An Investigation of Psychology Staffing in Australian Metropolitan Acute Public Hospitals

Psychology is one component of the multidisciplinary services provided to patients in acute public hospitals, with research demonstrating that psychological intervention significantly enhances clinical outcomes for patients across a range of health issues. Despite the increasingly important role that psychologists play in Australian hospitals, there remains a lack of information available about staff levels, discipline structures, and clinical activity for psychological services within acute hospital settings. The most recent Australian data about hospital‐based psychology services was collected 20 years ago. The current study provides updated information from a survey of 15 Australian metropolitan, acute public hospitals: presenting and critically reviewing staffing configurations and models of service delivery. Results suggest that: (a) hospitals employ a highly skilled workforce at a rate of 0.16 full‐time equivalent psychology staff for every 10 hospital beds; (b) psychologists have a viable career pathway within the hospital‐based health sector; (c) role diversity is common, with the primary focus varying as a function of position level; (d) neuropsychology staffing requires urgent attention to address significant delays in access to services; and (e) public hospitals actively contribute to current and future workforce development through supervision, research, and training. The implications of these results for the future of psychological services in Australian healthcare are discussed.     

Popular Politics and the Clinton/Lewinsky Affair: The Implications for Leadership

The Clinton/Lewinsky scandal unfolded in an era of "new media" politics that presented fresh and often unanticipated challenges for presidential leadership. New media actors, such as call-in talk radio and TV hosts, tabloid journalists, and Internet gossip columnists, played a significant role in scandal politics. They influenced the framework within which stories were reported and perceived by the public. New media channels, in particular, framed the events leading up to the presidential impeachment in terms of dramatic, prime time–style entertainment. This entertainment news frame allowed citizens to compartmentalize their perceptions of President Clinton as a leader versus a private individual involved in a sex scandal. Media Politics can explain, at least in part, President Clinton's strong job performance evaluations in the midst of one of the most publicized political scandals of the century.     

Civil Ethics and the Validity of Law

This paper aims to clarify the nature and contents of 'civil ethics' and the source of the binding force of its obligations. This ethics should provide the criteria for evaluating the moral validity of social, legal and morally valid law. The article starts with observing that in morally pluralist Western societies civil ethics already exists, and has gradually started to play the role of guiding the law. It is argued that civil ethics should not be conceived as 'civic morals' which is in fact rather 'state ethics', nor as 'public ethics' which is said to reach its perfection when it becomes law, nor as ethics applicable primarily to the basic structure of a society (political liberalism), but instead as a citizens' ethics. Subsequently the paper attempts to show what the contents of this ethics are, and which ethical theory would be able to ground its obligations.     

Making the audience a key participant in the science communication process

The public communication of science and technology has become increasingly important over the last several decades. However, understanding the audience that receives this information remains the weak link in the science communication process. This essay provides a brief review of some of the issues involved, discusses results from an audience-based study, and suggests some strategies that both scientists and journalists can use to modify media coverage in ways that can help audiences better understand major public issues that involve science and technology. Carol L. Rogers is editor of the interdisciplinary journal Science Communication.     

Does an Appeal to the Common Good Justify Individual Sacrifices for Genomic Research?

In genomic research the ideal standard of free, informed, prior, and explicit consent is believed to restrict important research studies. For certain types of genomic research other forms of consent are therefore proposed which are ethically justified by an appeal to the common good. This notion is often used in a general sense and this forms a weak basis for the use of weaker forms of consent. Here we examine how the notion of the common good can be related to individual health, health care, and genomic research and we use this analysis to propose more precise criteria to justify forms of consent which diverge from the ideal standard.     

The Space of Argumentation: Urban Design, Civic Discourse, and the Dream of the Good City

In this paper, I explore connections between two disciplines not typically linked: argumentation theory and urban design. I first trace historical ties between the art of reasoned discourse and the idea of civic virtue. I next analyze discourse norms implicit in three theories of urban design: Jane Jacobs' The Death and Life of Great American Cities (1961), Christopher Alexander's A Pattern Language: Towns, Buildings, Construction (1977), and Peter Katz's The New Urbanism: Toward an Architecture of Community (1994). I then propose a set of settlement issues of potential interest to both urban designers and argumentation theorists: size, density, heterogeneity, publicity, security, and identity. I conclude by suggesting that the good city be seen as both a spatial and a discursive entity. From such a perspective, good public discourse is dependent, at least in part, on good public space; and good public space is defined, at least in part, as a context conducive to good public discourse.     

Justice,instruction, and the good: The case for public education in Aristotle and Plato's Laws

This paper develops an interpretation and analysis of the arguments for public education which open Book VIII of Aristotle's Politics, drawing on both the wider Aristotelian corpus and on examination of continuities with Plato's Laws.Part II: Sections IV–VII examine the arguments for the first of the two conclusions which Aristotle advances in VIII. 1, namely that education is important enough to merit the legislator's attention. It is shown, through a development of links between Politics V and the arguments of VIII. 1, that Aristotle's two arguments for this conclusion are calculated to appeal to two distinct subgroups within his intended audience, those who would be moved by a desire to promote the common good, and those who could only be counted on to desire the preservation of their own rule.     

Justice,instruction, and the good: The case for public education in Aristotle and Plato's Laws

This paper develops an interpretation and analysis of the arguments for public education which open Book VIII of Aristotle's Politics, drawing on both the wider Aristotelian corpus and on examination of continuities with Plato's Laws. Part I: The paper opens with the question of why Aristotle would say that no one will doubt that education should be the concern of the legislator, and Sections I–III identify the nature of his enterprise in the Politics, the audience he wishes to address, the conclusions he seeks to establish in VIII. 1, and what public education would amount to for him. An important conclusion reached is that the first of Aristotle's two conclusions in VIII.1 has been routinely misidentified.     

Understanding public opinion relating to the establishment of community mental health facilities: implications of a discourse analytic approach

This paper demonstrates a novel approach to investigating the problem of public opposition to community mental health facilities. With the move towards community care, organizations setting up mental health facilities have encountered public opposition. It has been argued that this is due, in part, to the attitudes held by the public towards mentally ill people. A knowledge and understanding of attitudes towards this client group therefore has the potential to be of practical use to policy makers and practitioners who have a responsibility to consult on, and implement, community care for mentally ill people. The survey approaches and hypothetical situations used in previous British studies of community attitudes towards mentally ill people have, however, failed to take account of the rhetorical richness and complexity of the attitudes likely to be expressed in real‐life community care contexts. By contrast, the study reported in this paper used a discourse analytic approach to explore the views expressed about mentally ill people in a ‘hot situation’. Specifically, people's views were explored in the contexts of the arguments they used to challenge or advocate a supported accommodation project for mentally ill people in their community. This paper examines some of these arguments and discusses the theoretical implications for traditional approaches to attitude research. In conclusion, the potential practical utility of the findings is considered. Copyright © 1999 John Wiley & Sons, Ltd.