On 1st and 2nd December I attended the 2014 Service User Academia Symposium that was held at the University of Otago in Wellington, New Zealand. The theme of the symposium was 'Creating Connections – Building Bridges Together' so 'co-production' in mental health research and education was the main focus of presentations and discussions at the symposium.
Tools of Ethnographic Analysis in Service DesignTaneli Heinonen
Talk at Source, Deloitte Digital Melbourne.
Service design is a genuinely multi-disciplinary enterprise that borrows methods and thoughts from a wide spectrum of fields. Service designers work on problems from discovery to solution, which requires a good understanding of different stages and a capability to switch the mode of thinking between analytical and creative.
Framing the problem, getting users right and proceeding with the right insights is often crucial for the success of a service design project. Methods of ethnographic research are often used in the insight part of the projects, but the tools of analysis are applied more rarely.
Aim of this talk was to present some analytical tools of ethnographic research and social sciences that could provide new viewpoints into the process of crafting insights.
The Interprofessional Team Immersion (IPTI) offers students across 13 health professions opportunities to apply their skills in cross-professional communication, teamness, and patient-centered engagement. The experience is characterized by high stakes cases carefully designed to cultivate an atmosphere conducive to rapid teambuilding and compassionate patient care. Within a safe learning environment, faculty and students acquire understanding of roles and responsibilities as well as skills to manage complex cases. This presentation will describe and demonstrate the rationale, design, and implementation of IPTI over a three-year period. Findings suggest significant increase in IPTI students’ perceptions of cooperation, resource sharing and communication skills for team-based practice. Programmatic evaluation substantiates the value students place on practicing interprofessional clinical skills before and while in their clinical-community rotations. Debriefing sessions with standardized patients enhanced students’ knowledge and appreciation for patient engagement and shared decision-making culminating for some in scholarly products. In total, findings provide beneficial insight for other interprofessional educational and collaborative practice initiatives taking place at the University and in the community. Learn more about IPEC at University of New England ipec(at)une(dot)edu or follow us on Twitter @UNEIPE
Learn how to assess internal (research/project team) and external (patient/public partner) readiness to engage in health research.
CHI's Lunchtime Learning is open to all researchers, decision-makers, clinicians, patients and members of the public who want to learn more about the theory and practice of meaningful, inclusive, and safe patient and public engagement.
Following this session, attendees should be able to:
• Describe the importance of conducting readiness assessments prior to engagement;
• Describe key concepts for assessing internal and external readiness; and
• Conduct readiness assessments in planning patient engagement.
Praticing Anthropology in Business and DesignAmy L. Santee
This is a presentation I gave to Dr. Jeremy Spoon's undergraduate Applied Anthropology class at Portland State University on May 19th, 2015. I discuss my educational background, academia-to-work transition, work experience, and how I apply my anthropology training to my work as a User Experience (UX) Researcher.
Tools of Ethnographic Analysis in Service DesignTaneli Heinonen
Talk at Source, Deloitte Digital Melbourne.
Service design is a genuinely multi-disciplinary enterprise that borrows methods and thoughts from a wide spectrum of fields. Service designers work on problems from discovery to solution, which requires a good understanding of different stages and a capability to switch the mode of thinking between analytical and creative.
Framing the problem, getting users right and proceeding with the right insights is often crucial for the success of a service design project. Methods of ethnographic research are often used in the insight part of the projects, but the tools of analysis are applied more rarely.
Aim of this talk was to present some analytical tools of ethnographic research and social sciences that could provide new viewpoints into the process of crafting insights.
The Interprofessional Team Immersion (IPTI) offers students across 13 health professions opportunities to apply their skills in cross-professional communication, teamness, and patient-centered engagement. The experience is characterized by high stakes cases carefully designed to cultivate an atmosphere conducive to rapid teambuilding and compassionate patient care. Within a safe learning environment, faculty and students acquire understanding of roles and responsibilities as well as skills to manage complex cases. This presentation will describe and demonstrate the rationale, design, and implementation of IPTI over a three-year period. Findings suggest significant increase in IPTI students’ perceptions of cooperation, resource sharing and communication skills for team-based practice. Programmatic evaluation substantiates the value students place on practicing interprofessional clinical skills before and while in their clinical-community rotations. Debriefing sessions with standardized patients enhanced students’ knowledge and appreciation for patient engagement and shared decision-making culminating for some in scholarly products. In total, findings provide beneficial insight for other interprofessional educational and collaborative practice initiatives taking place at the University and in the community. Learn more about IPEC at University of New England ipec(at)une(dot)edu or follow us on Twitter @UNEIPE
Learn how to assess internal (research/project team) and external (patient/public partner) readiness to engage in health research.
