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Stigmatised attitudes are known to be associated with negative outcomes in schizophrenia, yet there is little focus on the role of stigma in the recovery process. Attempts to develop interventions to reduce self-stigma in schizophrenia have not been found effective. This paper presents a theoretical integration based on a narrative review of the literature. PsycINFO, Medline and Embase databases were searched up to the 11th December 2023. Studies were included if they were: i) empirical studies using qualitative, quantitative or mixed methods studies investigating mental health stigma; ii) included participants based in the United Kingdom, fluent in English, between the ages of 16 and 70, meeting criteria for a schizophrenia spectrum diagnosis. Fourteen studies were included. In Part 1, we propose a novel theoretical model derived from a synthesis of service-user perspectives on the relationship between stigma and schizophrenia. Stigmatised attitudes were commonly perceived to be caused by a lack of education and further exacerbated by disinformation primarily through the media and cultural communities. Stigma led to negative self-perceptions, negative emotional responses, social isolation and increased symptom severity, ultimately acting as a barrier to recovery. In Part 2, we identify several factors that ameliorate the impact of stigma and promote clinical and subjective recovery among service-users: education, empowerment, self-efficacy, self-acceptance, hope and social support. We argue that the notion of stigma resistance may be helpful in developing new interventions aimed at promoting recovery in individuals with schizophrenia. Wider implications are discussed and recommendations for future research and practice are explored. [ABSTRACT FROM AUTHOR]

A fundamental element of quality healthcare is that provision is accessible to all users and culturally sensitive to them. However, there is evidence to suggest that there is inequity of provision across all cultures. Furthermore, there is a paucity of published research in the United Kingdom concerning palliative care for minority ethnic families with a life-threatened or life-limited child or young person. The article sets out to discuss the findings of a literature review and, drawing on current work by the Centre for Children and Families Applied Research at Coventry University under the leadership of Professor Jane Coad, to explore the interface between South Asian cultures and the experience of palliative care services of children, young peoples, and families. All families require a broad range of services which are appropriately delivered and accessible throughout the trajectory of their child's illness. The literature review findings reveal that how families understand concepts such as health and disease arise from the complex interaction between personal experience and cultural lifestyle including language, family values, and faith. There is an urgent need to involve South Asian families in research in order to provide a robust evidence-base on which to develop service provision so that care is matched to the unique needs of individuals concerned. [ABSTRACT FROM AUTHOR]

To be a person with learning disabilities/special educational needs is to be vulnerable to projections of hatred from society, as we seek to disavow the damaged and imperfect in all of us. In circumstances which mirror those of other marginalised groups these projections of hate continue to the point of disabled lives being experienced as less valuable as others. In this paper, I will argue that in our current highly capitalised societies, these projections may now also be carried by those children and young people who are experiencing the effects of childhood trauma, with a recognition that a disproportionate amount of developmentally damaging trauma is undergone by children who live in poverty. This paper will reflect on my work as a child psychotherapist in primary schools in London in the UK over the past 10 years, with children and young people who have been identified as having a range of identified special needs, including social, emotional and behavioural difficulties. All have had their capacity to develop to their full potential impacted by their experiences of trauma. Bessel van der Kolk's Developmental Trauma model and Sroufe's Minnesota research will all be considered. Clinical examples will show how long-term, play based child psychotherapy can provide a valuable opportunity for children to identify and express their feelings, in the context of an empathic attuned relationship, even if traumatic experiences are ongoing. [ABSTRACT FROM AUTHOR]

The Working Party on Social Workers in the Local Authority Health and Welfare Services was established in 1955 to enquire into the kind of work which social workers in the health and welfare departments of local authorities should be carrying out and, because very few were qualified, to make recommendations about their recruitment and training. This paper evaluates the influence of the Report’s recommendation for 2-year training courses on the development of social work in the United Kingdom. It places the recommendation in the historical context of the period by reviewing some of the key submissions to the Working Party, highlighting the interests and concerns of social work, medical and academic bodies; responses of those bodies to the final report are analysed. The paper argues that the discussion about social work in the final report and the introduction of training courses in 1961 for social workers in the local authority health and welfare services were significant in providing an initial basis for expanding the numbers of social workers and contributing to their wider development as a single occupational group. [ABSTRACT FROM AUTHOR]

This paper reports on a study of the views and experiences of 21 sperm donors and five egg donors registered with UK DonorLink (UKDL), a voluntary DNA-based contact register established to facilitate contact between adults who wish to identify and locate others to whom they are genetically related following donor conception. Specifically, the paper examines donors’ reasons for searching for, or making information about themselves available to donor-conceived offspring. Their expectations of registration with UKDL, experiences of being registered and finally, the experiences of those who had contacted donor-conceived offspring and other genetic relatives are investigated. While most respondents reported largely positive experiences of registration, the study found significant issues relating to concerns about donation, DNA testing, possible linking with offspring and expectations of any relationship that might be established with offspring that have implications for support, mediation and counselling. Research that puts the experiences, perceptions and interests of gamete donors as the central focus of study is a relatively recent phenomenon. This study contributes to this debate and highlights directions for future research in this area. [ABSTRACT FROM PUBLISHER]

This paper explores the responses of nearly 1200 children and young people in Wales who were asked to identify which three famous people they most admired and which three they most disliked. Analysis of these young people's responses reveals a number of sociological and educational issues. Their selections confirm other research which has highlighted the importance of celebrities in the lives of young people. Their ‘heroes’ and ‘villains’ are drawn mostly from the worlds of popular music and sport. Their choices are also highly gendered and ‘raced’. Of particular interest is the finding that someone's ‘villain’ is more than likely to be someone else's ‘hero’. Our young people's selection of heroes and villains reflects the broader landscape of celebrity culture, where female fame is as much about appearance as talent and Black and minority ethnic celebrities are to be found largely in the fields of sport or popular music. The paper concludes by discussing the chasm between our young people's ‘heroes’ and ‘villains’ and those which are ‘officially sanctioned’ within the school curriculum and considers what schools and teachers might do about it. [ABSTRACT FROM PUBLISHER]

