14,611 research outputs found

    Identifying and responding to people with mild learning disabilities in the probation service

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    It has long been recognised that, like many other individuals, people with learningdisabilities find their way into the criminal justice system. This fact is not disputed. Whathas been disputed, however, is the extent to which those with learning disabilities arerepresented within the various agencies of the criminal justice system and the ways inwhich the criminal justice system (and society) should address this. Recently, social andlegislative confusion over the best way to deal with offenders with learning disabilities andmental health problems has meant that the waters have become even more muddied.Despite current government uncertainty concerning the best way to support offenders withlearning disabilities, the probation service is likely to continue to play a key role in thesupervision of such offenders. The three studies contained herein aim to clarify the extentto which those with learning disabilities are represented in the probation service, toexamine the effectiveness of probation for them and to explore some of the ways in whichprobation could be adapted to fit their needs.Study 1 and study 2 showed that around 10% of offenders on probation in Kent appearedto have an IQ below 75, putting them in the bottom 5% of the general population. Study 3was designed to assess some of the support needs of those with learning disabilities in theprobation service, finding that many of the materials used by the probation service arelikely to be too complex for those with learning disabilities to use effectively. To addressthis, a model for service provision is tentatively suggested. This is based on the findings ofthe three studies and a pragmatic assessment of what the probation service is likely to becapable of achieving in the near future

    Consent and the Construction of the Volunteer: Institutional Settings of Experimental Research on Human Beings in Britain during the Cold War

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    This study challenges the primacy of consent in the history of human experimentation and argues that privileging the cultural frameworks adds nuance to our understanding of the construction of the volunteer in the period 1945 to 1970. Historians and bio-ethicists have argued that medical ethics codes have marked out the parameters of using people as subjects in medical scientific research and that the consent of the subjects was fundamental to their status as volunteers. However, the temporality of the creation of medical ethics codes means that they need to be understood within their historical context. That medical ethics codes arose from a specific historical context rather than a concerted and conscious determination to safeguard the well-being of subjects needs to be acknowledged. The British context of human experimentation is under-researched and there has been even less focus on the cultural frameworks within which experiments took place. This study demonstrates, through a close analysis of the Medical Research Council's Common Cold Research Unit (CCRU) and the government's military research facility, the Chemical Defence Experimental Establishment, Porton Down (Porton), that the `volunteer' in human experiments was a subjective entity whose identity was specific to the institution which recruited and made use of the subject. By examining representations of volunteers in the British press, the rhetoric of the government's collectivist agenda becomes evident and this fed into the institutional construction of the volunteer at the CCRU. In contrast, discussions between Porton scientists, staff members, and government officials demonstrate that the use of military personnel in secret chemical warfare experiments was far more complex. Conflicting interests of the military, the government and the scientific imperative affected how the military volunteer was perceived

    Exploring the effects of spinal cord stimulation for freezing of gait in parkinsonian patients

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    Dopaminergic replacement therapies (e.g. levodopa) provide limited to no response for axial motor symptoms including gait dysfunction and freezing of gait (FOG) in Parkinson’s disease (PD) and Richardson’s syndrome progressive supranuclear palsy (PSP-RS) patients. Dopaminergic-resistant FOG may be a sensorimotor processing issue that does not involve basal ganglia (nigrostriatal) impairment. Recent studies suggest that spinal cord stimulation (SCS) has positive yet variable effects for dopaminergic-resistant gait and FOG in parkinsonian patients. Further studies investigating the mechanism of SCS, optimal stimulation parameters, and longevity of effects for alleviating FOG are warranted. The hypothesis of the research described in this thesis is that mid-thoracic, dorsal SCS effectively reduces FOG by modulating the sensory processing system in gait and may have a dopaminergic effect in individuals with FOG. The primary objective was to understand the relationship between FOG reduction, improvements in upper limb visual-motor performance, modulation of cortical activity and striatal dopaminergic innervation in 7 PD participants. FOG reduction was associated with changes in upper limb reaction time, speed and accuracy measured using robotic target reaching choice tasks. Modulation of resting-state, sensorimotor cortical activity, recorded using electroencephalography, was significantly associated with FOG reduction while participants were OFF-levodopa. Thus, SCS may alleviate FOG by modulating cortical activity associated with motor planning and sensory perception. Changes to striatal dopaminergic innervation, measured using a dopamine transporter marker, were associated with visual-motor performance improvements. Axial and appendicular motor features may be mediated by non-dopaminergic and dopaminergic pathways, respectively. The secondary objective was to demonstrate the short- and long-term effects of SCS for alleviating dopaminergic-resistant FOG and gait dysfunction in 5 PD and 3 PSP-RS participants without back/leg pain. SCS programming was individualized based on which setting best improved gait and/or FOG responses per participant using objective gait analysis. Significant improvements in stride velocity, step length and reduced FOG frequency were observed in all PD participants with up to 3-years of SCS. Similar gait and FOG improvements were observed in all PSP-RS participants up to 6-months. SCS is a promising therapeutic option for parkinsonian patients with FOG by possibly influencing cortical and subcortical structures involved in locomotion physiology