CHI's Lunchtime Learning is open to all researchers, decision-makers, clinicians, patients and members of the public who want to learn more about the theory and practice of meaningful, inclusive, and safe patient and public engagement.
Following this session, attendees should be able to:
• Describe the importance of conducting readiness assessments prior to engagement;
• Describe key concepts for assessing internal and external readiness; and
• Conduct readiness assessments in planning patient engagement.
Praticing Anthropology in Business and DesignAmy L. Santee
This is a presentation I gave to Dr. Jeremy Spoon's undergraduate Applied Anthropology class at Portland State University on May 19th, 2015. I discuss my educational background, academia-to-work transition, work experience, and how I apply my anthropology training to my work as a User Experience (UX) Researcher.
Independence in Graduate School: How to develop and enhance yoursDoctoralNet Limited
This is the third in a series delving into the research that pertains to why graduate students may disengage. Lack of clarity on or too much or too little Independence accounts for about 25% of students thinking of dropping out.
Open, responsive and online, pop up uni, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
A Presentation given by C KrishnaChaitanya to the First year MBBS students of Grant Medical College, Mumbai on developing Interpersonal Skills.
Human Beings are social animals, hence dealing with people in smart way and maintaining good relations with people is an important life skill that needs to be developed.
No college or university is teaching people how to deal properly with each other. But back in ancient times this was taught by the teachers.
Therefore in our education system we require development of both character and competence.
Endocrine Society's content strategy, guided by Content Company: How they knew they needed a content strategy, the steps they took to prioritize goals, better understand the audience, and improve the content and presentation, and what the outcomes were.
Summary from the very first Capital C event held at Impact Hub Kings Cross on Saturday 29th November.
Capital C is a collaboration to improve cancer care for the people of London hosted by Macmillan Cancer Support and Swarm. The goal for the group is to put patient's voice at the heart of a long-term strategy to improve patient experience in London.
Assessment of an OrganizationThis assignment is a culmination .docxpetuniahita
Assessment of an Organization
This assignment is a culmination of the work you began in Unit 4, when you were called on to select an organization in your community that provides counseling services to one or more diverse populations (for example, a community mental health clinic, college counseling center, or school) and arrange for an interview by phone or in person. Having collected information in order to assess the role of the organization and its staff in prevention, education, consultation, intervention, and advocacy, and if the agency itself reflects a multicultural environment, it is now time to gather your findings and create your paper.
Address the following in a 5–8 page paper, referring to the data you gather in the interview, your text and course readings, and at least two peer-reviewed articles:
•Describe the organization, including the following:
◾
The organization and the diverse populations it serves, including the cost for services. Who is eligible for services? For example, could an illegal immigrant receive services? Someone without health insurance? Is it accessible to public transportation?
The organization's role in prevention with respect to mental health and the diverse populations it serves. For example, does the organization provide public service announcements, screenings for depression, et cetera?
The organization's role in education on mental health and wellness and the diverse populations it serves. For example, does the organization provide education for clients? To community organizations? To the general public? And if so, in what forms and which staff are responsible?
The organization's role with respect to intervention and the diverse populations it serves. For example, is counseling provided to individuals, couples, families, groups? Is the counseling staff diverse? How do the cultural characteristics of the counselors compare to those of the clients? Do the counselors receive training on culturally competent practice at the organization?
The organization's role with respect to consultation and the diverse populations it serves. For example, do the staff offer consultation services to other professionals in the community, such as medical personnel, law enforcement, school personnel?
The organization's role with respect to advocacy for the diverse populations it serves. For example, do the staff or organization advocate for diverse populations relative to mental health issues at the community level? At the national level? With respect to public policy?
•Identify and discuss a public policy relevant to this organization and population.
•Consider the basic principles of social justice and the ways in which mental health agencies demonstrate cultural competence presented in Chapter 4 of the Sue and Sue text.
•How well does the organization you researched manifest cultural competence?
•Where would you place this organization on the continuum of cultural competence?
•Imagine you are hired on as a .