This paper will discuss examples of mental health training developed and co-produced in active partnership with two communities, one in Britain and one in Sri Lanka. This work has taken place in community settings, not within the consulting room. The learning had a bi-directional flow; through these partnerships, both partners/groups shared and developed their understanding of different cultures, idioms of distress, explanatory mental health models and ways of dealing with these. This expanded everyone's knowledge, understanding, and repertoires of practice. The work in Britain was audited through a range of psychometric tests and that in Sri Lanka through questionnaires. Semi-structured interviews also took place with both groups as did meetings with a range of key informants. Working beyond the clinic can benefit people, who have obliquely been labeled, as 'hard to reach' groups and who may find it difficult to access mental health services or who find services inappropriate. Therefore, community groups may be well-positioned to bridge this gap in non-stigmatizing, accessible and culturally appropriate ways. Evidence has begun to emerge suggesting that mental health services developed in conjunction with service users and the wider community may lead to better usage, more appropriate and accessible services, and to an improved sense of inclusivity. The implications of this for the global mental health debate will be briefly considered as will health pluralism and the importance of language and using a mother tongue. [ABSTRACT FROM AUTHOR]

International health electives pose specific ethical challenges for students travelling from to low and middle income countries. We undertook a systematic review of the literature on interventions to prepare students to identify ethical issues addressed, educational approaches and to collate evidence on the effectiveness of different strategies. We searched nine electronic databases of peer-reviewed literature and identified grey literature through key word searches; supplemented through citation mapping and expert consultation. Articles that described ethical training conducted by universities or professional bodies were included for review. We reviewed forty-four full text articles. Ten sources of published literature and seven sources of grey literature met our inclusion criteria. We identified thirteen ethical situations that students should be prepared to manage and eight generic skills to support this process. Most interventions were delivered before the elective, used case studies or guidelines. Some suggested ethical principles or a framework for analysis of ethical issues. Only two papers evaluated the intervention described. Our paper collates a small but growing body of work on education to prepare students to manage ethical issues. Ethical training should have elements that are delivered before, during and after the elective. Interventions should include case studies covering thirteen ethical issues identified here, linked to ethical principles and a process for responding to ethical issues. We suggest that evaluations of interventions are an important area for future research. [ABSTRACT FROM PUBLISHER]

Little is understood about social work students or social workers' perceptions of ageing in the UK. This paper presents a small-scale study of 20 master social work students' perceptions of ageing during the first year of their programme. A mixed method approach was employed over a two-staged research project, in both stages the social work students were asked to complete Kogan's attitudes towards older people scale (KATOPS) and draw a person aged 75. Results demonstrated that most students had neutral to positive attitudes towards older people at the beginning of the programme and these improved in stage two; all had positive attitudes. The drawings provided a visual narrative of their perceptions of older people; visual signifiers included physical signs of ageing. Fulfilment, emotion, family, individuality and appearance were emergent themes. Whilst the programme enhanced the students' perceptions more work is needed to dispel the myths and stereotypes about ageing. [ABSTRACT FROM AUTHOR]

The mental health of migrant communities is an important public health concern. A growing body of literature suggests that social and cultural determinants of health significantly contribute to the mental health and wellbeing of older migrants in their host countries. Despite the increasing population of older Nepalese migrants in the UK, there is little research exploring the mental health needs of this community. This article explores older Nepalese women’s experiences of drivers of mental distress in London. Data was collected using in-depth interviews with 20 older Nepalese women living in the London Borough of Greenwich. Grounded thematic analysis of women’s narratives identified six overarching factors contributing to their emotional distress that pose potential risks to their mental health: absence of family, language barriers, housing problems, physical illness, lack of appropriate support, fears of death, and inadequate financial resources. In many cases, the impact of these factors was experienced in combination rather than isolation, often influenced by cultural dynamics. Findings highlight that re-settlement in the absence of family is at the heart of emotional challenges for older Nepalese women. The paper concludes with a series of recommendations for supporting processes of settlement to mitigate this risk among older Nepalese women in the UK. [ABSTRACT FROM AUTHOR]

Young people's sexting is an area of increasing concern amongst parents, educationalists and policy makers, yet little research has been conducted with young people themselves to explore their perspectives on the support they need to navigate relationships in the new digital media landscape. To address this absence, an inter-disciplinary team of researchers undertook a participatory study with students, aged 13 to 15, in a UK secondary school. This paper outlines key study findings, including young people's views on sexting, their recommendations for improved education around sexting in schools, their preferred sources of support, and their perspectives on the way adults should respond to young people's sexting. Findings indicate that sexting education needs to be developed within the context of wider relationship issues, such as gender, power dynamics and trust between peers, and improved communication between students and teachers or other responsible adults. Findings may be used to consider ways of designing and communicating messages around sexting to young people within and beyond educational settings. [ABSTRACT FROM AUTHOR]

Residential child care is an inherently distressing and multi-layered endeavour undertaken by staff who are often poorly trained and supported. In addition, the children, and the adults who care for them, can provide a convenient receptacle for the split off negative feelings of professionals, politicians and the public. The complexity and difficulty of this work is often unrecognised and a simplistic response based on a programmatic, behavioural framework, reinforced by performance-based management and an audit culture, is common. This paper argues for the usefulness of a different approach, drawing on psychoanalytic and open systems thinking, to provide a more nuanced understanding of what is happening in these volatile settings that can guide interventions which match the complexity of the work. Alongside advocating the use of key psychoanalytic and systems concepts to improve understanding, it argues for the importance of providing a containing and reflective environment for staff. [ABSTRACT FROM AUTHOR]

