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Research on attitudes towards asexual people is a relatively new focus within the discipline of psychology, and to date has not been a topic of focus in the Australian context. This study focused on Australian undergraduate psychology students, and their attitudes towards asexual people. The study recruited 231 participants from undergraduate psychology programmes to complete an online survey assessing their attitudes towards asexual people, bias against single people, and gender ideologies. In addition, participants rated how comfortable and confident they felt about working with asexual people within mental health settings in the future. Participants who reported greater endorsement of traditional gender role ideology, and negative bias against singles, also reported greater levels of anti-asexual bias. Participants who hoped to pursue a career in psychology reported lower levels of anti-asexual bias and less negative attitudes towards single people, and reported moderate levels of both comfort in working with asexual people in the future, and capacity to provide safe care to asexual people in the future. Drawing on these findings, the paper concludes by discussing areas that require ongoing attention in the study of anti-asexual bias, and makes recommendations for the training of psychology students and clinicians. [ABSTRACT FROM AUTHOR]

Objective: Sexual health problems can be pertinent to psychological function/diagnosis and psychologists are key players in treatment and education regarding sexual health. Despite this, little evidence exists to determine if sexual dysfunction is explored during routine client intake interviews, when the client does not present with relationship difficulties, or from a specialist referral for sexual dysfunction. We aimed to explore psychologists' decision-making around questioning of client sexual functioning through the lens of the Dual-Processing Model. Method: This qualitative study assessed 16 registered psychologists working within Australia who answered an online questionnaire around their beliefs and clinical experiences of sexual health practice. Results: Data was analysed using thematic analysis, revealing multiple themes favouring sexual health investigation. Main themes included risk management, relevance to clinical presentations, scope of practice, positive beliefs about asking, and competency beliefs. Primary barriers against sexual health investigation included perceived incompetence, organisational constraints, concerns around damaging rapport, sexual health not being relevant to the client's needs, and perceptions around unethical practice. Conclusions: This paper challenged the applicability of the Dual Processing Model to psychological decision-making, and suggested personal biases influence Australian psychologists' sexual health questioning. [ABSTRACT FROM AUTHOR]

New technologies have afforded increased access to genetic testing providing valuable information for individuals and those biologically related. However, the management of such information is challenging for psychologists given the ethical issues that may arise. This paper aims to review the utility of existing ethical standards and current legislation for psychologists when encountering genetic information. Current legislation and guidelines involved in the management of genetic information applicable for psychologists is critically reviewed in light of relevant ethical principles. While knowledge of information that has arisen from genetic testing may guide psychological therapy, intervention, and education, psychologists have a responsibility to uphold their ethical obligations in order to meet the needs of their clients and their families and to prevent harm. Outside the domain of ethically approved human research, and specific guidance for trained genetic counsellors in Australia, ethical guidance on the management of human genetic information is not readily available for psychologists. Technological advances can be expected to continue to present epistemic dilemmas about the use of genetic material. The implications for future psychological practice is discussed. : What is already known about this topic: (1) Increased access to genetic testing can provide valuable information for individuals and those biologically related. (2) Genetic testing poses new and significant challenges for psychologists, especially in respect to the ethical issues that can occur. (3) Given that findings from genetic testing may guide therapy goals, interventions, and psychoeducation, psychologists have a responsibility to uphold ethical obligations in order to meet the needs of their clients and their families and to prevent harm. Yet, clear guidelines for ethical obligations regarding the handling of genetic testing are not readily available. What this topic adds: (1) Within the framework of current legislation, the four core ethical standards of beneficence, autonomy, justice, and non-maleficence work together with the APS Code of Ethics and ethical guidelines for psychologists. (2) While the use of genetic information has the potential to affect whole communities, it should be used in such a way that maintains ethical principles, meeting the needs of the individual and family. (3) It is important that ethical guidelines for genetic information in the field of psychology remain cohesive to meet the needs of rapid technological advances and changing legislation. [ABSTRACT FROM AUTHOR]