Internal and external audiences: developing a strategy to engage hearts and m...CharityComms
Alina O’Keeffe, engagement manager, Sands, the stillbirth and neonatal death charity
Visit the CharityComms website to view slides from past events, see what events we have coming up and to check out what else we do: www.charitycomms.org.uk
Independence in Graduate School: How to develop and enhance yoursDoctoralNet Limited
This is the third in a series delving into the research that pertains to why graduate students may disengage. Lack of clarity on or too much or too little Independence accounts for about 25% of students thinking of dropping out.
Open, responsive and online, pop up uni, 1pm, 3 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
A Presentation given by C KrishnaChaitanya to the First year MBBS students of Grant Medical College, Mumbai on developing Interpersonal Skills.
Human Beings are social animals, hence dealing with people in smart way and maintaining good relations with people is an important life skill that needs to be developed.
No college or university is teaching people how to deal properly with each other. But back in ancient times this was taught by the teachers.
Therefore in our education system we require development of both character and competence.
Endocrine Society's content strategy, guided by Content Company: How they knew they needed a content strategy, the steps they took to prioritize goals, better understand the audience, and improve the content and presentation, and what the outcomes were.
Summary from the very first Capital C event held at Impact Hub Kings Cross on Saturday 29th November.
Capital C is a collaboration to improve cancer care for the people of London hosted by Macmillan Cancer Support and Swarm. The goal for the group is to put patient's voice at the heart of a long-term strategy to improve patient experience in London.
Assessment of an OrganizationThis assignment is a culmination .docxpetuniahita
Assessment of an Organization
This assignment is a culmination of the work you began in Unit 4, when you were called on to select an organization in your community that provides counseling services to one or more diverse populations (for example, a community mental health clinic, college counseling center, or school) and arrange for an interview by phone or in person. Having collected information in order to assess the role of the organization and its staff in prevention, education, consultation, intervention, and advocacy, and if the agency itself reflects a multicultural environment, it is now time to gather your findings and create your paper.
Address the following in a 5–8 page paper, referring to the data you gather in the interview, your text and course readings, and at least two peer-reviewed articles:
•Describe the organization, including the following:
◾
The organization and the diverse populations it serves, including the cost for services. Who is eligible for services? For example, could an illegal immigrant receive services? Someone without health insurance? Is it accessible to public transportation?
The organization's role in prevention with respect to mental health and the diverse populations it serves. For example, does the organization provide public service announcements, screenings for depression, et cetera?
The organization's role in education on mental health and wellness and the diverse populations it serves. For example, does the organization provide education for clients? To community organizations? To the general public? And if so, in what forms and which staff are responsible?
The organization's role with respect to intervention and the diverse populations it serves. For example, is counseling provided to individuals, couples, families, groups? Is the counseling staff diverse? How do the cultural characteristics of the counselors compare to those of the clients? Do the counselors receive training on culturally competent practice at the organization?
The organization's role with respect to consultation and the diverse populations it serves. For example, do the staff offer consultation services to other professionals in the community, such as medical personnel, law enforcement, school personnel?
The organization's role with respect to advocacy for the diverse populations it serves. For example, do the staff or organization advocate for diverse populations relative to mental health issues at the community level? At the national level? With respect to public policy?
•Identify and discuss a public policy relevant to this organization and population.
•Consider the basic principles of social justice and the ways in which mental health agencies demonstrate cultural competence presented in Chapter 4 of the Sue and Sue text.
•How well does the organization you researched manifest cultural competence?
•Where would you place this organization on the continuum of cultural competence?
•Imagine you are hired on as a .
Internal and external audiences: developing a strategy to engage hearts and m...CharityComms
Alina O’Keeffe, engagement manager, Sands, the stillbirth and neonatal death charity
Visit the CharityComms website to view slides from past events, see what events we have coming up and to check out what else we do: www.charitycomms.org.uk
Similar to Knotty issues-and-debates service-user-involvement-in-mental-health-research-dpcr (20)
What is feminism? Ask ten people this question and you might get ten different answers. It’s not that I claim to have the one right answer but rather that I do have one I have settled on and I am pleased to share it with Ragged members.
My generation of women has seen enormous changes in our lives. I hardly recognise myself as the young woman who always sat quietly in one corner or another. To me, that is proof of feminism as an agent of personal growth and empowerment; one more reason to share what I know about it.
