This title was first published in 2002: Numerous reports have identified the serious problems of under-representation of, and discrimination against, minority ethnic groups in the British NHS. It is widely argued that this both raises issues of social justice and undermines the quality of service to minority ethnic patients. Nowhere are these problems more acute than among the largest occupational group in the NHS - nurses. This book reports the results of research carried out for the English National Board for Nursing, Midwifery and Health Visiting to evaluate NHS equal opportunities policy. Drawing on additional original research involving interviews with key policy actors, this fascinating book examines the prospects for a national strategy linking the business and justice cases for the delivery of greater equity in employment and service delivery.

Loss, Grief, and Attachment in Life Transitions gives readers an attachment-informed grief counseling framework and a new way of understanding non-death loss and its treatment. Loss and grief are viewed through a wide-angle lens with relevance to the whole of human life, including the important area of career counseling and occupational consultation. The book is founded on the key themes of the Transition Cycle: welcome and contact, attachment and bonding, intimacy and sexuality, seperation and loss, grief and meaning reconstruction. Rich in case material related to loss and change, the book provides the tools for adopting a highly personalized approach to working with clients facing a range of life transitions. This book is a highly relevant and practical volume for grief counselors and other mental health professionals looking to incorporate attachment theory into their clinical practice.

Originally published in 1995. This study collects and analyses the results of hunger studies carried out in the United States during the 1980s, whether national, state or local. It also reviews the history and development of food assistance programs and policy. This is an unusual and fascinating study of public health policy which employs meta-analysis to investigate the sociodemographic factors affecting those seeking food assistance and draws recommendations for future studies and to feed into policy decisions.

This book develops an analytical framework for understanding United States foreign agricultural policy through a "state interest" approach, and describes and analyses seven cases of food policy decisions through this perspective which shows that decision makers sought on most occasions to utilise US food resources to accomplish foreign policy objectives. A fundamental aspect of the statist approach is the recognition that those sectors representing the interest of the state will inevitably confront other actors in the policy process who are likely pursuing conflicting objectives. This book looks at contemporary circumstances in the formulation of US agricultural policy, in particular those alterations that occurred beginning in 1972. It offers an analysis of the nature of foreign economic policy and outlines the re-emergence of economics as an important component of US foreign policy, and an analysis of the concept of "food power".

The second decade of the twenty-first century has witnessed a surging interest in personalized medicine with the concomitant promise to enable more precise diagnosis and treatment of disease and illness, based upon an individual's unique genetic makeup. In this book, my goal is to contribute to a growing body of literature on personalized medicine by tracing and analyzing how this field has blossomed in Asia. In so doing, I aim to illustrate how various social and economic forces shape the co-production of science and social order in global contexts. This book shows that there are inextricable transnational linkages between developing and developed countries and also provides a theoretically guided and empirically grounded understanding of the formation and usage of particular racial and ethnic human taxonomies in local, national and transnational settings. The Open Access version of this book, available at http://www.taylorfrancis.com/doi/view/10.4324/9781315537177 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

The current (postfeminist) gender order comprises a highly complex coexistence of old and new norms and expectations, freedom and constraints, within a neoliberal social order underpinned by individualism and involving a shift in gender performance by men and women. Health, illness and disease at different points in the life course can be used as a vehicle to illuminate structural and cultural inequalities that persist despite several decades of progressive reform in western countries. This collection brings together a number of key researchers, both established and new to the field, and based across North America, Australia, the UK and Europe, and comprises both empirical and theoretical work. Drawing on a wide range of disciplinary fields, including medical sociology, medical anthropology, nursing, gender studies, sociology of risk and age studies, all authors use heath, well-being, illness and disease as a lens through which to explore the complexities and inequalities associated with late modernity. This book will be of interest to scholars and students of age studies, medical sociology and anthropology, gender studies, healthcare and nursing.