Objective: This paper aims to examine the development of personality research within Australia, from the emergence of Australian psychology to the current time. Method: The paper first identifies the central role of personality research in shaping early Australian psychology. The paper then addresses the emerging directions of Australian personality research in the post‐war years up to the end of the 20th Century. The paper then highlights the present contributions of personality research, noting both the world‐leading impact made by Australian researchers and real‐world applications of this field. Results: Australian personality research has a long history of providing important contributions to both Australian and international psychology. Future prospects and challenges related to attracting research funding for Australian research are also identified. Conclusions: Australian personality research was important for the successful emergence of Australian psychology. Present Australian personality researchers are making world‐leading impact and addressing a number of important social issues. [ABSTRACT FROM AUTHOR]

Where one sibling has a disability, research has examined the role of disability in sibling relationships; however, the majority has reflected a normative understanding of sibling relationships and a deficit understanding of disability. Reacting to this history, this paper draws on the concepts of embodiment (absorption of bodily experience into self/identity) and enactment (performance of self/identity) to provide a new way of understanding the role of disability in sibling relationships. Using data from an Australian study of young adult siblings with and without disabilities, the paper discusses how disability is embodied and enacted in: how siblings engage in supportive and conflictual talk and everyday chat with each other; how they enact recreation and seek connection with each other; and how they strive to understand and experience their emotions about each other. The paper ends by discussing how embodiment and enactment allow a clearer understanding of disability in sibling relationships, which may be empowering for siblings. [ABSTRACT FROM AUTHOR]

Objective: In spite of the healthy immigrant effect, the prevalence of lifestyle-related chronic diseases among migrants is reported to approximate that of the host country with longer duration of stay. For example, higher rates of chronic diseases such as Type 2 diabetes and hypertension have been observed among Filipino migrants and these have been linked to acculturation. The aim of this study was to explore the experiences of Filipino-Australian migrants in managing their chronic health conditions in a Western host country. Design: This paper reports on qualitative findings of a mixed methods study that used an explanatory sequential design. Nine focus group discussions were undertaken with 58 Filipino-Australian migrants with chronic disease. Thematic analysis was undertaken using a five-stage general purpose thematic framework ensuring that themes closely identified key participants’ experiences. Results: Findings revealed that health benefits provided by the health system in Australia were considered advantageous. However, a lack of social and instrumental support compounded isolation and disempowerment, limiting self-management strategies for chronic illnesses. Cultural beliefs and practices influenced their knowledge, attitude to and management of chronic disease, which health service providers overlooked because of perceived acculturation and English language skills. Overall this study has clearly identified recognition of cultural beliefs, language needs and support as three core needs of Filipino-Australian migrants with the elderly the most vulnerable. Conclusion: This paper highlights that self-management of chronic disease among elderly Filipino immigrants may be adversely affected by host language difficulties, a lack of social support and cultural issues, impacting on access to services, health-seeking behaviours and participation in health promotion initiatives. Language, culture-specific health interventions and resources and enhancing social support are likely important strategies in promoting chronic disease self-management among the elderly. These interventions have the potential to empower and encourage individuals to take control and better manage their chronic disease. [ABSTRACT FROM AUTHOR]

