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991.
Lay participation in the deliberation of techno-scientific issues has become an important objective of policy making in many countries. Using the example of a series of Round Table discussions dealing with genome research allows us to analyse the ways in which the participants of this event construct their arguments during the discussion. Explaining the observed discursive strategies we focus on performative aspects of the deliberation process. In such a way it is taken into account how the setting of a given participatory process influences the ways in which participants are enrolled and enact their participation accordingly. In the analysed case, the setting was not taken as a given, but public participation and its discursive framework became itself subject to negotiation during the process. Hence, the discursive power of individual experiences and the legitimacy of personal interests as the argumentative basis were negotiated during the Round Table discussions. The participants only rarely grounded their statements in practical knowledge and individual experiences. Instead we saw them performing other discursive repertoires, e.g. drawing on societal benefits. Individual perspectives were often transcended and articulated in the form of super-individual arguments which endowed participants' statements with substantial discursive power and provided an alternative rationale for contributing to the deliberation without explicit reference to personal experiences. More broadly, the observed reluctance of the participants to speak-up for their personal interests can be seen as a result of a political culture that favours the advancement of de-individualised perspectives in public deliberation.  相似文献   
992.
We report here on a series of interaction-intensive, interdisciplinary workshops to foster collaboration among those who teach, study, and engage with the public about scientific developments and social change—the New England Workshop on Science and Social Change. We include one line of thinking that fed into the workshops and present an analysis of how they contribute to participants developing their interest and skills in collaboration. Workshop evaluations suggest that people are moved to develop themselves as collaborators when they view an experience or training as transformative. Four R's—respect, risk, revelation, and re-engagement—point to the important conditions for interactions among researchers to be experienced as transformative. Three considerations lie behind the focus on the process side of the workshops, not the specific workshop topics: (1) how best to fill in for readers what they missed out on by not being there; (2) workshops and meetings are a ubiquitous part of the culture of science and technology studies (STS) so it is valuable to examine this aspect of our own culture with a view to promoting positive changes; and (3) in some scientific fields organized multi-person collaborative processes form a highly valorized aspect of the culture of science, so reflection on experiences of participation and collaboration in STS might inform our analyses of fields that emphasize collaboration and group processes. Indeed, the authors' own involvement in the workshops extends our own STS work on actor networks and ‘heterogeneous engineering’, that is, the mobilization of a variety of resources by diverse agents spanning different realms of social action.  相似文献   
993.
994.
Lord Francis was commissioned to look at why the serious problems (between January 2005 and March 2009) at Mid Staffs Foundation Trust were not identified sooner and the appropriate action taken. Lord Francis was also asked to outline what lessons could be learned to enhance patient care. The report was delivered on 5 February 2013 and contained 290 recommendations. The key message was that the National Health Service needed to put the patient first and everything else should flow from that principle. Poor standards of care should not be tolerated and staff would be expected to speak out when they felt patient care was being compromised. Lord Francis also recommended that there should be one regulatory body and that the role of the Care Quality Commission was to be reviewed.  相似文献   
995.
This paper considers the emotional life of the infant in the incubator and develops a new psychological theory which is called the ‘incubator psyche’. Theory building is advanced from three main discourses: (1) psychoanalysis, (2) neo-natal nursing and (3) psychology. A case study of Corey, a 7-year-old boy, who had been delivered prematurely, with a hole in his heart, and spent the first 6 weeks of post-natal life in an incubator, is presented to illustrate how aspects of an incubator psyche might be clinically manifest. The concept of an incubator psyche is advanced with reference to a particular kind of second-skin formation (Bick, 1968, The experience of the skin in early object relations, The International Journal of Psychoanalysis, 49, 484–486). It is proposed that the incubator psyche characterises a client's mental functioning exercised as an environmental sensibility that could be understood in terms of the total transference situation (Klein, 1952, The origins of transference, International Journal of Psychoanalysis, 33, 433–438; Joseph, 1985, Transference: The total situation, International Journal of Psychoanalysis, 66, 447–454). Implications for practice are considered advocating particular attention to the setting.  相似文献   
996.
The evidence-based culture of modern mental health policy and service delivery is being extended through funded efforts to accelerate implementation of research findings in practice settings. In this paper, we argue that this linear model of research and policy-making is profoundly ill adapted to the nature of practice realities and real-world policy-making processes. Both need to be re-conceptualised using the theoretical and practical resources deriving from modern complexity theory. A short case study illustrates the nature of ‘complexity’, the reframing of the notion of ‘evidence’ it implies and the different relationship between research, practice and policy that flows from this more attuned model of mental health and therapeutic processes.  相似文献   
997.
ABSTRACT

Many children diagnosed with Attention-Deficit/Hyper-activity Disorder (ADHD) experience difficulties in social relations. While psychosocial approaches based on a combination of skills training and contingency management approaches do appear to improve social behavior, evidence that these benefits generalize and persist following training has been limited. We describe a social skills training program designed to help parents promote the display of appropriate social behavior and better athletic performance in sports settings. The program consists of standard psychological assessment, behavioral parent training, functional assessment, parent-mediated social and sports skills coaching, and generalization and maintenance programming. The goals of this intervention are to promote retention of the child in team sports and facilitate friendship acquisition. Training parents to coach their children effectively in sports-related social skills may prove useful in promoting the maintenance and generalization of skills as well as preventing some of the negative effects of social isolation that frequently accompany an ADHD diagnosis.  相似文献   
998.
The past 2 ½ decades have witnessed explosive growth in research and practice in the area of intimate partner violence, especially regarding perpetrators. The author reflects on his observations of key community and systemic developments in the field of research and treatment with batterers. The author examines systemic changes that have facilitated growth in the field and examines related issues and controversies. The author calls for continued development of an empirical base to guide both theory development and practice standards. The author also calls for openness to change within the field so that new developments will lead to appropriate dialogue and debate, increased dissemination and translation of new research findings into formats that are useful to clinicians, and accountability and change in abusers.  相似文献   
999.
Summary

This article reviews research on domestic violence that can help inform the development of guidelines for programs for men who batter. It also illustrates some successes and problems in other fields that might be instructive for the domestic violence field. Firm conclusions about “best practice” guidelines for intervention seem to be premature because of flaws in evaluation studies. In addition, there is growing evidence of variability among men who batter on dimensions such as severity of violence, childhood traumas, generality of violence and personality traits. Programs also need to be able to respond to motivational and cultural difference among abusers. Existence of variability implies the need for multiple forms of interventions.  相似文献   
1000.
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