Appraising cancer as a major medical market in the 2010s, Wall Street investors placed their bets on single-technology treatment facilities costing $100-$300 million each. Critics inside medicine called the widely-publicized proton-center boom "crazy medicine and unsustainable public policy." There was no valid evidence, they claimed, that proton beams were more effective than less costly alternatives. But developers expected insurance to cover their centers' staggeringly high costs and debts. Was speculation like this new to health care? Cancer, Radiation Therapy, and the Market shows how the radiation therapy specialty in the United States (later called radiation oncology) coevolved with its device industry throughout the twentieth-century. Academic engineers and physicians acquired financing to develop increasingly powerful radiation devices, initiated companies to manufacture the devices competitively, and designed hospital and freestanding procedure units to utilize them. In the process, they incorporated market strategies into medical organization and practice. Although palliative benefits and striking tumor reductions fueled hopes of curing cancer, scientific research all too often found serious patient harm and disappointing beneficial impact on cancer survival. This thoroughly documented and provocative inquiry concludes that public health policy needs to re-evaluate market-driven high-tech medicine and build evidence-based health care systems.

Dietary Proteins and Atherosclerosis provides a thorough review of the role of proteins in the development of atherosclerosis. The author reviews early research connections between dietary fat and cardiovascular disease caused by the build-up of plaque in arteries and examines other factors that contribute to atherosclerosis, such as infection and dietary proteins. Relying on data obtained from almost 2,000 research articles and literature reviews, the author provides a thorough analytical examination and discusses how emphasis on the role of dietary fat in atherogenesis has overshadowed the critical contribution of dietary proteins to the development of cardiovascular disease.

Physical Literacy across the World records the progress of the concept of physical literacy over the last decade. It examines developments, issues and controversies in physical literacy studies, and looks at how the concept has been implemented around the world. Contributions from practitioners and researchers across the world tell unique stories of the way physical literacy is changing perceptions of physical activity through research and the generation of scholarly writing, the creation of new national and local policies, and the development of partnerships with a range of professions. The book argues that physical literacy has value beyond formal education, such as in occupational and recreational settings, as well as for early years children and older people, and shows how life story methods can explain our physical literacy journeys. At root, it sets out a case for the significance and value of physical literacy as making a notable contribution to human flourishing. This is important reading for anyone with an interest in physical activity, health and well-being, sport studies, physical education, or the philosophy related to physical activity.

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

All work is gendered and all work is embodied. Yet, in common with so many features of social life, these connections have remained largely unnoticed in most areas of social enquiry. All three topics - gender, bodies and work - have their own history and theoretical concerns and have recently showed signs of convergence. This volume recognizes this convergence and explores the inter-connections more specifically. The authors provide a set of questions which draw together themes already present in existing studies and which provide the basis for further analysis and theoretical elaboration. The chapters explore processes of embodiment and disembodiment within working settings and discuss the implications of these for the construction of gendered identities. Enhancing our knowledge of all three terms, Gender, Bodies and Work develops a perspective that has considerable potential both for assessing the past and exploring the future.

The linkages between a student's health and a student's ability to learn have been well established. Children who are sick stay home; and, children at home cannot learn if they are not in school leading to increased dropout rates among other educational outcomes. However, an understanding of this concept is just the beginning of understanding how education and public health are inextricably linked. In light of this, Linking Health and Education for African American Students' Success examines health disparities and education inequities simultaneously and moves beyond a basic understanding of health and education in K-12 school programs. The structural inequalities which lead to reduced academic attainment mirror the social determinants of health. Education is one of the most powerful determinants of health, and disparities in educational achievement as a result of structural inequalities closely track disparities in health. These disparities lead to both sub-standard healthcare and reduced academic attainment among children from underserved minorities in the United States, especially African Americans. This book discusses how this may result in children with poorer mental health outcomes; higher school dropout rates; increased risks of arrests and incarceration; higher rates of chronic diseases and mortality; and overall diminished opportunities for success, while providing suggestions as to how to address these issues. This results in an insightful read for researchers, academics and practitioners in the fields of healthcare and education.

This book provides a critical overview of the changing ways people mourn, commemorate and interact with the remains of the dead, including bodies, materials and digital artefacts. It focuses on how residues of death persist and circulate through different spaces, materials, data and mediated memories, refiguring how the disposal of the dead is understood, enacted and contested across the globe. The volume contains contributions by scholars from a number of disciplines and includes a diverse range of case studies drawn from Asia, Europe and North America. Together they reveal how rapidly changing practices, industries and experiences around death's remains involve the entwining of digital technologies with other material and ritualised forms of commemoration, as well as with shifting boundaries between the sacred and the profane, the institutional and the vernacular, the public and the private.