Background:Indigenous health matters have largely been neglected in the speech-language pathology literature and have particular import for the aphasia clinician. The influence of culture on people’s experiences and expectations after an event such as stroke can vary widely and there is a need to understand the impact of context on assessment and therapy. Standard approaches may not be adequate or relevant, nor always ethical to apply. Examination of aphasia in contexts with Indigenous populations provides an opportunity to explore methods and approaches with socially complex and marginalised communities and to expand our understanding of the lived experience of aphasia. Aims:The goal of this paper is to explore the role of culture in aphasia in Indigenous populations and drawing from a body of emerging research, highlight relevant dimensions of understanding and practice for the aphasia clinician. Main Contribution:A series of qualitative studies undertaken with Indigenous people with aphasia in two separate contexts – Australia and South Africa – will be described and their findings considered along several dimensions. A consideration of methods of approach and understanding will be provided, followed by discussion of some central constructs. A series of conceptual and clinical propositions for culturally safe research and practice in aphasia will be derived from this evidence. Models of collaboration are derived which are decolonising and potentially transformative and supplement models of knowledge and intervention in a local community. Particular attention is paid to temporal and spatial issues, the role of family, identity and community, the notion of resilience in such communities and addressing some of the specific challenges that may be involved such as working with cultural brokers. A series of recommendations is provided which allows for a critical engagement with interdisciplinary frameworks of understanding aphasia in context. Conclusion:As a reflective piece, this paper has enabled a collation of knowledge about aphasia in two Indigenous cultures and has helped consolidate some novel principles and insights and the need for expanded skills, attitudes, insights, explanations and methodologies – ones that acknowledge and accommodate diversity and difference, and that are relevant to Indigenous communities. Language difficulties are only one cause of social exclusion and issues such as poverty and identity make a huge impact on the lives of our clients and their families, and on the approach we adopt. A shift from the primary framework of our profession is required to accommodate the central role of culture in communication. [ABSTRACT FROM PUBLISHER]

This paper explores how young people of diverse genders and sexualities share information about sex, sexualities and genders. Formal approaches to education often fail to consider young people’s communication and information exchange practices, including the circulation of peer knowledge through social media. In the wake of recent Australian backlash against the Safe Schools Coalition, we can observe how homophobia and queerphobia in the broader community can impact upon young peoples’ ability to learn about themselves and their bodies through formal education. Yet young people of diverse genders and sexualities can be observed to support each other in peer spaces, utilising their knowledge networks. This paper explores young people’s informal learning practices, the capacity of peer networks to support and educate young people, and the challenges of recognising such networks in a culture in which health and education discourses present them as ‘risk subjects’ rather than ‘health agents’. These issues are discussed in relation to our own experiences in research and health promotion, including one author’s role as a youth peer educator. Drawing on our workplace experiences, we provide a number of anecdotal examples which highlight the complexities of informal knowledge practice and information circulation, and the ways these can challenge and reform professional health, education, and research approaches. [ABSTRACT FROM PUBLISHER]

This paper explores the willingness to use and pay for HIV Self-testing (HIVST) among Australian gay and bisexual men (GBM). Bivariate and univariate multinominal logistic regression of data from an online survey was performed. Thirty-one (13%) had never HIV tested and 41.9% (88) were testing sub-optimally by Australian guidelines. Half (58.4%, 136) had never heard of HIVST, however, 56.2% (131) reported willingness to use HIVST, with sub-optimal (OR=2.13; p < 0.01) and never-testers (OR=2.01; p < 0.10) significantly more likely to do so than optimal-testers. Most were confident (51.7%, 119) or somewhat confident (29.1%, 67) accessing support following a reactive result, however, never-testers were significantly less confident compared to previous testers (OR=3.47; p< 0.05). Less than a quarter (23.6%, 57) were willing to pay for a kit with AUD$15 (R2 = 0.9882) the estimated preferred price. This research confirms that HIVST is an important and accepted adjunct to established HIV testing modalities, particularly among sub-optimal and never-testers and that online (61.6%, 143) or clinic-based (61.6%, 143) dissemination are preferred. Research examining how best to disseminate HIVST in a range of safe and effective models needs to continue to ensure HIVST is part of a comprehensive strategy that facilitates usage and linkages to care. [ABSTRACT FROM AUTHOR]