This paper explores the development of staff consultation in the context of an innovative residential childcare pathway within a local authority in the United Kingdom. A preceding attempt to develop group consultations in residential homes has been expanded upon and enhanced as part of implementing a broader therapeutic residential service model. A wide-ranging training programme and consultations have been developed for residential childcare workers to introduce and embed therapeutic ideas. Systemic therapy and attachment theory ideas have been used explicitly through exploring with staff how these approaches can inform practice, and implicitly by providing a framework of consultation to inform and expand individual and team thinking. Promoting reflective practice through group consultations has highlighted complex challenges, stimulating opportunities as well as a need to consider multiple levels of context. Recommendations from this learning are discussed to help inform practice in new and existing residential services. [ABSTRACT FROM AUTHOR]

Experiences of autism-spectrum disorder are now increasingly studied by social scientists. Human-animal relations have also become a major focus of social inquiry in recent years. Examining horse-assisted therapy for autistic spectrum disorders, this is the first paper that brings these fields together. Drawing on participant observation and interviews at a UK horse therapy Centre, this article examines how staff and the parents of riders account for the successes and limitations of equine therapy. To the respondents, horses ‘open up’ autistic children and make possible interactions that seemed impossible before. Horses were regarded as facilitating the emergence of apparently social behaviours, which included eye contact, pointing, and speech. Three key explanations emerged for therapeutic success: the sensorial, embodied experience of riding the horse; the specific movements and rhythms of the horse; and, the ‘personality’ of the horse. Equine therapy can be regarded as enabling a form of multispecies intersubjectivity, with the resonance between rider and horse seeming to make possible a new attunement between humans. Practices of equine therapy, and perceptions of its efficacy, serve in turn to attune social scientists to a version of empathy constituted through lively and sensorial interactions, as opposed to one that is restricted to particular kinds of humans. [ABSTRACT FROM AUTHOR]

Children identified with special educational needs (SEN) and behavioural difficulties present extra challenges to educators and require additional supports in school. This paper presents views from special educational needs coordinators (SENCos) on various strategies used by educators to support children identified with SEN and problematic behaviours. The data were collected from telephone interviews with six SENCos from the UK’s South West Peninsula. The SENCos were invited to participate because their school was participating in a cluster-randomised trial of a teacher classroom management course (Incredible Years). Using thematic analysis to analyse the data, this paper illustrates strategies deemed by SENCos to be successful in the support of children identified with SEN. The management strategies generated by participating SENCos were then mapped onto those taught as part of the classroom management course for comparison. Findings indicate that strategies from the training programme appear to be appropriate for children identified with both SEN and behavioural difficulties. [ABSTRACT FROM PUBLISHER]

This paper analyses the first significant change to Special Educational Needs (SEN) legislation in England for over a decade, a change that promises new approaches to identification and assessment, increased parental choice and enhanced pupil outcomes. The paper aims to examine to what extent this new framework can live up to its claims in the field of emotional and behavioural difficulties. It analyses the policy context and some key details of this legislation by focussing on approaches such as person-centred planning, multi-professional collaborations and recent mental health initiatives in schools. It also explores what can be expected from the legislative requirements for collaboration between health, social care and education agencies to improve outcomes for children and young people. The paper concludes by addressing tensions between medical and social model assumptions by proposing a systemic approach to multi-agency working and an educationally oriented and integrated functional framework for identifying and assessing emotional and behavioural difficulties. [ABSTRACT FROM AUTHOR]

Drawing on data from in-depth interviews with refused asylum seekers from Zimbabwe and Kurds from Turkey, who have stayed in Britain as irregular migrants, this paper examines everyday lives, strategies and fears. The paper focuses on four main areas: individual experiences of the asylum system leading to irregularity; living as an irregular migrant with the constraints on economic participation and limited housing options; social lives, relationships and community activities alongside the ways in which decisions about social interactions intersect with irregularity and subsistence support; the fears and everyday struggles faced by irregular migrant's living in England, and the ways in which this translates into relationships with place and space. The paper draws out both the commonalities and the diversity of experiences among refused asylum seekers living in England. [ABSTRACT FROM AUTHOR]

This paper illustrates key findings from a qualitative doctoral research project exploring women's experience of infertility. Six women maintained treatment diaries, reflecting on their experiences prior to, during and beyond infertility treatment. The following key themes are identified: hopefulness, adaptation, transitioning and shifting focus. The data suggest that treatment, clinic experience and living a life 'on hold' act as turning points within the individual life course. It is at the intersection between treatment and outcome that difficulties negotiating the expected and anticipated life course become illuminated, revealing limited connectivity and transitioning through and beyond the treatment process. This is a critical focus area and one that sets the scene for effective future adaptation. The data suggest that the accessibility of supportive care moving through and beyond treatment is limited. This paper argues that the infertility clinic is a critical space and place and one where effective supportive care may enable effective transitioning beyond the experience of infertility as an unanticipated life course disruption. [ABSTRACT FROM AUTHOR]

Reports in the British media over the last 4 years have highlighted the schisms and contestations that have accompanied the reports of gender selective abortions amongst British Asian families. The position that sex-selection may be within the terms of the 1967 Abortion Act has particularly sparked controversy amongst abortion campaigners and politicians but equally among medical practitioners and the British Pregnancy Advisory Service who have hitherto tended to stay clear of such debates. In what ways has the controversy around gender-based abortion led to new framings of the entitlement to service provision and new ways of thinking about evidence in the context of reproductive rights? We reflect on these issues drawing on critiques of what constitutes best evidence, contested notions of reproductive rights and reproductive governance, comparative work in India and China as well as our involvement with different groups of campaigners including British South Asian NGOs. The aim of the paper is to situate the medical and legal provision of abortion services in Britain within current discursive practices around gender equality, ethnicity, reproductive autonomy, probable and plausible evidence, and policies of health reform. [ABSTRACT FROM AUTHOR]

