This book examines the issue of ethics in the context of the provision of military health care in an epidemic. Outbreaks of epidemics like Ebola trigger difficult ethical challenges for civilian and military health care personnel. This book offers theoretical reflections combined with reports from recent military and NGO missions in the field. The authors of this volume focus on military medical ethics adding a distinct voice to the topic of epidemics and infectious diseases. While military health care personnel are always crucially involved during disaster relief operations and large-scale public health emergencies, most of the current literature treats ethical issues during epidemics from a more general perspective without taking into account the specifics of the military context. The contributions in this volume provide first-hand insights into some of the ethical issues encountered by military health care personnel in missions during the Ebola outbreak in 2014/2015. This practical perspective is complimented by academic analyses and theoretical reflections on ethical issues associated with epidemics. This book will be of much interest to students of military studies, ethics and African politics.

Dementia: The Basics provides the reader with a clear and compassionate introduction to dementia and an accessible guide to dealing with different parts of the dementia journey, from pre-diagnosis and diagnosis to post-diagnostic support, increasing care needs and end of life care. Co-authored by an academic, a person living with dementia and a family carer, the book endeavours to raise awareness of dementia, challenge stereotypical and negative ideas about what it means to have dementia and champion a society where people living with dementia can be active as they wish for as long as possible. The authors present an overview of current research at each step of the dementia journey as well as including knowledge from lived experience, enhancing understanding and challenging thinking about what it might be like to live with a diagnosis or to care for a loved one. As a whole, the book emphasises the importance of prioritising the person living with dementia, as well as considering the impact of what any initiative or action might mean for them, their families and their care supporters. Offering both an accessible introduction to dementia and practical tools, this book will be ideal for health and social care professionals, students of social care, health care and nursing, people with dementia, carers and anyone wanting to understand more about the condition.

Social investment is part of a strategy to modernize the European welfare states by focusing on human resource development throughout the life-course, while ensuring financial sustainability. The last decades have seen cost containment in areas such as pensions and health care, but also expansion in areas such as early childhood education, higher education and active labor market policies. This development is linked to a Social Investment (SI) approach, which should, ideally, promote a better reconciliation of work and family life, high levels of labor market productivity and strong economic growth, while also mitigating social inequality. However, institutionalization of policies that may mainly benefit the middle class has some unintended effects, such as perpetuating new inequalities and the creation of other Matthew effects. While research on the rise of the social investment state as a new paradigm of social policy-making for European welfare states has grown significantly, there are still important gaps in the literature. The chapters in this book address the controversies around social investment related to inequalities, individual preferences and the politics of social investment. This volume is therefore organized around policies, politics and outcomes. The contributing authors bring together expert knowledge and different perspectives on SI from several disciplines, with original path-breaking empirical contributions, addressing some key questions that thus far are unanswered, related to Matthew effects, inequalities, ambiguities of social investment and institutional complementarities. Furthermore, it is the first volume that covers the core policy areas of social investment: childcare, education and labour market policies. The chapters in this book were originally published in a special issue of the Journal of European Public Policy.

This book offers a critical inquiry into the framing of health and disease as a security issue. In particular, the book examines what happens in the United Nations when the ostensibly 'low' politics of global health meet the 'high' politics of security, and when the logic of security comes to shape global health initiatives. It offers a critical re-assessment of efforts in the United Nations system to position HIV as a security threat with the hope that this would attract greater attention and resources for the global HIV response. The book advances securitization theory by presenting a new framework for studying HIV as a policy process, uniting several theoretical strands into a single, powerful model for empirical application. It uses this model to draw attention to important, understudied aspects of HIV securitization, including the role played by discourses about Africa, and the evolution of ideas about HIV and security as actors learned over time. On the basis of this empirically grounded assessment of how securitization works as a theory and a political strategy, the book suggests that securitization is inherently limited, and perhaps dangerous, as a strategy for 'securing' social change. This book will be of much interest to students of critical security studies, global health, development studies, and IR in general.

