Disentangling dynamics: group sensitivity and supervision

In order to contextualize Altschul's interest in group dynamics we present a brief history of staff group work approaches in the UK and USA. Using case examples, the work of staff group sensitivity and group supervision is described. The difficulties of working in staff groups are highlighted and the antipathy towards group practice is discussed. It is argued that learning about conflict resolution in staff groups prepares nurses for dealing with conflicts in clinical practice. The case for re-invigorating interest in group theory and practice is presented. In presenting our reflections on staff group work, we hope not only to re-kindle the type of interest in groups that inspired Altschul but also to re- present the case that it is ill conceived to attempt the work of mental health nursing without recourse to the supervisory resources of group theory, practice and support. It is through group feedback that mental health nurses and other health professionals can extend their learning about interpersonal relations, achieve quality standardization through peer feedback and reflect on practice in truly collaborative ways (Schon 1983)

When good dictators go bad: examining the \u27transformation\u27 of Colonel Gaddafi

On October 20, 2011, the 42 year rule of Colonel Muammar Gaddafi came to a violent end after months ofintense and brutal fighting. The violence in which Gaddafi died and the ensuing abuse of his dead body by his killers wascaptured on film and broadcast around the world. This gruesome end was the antithesis to his rise to power in 1969,where he was welcomed as a savior and a hero. Until his death, Gaddafi was the longest-serving non-monarchical Headof State and was considered by most scholars more likely to die of natural causes than be overthrown by his people. Sowhat happened in those 42 years that caused Gaddafi to go from beloved liberator to hated oppressor? And what is hislasting legacy for the country he ruled for over four decades

From dictatorship to democracy : simulating the politics of the middle east

 The use of an online diplomatic simulation to increase learning outcomes amongst students of MIddle East Politics. The chapter explores the gains to be had from such collaborative online learning, including the increased depth and breadth of knolwedge gained, the defeat of ethnocentricity, high levels of stduent engagement and the changing role of the teacher in this role play as learners become more self-directed

Should we teach an old game new tricks?

The Middle East Politics Simulation (MEPS) is a simulation of diplomacy and political tension in the Middle East. This online role-play exercise is aimed at providing students with an improved level of understanding of the political dimensions of the region. Having been run since 1993, the MEPS has not had any major updates to its platform in all those years. However, as such a mature online entity there is the question of whether the MEPS will continue to engage students as their expectations of what constitutes an online role-playing environment became steadily raised by their familiarity with more graphically immersive platforms. The reliance on social media tools for students and political figures to use as conduits for communication is also unrepresented in the MEPS and the subject of some student dissatisfaction in previous years. This research assesses student attitudes towards the MEPS with an eye to balancing the demands of technology, functionality, equity of experience, security and, most importantly, learning outcomes

The charismatic persona of Colonel Qaddafi

In any list of dictators and antagonists of the West the name of Libya’s Colonel Muammar Qaddafi will always rank highly as one of the most memorable, colourful and mercurial. The roles he played to his fellow Libyans, to regional groupings, to revolutionaries and to the West were complex and nuanced. These various roles developed over time but were all grounded in his self-belief as a messianic revolutionary figure. More importantly, these roles and behaviours that stemmed from them were instrumental in preserving Qaddafi’s rule and thwarting challenges to it. These facets of Qaddafi’s public self accord with the model of “persona” described by Marshall. Whilst the nature of political persona and celebrity in the Western world has been explored by several scholars (for example Street; Wilson), little work has been conducted on the use of persona by non-democratic leaders. This paper examines the aspects of persona exhibited by Colonel Qaddafi and applied during his tenure. In constructing his role as a revolutionary leader, Qaddafi was engaging in a form of public performance aimed at delivering himself to a wider audience. Whether at home or abroad, this persona served the purpose of helping the Libyan leader consolidate his power, stymie political opposition and export his revolutionary ideals

Exploring the utility of a \u27PRAXIS\u27 evaluation framework in capturing transformation: a tool for all seasons?