The World Health Organization’s Ottawa Charter for Health Promotion has been considered a seminal document and template for health promotion since its inception and is still seen as a “gold standard” for health promoters worldwide who wish to improve health and reduce inequalities. Although its principles have been widely applauded, opportunities to transfer these principles into the radical changes and practical solutions needed globally to improve health have been missed. This paper examines how the Charter has influenced United Kingdom health care policies by examining two of the Charter’s key strategies, creating healthy environments and reorientating health services. In the UK, currently, there remains an over emphasis on personal responsibility and behaviour change, rather than tackling fundamental societal-wide issues. Nevertheless, it is argued that the Ottawa Charter retains its relevance to the present day and that all policy makers and professionals working to promote positive health should revisit and take heed of its principles. [ABSTRACT FROM AUTHOR]

In July 2015, a new statutory duty was sanctioned in the UK for a range of professional practitioners, including social workers, to pay ‘due regard to preventing terrorism’. The duty has contributed to a shifting of social work practice and decision-making from the fields of advocacy and promotion of ethics, social justice and human rights, towards risk-work more analogous to that of the security services. Social workers are caught up in pre-emptive risk work, operating in a pre-crime space. Further, an ‘ethic of silence’ has emerged because social workers are not speaking back or challenging the duty due to the ensnared nature of the dominant securitised discourses, which prevent counter-discourses from emerging. Utilising an autoethnographic approach, this paper shows that the new duty is reorganising and rearranging new networks of practitioners with securitisation a dominant feature, and this significantly affects practice decisions. Latour’s actor network theory (ANT) helps us to examine the ethical and practical implications for decision-making. Shifting notions of ethics, rights and as yet unforeseen consequences of PREVENT concern us. This being said, humane and socially just social work practice within the duty is possible; strengths-based risk practices provide practical and ethical ways forward and these are discussed. [ABSTRACT FROM PUBLISHER]

Despite the economic, environmental and patient-related imperatives to prepare medical students to become health promoting doctors, health promotion remains relatively deprioritised in medical curricula. This paper uses an in-depth case study of a health promotion curriculum implementation at a large UK medical school to provide insights into the experiences of teachers and learners across a range of topics, pedagogies, and teaching & assessment modalities. Topics included smoking cessation, behavioural change approaches to obesity, exercise prescribing, social prescribing, maternal and child health, public and global health; with pedagogies ranging from e-learning to practice-based project work. Qualitative methods including focus groups, analysis of reflective learning submissions, and evaluation data are used to illuminate motivations, frustrations, practicalities, successes and limiting factors. Over this three year implementation, a range of challenges have been highlighted including: how adequately to prepare and support clinical teachers; the need to establish relevance and importance to strategic learners; the need for experiential learning in clinical environments to support classroom-based activities; and the need to rebalance competing aspects of the curriculum. Conclusions are drawn about heterogeneous deep learning over standardised surface learning, and the impacts, both positive and negative, of different assessment modalities on these types of learning. [ABSTRACT FROM PUBLISHER]

This paper reflects on the concept of insecurity defined as ‘the capacity to hurt’. It begins by considering asylum seekers and refugees as hyper-precarious groups that have experienced bodily, material and psychological ‘hurt’ in the UK. At the same time, the paper considers how these hyper-precarious groups are perceived to have the capacity to hurt (bodily, materially, psychologically and spatially) the majority population. Having drawn out two understandings of the capacity to hurt—both the ability to be or feel hurt and the act of hurting others, we argue that a shared recognition of what it means to feel hurt (co-suffering or suffering together)—albeit to very different extremes and with very different consequences—and an understanding of the processes which drive this might be mobilised politically to challenge the act of hurting others. In doing so, we argue for a group politics of compassion to respond to increasingly insecure times. [ABSTRACT FROM AUTHOR]

Primary objective: To systematically review the results of investigative research into psychosocial outcomes following paediatric traumatic brain injury (TBI) in children of school-age. Methods: Searches were conducted using PsycINFO, MEDLINE and Science Direct. Three hundred and ninety papers were identified, of which 17 met inclusion criteria. Citation searches uncovered 28 further studies. All 44 studies were appraised in terms of their methodological rigour (e.g. sample characteristics, measures utilized, control groups employed). Results: The papers reviewed described outcomes across domains of behavioural, emotional, adaptive and parent/family functioning. Studies describing behavioural functioning post-injury demonstrated least consistent results. Papers examining emotional, adaptive and parent/family outcomes found that those with head injury presented with poorer functioning than other paediatric populations. Injury severity was commonly identified as a significant predictor of outcome, as were several pre-injury psychosocial factors. Conclusions: Inconsistencies in results may have arisen due to the heterogeneous populations studied and methodologies employed. Research which examines the reliability of assessment measures is needed. Given the high prevalence of difficulties, psychosocial assessment is warranted in this population. [ABSTRACT FROM AUTHOR]

This paper explores the social psychological aspects of British national identification among British South Asians, which constitutes the largest ethnic minority group in Britain. Identity process theory can elucidate the social and psychological ‘functions’ of Britishness for social actors, offering a holistic account of national identification within this population. The paper provides a discussion of nationhood and the construction of national identity, temporal factors in national identification, its cognitive and affective aspects, the psychological ‘functionality’ of Britishness, and its social representations. It is argued that a civic, instrumental conception of Britishness might facilitate access to this identity among British South Asians. [ABSTRACT FROM PUBLISHER]

