Provides a new and innovative approach through an ethnographic and people-centred conceptualization of "access", and a consideration of why social change appears to be slowing down, hampered or even sidestepped. Provides empirical studies but also elaborates on theoretical perspectives and concepts. Provides chapters written from a range of subjects including disability studies, social work, sociology, ethnology, social anthropology, political science and organization studies.

This book includes a critical analysis of pedagogy in performance training environments. Includes descriptions of teaching interventions, research and exploratory practice to support the needs and abilities of the individual with dis/ability or difference. Outlines support for individuals in a variety of areas, such as: dyslexia, dyspraxia, visual or hearing impairment, learning and physical dis/abilities, wheelchair users, aphantasia, attention-deficit/hyperactivity disorder and autistic spectrum.

The Routledge Handbook of Anthropology and Reproduction is a comprehensive overview of the topics, approaches, and trajectories in the anthropological study of human reproduction. The book brings together work from across the discipline of anthropology, with contributions by established and emerging scholars in archaeological, biological, linguistic, and sociocultural anthropology. Across these areas of research, consideration is given to the contexts, conditions, and contingencies that mark and shape the experiences of reproduction as always gendered, classed, and racialized. Over 39 chapters, a diverse range of international scholars cover topics including: Reproductive governance, stratification, justice, and freedom. Fertility and infertility. Technologies and imaginations. Queering reproduction. Pregnancy, childbirth, and reproductive loss. Postpartum and infant care. Care, kinship, and alloparenting. This is a valuable reference for scholars and upper-level students in anthropology and related disciplines associated with reproduction, including sociology, gender studies, science and technology studies, human development and family studies, global health, public health, medicine, medical humanities, and midwifery and nursing.

In the early-1980s, the ten million people of retirement age in the UK figured prominently among the disadvantaged and deprived. They were heavily over-represented in sub-standard housing and among those in most need of support from the personal social services. One form of social provision which gained rapidly in popularity in the 1960s and 1970s was sheltered housing. It was seen to combine housing with care; provided support while fostering independence; and gave scope for flexibility and experimentation in adapting schemes to local circumstances. By the late 1970s hundreds of schemes were administered, and they were occupied by half a million elderly tenants. Sheltered housing was called 'the greatest breakthrough in the housing scene since the war'. Extravagant expectations were aroused, and sheltered housing was regarded by some as the solution to all manner of complex problems. Taking the country as a whole, however, relatively little was known about the numbers of schemes and where they were located; who owned them and how they were managed; the aims and assumptions of those who provided or advocated sheltered housing; how the schemes functioned and whether they achieved what they were set up to do; the role, experience and attitudes of wardens; what kinds of people lived in sheltered housing, their history, and how they became tenants; their assessment of the scheme; and much else. The Leeds study, on which this book is based, originally published in 1983, was the most comprehensive and detailed to have been conducted into sheltered housing. It evoked widespread interest in Britain and abroad at the time. It sought to answer some of the important questions about the growth and proliferation of sheltered housing, to evaluate sheltered housing from different points of view - including those of tenants, and to consider the scope for future development. While sheltered housing is the focal topic of the book it should be viewed in the broader context of social policy, administration, professional practice and client experience. The book describes in detail an innovatory and evolving form of social provision and, in doing so, illuminates the operation and impact of policy in action at several levels - from the policy-maker to the consumer, from the organisation of policy to its object. There was significant evidence from the study that many tenants were provided with a service which was not the one they sought, or even needed, but they were given what the agency happened to have - or made - available. Among other topics, the book examines sheltered housing as a response to, or reflection of, myths and prejudices about ageing. It discusses whether elderly people should be compelled to move from familiar surroundings late in life - and how they cope when they do move. The usefulness or otherwise of alarm systems is assessed - with conclusions that throw considerable doubt on their value or reliability. The evolution and modifications taking place in sheltered housing are reported on and the scope for future initiatives is discussed.

