychosocial practice among practitioners working with asylum seekers and refugees

This is the first study undertaken in the UK that investigates the notion of professional identity among practitioners who work with asylum seekers and refugees. Drawing on a social constructionist epistemology and a Foucauldian theoretical and methodological framework of power and discourse, I analysed extracts from semi-structured interviews that were conducted with eight specialist professionals who have worked with this population. The findings of this study suggest that the notion of professional identity among these practitioners envelops a social and political activist stance and a deep sense of commitment towards promoting social change within the wider community. Likewise, clinical work with refugees combines professional knowledge and values with a politicised involvement that fosters a psychosocial perspective on clients' distress and difficulties.     

The Needle in the Haystack

Summary

Despite the significant damages in sexual abuse cases, the plaintiff's ability to collect the money awarded in settlement or judgment is often precluded by the limited financial resources of the defendant(s). In this chapter, practicing attorney Julian Hubbard introduces the basics of individual and corporate insurance coverage and reviews the development of very limited coverage in sexual abuse cases in statutory and case law. While direct coverage for sexual abuse injuries is as rare as a “needle in a haystack,” indirect coverage can be found in some cases, especially those in which the acts of negligent individuals other than the perpetrator facilitated the abuse and thus the plaintiff's injuries. After an overview of relevant insurance issues and law, Mr. Hubbard delineates a practical model for research and legal strategies to ensure reaching any available insurance coverage, and explores the benefits and drawbacks of drawing on administrative resources to help pay for survivors' medical and mental health care.     

Misuse of Psychologist Influence

Summary

In no other area of professional ethics must psychologists rely on their own judgment than in the area of multiple relationships. Yet ironically, because of the wide variety of types and possible outcomes in dual relationships and boundary crossings, psychologists are given less guidance in this area of ethical decision-making than in any other. As a result, psychologists' emotional conflicts and personal needs are more likely to interfere with their judgment in this area. This article will review important dynamics of multiple relationships and boundary violations, while also providing a model for assisting psychologists in avoiding exploitive or harmful dual relationships.     

“It Would Be a Shame to Lose Them”: A Critical Historical,Scoping, and Expert Review on the Use of Projective Assessments in Occupational Therapy,Part II

Projective assessments have a long history in occupational therapy, yet their relevance may be questioned. Part I of this article provided a critical history of their development and a scoping review of the evidence. This second article outlines an interview-based qualitative study of the clinical and academic perspectives of nine experts. Through this comprehensive two-part article, conceptual and methodological issues are articulated in order to suggest educational and clinical guidelines, and future research avenues. The place of projective assessments in occupational therapy is demonstrated as a salient specialty area of practice in the current evolving landscape of mental health.     

Mixed-Design Training Outcomes for Fellows Serving At-Risk Youth Within Integrated Care Settings

We used an exploratory mixed-methods design with single-case comparative analysis and analysis of covariance to evaluate the potential effectiveness of an interprofessional clinical training in a mental health counseling program. Initial findings indicate those engaging in specialized learning experiences that attended to critical aspects of youth behavioral health care experienced benefits with regard to their professional development, interprofessional socialization and valuing, and counseling self-efficacy. Implications for the usefulness of trainings focused on interprofessional experiences are framed in relation to professional trends concerning integrated health care.     

职业化院长与专业化院长比较研究

专家型院长和职业化院长,谁入主中国的医院管理,一直是倍受关注的焦点议题,尽管职业化院长具有诸多优点,却难以占据医院管理的主要市场。分析二类院长的特点及专业化普遍存在的原因,并阐述国内外现状和趋势,探讨职业化推进的诸多障碍及原因,最后提出推行职业化的建议。     

关于病证结合的思考

在护理这样一个女性为主导的职业,社会偏见、传统观念的影响是导致男护士产生职业困惑的主要原因。从社会性别视角分析了这种原因的产生是由于社会性别定义与分工模式被内化的结果,并依此提出了加强护理宣传与护理教育改革、护理分工合理化等对策。     

一起四级医疗事故引发的几点思考

目前,规范护士执业范围的法律、法规存在着盲区。作者通过对一起四级医疗事故的护理责任及护士执业范围的合法性进行分析探讨,认为应当尽快出台与《护士条例》配套的实施细则,以明确规范护士的执业范围及合法性,保障护士执业的安全。