Since the 1980s, the primary public health response to injecting drug use in the UK has been one of harm reduction. That is, reducing the harms associated with drug use without necessarily reducing consumption itself. Rooted in a post-Enlightenment idea of rationalism, interventions are premised on the rational individual who, given the right means, will choose to avoid harm. This lies in stark contrast to dominant addiction models that pervade popular images of the ‘out of control’ drug user, or worse, ‘junkie’. Whilst harm reduction has undoubtedly had vast successes, including challenging the otherwise pathologising and often stigmatising model of addiction, I argue that it has not gone far enough in addressing aspects of drug use that go beyond ‘rational’ and ‘human’ control. Drawing on my doctoral research with people who inject drugs, conducted in London, UK, this paper highlights the role of the injecting ‘event’, which far from being directed or controlled by a pre-defined individual or ‘body’ was composed by a fragile assemblage of bodies, human and nonhuman. Furthermore, in line with the ‘event’s’ heterogeneous and precarious make-up, multiple ways of ‘becoming’ through these events were possible. I look here at these ‘becomings’ as both stabilising and destabilising ways of being in the world, and argue that we need to pay closer attention to these events and what people are actually in the process of becoming in order to enact more accountable and ‘response-able’ harm reduction. [ABSTRACT FROM PUBLISHER]

Objective: In this paper, we apply psychological agency theory to women's interviews of their breastfeeding experiences to understand the role of agency in relation to breastfeeding initiation, maintenance and duration. Design: Qualitative, video interviews were collected from 49 women in the UK from a wide range of ethnic, religious, educational and employment backgrounds about their breastfeeding experiences. We undertook secondary analysis of the data focusing on their accounts of vulnerability and agency. Findings: Women's agency was impacted by a variety of factors including their own vulnerability, knowledge, expectations and experience, the feeding environment and the support of health professionals in sharing decision-making and dealing with uncertainty. Conclusion: Health professionals as co-agents with women are well positioned to maintain, enhance or restore women's sense of agency. Breastfeeding goals should be included in women's birth plans. Training related to agency, continuity of care, and staffing and workload management supported by national breastfeeding policies could improve breastfeeding rates and experiences. [ABSTRACT FROM AUTHOR]

The importance of psychosocial environments to health outcomes - physical health, mental health and wellbeing, and health behaviours - has been increasingly recognised in recent years, but more so in relation to the workplace than other settings. This paper seeks to extend this field of inquiry both conceptually and empirically. it argues that housing and neighbourhoods can equally be viewed as comprising an important residential psychosocial environment operating via processes of appearance, perceived relative position, control, status and empowerment. The paper goes on to demonstrate this approach by looking at the relationships between housing and neighbourhood psychosocial risk factors and psychosocial benefits and mental wellbeing for residents in relatively deprived areas. A range of psychosocial factors are positively associated with mental wellbeing, with the most important being: the attainment of feelings of residential and personal progress; having a sense of control at home; and the aesthetic qualities of the dwelling and neighbourhood environment. Empowerment in relation to both one's landlord and local area changes were both also important, although slightly less strongly associated with mental wellbeing. The perceived relative position of the dwelling and neighbourhood had the least strong associations with mental wellbeing once aspects of quality were taken into account. [ABSTRACT FROM AUTHOR]

Previous research has demonstrated that all 16 psychological types are preparing for or engaged in the exercise of Christian ministry. Drawing on Jungian psychological-type theory, this paper suggests that each of the 16 types may approach ministry in ways that reflect both the unique strengths and the unique weaknesses of that type. The thesis is tested by developing a detailed analysis of the ministry profile associated with one of the 16 types, the INTJ minister. On the basis of this analysis of one specific type, the paper recommends the value and wisdom of examining the other 15 types in a similar manner. [ABSTRACT FROM AUTHOR]

Much of the current guidance on managed moves focuses on the benefits of the 'fresh start' provided. This paper describes an appreciative inquiry to explore how schools in one local authority create a sense of belonging to facilitate a fresh start for pupils involved in a managed move to a new school. Six deputy head teachers with pastoral responsibility took part in a focus group using an appreciative inquiry (Ai) 4-D cycle. The discovery, dream and design phases sought to build on the current practice and identify the improvements to practice. Thematic analysis of the data identified many aspects of belonging, which are in line with those identified in the literature such as creating a school identity, developing partnerships and specific activities such as interform competitions and family assemblies. Generating school identity and home-school-pupil partnerships were also identified in relation to managed moves. In the destiny stage, themes were fed back and discussed with a wider Deputy Head Group and Good Practice Guidance to facilitate the successful transition to a new school for pupils involved in a managed move that was produced and circulated across the LA. The importance of empathising with the potential challenges of changing school and forming and maintaining new relationships for pupils engaging in a managed move is highlighted and the Good Practice Guidance illustrates how transition, induction and ongoing support plans can take this into account. [ABSTRACT FROM AUTHOR]

The term ‘thinspiration’ is used within the pro-anorexia (pro-ana) community to classify images of slenderness that represent aspects of anorexic experience and/or idealise extreme to emaciated slender bodies. This paper discusses thinspiration via an analysis of 1990s grunge culture and its stylisation of subjective crisis. By reflecting on some of the meanings associated with British fashion's figure of ‘the waif’, it argues that images of extremely slender bodies presented in pro-ana thinspiration menus can be located within a discursive field where distress is a problematic signifier of subjective agency and power. It suggests that although some strategies of the pro-ana community are aligned with the feminist challenge to the dominant gaze and its demand for slender femininities, some images of anorexic distress, such as those found in the category of ‘real girl’ thinspiration, have the potential to reproduce oppressive representational strategies and sustain a view in which damage to women's bodies is promoted as a source of identity. As thinspiration is produced largely online and by women themselves, this paper calls for a renewed focus on the debate about the impact of slender ideals not only on women as consumers but also as producers of images. [ABSTRACT FROM PUBLISHER]