In 1970 social workers were in great demand and their numbers were growing. At the same time questions were asked on both sides of the Atlantic about the methods they employed, their objectives and the effectiveness of their efforts. Previous studies undertaken in the United States to test the effectiveness of social casework had led to intense controversy between researchers and practitioners. Originally published in 1970, the field experiment described in this book was the first British attempt to assess the effectiveness of social work. A team led by a social worker, including a physician and a statistician, assessed the social and medical conditions of 300 aged applicants to a local authority welfare department and determined their needs for help. Half of these old people were randomly selected to receive help from trained caseworkers; the other half, also randomly chosen, remained with experienced local authority welfare officers without professional training. The social and medical conditions of the surviving clients were reassessed after an interval. Both sets of social workers had achieved much in alleviating practical needs. But the trained workers brought about more change in their clients' activities, feelings and attitudes. The opinions of the old people about the services they received and the social workers who had carried them out added another dimension to this pioneer study which contributed to research methodology, helped to clarify operational goals in social work, made a beginning in measuring social work effort and enlarged our meagre knowledge of social work with old people at the time.

* Provides a comprehensive overview of the current state of theory, research, policy, and practice of juvenile risk and needs assessment (JRNA) * Informs future methodology, policy, and practice that will facilitate effective and fair case decisions * Covers JRNA as a set of interrelated pieces for assessing and making decisions about juveniles

This book includes a critical analysis of pedagogy in performance training environments. Includes descriptions of teaching interventions, research and exploratory practice to support the needs and abilities of the individual with dis/ability or difference. Outlines support for individuals in a variety of areas, such as: dyslexia, dyspraxia, visual or hearing impairment, learning and physical dis/abilities, wheelchair users, aphantasia, attention-deficit/hyperactivity disorder and autistic spectrum.

This book provides a collective examination of the theoretical, empirical, and clinical perspectives of pregnancy-related anxiety. Pregnancy-related anxiety is a distinct form of anxiety that is experienced by pregnant women and is characterized by pregnancy-specific fears and worries. This form of anxiety has been associated with a range of negative obstetric, neonatal, and maternal outcomes. There has been increased research interest in this form of anxiety, particularly over the last 15 years. The content is organized in three sections. The first section provides a thorough understanding of pregnancy-related anxiety, ranging from its historical development, evidence of its distinctiveness to the antecedents and outcomes of this anxiety for the mother and child. The second section examines key clinical issues around diagnosis and treatment specifically, current diagnosis/screening for this anxiety and approaches for intervention and treatment. The final section considers emerging areas of research such as pertinent issues around culture and acculturation which are key issues in an increasingly multicultural world. Moreover, the effects of pregnancy-related anxiety on the woman's broader psychosocial functioning are considered with specific chapters on body image and sexual abuse, two key areas of concern. A seminal resource, this book provides a broad examination of the topic from multiple frameworks and perspectives which sets this book apart from other books in print. This book intends to inform and stimulate future research studies, as well as increase awareness and understanding of pregnancy-related anxiety. It is a must-read for researchers, educators, clinicians, and higher education students who care about delivering better support and services to pregnant women, particularly those who are vulnerable and distressed.

This book demonstrates the efficacy of a multidisciplinary intervention strategy for promoting active and healthy ageing, with the assistance of dedicated technological resources. Taking an applied approach, this book promotes active and healthy ageing through the implementation of an intervention model based on the comprehensive geriatric approach (AGA). The proposed AGA model, entitled AGA@4life, is based on a holistic and multidisciplinary individual assessment protocol, with the consequent design and implementation of intervention strategies tailored to each individual, aimed at preventing frailty and functional, cognitive and social decline of the elderly. Intervention actions focus on personalized exercise programs, nutrition education, cognitive stimulation, co-morbidity monitoring, therapeutic counselling, and overall promotion of well-being. This book will be of interest to researchers, professionals, and students working in ageing and health, gerontology, and preventative and holistic approaches to well-being.

Originally published in 1972, this book is an analytical account of the socio-medical tribulations suffered by Glasgow's east-end elderly leading to referral to geriatric wards. It examines why so many old people suffer from physical, mental and social deprivation in the final years of their lives. It shows by statistical studies and illustrative case histories that the basic cause is the survival into old age of people who are unfit to care for themselves, in such numbers that help from families, neighbours, the social services and the NHS is insufficient. From this study the expression the "geriatric giants" or the four I's was coined: impairment of intellect (cerebral dysfunction), incontinence, immobility and instability (falls). The term 'giant' is seen to refer both to statistical frequency and to the huge personal burden of sufferers, escalating the need for socio-medical intervention. Prophetic in its predictions that the huge and complex social care problem would grow in the future much of this book remains relevant today.