Bullying as a Social Experience presents data from both the US and New Zealand and draws on past research from around the world to show how social context and factors shape individuals' behaviors and experiences. By engaging with bullying from a sociological framework, it becomes clearer how bullying occurs and why it persists throughout a society, whilst also allowing for the development of means by which the social factors that support such behavior can be addressed through intervention. An empirically rich and engaged analysis of the social factors involved in bullying at group, school and community levels, Bullying as a Social Experience will be of interest not only to social scientists working on the study of childhood and youth, bullying and cyber bullying, but also to educators and practitioners seeking new approaches to the prevention of bullying, as each chapter contains discussions concerning intervention and prevention practices and programs.

The competition for limited health care resources is intensifying. We urgently need an acceptable method for deciding how they should be allocated. But the goods that health care produces are of very different kinds. Health care can extend the lives of children and of older people. It can make it possible for a person to walk, when without health care that person would be permanently bedridden; and it can reduce the pain and distress of people who are terminally ill. How can we possibly decide which of these - and many more - diverse achievements of health care are more deserving than others? We need a common unit by which we might be able to measure these very different goods. The Quality-Adjusted Life Year, or QALY, is the most developed proposal for such a unit of measure. In this book a distinguished team of ethicists and economists defend the core of the QALY proposal: that health care resources should be used so as to produce more years of life, of the highest possible quality. This leads to a discussion of such fundamental questions as whether all lives are of equal value, whether health care should be allocated on the basis of need and whether the QALY approach incorporates an adequate account of fairness or justice. The result is the most thorough account yet of the ethical issues raised by the use of the QALY as a basis for allocating health care resources.

While the remit of social work professionals is, in general, locality-based, social work has a long tradition of concern about international issues. Broadening Horizons provides an engaging and original contribution to the debate on how to tackle social work problems on a global scale. Filling both a theoretical and a practice gap in the literature, the book discusses the experiences of academics, practitioners and students involved in international exchanges in social work. It draws on a major EU-Canadian exchange project as well as separate projects in countries including South Africa, the USA, China and Australia. The contributors highlight the opportunities and barriers that shaped their experience and give guidance on how to deal with both the practicalities and aspirations of living and working across borders. This book will thus be invaluable both to readers interested in the meaning and realities of international social work and to those hoping to embark on an exchange programme themselves.

Unsafe abortion remains one of the most neglected sexual and reproductive health problems according to the World Health Organisation. In recent years it has been estimated that nearly 44 million abortions occur annually leading to around 47,000 deaths. At this rate a woman will die of an unsafe abortion every 11 minutes. Bringing together a wealth of information from around the world, this book argues that the time has come for a great change in legislation, advocating a shift towards the legalization of abortion to improve the health of women in poorer countries. With attention to circumstances in each of the major continental regions, an outline of the global situation is provided to reveal the major trends in the provision and procurement of abortion, as well their effects. Presenting data drawn from over a hundred countries covering over ninety per cent of the world's population, based on published statistical information, changes to legal frameworks, court cases and the accounts of local commentators and activists, Unsafe Abortion and Women's Health will be of interest to scholars and students of the sociology of medicine, gender and reproductive health, social and health policy and feminist studies.

First published in 1998, this book covers a variety of health issues in the contemporary Middle east. Its thirteen chapters, contributed by a total of 23 authors and co-authors, reflect several different disciplines relevant for health studies, including epidemiology, economics and anthropology. In the field of reproductive health, there are chapters on maternal health indicators, fertility, infertility and the utilization of family planning services. In the field of infectious disease there are chapters on schistosomiasis, HIV/AIDS, hepatitis C, and Rift Valley Fever. Several different parts of the Middle East and North Africa are covered, including Tunisia, Egypt, Israel, Palestine and Lebanon. Problems of reproductive health and infectious disease in the region are seen to be more serious than generally recognised. There are significant cultural and political obstacles in both areas. A particular need is for greater empowerment of women as both clients and providers within the health care systems.

First published in 1997, this work makes a substantial reexamination of the social processes behind the labelling of patients in hospital care. Taking an interpretive perspective, the author analyzes the social construction of patient labels identifying strategies for and the consequences of giving and receipt of 'good' and 'bad' labels. He shows how the rich data of truly participant observation in the tradition of reflexive ethnography can powerfully illuminate the experiences and actions of both patients and their nurses. It is a critical analysis of key work in this field. Professor Johnson demonstrates the redundancy of trait theories of social judgment, offering a more complex and negotiated reality in which patient labels form a part of a rich web of unequal power relations between nurses and their clients.