An evaluation approach, developed for the purpose of capturing greater understanding of transformational change in healthcare contexts, is presented. PRAXIS evaluation is an innovative framework that aims to capture the dynamic subtleties of individual, team and organisational transformation within the complexity of contemporary healthcare contexts. The PRAXIS evaluation framework offers a collaborative process for evaluating healthcare practice change and takes into consideration the influences of workplace culture. An ultimate intention is to further inform new knowledge creation and its subsequent transfer into critically informed, considered, practical action; i.e. praxis. The intention is to provide examples of using the PRAXIS evaluation framework for planning, implementing and delivering an evaluation project that pays attention to capturing and exploring, in depth and in detail, both process and outcome evaluation data alongside inter- relational issues that are often hidden or ignored. The PRAXIS evaluation framework aims to expose, critically consider and utilise, multiple issues in a systematic approach that captures the relational dynamism of the environment alongside participants\u27 own influential contribution to healthcare transformation

The Presidential Persona Paradox of Barack Obama: Man of Peace or War President?

On a wave of hope and rousing talk of building global bridges, President Barack Obama won office in 2008, partially on a pledge to end the wars in Afghanistan and Iraq and to close the Guantanamo Bay detention facility. In contrast to his predecessor, who launched America into long, costly and ineffectual wars, Obama was seen to be more of a dove than a hawk. However, at the end of his two-term tenure America has been in a state of foreign belligerence for all those eight years, making Obama the longest serving US war president in history.   The political persona of Obama as a dove originated with his opposition to the 2003 intervention in Iraq while he was still a senator and was cemented early in his presidency with his 2009 speech in Cairo, which seemed to signal a profound and optimistic realignment of America’s intentions towards the Middle East and its peoples. This speech was a watershed in defining his political persona and was instrumental in his being the only US president to be awarded a Nobel Peace Prize while still in office. However during his term the underlying political landscape of the Middle East changed significantly. The withdrawal from and now return to Iraq, the nuclear agreement with Iran, the increasingly chaotic legacy of the Arab Spring, the continued impasse of the Israel-Palestinian peace, the disintegration of Yemen and Libya and the rise of the Islamic State as the new threat in the political vacuum of northern Iraq and eastern Syria and a resurgent Russian role in the region - all of these have provided novel challenges to Washington and a President attempting to live up to the positivity of his early days in office.   At the end of his presidency Obama is faced with a public burned by the disappointments of the Iraq and Afghanistan campaigns and the new entanglements in the Middle East. This paper seeks to offer insights into the juxtaposition of Obama’s political persona and the reality and explores what his political legacy might really be

Unmet care needs in people living with advanced cancer: a systematic review

Purpose: The support needs of cancer patients vary according to the phase of their cancer journey. Recent developments in healthcare are such that the advanced cancer phase is increasingly experienced as a chronic illness phase, with consequent changes in patient support needs. Understanding these needs, and identifying areas of unmet need, can enable us to develop services that are more adequate to the task of supporting this population. Methods: We conducted a systematic search of four electronic databases to identify studies examining the unmet needs of people living with advanced cancer. Relevant data were extracted and synthesised; meta-analyses were conducted to obtain pooled estimates for prevalence of needs. Results: We identified 23 studies (4 qualitative) for inclusion. Unmet needs were identified across a broad range of domains, with greatest prevalence in informational (30–55 %), psychological (18–42 %), physical (17–48 %), and functional (17–37 %) domains. There was considerable heterogeneity amongst studies in terms of methods of assessment, coding and reporting of needs, respondent characteristics, and appraised study quality. Conclusions: Heterogeneity made it difficult to compare across studies and inflated confidence intervals for pooled estimates of prevalence—we need standardised and comprehensive approaches to assessment and reporting of unmet needs to further our understanding. Nonetheless, the review identified prominent needs across a range of (interacting) experiential domains. Moreover, by focussing on unmet needs for support, we were able to extrapolate potential implications for service development