Long term care for the elderly : the role for pharmacists

Consultant pharmacy represents a branch of the profession that has almost become synonymous with nursing homes in the USA. This is largely due to the legal framework that surrounds nursing home care in the USA and the requirement for pharmacy review of medication in this setting. However, consultant pharmacy has been in existence for almost 30 years and had its roots in community practice; today, a consultant pharmacist is defined as a practitioner who provides services to long-term care facilities on a contractual basis. This paper provides an overview of this type of pharmacy practice, the current delivery of consultant pharmacy services in the USA and lessons for the international pharmacy profession.peer-reviewe

An asymmetric inhibition model of hemispheric differences in emotional processing

Two relatively independent lines of research have addressed the role of the prefrontal cortex in emotional processing. The first examines hemispheric asymmetries in frontal function; the second focuses on prefrontal interactions between cognition and emotion. We briefly review each perspective and highlight inconsistencies between them. We go on to describe an alternative model that integrates approaches by focusing on hemispheric asymmetry in inhibitory executive control processes. The Asymmetric Inhibition Model proposes that right lateralized executive control inhibits processing of positive or approach-related distractors, and left-lateralized control inhibits negative or withdrawal-related distractors. These complementary processes allow us to maintain and achieve current goals in the face of emotional distraction. We conclude with a research agenda that uses the model to generate novel experiments that will advance our understanding of both hemispheric asymmetries and cognition-emotion interactions

Identity development in career-changing beginning teachers : a qualitative study of professional scientists becoming school teachers

This qualitative study provides a critical case to analyse the identity development of professionals who already have a strong sense of identity as scientists and have decided to relinquish their professional careers to become teachers. The study followed a group of professionals who undertook a one-year teacher education course and were assigned to secondary and middle-years schools on graduation. Their experiences were examined through the lens of self-determination theory, which posits that autonomy, confidence and relationships are important in achieving job satisfaction. The findings indicated that those teachers who were able to achieve this sense of autonomy and confidence, and had established strong relationships with colleagues generated a positive professional identity as a teacher. The failure to establish supportive relationships was a decisive event that challenged their capacity to develop a strong sense of identity as a teacher

Living under siege : women's narratives of psychological violence within coercively controlling intimate partner relationships : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in Psychology at Massey University, Manawatū, New Zealand

As a global epidemic, the violence of women enacted through gendered social power relations of inequality, exploit, harm, and silence women. Specifically, intimate partner violence (IPV) constitutes a systematic pattern of coercive control, embedded within psychological, physical, and/or sexual violence, that intimidates and hurts women through fear and terror. Although previous literature has identified the debilitating effects of psychological violence, within our socio-political landscape physical violence continues to occupy a more visible and privileged position, minimising other forms of violence. The aim of this research, therefore, was to explore and make visible heterosexual women’s experiences of psychological violence within previous intimate relationships, framed through coercive control, to enable a greater understanding of how women become subjected to men’s coercion and control within intimate relationships. The aim was also to explore how psychological violence positions women within the gendered social hierarchy. A narrativediscursive approach analysed the stories of six women subjected to psychological violence and attended to the discursive resources the women used to narrate their experiences. The analysis identified how the women’s experiences of heteronormative coupledom developed into relationships of coercion and control, emphasising their inequitable and subordinate positions within femininity. Becoming entrapped within a destructive pattern of coercion, the women’s everyday lives were micro-regulated through their partners’ tactics of intimidation, isolation, and control and through their own operations of imperceptible disciplinary power. Importantly, the analysis identified particular turning points of resistance enabling the women to leave their relationships, however, they continue(d) to live under siege post-separation, subjected to psychological violence by their ex-partners through the men’s use of both their children and the legal system. The analysis ends with the women’s reflections on how these previous relationships continue to currently affect them

“Under the Seams Runs the Pain”: Four Greek Sources and Analogues for the Modern Monster in Anne Carson’s Autobiography of Red

This work seeks to explore the monster figure in its evolution from the Classical to the contemporary literary canons. Using Geryon, a three-headed and red-hued monster, as the central figure and Carson’s 1998 verse novel Autobiography of Red, it evaluates the underpinnings of the alienated “other” and attempts to shed light on its role in modern society

Reading Dorothy Hewett as boundary writer

This thesis locates the writings of Dorothy Hewett in a firm relationship with postmodern thought. The argument focuses on evidence that the dominant aesthetic of Hewett\u27s writing is the feminine sublime which comprises a commitment to uncertainty. In this modality, reason does not foreclose on the action of the imagination in the sublime moment. The revised dynamic is explored with an emphasis on the radical nature of the doubt in question. It reflects a deliberate resistance to certainty, and fol1ows from Hewett\u27s early experience with communism. At a formal level, in Hewett\u27s texts, the commitment to uncertainty is not least apparent in layered operations of the sublime aesthetic within the writing. The feminine sublime also operates in the orientations of Hewett\u27s subject construction, in which a complex sense of identity as processual and divided is clear. It is evident in thematic and political aspects of the writing which are inflected towards uncertainty in various ways and conform to this mode of the sublime. In this regard, the thesis illustrates, Hewett\u27s engagements with the themes of death and the maternal and her admissions of the irrational are exemplary. Such inflections produce moments of ethical tension, contradictions, ambivalences and accommodations of incommensurability, some of which are examined here. Hewett\u27s diverse and wide-ranging engagements with genre provide another instance of the commitment to uncertainty, and this governs the selection of texts addressed in the thesis. The emphasis is on Hewett\u27s prose writings. Their aesthetic diversity is produced, in part, by literary precedents and multiple discourses, which feed into the writing as inclusiveness, both of thought and artistry. The thesis addresses some of these and argues that, combined, these factors position Hewett as a writer with a postmodern sensibility