Teaching Aboriginal content in social work education presents risks of retraumatisation for students. There are international calls for a trauma-informed teaching model that creates cultural safety in the classroom. This study aimed to develop a trauma-informed model for social work education by reviewing the literature on cultural safety for Aboriginal peoples. This model incorporates key aspects of ensuring Aboriginal cultural safety: de-colonise social work education; collaborative partnerships; build relationships; critical reflection; develop cultural courage; and yarning and story-telling. It provides a valuable framework for creating a more equitable teaching and learning environment that also ensures the essential academic content is covered. IMPLICATIONS Trauma underlies the historical, contemporary and cultural narratives of Aboriginal peoples. Students engaging in Aboriginal content that is traumatic can mean connecting with trauma that has occurred in their own lives. Trauma-informed teaching and learning will ensure that educators create culturally safe spaces that enable students to engage well with content. The adoption of the framework proposed in this paper may lead to the creation of a culturally safe space for teaching and learning in social work education. [ABSTRACT FROM AUTHOR]

Despite the increased diversification of Australian families, the nuclear family formed through reproductive heterosex continues to be treated as the norm. This paper argues that this norm impacts negatively upon families formed in other ways, by exposing them to increased scrutiny. Drawing on interviews with 60 participants from four cohorts (families formed through reproductive heterosex, intercountry adoption, long-term foster care, or surrogacy), a comparative thematic analysis is presented in which two key themes are elaborated: (1) the impact of government policies and practices, and (2) the degree to which families are treated as public property. Findings suggest that families formed through reproductive heterosex were the least regulated and scrutinised; families formed through either adoption or surrogacy received a considerable degree of regulation and scrutiny; and foster families were the most scrutinised and negatively impacted by government policies. The paper concludes by considering what is required to engender more inclusive and supportive responses to all families. [ABSTRACT FROM AUTHOR]

This paper uses Australia as an example to view how state and social acceptance of mixedness influences a mixed race individual's life and their access to a validated identity. The study is a critical view of history's influence on modernity, which uses a data from a larger study to exemplify critical mixed race theories. Data were gathered through interviews with six mixed race individuals in Melbourne, Australia. The study found that mixedness has been problematised in salient points in Australian history, and this has resulted in a lack of appropriate terminology to accurately identify race and fully understand mixed race. Due to this, individuals in the study were afforded honorary whiteness and racial exceptionalism due to their association with whiteness and the desire of the onlooker to allocate a singular racial identity. While such exceptionalism can provide social favours, it simultaneously denies them access to their mixed race identity which leads to a superficial engagement with their 'otherness' and an inability to feel national belonging. The study argues that this is damaging to the individual, and calls upon the Australian state to honestly engage with racial plurality for the benefit of mixed race Australians. [ABSTRACT FROM AUTHOR]

The aim of this paper was to investigate the experience of home for parents and carers of children with disabilities in Australia. Data for this qualitative study were gathered using semi-structured interviews with four families living in their own homes. An inductive thematic analysis revealed two main themes. The first was titled ‘Aspects making everyday life easier’ explored the aspects of the home environment that facilitated home life for the child, including access to transport, services, family and home modifications. The second theme ‘Decisions and efforts to create opportunities for the child’ emphasized the efforts made by parents and carers to promote their child’s independence and participation including a strong consideration for their children’s future needs. The study indicated that the location of home, appropriate home modifications and planning for the future defined the experience of home for parents and carers. These findings identify some important considerations for occupational therapists when providing services in the homes of families with children who have a disability. [ABSTRACT FROM AUTHOR]

High quality mental healthcare after a suicide attempt is a key strategy for preventing subsequent suicide attempts and deaths, yet little is known about how people navigate the healthcare system following a suicide attempt. This paper focuses on the stories told by 20 people who had attempted suicide. Five themes emerged: fitting into the healthcare system; need for advocacy; consistent care; lucky to find help; and, small kindnesses. Positive and empathetic healthcare experiences, as well as connected services, assisted the recovery of people who have attempted suicide. [ABSTRACT FROM AUTHOR]