It is estimated that at least 33 million people around the world have been displaced from their homes by war or persecution. Numerous studies have documented high rates of psychological distress among these survivors of extreme violence and forced migration, yet very few have access to clinic-based mental health care. In any case, clinic-based services cannot adequately address the constellation of displacement-related stressors that affect refugees daily, whether in a new region of their homeland or a new country--stressors such as social isolation, the loss of previously valued social roles, poverty and a lack of employment opportunities, and difficulties obtaining education and medical care. Additionally, many refugees from non-western societies find western methods of psychiatric and psychological healing culturally alien or stigmatizing, and therefore underutilize such services. This book brings together an international group of experts on the mental health of refugees who have pioneered a new approach to healing the psychological wounds of war and forced migration. Their work is guided by an ecological model, which, in contrast to the prevailing medical model of psychiatry and clinical psychology, emphasizes the development of culturally grounded mental health interventions in non-stigmatized community settings. The ecological model also prioritizes synergy with natural community resources to promote adaptation, prevention over treatment, the active involvement of community members in all phases of the intervention process, and the empowerment of marginalized communities to address their own mental health needs. Drawing on their expertise in community psychology, prevention science, anthropology, social psychology, social psychiatry, public health and child development, the authors present a variety of highly innovative, culturally grounded interventions designed to improve the mental health and psychosocial well-being of communities that have survived the nightmares of political repression, civil war, and genocide. They discuss the various conceptions of well-being and distress that have informed their projects, their own integrations of western and indigenous approaches to understanding and relieving psychological distress, and in several instances their creative use of well-trained paraprofessionals. They examine with remarkable candor the challenges they have faced in carrying out their work in extraordinarily demanding conditions. An extended introductory chapter reviews and analyzes what we know about the impact of political violence and exile on mental health, and lays out the ecological model in rich theoretical and empirical context. The first of two concluding chapters addresses the critical and often-neglected issue of the evaluation of community-based interventions in conflict and post-conflict settings; the second sums up the implications of the achievements and limitations of the programs described, poses questions that must be answered, such as "How adequate is the PTSD construct in capturing the nature of refugee trauma?", and suggests numerous directions for future research and practice. The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation is an essential reference for all professionals who seek to serve members of this vulnerable population, for those who train and supervise them, and for program administrators and policymakers concerned with refugee well-being. It is also an excellent resource for graduate courses in public mental health, community psychology and psychiatry, refugee and immigrant studies, psychological trauma, medical anthropology, and ethnopolitical violence.

It is estimated that at least 33 million people around the world have been displaced from their homes by war or persecution. Numerous studies have documented high rates of psychological distress among these survivors of extreme violence and forced migration, yet very few have access to clinic-based mental health care. In any case, clinic-based services cannot adequately address the constellation of displacement-related stressors that affect refugees daily, whether in a new region of their homeland or a new country--stressors such as social isolation, the loss of previously valued social roles, poverty and a lack of employment opportunities, and difficulties obtaining education and medical care. Additionally, many refugees from non-western societies find western methods of psychiatric and psychological healing culturally alien or stigmatizing, and therefore underutilize such services. This book brings together an international group of experts on the mental health of refugees who have pioneered a new approach to healing the psychological wounds of war and forced migration. Their work is guided by an ecological model, which, in contrast to the prevailing medical model of psychiatry and clinical psychology, emphasizes the development of culturally grounded mental health interventions in non-stigmatized community settings. The ecological model also prioritizes synergy with natural community resources to promote adaptation, prevention over treatment, the active involvement of community members in all phases of the intervention process, and the empowerment of marginalized communities to address their own mental health needs. Drawing on their expertise in community psychology, prevention science, anthropology, social psychology, social psychiatry, public health and child development, the authors present a variety of highly innovative, culturally grounded interventions designed to improve the mental health and psychosocial well-being of communities that have survived the nightmares of political repression, civil war, and genocide. They discuss the various conceptions of well-being and distress that have informed their projects, their own integrations of western and indigenous approaches to understanding and relieving psychological distress, and in several instances their creative use of well-trained paraprofessionals. They examine with remarkable candor the challenges they have faced in carrying out their work in extraordinarily demanding conditions. An extended introductory chapter reviews and analyzes what we know about the impact of political violence and exile on mental health, and lays out the ecological model in rich theoretical and empirical context. The first of two concluding chapters addresses the critical and often-neglected issue of the evaluation of community-based interventions in conflict and post-conflict settings; the second sums up the implications of the achievements and limitations of the programs described, poses questions that must be answered, such as "How adequate is the PTSD construct in capturing the nature of refugee trauma?", and suggests numerous directions for future research and practice. The Mental Health of Refugees: Ecological Approaches to Healing and Adaptation is an essential reference for all professionals who seek to serve members of this vulnerable population, for those who train and supervise them, and for program administrators and policymakers concerned with refugee well-being. It is also an excellent resource for graduate courses in public mental health, community psychology and psychiatry, refugee and immigrant studies, psychological trauma, medical anthropology, and ethnopolitical violence.