    Walking with the Earth: Intercultural Perspectives on Ethics of Ecological Caring

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    It is commonly believed that considering nature different from us, human beings (qua rational, cultural, religious and social actors), is detrimental to our engagement for the preservation of nature. An obvious example is animal rights, a deep concern for all living beings, including non-human living creatures, which is understandable only if we approach nature, without fearing it, as something which should remain outside of our true home. “Walking with the earth” aims at questioning any similar preconceptions in the wide sense, including allegoric-poetic contributions. We invited 14 authors from 4 continents to express all sorts of ways of saying why caring is so important, why togetherness, being-with each others, as a spiritual but also embodied ethics is important in a divided world

    Community, autonomy and divinity: studying morality across cultures

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    Moral rules are an important aspect of culture. Yet, to date no published scale exists to measure the endorsement of different moral codes. This thesis report the development of the CADS (Community, Autonomy and Divinity Scale), based on Shweder's (2003a; Shweder et aI., 1987) anthropological theory of moral codes, as a means to measure cross-cultural, sub-cultural, and individual differences in the contents of morality. Scale development, confirmatory factor analysis, convergent and discriminant validity are reported in Studies 1, 2, and 3, as well as analysis for structural invariance and meaningful differences across British and Brazilian cultural contexts. Findings suggest the CADS to be a reliable and valid scale, thereby enabling the cross-cultural quantitative study of similarities and differences in endorsement of moral codes. Following CADS' development, this thesis presents one experiment (Study 4) investigating the relationship between moral judgement and emotional reactions, suggesting that emotions act as mediators of the relationship between perceptions of moral code violations and moral judgement. Finally, Study 5 studies the power of the moral codes to predict honour concerns, and Study 6 replicates these findings, and most importantly, tests the CADS in six different cultural communities (Brazil, Japan, New Zealand, Spain, the UK, and the US). The variation of the moral codes endorsement across cultures, here operationally defined as nations, genders, and religious groups, is also investigated. Limitations of this work, as well as its theoretical and empirical implications for research in social psychology are discussed

    Balancing the urban stomach: public health, food selling and consumption in London, c. 1558-1640

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    Until recently, public health histories have been predominantly shaped by medical and scientific perspectives, to the neglect of their wider social, economic and political contexts. These medically-minded studies have tended to present broad, sweeping narratives of health policy's explicit successes or failures, often focusing on extraordinary periods of epidemic disease viewed from a national context. This approach is problematic, particularly in studies of public health practice prior to 1800. Before the rise of modern scientific medicine, public health policies were more often influenced by shared social, cultural, economic and religious values which favoured maintaining hierarchy, stability and concern for 'the common good'. These values have frequently been overlooked by modern researchers. This has yielded pessimistic assessments of contemporary sanitation, implying that local authorities did not care about or prioritise the health of populations. Overly medicalised perspectives have further restricted historians' investigation and use of source material, their interpretation of multifaceted and sometimes contested cultural practices such as fasting, and their examination of habitual - and not just extraordinary - health actions. These perspectives have encouraged a focus on reactive - rather than preventative - measures. This thesis contributes to a growing body of research that expands our restrictive understandings of pre-modern public health. It focuses on how public health practices were regulated, monitored and expanded in later Tudor and early Stuart London, with a particular focus on consumption and food-selling. Acknowledging the fundamental public health value of maintaining urban foodways, it investigates how contemporaries sought to manage consumption, food production waste, and vending practices in the early modern City's wards and parishes. It delineates the practical and political distinctions between food and medicine, broadly investigates the activities, reputations of and correlations between London's guild and itinerant food vendors and licensed and irregular medical practitioners, traces the directions in which different kinds of public health policy filtered up or down, and explores how policies were enacted at a national and local level. Finally, it compares and contrasts habitual and extraordinary public health regulations, with a particular focus on how perceptions of and actual food shortages, paired with the omnipresent threat of disease, impacted broader aspects of civic life