Community gardens can offer a range of psychosocial benefits to individuals who utilize them including nutritional, social, psychological benefits, as well as the opportunity to become connected to nature. However, we know little about how community gardens are perceived and reasons that make people participate in community gardens in rural Australian towns. This paper addresses these issues among a group of older persons who reside in a rural Australian town. In-depth interviews were conducted with 10 older persons. Findings highlighted the benefits associated with participation in a rural community garden including forming social support networks in order to cultivate social capital. Community gardens created social connectedness among the participants, which could lead to better overall health and well-being. The main reason for their initial involvement with the community garden was that they were new to the area. Joining the group to develop support networks within the local area would allow them to cultivate social capital in their new living environment. Our findings can inform government policies regarding localized food sustainability programs, which is important given the increasing popularity of such programs Australia-wide and elsewhere. [ABSTRACT FROM AUTHOR]

People from Chinese backgrounds remain underrepresented in disability service use. This paper explores family experiences of using child disability support services to understand how migration and their cultural expectations about disability and service affect the way they use services. Qualitative semistructured interviews were conducted with 13 family carers in Sydney. They were striving to gain good support for their child from formal services. However, most of them were reluctant to express any dissatisfaction to service providers, which meant that assertively requesting different support was difficult and culturally inappropriate. In response, service providers can design nonconfrontational ways to elicit this vital information and support families to gain experience tackling conflict. [ABSTRACT FROM AUTHOR]

Objective Australian Aboriginal and Torres Strait Islander social and emotional wellbeing ( SEWB) is a multifaceted concept that acknowledges that a person's wellbeing is determined by a range of inter-related domains: body, mind and emotions, family and kinship, community, culture, Country, and spirituality. This paper explores the meaning of these seven domains of SEWB. Method A thematic analysis of qualitative data obtained from the National Empowerment Project (NEP) was conducted, along with a literature review of each domain. Results Findings from the NEP, together with relevant literature, indicate that implementing strategies that focus on strengthening SEWB is important for individual, family, and community wellbeing. Addressing the social determinants of Indigenous disadvantage is also shown to have an important role in strengthening the SEWB of individuals, families, and communities. Conclusion It is important for all practitioners and policymakers involved with improving Indigenous health to recognise the seven inter-related domains of SEWB and to acknowledge and support people in addressing the social determinants of wellbeing. [ABSTRACT FROM AUTHOR]

While research has provided a significant picture of the lived experiences of transgender and sex/gender diverse (TSGD) Australians, it remains incomplete because population samples rarely include TSGD people from Australia's Northern Territory. The Northern Territory is twice the size of France but is populated by only 210,000 people. The territory's environmental and demographic features make it very distinct from Australia's other six states and mainland territory. Most notably, it possesses a "frontier" mentality and is considered to be one of Australia's most homophobic states and territories. This paper publishes the results of an online survey conducted as part of an ongoing research project into the health needs of TSGD individuals, such as availability of medical and support services that specialize in, and are "friendly" to, TSGD people, especially in remote areas of the territory, colloquially referred to as out bush. [ABSTRACT FROM PUBLISHER]

My response to Kathleen McPhillips’s paper focuses on the pervasiveness of vicarious trauma for those working with survivors of childhood sexual abuse. Attempts to avoid the impact of vicarious trauma may in fact lead to denial, dissociation, or amnesia. Cultural trauma, as unearthed by the Australian Royal Commission into Institutional Responses to Child Sexual Abuse Commission, can also be linked with the wider theme of Australia’s history of migration. Migrants who came to Australia fleeing various forms of trauma, have, at times, felt betrayed by the new country. This sense of betrayal is compounded if, for example, institutional sexual abuse suffered by their offspring, is ignored or denied. The abuse suffered by children in Australian institutions has led to trauma on both personal and cultural levels. Healing, therefore, may require both individual help, and ethical responsiveness on a more collective level. The Royal Commission serves to provide a container for its examination. Such public recognition is but one step in processes of reparation that need to take place on individual and cultural levels. McPhillips’s work may also serve as a vital part of this process. [ABSTRACT FROM PUBLISHER]