Feminism to me is a political sisterhood because it aims to challenge the dominant social force generally known as patriarchy. Some people get very precise and define it as capitalist patriarchy or imperialist capitalist patriarchy, even imperialist patriarchal capitalism. I suppose one’s view is always determined by where one stands.
For more information visit: https://www.raggeduniversity.co.uk/2018/09/18/14th-nov-2018-what-is-feminism-by-brigitte-lechner/
Multimedia Teachers in Bangladesh: Ways of seeing and expressing reality by T...Alex Dunedin
In this presentation I hope to share my story of researching ICT integration in education with rural female teachers from an island in Bangladesh. I will particularly focus on how I attempted to tap into teachers’ own ways of seeing, feeling and expressing life.
Firstly, I will talk about how I used multimodal artefact production- a method through which teachers have shared significant day to day experiences with me,- through a mode and genre of their choice-sometimes they chose images, sometimes video clips, audio clips while sometimes poems and journal entries.
Then I will talk about the distinct Bengali genre of ‘golpo/ adda’ (informal chatting) which I used in my research as an attempt to enable my participants’ experiences to emerge through their own discursive style.
You can listen to the podcast here: https://www.raggeduniversity.co.uk/2018/10/02/multimedia-teachers-in-bangladesh-ways-of-seeing-and-expressing-reality-by-taslima-ivy/
The Spirit Level: Why More Equal Societies Almost Always Do Better was published in 2009. Written by Kate Pickett and Richard Wilkinson:https://www.equalitytrust.org.uk/resources/the-spirit-level
Thinkers or Junkers? Germans in England 1860-1920 & Beyond by Anne Hill FernieAlex Dunedin
Anne Fernie gives a history of Germans in England between 1860 and 1920 which is much forgotten: 2017 has seen the sharp decline in UK German studies at all levels. A 13.2 drop at GCSE level, similar at ‘A’ level and undergraduates reading German has almost halved since 1997. It would appear ironic that in an age where Europe has never been closer geographically, our real sense of closeness to it culturally & emotionally widens.
As a result of this and continued media stereotyping of the ‘bad’ or ‘threatening’ German, many British are unaware of the completely different reputation that ‘our cultural cousins’ had before the onset of WW1 as a nation of ‘poets and thinkers’. Germans of all professions flocked to Britain from the 1860s onwards, becoming one of the largest immigrant groups and contributing immeasurably to British culture and communities of the time.
You can read more by visiting: https://wp.me/p75LG5-6M9
Accounting For Harms: The Role of Qualitative Sociology in Social Justice App...Alex Dunedin
This is a presentation given by Dr Amy Chandler at the Royal College of Physicians in Edinburgh as a part of the SHAAPs events on reducing harms done by alcohol
Carl rosa 26 april 2018 ragged universityAlex Dunedin
The man who did most to bring opera to Scotland (and indeed Britain) in the golden age of opera, the late nineteenth century, was Karl Rose, a native of Hamburg and by turns a citizen of the USA and finally of Britain. He was active in Britain with Carl Rosa Opera from 1873 until his death in 1889, at the early age of 47.
Histories, memoirs and biographies proved of little use in uncovering details of Rosa’s business model, and of his opera tours. Current research would not have been practicable before the digitisation of newspapers accelerated the search process. They represent a critical resource, not least as newspapers in those days carried more detail in both advertisements and reviews than they do today.
Iain explains his research in this podcast. For more information visit: https://www.raggeduniversity.co.uk/2018/04/05/26th-april-2018-carl-rosa-the-entrepreneur-who-made-opera-popular-or-from-juvenile-paganini-to-operatic-entrepreneur-by-iain-fraser/
Michael Collins talks about how to influence drugs policyAlex Dunedin
Deputy Director at the Drug Policy Alliance’s Office of National Affairs in Washington, D.C, is Michael Collins. He works with Congress to effect change in legislation on a wide variety of drug policy issues including ‘the war against drugs’, access to sterile syringes for drug users, appropriations, and Latin America. Originally from Glasgow in Scotland, he has lived in France, Spain and Mexico, before he moved to the U.S.