    Studies of strategic performance management for classical organizations theory & practice

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    Nowadays, the activities of "Performance Management" have spread very broadly in actually every part of business and management. There are numerous practitioners and researchers from very different disciplines, who are involved in exploring the different contents of performance management. In this thesis, some relevant historic developments in performance management are first reviewed. This includes various theories and frameworks of performance management. Then several management science techniques are developed for assessing performance management, including new methods in Data Envelopment Analysis (DEA) and Soft System Methodology (SSM). A theoretical framework for performance management and its practical procedures (five phases) are developed for "classic" organizations using soft system thinking, and the relationship with the existing theories are explored. Eventually these results are applied in three case studies to verify our theoretical development. One of the main contributions of this work is to point out, and to systematically explore the basic idea that the effective forms and structures of performance management for an organization are likely to depend greatly on the organizational configuration, in order to coordinate well with other management activities in the organization, which has seemingly been neglected in the existing literature of performance management research in the sense that there exists little known research that associated particular forms of performance management with the explicit assumptions of organizational configuration. By applying SSM, this thesis logically derives some main functional blocks of performance management in 'classic' organizations and clarifies the relationships between performance management and other management activities. Furthermore, it develops some new tools and procedures, which can hierarchically decompose organizational strategies and produce a practical model of specific implementation steps for "classic" organizations. Our approach integrates popular types of performance management models. Last but not least, this thesis presents findings from three major cases, which are quite different organizations in terms of management styles, ownership, and operating environment, to illustrate the fliexbility of the developed theoretical framework

    Pontus in Antiquity: aspects of identity

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    The purpose of this thesis is the presentation of the interaction between the successive inhabitants of Pontus in antiquity, indigenous Anatolians, Greeks, Persians and Romans. Limited archaeological evidence cannot determine the precise extent of interaction, although the available information substantiates the notion of a slow, but steady amalgamation. Initially, the intermingling was based on mutual trading links. Although the Hellenic cultural element tended to surface, Eastern factors remained visible. The Mithridatic dynasty was established around the vicinity of Pontus, creating the 'Kingdom of Pontus' which reached its height under Mithridates VI. His administrative and military policy appears to have placed the foundations for the later, Roman corresponding structures. His policies-propaganda reflected the GraecoEastern image of a king, which appealed to the Greek and Persian-Eastern inhabitants of his kingdom, Asia Minor and, to a lesser extent, mainland Greece. This GraecoEastern image might have nourished the concept of a shared history among the inhabitants of Pontus. Their interactions appear to have given rise to an unnamed, local culture, which was enriched with the relevant Roman practices. Around the third century A.D., the Roman administrative patterns might have established an externally defined appellation. During Roman times, Christianity started to be established in Pontus. Although it was not yet a socio-political factor, its non-racial nature prevailed in later centuries. The influence of the Roman-Christian elements can still be observed in the modern Ponti an identity. In antiquity, (lack of) evidence indicates that no group defined themselves as 'Pontics' or 'Pontians' and an internally defined Pontic identity is unlikely to have existed. However, people associated themselves with the geographical area of Pont us, cultural and religious concepts were frequently amalgamated, while the notion of a common descent and a shared history might have been unconsciously fostered. These factors can assist in the understanding of the 'Pontians' today

    Epistemologies of possibility: social movements, knowledge production and political transformation