"I can be a mother, a wife, a daughter, a sister and a woman without having periods." This book explores two of the oldest and most important symbols of all time: menstruation and secondary amenorrhea. Women of menstruating age commonly experience secondary amenorrhea - a cessation of periods - but most people have never heard of the term, nor do they realise what it represents. Danielle Redland's curiosity as to why this is posits that menstrual conditions need to be decoded, not just simply treated. Surveying menstruation and Secondary Amenorrhea (SA) principally from a psychoanalytic perspective, with sociocultural, historical, political and religious angles also examined, Psychoanalytic Perspectives on Women, Menstruation and Secondary Amenorrhea draws secondary amenorrhea out of the shadows of its menstruating counterpart, and explores how narratives of womanhood and statehood dominate. Chapters on blood ideology and war amenorrhea, on Freud's treatment of Emma Eckstein and on the psycho-mythology of Pygmalion, present the reader with visions beyond patriarchy towards more thoughtful ideas on the feminine, challenging assumptions about gender, identity and what is deemed "good" for women. Rich in clinical examples, the book locates menses and their cessation at the heart of personal experience and examines psychosomatic phenomena, the link between psyche and body and the value of interpretation. From the author's own analysis to a variety of cases linked to hysteria, anorexia, stress, trauma, abuse, helplessness and hopelessness, individual stories and narratives are sensitively recovered and carefully revealed. This refreshing example of multi-layered research and psychoanalytic enquiry by a new, female writer will be of great interest to psychologists, psychotherapists, healthcare and social work professionals and readers of gender studies, history, politics and literature.

Contents:
1. Introduction. You are Your Own Saviour and Your Own Worst Enemy
2. Learning to Care for One's Self
3. Sending the Health Message
4. Natural Alternatives
5. Self-Care and Anti-Institutional Politics
6. The Nagging State
7. Narcissism and Self-Care: Theorising America's Obsession with Mundane Health Behaviour
8. Governing One's Self
9. Reflexivity, Rationalisation and Health Risks
10. Technological Salvation or More Human Solutions
11. Conclusions: Towards a Social-Ecological Approach to Self-Care Promotion

Productivity Through Wellness for Live Entertainment and Theatre Technicians provides the tools for individuals and organizations to achieve a healthy work-life balance and increase productivity in the production process of live entertainment. Through examination of the limits of the human body, the fundamentals of motivation, and best practices of project management, the reader will develop operational mindfulness and look at new ways to achieve work-life balance. The book explores case studies that show how organizations are promoting work-life balance and reaping the benefits of increased productivity, makes recommendations to reduce burnout and increase productivity among technicians, and discusses how to deal with the various phases of production. An excellent resource for live entertainment technicians, production managers, technical directors, arts managers, managers in live entertainment, and students in Technical Direction and Production Management courses, Productivity Through Wellness for Live Entertainment and Theatre Technicians offers practical solutions to improve the quality of life of employees, reduce the burnout and injuries of overwork, and maximize the value of an hour.