This book examines the intersectionality and stratified lived experience of rural poor and urban middle-class childless women in Bangladesh. Childless women in Bangladesh, an over-populated country where fertility control is the primary focus of health policy, are all but non-existent. Papreen Nahar offers an alarming account of stigma, abuse, ostracism and violence against these women, sharing their experiences of marginalisation in a culture that idealises motherhood. In such a reality, the experience of childlessness, particularly for women, can be much more severe than what is defined as 'infertility' in the biomedical sense. As childlessness is a complex interaction between biology, society and culture, the book illustrates the ways in which infertility transforms a health problem into social suffering. Although Bangladeshi childless women are systematically excluded by various structural forces, it appears they do not succumb to their circumstances; rather, they develop resilience and agency to become survivors of their new, albeit bleak, lives. The volume will be of interest to scholars working in anthropology, reproductive and women's health, global health, gender studies, development studies and Asian studies.

Based on an ethnography of postpartum consultations by independent midwives in Switzerland, this book produces unique insights into home-birth parents' breastfeeding journey from the first hours after birth to weaning. Considered the "natural" continuity of childbirth without intervention, breastfeeding is a fundamental component of the holistic, continuous and individualised care independent midwives provide as they engage with parents in a shared construction of meaning around breastfeeding. This book offers new perspectives on the conceptualisation of breastfeeding as a shared process. Parents, in collaboration with their midwife and baby, are jointly constructing "negotiated breastfeeding". As the child grows and develops, questions arise regarding the management of risks, the construction of the lactating body and the body work required, and the perception of breastfeeding as a means of communication with the child, consistent with a "child-centred" approach to parenting. Fostering a reflection on the contrasts and similarities between the marginal model of holistic care and the dominant biomedical model, this book sheds light on issues of a broader scope: the relationship to health risks and health promotion, gender inequalities regarding parental roles and responsibilities, the concept of the child as a "project", and the consequential "intensification" of parenthood. The book also explores transversal themes by outlining how reproduction and parenting are undertaken in Switzerland, framed by the local cultural, political and economic context, including the gender system and resulting power relationships.

Children's participation in social movements is presented through a theoretical typology consisting of strategic participants, participants by default and active participants. This range of participation accounts for the social location of children historically and internationally, calling for their inclusion into social movement research. Children are unresearched and untheorized participants within social movement literature. Providing rich detail of children's participation through illustrative case studies, this book presents the ideal types of participation as grounded in their social movement activity. These cross cultural, historical and contemporary case studies include, whenever possible, children's perspective in their own words. Utilizing insights from childhood studies on agency and rights of children enhances the understanding of social movement strategies and mobilization. Following the chapters on each type of participation, suggestions are provided for rethinking existing social movement theories to acknowledge child participants. Scholars and students of social movements and childhood studies, as well as within the field of sociology will find interest in the wide range of case studies presented of children in social movements. The discussion of how social movement theory might be applied to the types of participation is meant to inspire future research and expand analysis of children's participation in social movements.

Pain. Chronic digestive symptoms. Poor sleep. Neuropathy. Sensory disturbances. Fatigue. Panic. Constant illness and discomfort. Frequent difficulty coping with work, school, relationships. Despite the common experience of being told that it's all in their heads, that they're just making themselves sick, individuals with these symptoms are experiencing a very real, sometimes debilitating, illness phenomenon. But what is it? Physical or mental illness? Political or social identity? Cultural, narrative, or discursive construction? When something goes awry at the intersection of mind and body - the psychosomatic - what is happening? Widely recognized, yet difficult to classify, diagnose, treat, and explain, psychosomatic disorders are heavily stigmatized, and the associated syndromes have become the site of controversy and antipathy in the provider-patient relationship. In popular culture, terms such as medically unexplained symptoms, hysteria, neurasthenia, hypochondria, functional illness, and malingering are misunderstood, unknown, or rejected outright. Meanwhile, perspectives from cultural and textual studies focus on the psychosomatic as a metaphor in art, literature, and popular media, where disruptions of the body and mind are regularly made to stand in for individual alienation and cultural malaise. Bringing together multiple perspectives, this challenging volume tackles causes, and innovative, humanistic solutions, to conflicts in the provider-patient relationship; uses the psychosomatic as a lens for theorizing the self in culture; and examines the metaphorical potential of the psychosomatic in fictional narrative. Providing a unique assemblage of interdisciplinary, international approaches to understanding the problem of the psychosomatic in both expert and lay discourses, this pioneering edited collection is aimed at students and researchers of health, popular culture, and the health care humanities.