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

The short lifetime of digital technologies means that generational identities are difficult to establish around any particular technologies let alone around more far-reaching socio-technological 'revolutions'. Examining the consumption and use of digital technologies throughout the stages of human development, this book provides a valuable overview of ICT usage and generational differences. It focuses on the fields of home, family and consumption as key arenas where these processes are being enacted, sometimes strengthening old distinctions, sometimes creating new ones, always embodying an inherent restlessness that affects all aspects and all stages of life. Combining a collection of international perspectives from a range of fields, including social gerontology, social policy, sociology, anthropology and gender studies, Digital Technologies and Generational Identity weaves empirical evidence with theoretical insights on the role of digital technologies across the life course. It takes a unique post-Mannheimian standpoint, arguing that each life stage can be defined by attitudes towards, and experiences of, digital technologies as these act as markers of generational differences and identity. It will be of particular value to academics of social policy and sociology with interests in the life course and human development as well as those studying media and communication, youth and childhood studies, and gerontology.

Social media has helped boost the culture of intoxication, a central aspect of young people's social lives in many Western countries. Initial research suggests that these technologies enable highly-nuanced, targeted marketing and innovations - creating new virtual spaces that alter the dynamics and consequences of drinking cultures in significant ways. Youth Drinking Cultures in a Digital World focuses on how pervasive social networking technologies contribute to drinking cultures. It brings together international contributions from leading researchers in this emerging field to explore how new technologies are reconfiguring the key themes, traditional interests, practices and concerns of alcohol-related research with young people. It is particularly concerned with three important areas, namely: identities, social relations and power alcohol marketing and commercialisation public health and regulating alcohol promotion. This innovative book includes original research and commentary and is a must-read for academics and researchers in the areas of public health, psychology, sociology, media studies, youth studies and alcohol studies.

Physiotherapy is arriving at a critical point in its history. Since World War I, physiotherapy has been one of the largest allied health professions and the established provider of orthodox physical rehabilitation. But ageing populations of increasingly chronically ill people, a growing scepticism towards biomedicine and the changing economy of healthcare threaten physiotherapy's long-held status. Paradoxically, physiotherapy's affinity for treating the 'body-as-machine' has resulted in an almost complete inability to identify the roots of the profession's present problems, or define possible ways forward. Physiotherapists need to engage in critically informed theoretical discussion about the profession's past, present and future - to explore their practice from economic, philosophical, political and sociological perspectives. The End of Physiotherapy aims to explain how physiotherapy has arrived at this critical point in its history, and to point to a new future for the profession. The book draws on critical analyses of the historical and social conditions that have made present-day physiotherapy possible. Nicholls examines some of the key discourses that have had a positive impact on the profession in the past, but now threaten to derail it. This book makes it possible for physiotherapists to think otherwise about their profession and their day-to-day practice. It will be essential reading for scholars and students of physiotherapy, interprofessional and community rehabilitation, as well as appealing to those working in medical sociology, the medical humanities, medical history and health care policy.

Mental health has long been perceived as a taboo subject in the UK, so much so that mental health services have been marginalised within health and social care. There is even more serious neglect of the specific issues faced by different ethnic minorities. This book uses the rich narratives of the recovery journeys of Chinese mental health service users in the UK - a perceived 'hard-to-reach group' and largely invisible in mental health literature - to illustrate the myriad ways that social inequalities such as class, ethnicity and gender contribute to service users' distress and mental ill-health, as well as shape their subsequent recovery journeys. Recovery, Mental Health and Inequality contributes to the debate about the implementation of 'recovery approach' in mental health services and demonstrates the importance of tackling structural inequalities in facilitating meaningful recovery. This timely book would benefit practitioners and students in various fields, such as nurses, social workers and mental health postgraduate trainees.

This provocative, intellectually charged treatise serves as a concise introduction to emancipatory gerontology, examining multiple dimensions of persistent and hotly debated topics around aging, the life course, the roles of power, politics and partisanship, culture, economics, and communications. Critical perspectives are presented as definitions for reader understanding, with links to concepts of identity, knowledge construction, social networks, social movements, and inequalities. With today's intensifying concentration of wealth and corporatization, precarity is the fate for growing numbers of the world's population. Intersectionality as an analytic concept offers a new appreciation of how social advantage and disadvantage accumulate, and how constructions of race, ethnicity, class, ability, and gender influence aging. The book's entries offer a bibliographic compendium, crediting the salience of early pioneering theorists and locating these within the cutting-edge of research (social, behavioral, policy, and gene-environment sciences) that currently advances our understandings of human development, trauma, and resilience. Accompanying these foundations are theories of resistance for advancing human rights and the dignity of marginalized populations.