The world in 2010 is a very different place to 1987 when Bhugra's paper on homophobia was published. Huge shifts have occurred in society's attitudes to gender, sex, sexuality and identity - notably by the internet, changes in HIV treatment, media representation of homosexuality and feminism and the role of women in society. This paper updates the literature review on homophobia revisiting society's assumptions about homosexuals. Changes are discussed in the context of definitions of homophobia, socio-cultural and politico-legal perspectives and homophobia and medicine. New current assumptions are drawn up and offered as a way of understanding both development and limitations - whilst there has been a reduction in the fear associated with gay men and women, discrimination remains. Newer issues such as internalised homophobia, globalisation and mainstream representations of homosexuality add complexity to this ongoing concern. [ABSTRACT FROM AUTHOR]

This paper examines whether voters mobilized by a Get Out The Vote (GOTV) campaign continue to turn out in a subsequent election. It thereby tests the extent to which they gain the habit of voting. The research examined electoral registers in the 2006 English local elections in the constituency of Wythenshawe and Sale East. This was the site of John and Brannan's (2007) GOTV experiment, which had compared the impact of telephoning and door-to-door canvassing in the 2005 General Election. Descriptive statistics show that the downstream effect of the treatment was quite small at 3% in 2006. But the habit effect was large. Voting in 2005 raised the probability of voting in 2006 by more than half. Regression analysis confirms the size of the habit effect. The paper discusses the limitations of sample size in making statistical inferences about the prevalence of the habit effect in one location. [ABSTRACT FROM AUTHOR]

This paper uses the notion of 'haunting' to explore how even those who might be considered to be particularly individualized are inhabited by the traces of the lives of others. The paper works with a single detailed case study taken from UK based research on the personal lives and values of people living outside the conventional cohabiting couple. It develops a psycho-social-analysis of interviews with Ben, a black English man in his 50s who is a 'strong' case of the individualization of personal life. Ben represents himself as highly self-reliant and self-sufficient, yet his narratives repeatedly return to the central importance of his long dead father; the paper suggests that his interviews, and his subjectivity, are 'haunted' by the ghost of his father. It explores the ways in which conflicted issues of gendered and racialized belonging and identification, and questions of ethical subjectivity, are worked out in relation to his dead father. The paper is informed by psychoanalytic and sociological writing on psychic and socio-cultural processes of haunting, particularly the work of Christopher Bollas and Avery Gordon. It contributes to the re-thinking of sociological theories of individualization, challenging sociology to take seriously a psychoanalytically inspired ontology of relationality, and the impacts of past relationships on subjectivity. [ABSTRACT FROM AUTHOR]

This paper aims to focus on the politics of exclusion by opening up a debate about black perspectives in social work and articulates a comparative assessment between the UK and USA which includes contributions from social and political theory, particularly the 'politics of recognition'. The paper begins by mapping the territory denoted in the growth of 'studies' in sociology and academia. Following these discussions, I review criticisms and possibilities of anti-racist social work and black perspectives to argue that in the British context, the dilution of anti-racist social work into a discriminatory practice framework undermined the place of black perspectives in social work education. In the next section, a reframing of black perspectives is envisaged with implications for social work learning and practice. By attending to these issues, social work learning and practice can support a more inclusive approach to professional knowledge which recognizes changing patterns of social life, complexity and multiple perspectives. [ABSTRACT FROM AUTHOR]

Using an autoethnographic approach and drawing on principles of reflective practice, this paper illustrates how a long-standing professional involvement in community education evolved into a personal search for meaning that included engagement with the concept of spirituality. It re-views typologies of community education developed in the UK in the 1980s and argues that, when they are viewed holistically, a spiritual dimension is implicit in them. The paper suggests that spirituality needs to be addressed as a dimension of educational practice and research in order to keep pace with growing popular interests and emergent thinking in the natural sciences. Two roads diverged in a wood, and I— I took the one less travelled by, And that has made all the difference. (Frost 1920) [ABSTRACT FROM AUTHOR]

This paper takes its point of departure from the importance for stable democracy of citizens' confidence in the probity of public office holders and from the growing public concerns in this area since the early 1990s. Against this background, the paper seeks to offer, for the British case, an 'inventory' of (a) what is currently known about citizens' perceptions and attitudes in this area and (b) the legislative responses which, since the early 1990s, have responded to public concerns. Starting with a series of reflections on the possible causes of growing public anxieties, the paper explores what we know about how these anxieties have been articulated, and then suggests some possible ways in which, paradoxically, attempts to address the anxieties may actually have served to enhance them. [ABSTRACT FROM AUTHOR]

This paper examines the shifting nature of Further Education (FE) professionalism through the lenses of the Transforming Learning Cultures in FE (TLC) project. Despite over a decade of market and managerial reform professionalism in FE remains an elusive and paradoxical concept. With some notable exceptions there exists little official data or research evidence of who its practitioners are, their dispositions or how they define professionalism in the contested contexts of their work. In addressing this neglected issue, albeit in a brief fashion here, the paper engages with wider debate concerning the culturally oriented nature of FE practice, as it mediates contradictory policy agendas, at college level. The paper highlights some of the paradoxes involved in a public management discourse that seeks to modernize FE professionals whilst, at the same time, displaying little understanding of their current practice or contexts in which they work. Drawing on the narratives of experienced practitioners participating in the TLC project (2001-2005) the paper explores their perceptions and experiences of professionalism through cultures of learning that simultaneously enhance and restrict their professional room for manoeuvre. [ABSTRACT FROM AUTHOR]

The sport spectator experience is one that is widely held to involve "live" presence at a sporting event, and that the raison detre of sports spectating is to witness events live and in person. This paper builds on a previous ethnography of football spectating in the pub to develop a theoretical basis for the suggestion that sports spectating is as much about shared experience as it is about live presence. In doing so, it utilises perspectives from tourism literature relating to the nature of proximity and to the importance of being able to re-live and re-tell experiences. The paper concludes that whilst the pub as a spectator venue can provide a proximity to the sport spectating experience, the longevity of the experience in terms of its value as an experience to be re-told is significantly shorter than being able to say that one has "been there" at a live event. [ABSTRACT FROM AUTHOR]