This exciting new book illustrates and analyses the complexities of children's and young people's everyday lived experiences throughout childhood. Taking an interdisciplinary approach, it provides theoretical frameworks and case studies to critically examine assumptions in the field and explore emerging perspectives. Considering different stages throughout childhood and youth, chapters cover key topics such as eating practices, gender, play, digital media and the environment. Drawing upon insights from cultural studies, sociology, social anthropology, psychology, health and education, this book focuses on four key areas: Bodies and minds Space, place and belonging Inequalities and inclusion Childhood in the past, present and future Essential reading for students on childhood and youth and education courses, Exploring Childhood and Youth is an important resource for practitioners working with children and young people, and for parents, communities and legislators who have influence over children's and young people's lives.

The introduction of increased levels of physical activity and exercise have the potential to benefit people of all ages and may decrease reported levels of health care utilisation. Health management in this area has led to a growth in physical activity promotion schemes through primary health care providers. However, physical activity and exercise need to be maintained in order retain these benefits, and this may require additional knowledge and skills on behalf of the health practitioner to attain long-term adherence. Different theoretical models have been described that could assist in maintaining exercise adherence and there is a need for health care professionals to have access to effective strategies that can be used to increase adherence to prescribed exercise.

Richard Titmuss (1907-1973) was a pioneer in the field of social administration (now social policy). In this reissued classic, listed by the New York Times as one of the 10 most important books of the year when it was first published in 1970, he compares blood donation in the US and UK, contrasting the British system of reliance on voluntary donors to the American one in which the blood supply is in the hands of for-profit enterprises, concluding that a system based on altruism is both safer and more economically efficient. Titmuss's argument about how altruism binds societies together has proved a powerful tool in the analysis of welfare provision. His analysis is even more topical now in an age of ever changing health care policy and at a time when health and welfare systems are under sustained attack from many quarters.

Healthy Cites and Urban Policy Research is a collection of papers by leading experts from academia or international organisations who have been involved in the Healthy Cities Movement. It is the first academic work to combine public health with urban planning. Contemporary issues from various perspectives are included which address evaluation, evidence-based practice, accountability, community participation and information technology.

eBook available with sample pages: 0203402006

This book explores the impact of Covid-19, and the associated state lockdown, on rural lives in a former homeland in South Africa. The 2020 Disaster Management Act saw the state sweep through rural areas, targeting funerals and other customary practices as potential 'super-spreader' events. This unprecedented clampdown produced widespread disruption, fear and anxiety. The authors build on path-breaking work concerning local responses to West Africa's Ebola epidemic, and examine the HIV/AIDS pandemic, to understand the impact of the Covid crisis on these communities, and on rural Africa more broadly. To shed light on the role of custom and ritual in rural social change during the pandemic, Covid and Custom in Rural South Africa applies long-term historical and ethnographic research; theories of people's science, local knowledge and the human economy; and fieldwork conducted in ten rural South African communities during lockdown. The volume highlights differences between developments in Southern Africa and elsewhere on the continent, while exploring how the former apartheid homelands-commonly, yet problematically, represented as former 'labour reserves'-have since been reconstituted as new home-spaces. In short, it explains why rural people have been so angered by the state's assault on their cultural practices and institutions in the time of Covid.

Education forms a unique dimension of social status, with qualities that make it especially important to health. It influences health in ways that are varied, present at all stages of adult life, cumulative, self-amplifying, and uniformly positive. Educational attainment marks social status at the beginning of adulthood, functioning as the main bridge between the status of one generation and the next, and also as the main avenue of upward mobility. It precedes the other acquired social statuses and substantially influences them, including occupational status, earnings, and personal and household income and wealth. Education creates desirable outcomes because it trains individuals to acquire, evaluate, and use information. It teaches individuals to tap the power of knowledge. Education develops the learned effectiveness that enables self-direction toward any and all values sought, including health. For decades American health sciences has acted as if social status had little bearing on health. The ascendance of clinical medicine within a culture of individualism probably accounts for that omission. But research on chronic diseases over the last half of the twentieth century forced science to think differently about the causes of disease. Despite the institutional and cultural forces focusing medical research on distinctive proximate causes of specific diseases, researchers were forced to look over their shoulders, back toward more distant causes of many diseases. Some fully turned their orientation toward the social status of health, looking for the origins of that cascade of disease and disability flowing daily through clinics. Why is it that people with higher socioeconomic status have better health than lower status individuals? The authors, who are well recognized for their strength in survey research on a broad national scale, draw on findings and ideas from many sciences, including demography, economics, social psychology, and the health sciences. People who are well educated feel in control of their lives, which encourages and enables a healthy lifestyle. In addition, learned effectiveness, a practical end of that education, enables them to find work that is autonomous and creative, thereby promoting good health.