Objective:This paper describes the development and practice of clinical neuropsychology in Australia.Method:Clinical Neuropsychology has shown rapid growth in Australia over the past three decades. Comprehensive and specialized training programs are producing high quality graduates who are employed in a broad range of settings or private practice.Results:Australia now has a substantial number of clinical neuropsychologists with specialist training. Whilst the majority of Australian clinical neuropsychologists still undertake assessment predominantly, there are growing opportunities for clinical neuropsychologists in rehabilitation and in a broad range of research contexts. Cultural issues relating to the assessment of Indigenous Australians and immigrants from many countries present significant challenges. Some major contributions have been made in the realms of test development and validation across various age groups. Australian clinical neuropsychologists are also contributing significantly to research in the fields of traumatic brain injury, aging and dementias, epilepsy, memory assessment, rehabilitation, substance abuse, and other psychiatric disorders.Conclusion:Expansion of roles of clinical neuropsychologists, in domains such as rehabilitation and research is seen as essential to underpin continuing growth of employment opportunities for the profession. [ABSTRACT FROM PUBLISHER]

Objective: To understand the desire for children among heterosexual couples planning for a first child. Background: In Australia, almost two-thirds of all pregnancies are planned, and over 40% of all children born each year are to first-time mothers. Methods: Semi-structured interviews were undertaken as part of a longitudinal study on planned first-time parenthood among Australian heterosexual couples. Ten couples who were planning for a pregnancy were interviewed, men and women separately. Results: An inductive thematic analysis identified four modes of decision-making: (1) female partner-directed, (2) male partner-directed, (3) joint-directed due to circumstance, and (4) joint-directed, and three themes related to the desire to have a child: (1) having children is a natural progression, (2) there is an innate drive to want to have children, and (3) a desire to see oneself reflected in another human being. Conclusions: The paper concludes by exploring the implications of the findings for service provision. Specifically, intending parents may be better supported by services that provide gender-specific information during the planning stage, including about infertility. [ABSTRACT FROM AUTHOR]

To date, people with intersex variations have been mainly studied via small-scale clinical research, with only a small amount of reflective commentary contributed by sociocultural scholars. This paper reports on findings from a 2015 online Australian survey of 272 people with intersex variations, which aimed to redress the gap in research on this groups’ experiences and perspectives concerning education. Participants ranged in age from 16 to 87 years, and represented all Australian states and territories. Most had experienced two medical treatment interventions related to their intersex variation: commonly reported interventions included hormonal treatment and genital surgery delivered to participants when they were aged under 18 years of age. Participants reported various physical and psychological impacts from these treatments. Well-being risks were high; most of the group had engaged in suicidal ideation, particularly when individuals first found out about their variation. This impacted on their schooling – almost one-fifth of survey respondents had received no high school certification due to their early dropout and the overwhelming majority did not attend schools with inclusive puberty/sex education provision or counselling. Most survey participants had not disclosed their intersex variation to staff, although more than half had done so to their classmates. Many had experienced bullying. Only one-quarter of participants rated their overall education experiences positively. Participants suggested improvements to schools’ information provision and support features. [ABSTRACT FROM PUBLISHER]

This paper starts from the premise that embodied knowledge is critical to understanding health policy implementation. We explore this notion through a qualitative investigation of the way that knowledge has functioned in the implementation of an Australian mental health policy, Partners in Recovery (PIR). Analysis uses the theoretical lens of interpretive policy analysis and the 'embodied, inscribed, enacted' knowledge schema developed by Freeman and Sturdy [(2014a). Introduction: Knowledge in policy – embodied, inscribed, enacted. In R. Freeman & S. Sturdy (Eds.), Knowledge in policy: Embodied, inscribed, enacted (pp. 1–19). Bristol: Policy Press]. Our analysis reveals a policy problem centred around difficulties of coordination where the inscribed solution lies in individuals who must implement the PIR program in local areas. Our interviews with PIR consortium members and stakeholders show that this implementation happens through the enactment of embodied knowledge. However this implementation is not straightforward and we point to difficulties arising from the centrality of embodied processes in implementation, related to the localisation of systems knowledge in individuals and structural devaluation of certain types of knowledge over others. [ABSTRACT FROM AUTHOR]

Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have explored women’s psychosocial experience of prenatal diagnosis and pregnancy termination for fetal abnormality, and within this small group of studies it is rare for research to consider the embodied aspect of women’s experiences. This paper reports on qualitative findings from in-depth interviews with 59 women in Melbourne, Australia who received a prenatal diagnosis of a significant abnormality and decided to terminate the pregnancy. Interview transcripts were coded inductively through thematic analysis. Two themes about embodiment were generated from the interviews: transitioning embodiment, and vulnerable bodies in un/comfortable spaces. Theory of pregnant embodiment was drawn on in interpreting women’s narratives. Recommendations arising from the analysis include health professionals recognising, acknowledging and accommodating the transitioning embodied state of women as they consider, prepare for, undergo and recover from pregnancy termination for fetal abnormality. Further recommendations address the connections and disconnections between this transitioning embodied state and the spaces of clinics, hospitals and home. [ABSTRACT FROM AUTHOR]

Growing numbers of Australian trans and gender diverse people desire to become parents, yet many who do so experience a lack of support and recognition. This article reports on an online survey completed by 160 trans or gender diverse people. The survey included general demographic questions, in addition to questions related to (1) current parenting arrangements, (2) modes of family formation, (3) the desire to have children in the future, and (4) support or discrimination from families of origin. In regard to the findings, only a minority of participants (39) were already parents; however 21 participants indicated that they desired to have children in the future. Participants who were already parents were older than those who were not, and conversely, participants who desired to have children in the future were younger than those who did not. Discrimination from family of origin was negatively correlated with support for parenting, while support from family of origin was positively correlated with desire to have children. The paper concludes by suggesting that support from service providers is important for this potentially vulnerable group who may not experience support from their families of origin and who may perceive themselves as having limited pathways to parenthood. [ABSTRACT FROM AUTHOR]

The paper presents an historical critical policy analysis of deinstitutionalisation and the introduction of neoliberal forms of governance in mental health policy. It focuses particularly on a major period of policy reform in the 1980s and 1990s in Victoria, Australia. Many of the particularities of the Victorian experience can be generally observed with deinstitutionalisation throughout the world. In particular, the policy discourse of rights and entitlements, consumer choice and empowerment, at times stood in tension with the service void created by the transition from large, stand-alone psychiatric institutions, to dispersed forms of service provision outside the hospital. Further, certain policy features could be seen to perpetuate patterns of coercion, abuse and neglect. This article offers a number of potential lessons for mental health law, policy and practice today, which is poised for further advances of neoliberal governance, including through the policy of personalised services, individualised disability funding and human rights-based reform. [ABSTRACT FROM AUTHOR]

Drawing on data from a larger research study, this paper explores intersecting and competing social relations that influenced the romantic desires of women who became intimately involved with men who molested children. Through a feminist poststructuralist lens, women’s narratives were analysed with the use of feminist interpretations of Foucauldian discourse theory. Analysis informed of a discursive power over participants that made the attainment of romantic desires an imperative for ensuring social respect, worth and credibility as women. When all was not ideal, these same romantic desires compelled women to fix and hold onto their relationships – even when with men that attract damning societal responses towards them. Even upon acknowledgement of their partners’ sexual transgressions, the fear of relationship breakdown meant that romantic desires again featured as imperatives for the women. The imagined pleasure of achieving romantic desires is discursive; so powerful that it outweighed women’s fears and dangers of precarious intimate life with men who commit abhorrent acts. [ABSTRACT FROM PUBLISHER]

