Framing people and planning: 50 years of debate

The last 50 years have not only seen major changes in the forms and practices of participation but also in the ways in which it has been characterized and understood. Alongside the report of the Skeffi ngton Committ ee on public participation in planning, 1969 saw the publication of Sherry Arnstein's 'ladder of participation' which famously typified participation from tokenism to citizen control. Since then the ladder has been replaced by the networks of collaborative planning and both have been challenged by the focus on planning's 'dark side' where participation is associated with coercive forms of governmentality and governance through community. This article discusses the evolution of these ideas, not to provide a historiography per se, but to highlight the themes, issues and contradictions they suggest lie behind participation. These include debates about the extent to which power can ever be devolved to the people; clashes between the different modes of governance inherent in planning (representative, legal/bureaucratic, participatory); the significance of action outside the formal participation apparatus (insurgent planning); and the ways in which the publics of planning have been made and remade within different planning regimes, often with profound implications for the inclusion and exclusion of different social groups and concerns. The article concludes that as a result public participation in planning can be seen as a shifting terrain of underlying tensions and contradictions, which presents both openings and closures for citizens seeking to influence the use and development of land

Planning amid crisis and austerity : in, against and beyond the contemporary conjuncture

This article introduces the special issue ‘Planning amid crisis and austerity: in, against and beyond the contemporary juncture’. It starts by acknowledging two limits of the existing body of literature on the planning/crisis/austerity nexus: on the one hand, the excessive reliance on cases at the ‘core’ of the financial crisis of 2007–2008, with impacts on the understanding of austerity as a response to economic crises; and, on the other, the limited attention given to the impacts of austerity on planning, and their implications for planning practice and research. Based on the contributions in the special issue, the article reflects on some lessons learned: first, the need for a more nuanced understanding of the multiple geographies and temporalities of crisis and austerity; second, the problematic standing of planning practice and research in the face of crisis and austerity; and, third, the potential and limitations of (local) responses and grassroots mobilizations in shaping alternatives

Localism: a planning panacea?

© 2019 Liverpool University Press. This is the accepted manuscript version of an article which has been published in final form at https://doi.org/10.3828/tpr.2019.31It has been observed that there is a 'global trend' towards devolution of power from national governments to regional and local authorities, and planning is one of the activities often devolved. In England, the UK government has since 2011 gone further and, it claims, devolved planning powers to the community level. The introduction of a new form of statutory planning - neighbourhood planning - was heralded by the UK government as an embodiment of their commitment to 'localism', representing a shift from top-down to bottom-up control in the English planning system. This Policy and Practice explores some of the tensions inherent in localism as exemplified through the practical implementation of neighbourhood planning.Peer reviewedFinal Accepted Versio

Interpreting planners' talk about change: An exploratory study.

Talk by planners about major changes (‘reform’) in a particular planning regime is the focus of this article. Change in planning in the United Kingdom has been a recurrent theme in planning practice and research. However, there is little looking at practitioners both in the public and the private sectors in relation to change. Also, theory development has been limited and the interpretive link between institutional change, organisational change and planners’ situated agency could be strengthened. This article aims to add new dimensions to the current debate by looking at planners in both the public and the private sectors in Wales; by adopting a more open-ended approach requiring planners to generate ideas and display a perspective on planning; and by linking theories of institutional and organisational change with the model of actors’ agency developed by Bevir and Rhodes to form an interpretive frame. With reflections stemming from an exploratory case in Wales, the article seeks also to contribute to debates on planning in the United Kingdom and beyond, reaching to new-institutionalist theory and interpretive ontologie

Effective suckling in relation to naked maternal-infant body contact in the first hour of life: an observation study