You Are Being Tracked, Evaluated and Sold: an analysis of digital inequalit...Alex Dunedin
You Are Being Tracked, Evaluated and Sold: an analysis of digital inequalities by Prof Beverley Skeggs at LSE. Found http://www.lse.ac.uk/Events/Events-Assets/PDF/2017/2017-MT03/20170926-Bev-Skeggs-PPT.pdf - For Audio: https://soundcloud.com/lsepodcasts/you-are-being-tracked
Raab festival of ideas presentation 2015+logo(1)Alex Dunedin
Professor Charles Raab's presentation at the Festival of Ideas in 2015. You can hear the audio podcast of the presentation along with his colleagues by visiting: https://wp.me/p75LG5-5wy
Romantic Radicals and Agrarian Futurists: John Hargrave, the Kibbo Kift and B...Alex Dunedin
Anne Fernie gave this talk for the Ragged University on 11th February 2016 in Manchester:
This talk is in effect a ‘companion piece’ to the ‘Countercultural Imperative’ talk presented in April 2015. The focus is now upon movements and individuals in England during the period 1880-1935. We noted before how German ‘life reformers’ spread their influence directly to the counterculturalists in the USA during the 40s and later 1960s and how many of their ideas (e.g. vegetarianism, spa baths, outdoor pursuits) became mainstream even during their lifetimes. The English experience forms an interesting contrast in that the English as a whole proved less tractable than their German cousins in adopting ‘ruralist’ ideas that were viewed overall as ‘crankish’ and ‘faddist’.
The close relationship that many of the English pioneers had with their German counterparts also inevitably led to suspicion in the years following WW1 and especially in the late 1920s and 30s casting a further pall of ‘Eco-Fascist’ ignominy over the cult of health, wellbeing and folk revival ‘Blood and Soil’ movements. We will review some early manifestations of the cult of the outdoor/alternative lifestylers such as the early carvanners, the fetishisation of Native North American culture, the Garden City movement then examine a selection of the more outstanding ‘cranks’ and ‘faddists’ such as John Hargrave, Rolf Gardiner, Ernest Westlake, Archie Belaney and Ernest Seton who are now largely and unfairly forgotten.
The Woodcraft and ensuing Kibbo Kift groups will be discussed in more detail, the latter being an wonderful example of a very English response to the cult of the outdoor and how it too was drawn into the spirit of the age, transforming itself by 1935 into The Green Shirt Movement for Social Credit, the largest unformed paramilitary street-army of 1930s Britain. They hated the Fascist Black Shirts and ‘fat cat’ financial institutions espoused a ‘Third Way’ beyond Capitalism and Marxism – ideas very prescient to the contemporary social and political discourse.
As with the German experience one concludes that whilst the hegemonies of the age are now ancient history, it is the outsiders and counter-culturist’s ideas that have endured and become mainstream. The fun is discovering where these apparently ‘age old’ ideas actually originated – often from the most surprising and unexpected sources.
Shahid Khan is the founder and CEO of the Indus Earth Trust, a development project which is based in Pakistan. In this interview he talks about his work helping people to build their own earthquake proof house, start their own business, and become an autonomous agent in the local economy. Starting the informal interview out with questioning me, Alex Dunedin, about the Ragged University project, he then goes on to talking about his experience of trying to get people to adopt sustainable development techniques which take account of the cost to the environment. For more information: http://wp.me/p4EpjT-3X7
Inaugural Lecture: It’s Third Space, Jim, but not as we know it: universities...Alex Dunedin
This is a podcast of the Inaugural Lecture of Professor Keith Smyth at the University of the Highlands and Islands: "It’s Third Space, Jim, but not as we know it: universities, community and digital practice"
Keith Smyth talks about the new and innovative ways that the digital can be used to support learning, and how the idea of empowering the learners can be an important space to set up for inventive learning and education. Getting the tools to create and the latitude to be creative can often be a missing element from education.
The lecture covers a great deal of ground which you can listen to and see the slides which accompany his talk when he officially accepted the Professorial role in the UHI.
http://wp.me/p4EpjT-3RU
#thirdspacejim @smythkrs
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
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Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
1. What is the state of play? Critical
reflections on service
user/consumer involvement in
mental health research across two
national contexts
Dina Poursanidou
Catherine Roper
2. What are the knotty issues and debates in the
area of service user/consumer involvement in
mental health research – from our experience
as service user/consumer researchers?