This paper presents for the first time the results of research conducted in 2001 titled Australian Transgender Survey 2001 (ATS2001). Sixty-six transgender Australians participated in a qualitative research methodology—namely, an online survey—and were asked to reflect on their sex/gender and transgender identities and lived experiences, especially in regard to their views on hormone therapy, sex reassignment surgery, and the medical profession. Participants were also asked about their aspirations for the future of transgenderism in Australia. This project was unable to mirror the findings of other research, thus, making a unique contribution to the extant literature. ATS2001 indicates that participants are satisfied with the results of sex reassignment surgery while simultaneously being critical of the medical profession. Participants were also asked to reflect on their aspirations for the future. Some aspirations, such as uniformity across Australian states and territories with regard to recognition of one's sex/gender and a reduction in the cost of "sex reassignment surgery," have not been realized. Other aspirations have been realized, such as the passage of anti-discrimination laws, being able to change the sex/gender on official documents, being able to marry, and social acceptance and adoption of sex/gender categories other than man, woman, and transgender, have occurred. [ABSTRACT FROM AUTHOR]

The Royal Children's Hospital (RCH) in Melbourne has launched a world-first app for children that will help reduce anxiety and the need for anesthesia during medical imaging procedures. The free, game-based app, “Okee in Medical Imaging”, helps children aged from four to eight years to prepare for all medical imaging procedures – X-ray, CT, MRI, ultrasound, nuclear medicine, and fluoroscopy. The app is designed to reduce anticipatory fear of imaging procedures, while helping to ensure that children attend imaging appointments equipped with the skills required for efficient and effective scans to be performed. This paper describes how the app was developed. [ABSTRACT FROM PUBLISHER]

The last 30 years has seen significant developments in the Australian housing sector for people with disabilities. Despite much change in the sector, and advancements in disability services, the range of current supported housing options for younger Australian adults with a neurological disability remains vastly under-developed. This is despite a widely accepted and endorsed recognition that, as is the general population, people with all forms of disability have a right to housing of their choice. This paper presents a timely critique of the key actions made by the Australian disability and housing sectors and subsequently proposes a more informed approach to supported housing design and development: one that is based on a comprehensive understanding of consumer housing priorities and preferences, and is conducive to a person’s biopsychosocial health. [ABSTRACT FROM AUTHOR]

Objective Clinical psychology students and clinicians in regional and remote areas face challenges accessing required supervision and peer consultation. Distance supervision using existing online conferencing tools (e.g., SKYPE) is one option, but limitations of existing platforms require an external method of initiating a supervisory relationship and securely sharing confidential documents and videos. This paper addresses the development of an e-supervision application to overcome these limitations, and examines issues inherent to such a development. Method A newly developed e-supervision application provides online access to a database of clinical supervisors and peers for students to search, contact and meet, with additional document sharing and video annotation tools to support standard supervision activities. The authors provide a selected review of clinical, technical, legal and ethical considerations that have arising during the design, development and testing of this application. Results Technological barriers exist, both in internet capacity in rural areas, and with institutions allowing access to common meeting platforms. Online interactions necessitate a different communication style, which may deter new users. The highly confidential and sensitive nature of supervision resources (client videos and notes) requires the implementation of best practice security measures, and consideration of Australian Privacy law and informed consent procedures for clients. Conclusions Issues around online security, confidentiality and verification of users need to be considered and addressed in the development of online supervision services. User perceptions of security and utility will ultimately determine uptake of online supervision services, and further investigation of user perceptions is required. [ABSTRACT FROM AUTHOR]

BackgroundPeople who have profound intellectual and multiple disabilities face significant challenges to participating in their community and are reported to have few friends. In this paper, the issue of how this is addressed by parent-carers of young women with Rett syndrome is explored. MethodTranscripts of in-depth interviews with 6 families registered with the population-based Australian Rett Syndrome Database were examined, guided by a theory of social construction, for themes of participation. ResultsThe majority of parent-carers saw social participation as an unrealistic expectation due to their daughters’ difficulties with communication. At the same time, parent-carers spontaneously recounted details of their daughters’ social connections within their local communities. This was positively associated with the presence of siblings. ConclusionsYoung women with Rett syndrome participate socially in their community. Encouraging parent-carers to continue with small-scale strategies that pay heed to their concerns and fears has the potential to enhance their daughters’ access to the benefits associated with friendship. [ABSTRACT FROM PUBLISHER]