Political Theory on Death and Dying provides a comprehensive, encyclopedic review that compiles and curates the latest scholarship, research, and debates on the political and social implications of death and dying. Adopting an easy-to-follow chronological and multi-disciplinary approach on 45 canonical figures and thinkers, leading scholars from a diverse range of fields, including political science, philosophy, and English, discuss each thinker's ethical and philosophical accounts on mortality and death. Each chapter focuses on a single established figure in political philosophy, as well as religious and literary thinkers, covering classical to contemporary thought on death. Through this approach, the chapters are designed to stand alone, allowing the reader to study every entry in isolation and with greater depth, as well as trace how thinkers are influenced by their predecessors. A key contribution to the field, Political Theory on Death and Dying provides an excellent overview for students and researchers who study philosophy of death, the history of political thought, and political philosophy.

As the 21st Century unfolds, the traditional welfare state that evolved during the 20th Century faces serious threats to the solidarity that social programs were meant to strengthen. The rise of populist and nationalist parties reflects the decline of a sense of belonging and inclusiveness that mass education and economic progress were meant to foster, as traditional politics and parties are rejected by working- and middle-class individuals who were previously their staunchest supporters. Increasingly, these groups reject the growing gaps in income, power, and privilege that they perceive between themselves and highly educated and cosmopolitan business, academic, and political elites. When Strangers Become Family examines the potential role of civil society organizations in guaranteeing the rights and addressing the needs of vulnerable groups, paying particular attention to their role in advocacy for and service delivery to older people. The book includes a discussion of the origins and functions of this sector that focuses on the relationship between the state and non-governmental organizations, as well as a close examination of Mexico - a middle-income nation with a rapidly aging population and limited state welfare for older people. The data reveals important aspects of the relationship among government actors, civil society organizations, and political parties. Ronald Angel and Veronica Montes-de-Oca Zavala ask the fundamental question about the extent to which civil society organizations represent a potential mechanism whereby vulnerable individuals can join together to further their own interests and exercise their individual and group autonomy.

This book presents a model for reforming and developing Indigenous related legislation and policy, not only in Australia, but also in other jurisdictions. The model provides guidance about how to seek, listen to and respond to the voices of Indigenous children and young people. The participation of Indigenous children and young people, when carried out in a culturally and age-appropriate way and based on free, prior and informed consent, is an invaluable resource capable of empowering children and young people and informing Indigenous related legislation and policy. This project contributes to the emerging field of robust, ethically sound, participatory research with Indigenous children and young people and proposes ways in which Australian and international legislators and policymakers can implement the principle of children's participation by involving Aboriginal children and young people in the development of law and policy pertaining to their lives. This book provides accounts from Aboriginal children and young people detailing their views on how they can be involved in law and policy development in the future. It shows the latest state of knowledge on the topic and will be of interest to researchers, academics, policymakers, legislators, and students in the fields of human rights law, children's rights, participation rights, Indigenous peoples' law, and family, child and social welfare law.

Positive Ageing and Learning from Centenarians evaluates the mechanisms of positive ageing in a uniquely interdisciplinary way to explore the question of how we age and how some people age successfully. Drawing together the findings of recognised longevity researchers from around the world, the book applies an integrated vision to educational and social aspects of human ageing. It examines research into centenarians, and considers most of the disciplines related to longevity and healthy aging and aspects such as education, psychology, philosophy, anthropology, demography, sociology, economics as well as those related to nutrition and biological factors of longevity. The book examines how the results of these scientific investigations could improve the well-being of the oldest olds in the future, especially in the context of ageing societies. It provides an answer to the question of what we can learn from centenarians and what lessons we can from their lifestyle, which can contribute to live longer, better and happier. Based on cutting-edge research, the book will be highly relevant reading for researchers, academics and students in the field of ageing and longevity, mental health research, health science, gerontology and psychology.

