Identity and moral responsibility of healthcare organizations

In this paper the moral responsibility of a Healthcare Organization (HCO) is conceived as an inextricable aspect of the identity of the HCO. We attempt to show that by exploring this relation a more profound insight in moral responsibility can be gained. Referring to Charles Taylor we explore the meaning of the concept of identity. It consists of three interdependent dimensions: a moral, a dialogical, and a narrative one. In section two we develop some additional arguments to apply his concept of personal identity to organizations. The final section works out the relationship of three dimensions of identity to some actual issues in contemporary HCOs: the tension between care and justice, the importance of dialogues about the diversity of goods, and the relevance of becoming familiar with the life-story of the HCO. Identity of an HCO is established and developed in commitments to and identification with certain goods that are central for a HCO. However, many of these goods are interwoven with everyday practices and policies. Therefore, moral responsibility asks for articulation of goods that often stay implicit and should not be reduced to a merely procedural approach. However difficult this articulation may be, if it is not tried at all HCOs run the risk of drifting away from their very identity as healthcare institutions: to offer care to patients and to do this in accordance with demands of social justice.     

The discursive construction of community identity

The aim of this article is to illustrate how a discourse‐oriented approach would open new theoretical and methodological perspectives to the study of community identity. Here outlined is the idea that community identity is discursively constructed by members in order to lend meaning to experience. An analysis of how community identity is constructed in subjects' discourse with reference to the local context is presented. Copyright © 2004 John Wiley & Sons, Ltd.     

Adolescent peer crowd self‐identification,attributional style and perceptions of parenting

This paper examines the relationships between self‐identified crowd membership, attributional characteristics, and perceptions of parental style among students in their first year of high school (N = 893). The aim was to assess the extent to which group identity is reflected in self‐reported characteristics. Most students self‐identified either as studious, athletes, populars, rebels, or normals (N = 669) and also completed measures of perceptions of parental styles and attributional style. Consistent differences were observed between self‐identified studious and rebel teenagers. One‐way ANOVAS revealed significant group differences on mother's authoritativeness, father's authoritativeness, positive attributional style, and negative attributional style. These results are discussed with reference to the interplay between group influences and individual characteristics. Copyright © 2005 John Wiley & Sons, Ltd.     

时尚消费:意义表达与自我建构的工具

本文视时尚消费为一种文化现象,并在麦克莱肯的意义转移模型基础上提出意义互动模式,强调消费者的消费主体地位和时尚消费的创造性功能,指出消费者不仅接受着文化内涵,同时也通过自己的解构和重构积极地进行着意义和自我的建构。作为现代社会不可避免的现象,消费就这样以其独特的方式成为意义表达和自我建构的工具。     

Quality and Individualization in Wraparound Team Planning

In children’s mental health, collaborative, team-based individualized service planning is most commonly known as wraparound, and has become one of the primary strategies for improving services and outcomes for children with the highest levels of need. We report on analyses of data gathered at 72 wraparound team meetings from communities around the United States. We describe the composition of the teams and the quality of the planning process they engaged in, and explore the extent to which these factors were associated with team member satisfaction and the individualization of plans. Teams in our study were numerically dominated by professionals. Parents attended a large majority of meetings, participation by youth and family advocates was frequent, participation by other family members infrequent, and participation by other members of the family’s informal or natural support networks rare. Observed teams varied considerably in the quality of their planning process and the degree of individualization of plans. Higher-quality planning was significantly associated with increased individualization of plans and with team member satisfaction with meeting productivity.     

Reasonable Partiality Towards Compatriots

Ethical theories normally make room both for global duties to human beings everywhere and special duties to those we are attached to in some way. Such a split-level view requires us to specify the kind of attachment that can ground special duties, and to explain the comparative force of the two kinds of duties in cases of conflict. Special duties are generated within groups that are intrinsically valuable and not inherently unjust, where the duties can be shown to be integral to relationships within the group. Since nations can be shown to meet these conditions, acknowledging special obligations towards compatriots is justified. However for such partiality to be reasonable, it must be balanced against recognition of duties of global justice. These duties include duties to respect human rights and duties of fairness towards non-nationals. Weighing such duties against domestic duties of social justice is not a simple task, and the outcome should depend on the precise specification of the duty at stake. In particular, the duty to respect human rights fragments into four sub-duties whose force when set against local duties is markedly different.     

类同一性:道德产生的主体基础

人最早的存在形态是类存在形态,人的类同一性是道德产生的主体基础,类自然同一性是道德产生的主体自然基础,类社会同一性是道德产生的主体社会基础。     

道不同不相为谋? 信息相关断裂带对团队学习的影响

传统观点认为,存在断裂带的团队中成员学习行为会受到不利影响,即"道不同不相为谋"。本研究通过聚焦信息相关断裂带,全面剖析内部学习和外部学习等不同团队学习方式,深入考察影响断裂带团队学习的关键情境因素,探讨并论证本文的基本观点——"道不同",可以"相为谋"。基于56个实际工作团队配对样本数据的统计分析结果表明,信息相关断裂带对团队内部学习和外部学习都没有直接作用。团队共同任期和交互记忆系统对信息相关断裂带团队内外部学习起调节作用:团队共同任期越长,信息相关断裂带越有利于团队内部学习及外部学习;交互记忆系统水平越高,信息相关断裂带越有利于团队内部学习及外部学习。     

Lang,S. K. W. and Gardiner,B. D. (2014). As they like it – culture-centred counsellor education in the context of Aotearoa New Zealand: A play on bicultural pluralism. British Journal of Guidance and Counselling, 42 (1), 73–85. doi.org./10.1080/03069885.2013.824949

In their article, Lang and Gardiner draw support from the Treaty of Waitangi to deconstruct cultural dominance and reconstruct a framework, which promotes bicultural pluralism in the new counsellor education programme at the Massey University. However, they omit significant details of the Treaty and therefore mislead the audience to think that the Treaty has always served its purpose to protect Māori and the colonisers all the time. They develop a new counselling framework ‘ARC?=?Attend Reflect Collaborate’ which merely describes what has happened or what should have happened in counselling. It fails to address the need to raise a counsellor's awareness of his or her own cultural identity and understanding of the worldview of a culturally different client before counselling starts.     

Dispositional resistance to change and emotional exhaustion: moderating effects at the work-unit level

Organizational change, although essential for business success, may negatively impact employees’ well-being. Based on person–environment fit theory, the authors investigate employees’ dispositional resistance to change as it impacts emotional exhaustion. Furthermore, the authors examine boundary conditions that may affect dispositional resistance to change and its influence on emotional exhaustion. They take a trait activation approach and test the moderating roles of two work-unit-level internal contextual factors: perceived organizational support and informational team climate. Using a longitudinal research design of 709 participants in 30 work units, multilevel analyses reveal that dispositional resistance to change (time 1) is positively related to emotional exhaustion (time 2). Moreover, a lack of perceived organizational support and a high informational team climate strengthen these effects. The authors conclude that organizations should offer coaching and training programmes to cope with organizational change for employees who are highly change resistant. Furthermore, personal and organizational development strategies should consider the insights gained from the study regarding internal contextual factors that moderate change management processes.