Catherine Roper – University of Melbourne, Australia
Dina Poursanidou – University of Manchester, England
Service User Academia Symposium
1 December 2014
University of Otago, Wellington, New Zealand
3. Victorian context & character
• Emergent; undefined
• No formal consumer research networks
• Not a lot of consumer led research
• Often embedded in clinical paradigm eg
National institute for mental health research -
generation of consumer research agenda
(diagnostic based) http://nimhr.anu.edu.au/research/projects/consumer-
priorities-research/relevant-publications outcome measures,
clinical education
4. Being the least powerful partner in co-
production
• Whose agenda is it?
• How will consumer leadership be established
in the enterprise?
• How will growing consumer capacity be built
in?
• How much influence do consumers really have
to change things?
• How will power be attended to?
5. Research reflexivity (Rix, Barclay &
Wilson, 2014)
• 3 lenses reflexive practice: self within research,
interpersonal relationships and systems “Can a white
nurse get it? ‘Reflexive practice’ and the non-
Indigenous clinician/researcher working with
Aboriginal people”
• Investigating researcher positioning, power imbalances
& negative institutional policy and practice
• Could be useful to co-production research between
service-user/consumer researchers/and non service
user academics/allies
6. The process of our collaboration (I)
• First meeting with Cath at the 2013 Service User Academia Symposium
• No meaningful contact/no discussion – we just went to each other’s session
• I had heard about Cath in England from a service user researcher colleague –
but I did not know Cath’s work
• Cath’s keynote speech on the first day of the 2013 symposium – First
impressions of Cath…
▶Striking presence with red highlights…
▶Cath’s interest in embodied experience resonated with me
▶Being late for keynote speech and miscalculating time – resonated
with my own difficulties with time management (being late for
meetings; not delivering on time)
▶Cath’s openness/transparency about her personal difficulties (with
time); making herself vulnerable; resonance with my Service User
Researcher role
▶ Scholarship ‘that doesn’t break your heart just isn’t worth doing’
(Behar, 1996, The Vulnerable Observer – Anthropology that Breaks Your
Heart)
▶Doing scholarship in which ‘the blood is left in’ (Moriarty, 2013)?
7. The process of our collaboration (II)
• Identified funding opportunity The Manchester Melbourne Engagement
Fund –funding short visits of Manchester University academics to strengthen
or establish collaborations with academics at Melbourne University
• Contacted Cath at the beginning of February 2014; deadline for application
end of March 2014; A partner at University of Melbourne a prerequisite for
funding allocation
• Wrote the project proposal ; email communications with Cath; application not
successful
• Outputs of the collaborative project a workshop run jointly at the 2014
Service User Academia; an outline research grant proposal To
comparatively and cross-nationally map out the landscapes of service user
involvement in mental health research in England/the UK and Australia with
a view to identify overlaps, commonalities and synergies, as well as
differences, points of departure and tensions when it comes to service user
involvement in mental health research in the two national contexts
• Was the collaboration with Cath for the Manchester Melbourne
Engagement Fund a ‘shotgun partnership’ (Farrier et al., 2010)? ‘Love match
or shotgun wedding’ (Ashmore, 1995)?
8. The process of our collaboration (III)
• Funding opportunity identified by Cath in summer 2014
Travel fellowships offered by Melbourne University
• A proposed output at the travel fellowship application
submitted by Cath a joint paper at the 2014 Service User
Academia Symposium
• In summer 2014 we started having long telephone
discussions lasting over 2 hours each; email
communications
• Negotiating the focus of the joint paper for the 2014
Service User Academia Symposium…
• Honesty; Openness; Respect; Flexibility; Commitment;
Dedicating time to our collaboration
• How the initial ‘shotgun wedding’ started developing to a
genuine ‘love match’…
9. Two sets of crucial knotty issues/debates
in the area of service user involvement in
mental health research
• Identity issues/Identity politics/Self-
identification/Self-
descriptors/Language/Attitudes towards the
role and subjectivity of mental health service
user researchers
• Relationships between mental health service
user researchers/academics and non-service
user researchers/academics
10. Troubling language/self-identifications/identity
politics I
• Service User Researcher or Researcher Service User?
• Consumer?
The neoliberal discourse of ‘consumer participation’
in planning and evaluating health/mental health
services and in health/mental health services research
Consumer choice, control and power
‘The consumer as king’ (Shaw, 2009)
• Psychiatric Survivor?
• Distressed or disabled? Psychosocial disability (USA)
• Person with lived experience?