Scholars and policymakers increasingly call for evidence-based, prevention-oriented, and community-driven approaches to improve public health and reduce youth crime, substance use, and related problems. However, few functional models exist. In Communities that Care, four leading experts on prevention describe one such system to illustrate how communities effectively engage in prevention activities. Communities That Care (CTC) is a coalition-based prevention system implemented successfully in dozens of communities across the world that promotes healthy development and reduces crime rates for youth. Drawing on literature from criminology, community psychology, and prevention science this book describes the conditions and actions necessary for effective community-based prevention. The authors illustrate how effective community-based prevention can be undertaken by describing how the CTC prevention system has been developed, implemented, evaluated, and disseminated across the U.S. and internationally. Communities that Care shares invaluable lessons about the implementation and evaluation of community-level interventions and establishes a set of best practices for anyone seeking to engage in and/or evaluate effective prevention efforts.

It is common sense that our survival as individuals depends on the survival of our physical bodies. However, common sense has been medicalised. Terms such as 'road rage' and 'premenstrual syndrome' sound like medical problems and suggest that it is affected individuals, rather than experiences or circumstances that require treatment.
Without denying their importance, Rival Truths challenges four basic common sense views of health and illness and offers rival social psychological explanations. The primacy of biological facts is challenged by looking at the effects of social psychological influences, such as those mediated by stress. The assumption that medical practices are scientific is challenged by evidence that they also reflect and recreate social constructions. The assumption that medical advances are the most effective way to combat disease is questioned as their success may rely on changes in beliefs or behaviour, and finally, critical analyses suggest that medical treatment can sometimes be to the disadvantage of patients.
Lindsay St. Claire has helped to raise awareness that health problems might be caused by social arrangements, not biological dysfunction. Thus, social psychology might suggest new ways to enhance health status which do not depend on medical breakthroughs. This book will be of interest for health psychology students, medical students and anyone involved in caring professions.

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Are children the passive recipients of influence from their parents and from society? Is their development determined by their genes and their neurons, or do they have the capacity to think about and influence their own lives and the world around them? How does their interaction with their social and material worlds support or hinder agency? Are children agents, and what do we mean by agency? Children as Agents in Their Worlds aims to answer these questions through a critical psychological and relational approach, while referencing and critiquing a wide range of perspectives from other disciplines including sociology, anthropology and education. Greene and Nixon review the pioneering work of scholars of childhood studies and current post-human theories of agency and offer a developmental perspective on the emergence of the sense of agency and the exercise of agency in children. They discuss key themes including agency in families, agency within the school context and with peers, and children as agents in the wider public sphere. They explore agency and diversity, examining sex, age, genetic inheritance and contextual sources of difference, such as social class and geographical location. Offering a stronger theoretical base for research and policy, through a synthesis of both psychological and relational theories, Children as Agents in Their Worlds will be essential reading for students and professionals in developmental psychology, sociology and anthropology, as well as education, childhood studies, children's rights and related fields.

Contents:
Introduction 1. Health and the Net - an Overview 2. Getting Online 3. The World Wide Web 4. Finding Health Information on the Internet 5. Communicating with Other Health Professionals by E-Mail 6. Joining Health Discussion Groups, Mailing Lists Etc. 7. The Gateway to Free Health and Medical Resources 8. Publishing on the World Wide Web 9. Online Help with your Health Studies and Job Search Questions and Answers Appendices Worksheets