As the 21st Century unfolds, the traditional welfare state that evolved during the 20th Century faces serious threats to the solidarity that social programs were meant to strengthen. The rise of populist and nationalist parties reflects the decline of a sense of belonging and inclusiveness that mass education and economic progress were meant to foster, as traditional politics and parties are rejected by working- and middle-class individuals who were previously their staunchest supporters. Increasingly, these groups reject the growing gaps in income, power, and privilege that they perceive between themselves and highly educated and cosmopolitan business, academic, and political elites. When Strangers Become Family examines the potential role of civil society organizations in guaranteeing the rights and addressing the needs of vulnerable groups, paying particular attention to their role in advocacy for and service delivery to older people. The book includes a discussion of the origins and functions of this sector that focuses on the relationship between the state and non-governmental organizations, as well as a close examination of Mexico - a middle-income nation with a rapidly aging population and limited state welfare for older people. The data reveals important aspects of the relationship among government actors, civil society organizations, and political parties. Ronald Angel and Veronica Montes-de-Oca Zavala ask the fundamental question about the extent to which civil society organizations represent a potential mechanism whereby vulnerable individuals can join together to further their own interests and exercise their individual and group autonomy.

Students of the caring professions - health care, social work, etc. - need to be equipped to deal with the ethical aspects of their profession. This book trains them in the basic philosophical skills and knowledge that they need by ensuring that the student properly comprehends the material and is being prompted to think about it and its application independently and critically. Provides numerous practical illustrations and case-studies. Designed for use on all health and social care and human services courses on ethics and values.

Students of the caring professions - health care, social work, etc. - need to be equipped to deal with the ethical aspects of their profession. This book trains them in the basic philosophical skills and knowledge that they need by ensuring that the student properly comprehends the material and is being prompted to think about it and its application independently and critically. Provides numerous practical illustrations and case-studies. Designed for use on all health and social care and human services courses on ethics and values.

-Accessible text on a variety of contexts for public engagement of science that may interest and inform both scientists and communication and media scholars -Works as a supplemental text for science communication courses and media communication courses, and will be of interest to individual readers in the sciences and general readers -Has the most comprehensive non-technical coverage of these timely issues, including new media forms such as social media and children's entertainment

Drawing on the findings of a series of empirical studies undertaken with boards of directors and CEOs in the United States, this groundbreaking book develops a new paradigm to provide a structured analysis of ethical healthcare governance. Governance Ethics in Healthcare Organizations begins by presenting a clear framework for ethical analysis, designed around basic features of ethics - who we are, how we function, and what we do - before discussing the paradigm in relation to clinical, organizational and professional ethics. It goes on to apply this framework in areas that are pivotal for effective governance in healthcare: oversight structures for trustees and executives, community benefit, community health, patient care, patient safety and conflicted collaborative arrangements. This book is an important read for all those interested in healthcare management, corporate governance and healthcare ethics, including academics, students and practitioners.

This book connects a rhetorical examination of medical and public health policy documents with a humanistic investigation of cultural texts to uncover the link between gendered representations of health and cancer. The author argues that in western biomedical contexts cancer is considered a women's disease and their bodies are treated as inherently oncogenic or cancer-producing, which leads to biomedical practices that adversely impact their bodily autonomy. She examines how these biases traverse national boundaries by examining the transmission of biomedical cancer practices from the US and international organizations to Kenya. This book is suited to scholars and students working in the fields of Rhetorics of Health and Medicine, Medical Humanities and Gender Studies. It is also of interest to medical professionals and readers interested in globalism and global health.

This book explores rhetorical ethos and its ongoing role in patients' credibility and in misdiagnoses stemming from gender, race and class-based biases. Drawing on the concept of ethos as a theoretical framework, it explores health and mental illness across different conditions and across different methodological approaches. Extending work on ethos in clinical encounters and public discourse about biomedicine and presenting new research on the rhetoric of mental health, stigma and mental illness, the book explores how bias in clinical settings can lead to symptoms labelled "in the patient's head" masking treatable medical problems. This notable contribution to the rhetoric of health and medicine will be of interest to all researchers and graduate students of rhetoric and composition studies, rhetoric of health and medicine, disability studies, medical humanities, communication, and psychology.