Patient organizations and social health movements offer one of the most important and illuminating examples of civil society engagement and participation in scientific research and research politics. Influencing the research agenda, and initiating, funding and accelerating the development of diagnostic tools, effective therapies and appropriate health-care for their area of interest, they may champion alternative, sometimes controversial, programs or critique dominant medical paradigms. Some movements and organizations advocate for medical recognition of contested illnesses, as with fibromyalgia orADHD, while some attempt to "de-medicalize" others, such as obesity or autism. Bringing together an international selection of leading scholars and representatives from patients' organizations, this comprehensive collection explores the interaction between civil society groups and biomedical science, technology development, and research politics. It takes stock of the key findings of the research conducted in the field over the past two decades and addresses emerging problems and future challenges concerning the interrelations between health movements and patient organisations on the one hand, and biomedical research and research policies on the other hand. Combining empirical case studies with conceptual discussion, the book discusses how public participation can contribute to, as well as restrict, the democratization of scientific knowledge production. This volume is an important reference for academics and researchers with an interest in the sociology of health and illness, science and technology studies, the sociology of knowledge, medical ethics or healthcare management and research, as well as medical researchers and those involved with health-related civil society organizations.

Social systems occur in many contexts of social work. This book provides an easy-to-read introduction to systems thinking for social workers who will encounter social problems in their professional practice or academic research. It offers new insights and fresh perspectives on this familiar topic and invites creative, critical, and empathetic thinking with a systems perspective. Through introducing systems theory as a problem-oriented approach for dealing with complex interpersonal relations and social systems, this book provides a framework for studying social relations. The authors present a strand of systems theory (inspired by sociologist Niklas Luhmann) that offers innovative, surprising, and practically relevant understandings of everyday social life, inclusion/exclusion, social problems, interventions, and society in general. Systems Theory for Social Work and the Helping Professions should be considered essential reading for all social work students taking modules on sociology and social policy as well as students of nursing, medicine, counselling, and occupational health and therapy.

The role of play in human and animal development is well established, and its educational and therapeutic value is widely supported in the literature. This innovative book extends the play debate by assembling and examining the many pieces of the play puzzle from the perspective of public health. It tackles the dual aspects of art and science which inform both play theory and public health policy, and advocates for a 'playful' pursuit of public health, through the integration of evidence from parallel scientific and creative endeavors. Drawing on international research evidence, the book addresses some of the major public health concerns of the 21st century - obesity, inactivity, loneliness and mental health - advocating for creative solutions to social disparities in health and wellbeing. From attachment at the start of life to detachment at life's ending, in the home and in the workplace, and across virtual and physical environments, play is presented as vital to the creation of a new 'culture of health'. This book represents a valuable resource for students, academics, practitioners and policy-makers across a range of fields of interest including play, health, the creative arts and digital and environmental design.

How can medical law and ethics take forward the issue of children's empowerment and protection? What are the key factors in considering the balance between protecting the welfare of the young and allowing them rights to autonomy? The Child as Vulnerable Patient investigates the role that a human rights approach can play in establishing the parameters of autonomy and discusses the opportunities presented in the Human Rights Act, the European Convention on the Rights of the Child and new policy initiatives in the NHS. A valuable addition to existing literature in this area, this volume will be of interest to lawyers, health professionals and students of medical law.

It is now accepted that many of the determinants of health and health care are social. This volume offers a philosophical and theoretical frame within which the nature and extent of this might be optimally examined. The analysis is rooted in Roy Bhaskar's basic and dialectical critical realism, although it draws also on the critical theory of Jurgen Habermas. It purports to provide an ontologically and epistemologically grounded comparative sociology of contemporary health and health care in the twenty-first century. Carrying a fourfold agenda, the volume sets out a dialectical critical realist frame for a comparative sociology of health and health care; it clarifies sociology's potential and limitations; it suggests a research programme and a series of questions for investigation; and it offers an argument for an action sociology embedded in a dialectical theory of transformative action. This volume will be of interest to students and scholars in the areas of philosophy, sociology and critical realism, as well as those working in health and social care.