Background Best practice guidelines to promote breastfeeding suggest that (i) mothers hold their babies in naked body contact immediately after birth, (ii) babies remain undisturbed for at least one hour and (iii) breastfeeding assistance be offered during this period. Few studies have closely observed the implementation of these guidelines in practice. We sought to evaluate these practices on suckling achievement within the first hour after birth. Methods Observations of seventy-eight mother-baby dyads recorded newborn feeding behaviours, the help received by mothers and birthing room practices each minute, for sixty minutes. Results Duration of naked body contact between mothers and their newborn babies varied widely from 1 to 60 minutes, as did commencement of suckling (range = 10 to 60 minutes). Naked maternal-infant body contact immediately after birth, uninterrupted for at least thirty minutes did not predict effective suckling within the first hour of birth. Newborns were four times more likely to sustain deep rhythmical suckling when their chin made contact with their mother’s breast as they approached the nipple (OR 3.8; CI 1.03 - 14) and if their mothers had given birth previously (OR 6.7; CI 1.35 - 33). Infants who had any naso-oropharyngeal suctioning administered at birth were six times less likely to suckle effectively (OR .176; CI .04 - .9). Conclusion Effective suckling within the first hour of life was associated with a collection of practices including infants positioned so their chin can instinctively nudge the underside of their mother’s breast as they approach to grasp the nipple and attach to suckle. The best type of assistance provided in the birthing room that enables newborns to sustain an effective latch was paying attention to newborn feeding behaviours and not administering naso-oropharyngeal suction routinely

A case-control study of mastitis: nasal carriage of Staphylococcus aureus

BACKGROUND: Mastitis is a common problem for breastfeeding women. Researchers have called for an investigation into the possible role of maternal nasal carriage of S. aureus in the causation of mastitis in breastfeeding women. METHODS: The aim of the study was to investigate the role of maternal S. aureus nasal carriage in mastitis. Other factors such as infant nasal S. aureus carriage, nipple damage, maternal fatigue and oversupply of milk were also investigated. A case-control design was used. Women with mastitis (cases, n = 100) were recruited from two maternity hospitals in Melbourne, Australia (emergency departments, breastfeeding clinics and postnatal wards). Breastfeeding women without mastitis (controls, n = 99) were recruited from maternal and child health (community) centres and the rooms of a private obstetrician. Women completed a questionnaire and nasal specimens were collected from mother and baby and placed in charcoal transport medium. Women also collected a small sample of milk in a sterile jar. RESULTS: There was no difference between nasal carriage of S. aureus in breastfeeding women with mastitis (42/98, 43%) and control women (45/98, 46%). However, significantly more infants of mothers with mastitis were nasal carriers of S. aureus (72/88, 82%) than controls (52/93, 56%). The association was strong (adjusted OR 3.23, 95%CI 1.30, 8.27) after adjustment for the following confounding factors: income, private health insurance, difficulty with breastfeeding, nipple damage and tight bra. There was also a strong association between nipple damage and mastitis (adjusted OR 9.34, 95%CI 2.99, 29.20). CONCLUSION: We found no association between maternal nasal carriage of S. aureus and mastitis, but nasal carriage in the infant was associated with breast infections. As in other studies of mastitis, we found a strong association between nipple damage and mastitis. Prevention of nipple damage is likely to reduce the incidence of infectious mastitis. Mothers need good advice about optimal attachment of the baby to the breast and access to skilled help in the early postpartum days and weeks

Unsettling planning theory

Recent political developments in many parts of the world seem likely to exacerbate rather than ameliorate the planetary-scale challenges of social polarization, inequality and environmental change societies face. In this unconventional multi-authored essay, we therefore seek to explore some of the ways in which planning theory might respond to the deeply unsettling times we live in. Taking the multiple, suggestive possibilities of the theme of unsettlement as a starting point, we aim to create space for reflection and debate about the state of the discipline and practice of planning theory, questioning what it means to produce knowledge capable of acting on the world today. Drawing on exchanges at a workshop attended by a group of emerging scholars in Portland, Oregon in late 2016, the essay begins with an introduction section exploring the contemporary resonances of ‘unsettling’ in, of and for planning theory. This is followed by four, individually authored responses which each connect the idea of unsettlement to key challenges and possible future directions. We end by calling for a reflective practice of theorizing that accepts unsettlement but seeks to act knowingly and compassionately on the uneven terrain that it creates