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    Urgent global problems - whether military conflicts, economic insecurities, immigration controls or mass incarceration-not only call for new modes of political action but also demand new forms of knowledge. For if knowledge frameworks both shape the horizons of social intelligibility and chart t he realms of political possibility, then epistemological interventions constitute a crucial part of social change. Social movements play a key role in this work by engaging in dissident knowledge practices that open up space for political transformation. But what are the processes and conditions through which social movements generate new ways of knowing?'What is politically at stake in the various knowledge strategies that activists use to generate social change? Despite a growing literature on the role of epistemological dimensions of protest, social movement studies tend to neglect specific questions of epistemological change. Often treating knowledge as a resource or object rather than a power relation and a social practice, social movement scholars tend to focus on content rather than production, frames rather than practices, taxonomies rather than processes. Missing is a more dynamic account of the conditions, means and power relations through which transformative knowledge practices come to be constituted and deployed. Seeking to better understand processes of epistemological transformation, this thesis explores the relationship between social movements, knowledge production and political change. Starting from an assumption that knowledge not only represents the world, but also works to constitute it, this thesis examines the role of social movement knowledge practices in shaping the conditions of political possibility. Drawing from the context of grassroots queer, transgender and feminist organizing around issues of prisons and border controls in North America, the project explores how activists generate new forms of knowledge and forge new spaces of political possibility. Working through a series of concepts-transformation, resistance, experience, co-optation, solidarity and analogy - this thesis explores different ways of understanding processes of epistemological change with in social movement contexts. It considers processes that facilitate or enable epistemological change and those that limit or prohibit such change. Bringing together a range of theoretical perspectives, including feminist, queer, critical race and post-structuralist analyses, and drawing on interviews with grassroots activists, the thesis explores what is politically at stake in the different ways we conceptualise, imagine and engage in processes of epistemological change

    Vulnerability, decision-making and the protection of prisoners in Scotland and England

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    Vulnerable and protection prisoners currently make up a sizeable proportion of the prison populations in England and Scotland, and designated physical space to house them, an approach that has developed significantly in both countries since the 1960s, remains under studied. Within research on prisons, vulnerability has been predominantly associated with risks to the self, for example, mental health problems, self-harm and suicide, internal vulnerabilities that prisoners either bring into an establishment or which are a consequence of the stressors of prison life. This literature further tends to focus on certain categories of prisoner, namely those who have committed sexual crimes. This framing of vulnerability in prison means academic research typically studies vulnerability as a settled status, and there has been a move away from exploring meanings, experiences and determinations of vulnerability as these arise and change at different points of a person’s journey through prison. This study addresses these gaps by sharing the perspectives directly from those at risk of victimization in prison as well as from those in charge of deciding who will get protection from risks. The focus is on prisoner and staff decisions to relocate to protective housing (vulnerable prisoner units (VPU) in England and protection halls in Scotland). This research utilised qualitative methods, interviewing staff (13) involved in designating or managing vulnerability in prison as well as prisoners (23) who had been identified as needing protective housing. The research was conducted in one prison in England and two prisons in Scotland. It highlights the significant levels of victimization, trauma and fear experienced by prisoner research participants, and in doing so complicates prevailing ideas of vulnerability in prison. The findings chapters show: staff perspectives on what counts as a valid basis of vulnerability and therefore how it is managed and to some extent rationed (Chapter 5); the importance of journeys into and through prisons which shape and intensify experiences of vulnerability (Chapter 6); the perspectives of prisoners housed in a VPU in England which reinforced the idea that vulnerability is fluid and that there are some common factors affecting decisions to relocate from mainstream wings, but ultimately each decision is situated in the personal circumstances of an individual (Chapter 7); the perspectives of prisoners housed in protection halls in Scotland highlighting the factors that influence decisions to seek out or resist protective accommodation where, like England, common factors influenced decisions but were situated in highly individual circumstances (Chapter 8), and how these feelings were managed. The conclusion (Chapter 9) summarises key findings and calls for a sociology of the vulnerable prisoner (building on a conceptualisation of vulnerability in Chapter 3) to understand not only how they navigate risk from others and the prison itself, but how they make sense of their newly acquired yet further stigmatized identity. Finally, it sets out some implications and suggestions for policy based on its new contribution to a sociology of vulnerability
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