This paper outlines the recent history of LGBT psychology and psychotherapy in the United Kingdom, focusing on key publications, and the current terrain, highlighting similarities and differences between the UK and the US contexts. The paper is divided into four sections: the first focuses on the early development of the field in the late 1960s. The second section explores the 1980s--a decade that witnessed the publication of two key texts that had a strong influence on the development of the field and, in particular, on the development of critical and discursive approaches. The third section details the rapid changes that occurred in the 1990s including the establishment of a Lesbian and Gay Psychology Section within the British Psychological Society. The final section considers the current terrain and the similarities and differences in the theoretical commitments of researchers and practitioners working in the UK and in the US. [ABSTRACT FROM AUTHOR]

In this paper, we will examine the importance of culture and ethnicity in the general practice consultation process. Good communication is associated with positive health outcomes. We will, by presenting qualitative material from an empirical study, examine the way in which communication within the context of a general practitioner (GP) consultation may be affected by ethnicity and cultural factors. The aim of the study was to provide a detailed understanding of the ways in which white and South Asian patients communicate with white GPs and to explore any similarities and differences in communication. This paper reports on South Asian and white patients' explanations of recent videotaped consultations with their GP. We specifically focus on the ways in which issues of ethnic identity impacted upon the GP consultation process, by exploring how our sample of predominantly white GPs interacted with their South Asian patients and the extent to which the GP listened to the patients' needs, gave patients information, engaged in social conversation and showed friendliness. We then go on to examine patients' suggestions on improvements (if any) to the consultation. We conclude, by showing how a non-essentialist understanding of culture helps to comprehend the consultation process when the patients are from Great Britain's ethnicised communities. Our findings, however, raise generic issues of relevance to all multi-racial and multi-ethnic societies. [ABSTRACT FROM AUTHOR]

This paper addresses epistemological and methodological issues that surfaced for the authors in a visual research project. Engaging with visual discourse necessitated the authors' interrogation of their own take on issues associated with text and context and the role of reflexivity in the research process. This reflection led us to ruminate still further about the insights that visual discourse could have for qualitative data in general. Thus, the paper first considers the validity of visual data before moving on to address issues of text/context and reflexivity through reference to our work with racist graffiti, in particular, that aimed at people seeking asylum in the UK. In conclusion, the paper argues that there is much to learn from engaging with visual discourse, in terms of understanding social phenomena as well as the process of doing research. [ABSTRACT FROM AUTHOR]

It is important for educators to understand the tactics used in subordination between young people if they are going to take effective measures to counter them in their pedagogical practice. The paper explores strategies used by schoolboys aged 10-11 years to subordinate and position boys at the bottom of the pupil hierarchy. The findings are based on data gathered from a year-long empirical study (between 1998 and 1999) set in three UK junior schools which were differentiated by the social characteristics of their intake. The research emphasizes the role of the body in the construction of masculinity. The hegemonic, or most idealized, form of masculinity at each school was constructed around activity and, in particular, various forms of embodied physicality/athleticism (exemplified through skill, strength, fitness and speed), and boys who did not wish to, or who were unable to, use these resources generally found themselves marginalized and/or subordinated. Many of the subordinated forms were symbolically assimilated to femininity, and the paper proposes that the main strategies of subordination can be summarized under the generic heading of 'difference'. The final section discusses the pervasive use of homophobia and concludes that it should be conceptualized in terms of gender as well as sex. [ABSTRACT FROM AUTHOR]

This paper is based on workshops conducted with students at Bristol University with some of the materials from the Feminist Archive South. We explore how the sensory wonder of the archives enriched and reshaped the practice of feminist pedagogy especially with regard to the interface between ontology and epistemology. We argue that the feminist archive is an important resource which incites us to shift our focus on the process of knowledge production as stories encountered in the archive can challenge the authority and coherence of dominant feminist stories. This can produce feelings of disorientation which act as important moments through which different kinds of feminist knowledge can emerge. Our approach places feelings at the centre of encounters with knowledge because of the mutual entanglement of thinking and feeling rendered salient in the feminist archive. Finally, these processes facilitate different kinds of student–teacher collaboration, with students positioned as co-researchers working to document and interpret the feelings, knowledge and transformations that emerge from the encounter-with the feminist archive. The objects we encountered worked as knowledge companions to stimulate collaborative (un)learning and to produce unique forms of affective knowledge. [ABSTRACT FROM PUBLISHER]

The importance of treating the psychological well-being of patients is increasingly recognised as an integral part of physiotherapy provision and specified in the World Health Organisation (WHO) and National Institute for Health and Care Excellence (NICE) guidelines. However, the term psychology encompasses a huge variety of aspects including; communication skills, goal setting, imagery, personality theories and effective inter-disciplinary practices which need be trained. The purpose of this review is to explore the historical development of physiotherapy as a profession in the context of present standards requiring physiotherapists to manage psychological issues that impact rehabilitation. The review will focus specifically on how the role of psychology in practice has evolved and whether this is reflected in current physiotherapy training programmes. Electronic papers were identified through a rigorous search of CINAL, AMED, MEDLINE, PsychINFO and EMBASE. Due to the historical exploration of this review, no time limits were applied to the searches and articles were retrieved as far back as 1894. The history of the profession demonstrates a very ‘hands on’ approach to treatment with minimal psychology related practices. Whilst numerous studies exploring psychology training in physiotherapy have reported significant inconsistencies across UK undergraduate physiotherapy programmes. Due to shifts in the dynamics of healthcare, it is apparent that physiotherapy programmes would benefit from including psychology skills training, as a core module, to meet these ever changing demands. Future research should explore what psychological interventions physiotherapists currently utilise in daily practice, as well as practitioner feelings on the standard and relevance of the psychology content provided in their formal training. [ABSTRACT FROM PUBLISHER]

Deliberate firesetting research predominantly focuses on apprehended populations. In contrast, this paper focuses on the prevalence and characteristics of un-apprehended firesetters living in the UK. Social media was utilized to recruit 232 participants for an online questionnaire. Two hundred and twenty-five people answered a question relating to deliberate firesetting. Forty participants (17.78%) indicated that they had ignited a deliberate fire and were classified as un-apprehended firesetters. Firesetting was most common in childhood and adolescence. Relative to non-firesetters, un-apprehended deliberate firesetters were more likely to report; a diagnoses of a psychiatric illness, a diagnosis of a behavioural problem, having been suspended from school, a history of suicide attempts, experimenting with fire before the age of 10 years old, and having a family member who also ignited a deliberate fire. Un-apprehended firesetters also scored significantly higher compared to non-firesetters on theFire Setting Scaleand theFire Proclivity Scale[Gannon, T. A., & Barrowcliffe, E. R. (2012). Firesetting in the general population: The development and validation of the Fire Setting and Fire Proclivity Scales.Legal and Criminological Psychology,17(1), 105–122], theFire Interest Rating Scale[Murphy, G. H., & Clare, I. C. H. (1996). Analysis of motivation in people with mild learning disabilities (mental handicap) who set fires.Psychology, Crime & Law,2(3), 153–164], theNovaco Anger Scale and Provocation Inventory[Novaco, R. W. (2003). The Novaco AngerScaleandProvocation Inventory: NAS-PI. Los Angeles, CA: Western Psychological Services], theBoredom Proneness Scale – Short Form[Vodanovich, S. J., Wallace, J. C., & Kass, S. J. (2005). A confirmatory approach to the factor structure of the Boredom Proneness Scale: Evidence for a two-factor short form.Journal of Personality Assessment,85(3), 295–303], and theMeasure of Criminal Attitudes and Associates Scale[Mills, J. F., & Kroner, D. G. (1999). Measures of criminal attitudes and associates: User guide. Unpublished instrument and user guide]. [ABSTRACT FROM PUBLISHER]

In this paper, we examine why risk-based policy instruments have failed to improve the proportionality, effectiveness, and legitimacy of healthcare quality regulation in the National Health Service (NHS) in England. Rather than trying to prevent all possible harms, risk-based approaches promise to rationalise and manage the inevitable limits of what regulation can hope to achieve by focusing regulatory standard-setting and enforcement activity on the highest priority risks, as determined through formal assessments of their probability and consequences. As such, risk-based approaches have been enthusiastically adopted by healthcare quality regulators over the last decade. However, by drawing on historical policy analysis and in-depth interviews with 15 high-level UK informants in 2013–2015, we identify a series of practical problems in using risk-based policy instruments for defining, assessing, and ensuring compliance with healthcare quality standards. Based on our analysis, we go on to consider why, despite a succession of failures, healthcare regulators remain committed to developing and using risk-based approaches. We conclude by identifying several preconditions for successful risk-based regulation: goals must be clear and trade-offs between them amenable to agreement; regulators must be able to reliably assess the probability and consequences of adverse outcomes; regulators must have a range of enforcement tools that can be deployed in proportion to risk; and there must be political tolerance for adverse outcomes. [ABSTRACT FROM PUBLISHER]

Two genetic technologies capable of making heritable changes to the human genome have revived interest in, and in some quarters a very familiar panic concerning, so-called germline interventions. These technologies are: most recently the use of CRISPR/Cas9 to edit genes in non-viable IVF zygotes and Mitochondrial Replacement Therapy (MRT) the use of which was approved in principle in a landmark vote earlier this year by the United Kingdom Parliament. The possibility of using either of these techniques in humans has encountered the most violent hostility and suspicion. However it is important to be aware that much of this hostility dates back to the fears associated with In Vitro Fertilization (IVF) and other reproductive technologies and by cloning; fears which were baseless at the time concerning both IVF and cloning the use of both of which have proved to be highly beneficial to humanity and which have been effectively regulated and controlled. This paper argues that CRISPR should by pursued through researh until it is safe enough for use in humans but there is no reason to suppose at this stage that such use will be unsafe or unethical (Collins 2015). [ABSTRACT FROM AUTHOR]

Interventions to change health-related behaviours typically have modest effects and may be more effective if grounded in appropriate theory. Most theories applied to public health interventions tend to emphasise individual capabilities and motivation, with limited reference to context and social factors. Intervention effectiveness may be increased by drawing on a wider range of theories incorporating social, cultural and economic factors that influence behaviour. The primary aim of this paper is to identify theories of behaviour and behaviour change of potential relevance to public health interventions across four scientific disciplines: psychology, sociology, anthropology and economics. We report in detail the methodology of our scoping review used to identify these theories including which involved a systematic search of electronic databases, consultation with a multidisciplinary advisory group, web searching, searching of reference lists and hand searching of key behavioural science journals. Of secondary interest we developed a list of agreed criteria for judging the quality of the theories. We identified 82 theories and 9 criteria for assessing theory quality. The potential relevance of this wide-ranging number of theories to public health interventions and the ease and usefulness of evaluating the theories in terms of the quality criteria are however yet to be determined. [ABSTRACT FROM AUTHOR]

Over the past forty years there have been significant changes in our ways of conceptualising and responding to people with alcohol problems. This paper provides a personal perspective upon what those changes have been and upon the role of psychologists in generating them. Further, it highlights the significant role played by a small multidisciplinary forum, The New Directions in the Study of Alcohol Group, in supporting workers move towards those changes particularly in the United Kingdom. [ABSTRACT FROM PUBLISHER]