Lived experience of what?
10
12. Expert by Experience? (a)
I avoid identifying myself as an ‘expert by experience’ - a common label
nowadays for mental health service users which I question. If I was to be called
an 'expert by experience', what exactly would I be an expert on? On
compulsory hospitalisation (sectioning) and how it can destroy one's
confidence perhaps? But having had an experience of sectioning (my own
experience) does not necessarily make me an expert on detention. It just
means that I have lived through detention and I have the
experiential/embodied knowledge that stems from that, so when I talk
about detention it is not just on a cognitive/academic/theoretical level using
knowledge that I have acquired from books, but on an affective, visceral,
deeper level as well. Does this make me an expert? I am not sure...
Or would I be an expert on madness? But how can one be an expert on
madness if madness is something that cannot be known and understood in
its entirety, something that cannot be easily articulated? And are we not all
experts through our experiences? if so, why would we need the presumed
epistemological privilege of being a mental health service user to claim such
expertise?
(From email communication with a service user academic in USA) 12
13. Expert by Experience? (b)
Furthermore, raw experience (embodied, affective/emotional experience ) is
not, in my view, automatically translated into knowledge and expertise...I
think raw emotional experience – if such a thing exists- needs to be processed
and detoxified and reflected upon in order to become available for thought, in
order to become knowledge... so, experience does not equal expertise...On the
other hand, I do recognise and value the collective experiential knowledge and
expertise that emerges from the psychiatric survivor movement – but I would
not call myself ‘an expert by experience’. Finally, apart from ‘experts by
experience’ mental health service users often identify themselves as ‘Service
User Experts’ ,‘Expert Patient Trainers’ etc…I feel quite uncomfortable when I
see what I perceive as the self-serving 'careerism' of those professionalised lay
experts , and the commodification of personal trauma that seems to go with it
a lot of the time - although I can understand very well how a ruthlessly
competitive job market forces mental health service users to have to ‘sell'
their stories of 'lived experience' of mental distress as a qualification for
employment...I wonder how immune to that I am myself…
(From email communication with a service user academic in USA)
13
15. Troubling language/self-identifications/identity
politics II
• Mad-identified (David Reville)?
Mad Pride – Romanticisation of mental distress?
• Service User Consultant?
Not recognising my double identity
• Public representative?
• Patient leader?
• Patient research ambassador?
• Public contributor?
• Patient and Public Involvement (PPI) research partner?
------------------------------------------------------------------------------
• Where is home for me?
In Academic Research or Psychiatric Survivor Movement?
15
17. A liminal identity space…
• Home for me = a liminal space in - between academic research
and psychiatric survivor movement
• ‘Living in the borderlands; writing in the margins’ (Short, Grant
& Clarke 2007)
• [Learning To] Walk Between Worlds (Church, 2001)
• A double identity of an academic researcher and mental health
service user– ‘Breaking the rules of Academia’ – Transgressive
identity (Grant)
• Being able to theorise one’s own lived experience…
• Being able to blend first person experiential accounts where
‘the blood has been left in’ (Moriarty, 2013) with ‘properly
academic’ (i.e. critically detached , ‘objective’ and rigorous)
commentaries…
• ‘The lack of clear boundaries involves transgression and threat’
(Jones, 2012) 17
19. Liminality and trouble…
‘I am here because I am a woman of the border: between places,
between identities, between languages, between cultures,
between longings and illusions, one foot in the academy and one
foot out’ (Behar, 1996, p. 162; Jewish Cuban-American writer)
‘Troubled subject positions’ (Wetherell, 1998)
A liminal identity space- a difficult, unsettled and unsettling,
troubled and troubling, contested space; it can also open up
creative and subversive possibilities…
‘The in -between space gets us unstuck …by not falling into
certain categories’ (Nayak, 2014)
‘An anxious, abstract space…a non space’ (Nayak, 2014)
19
20. To live in the Borderlands means you…
are neither hispana india negra espanola
neither a white woman,
you are mixed-race, mulata, half-breed
caught in the crossfire between camps
while carrying all five races on your back
not knowing which side to turn to,
run from…
When you live on the border
people walk through you,
the wind steals your voice,
you're an ass, ox, scapegoat,
forerunner of a new race,
half and half-both woman and man –
neither - a new gender….
In the Borderlands
you are the battleground
where enemies are kin to each other;
you are at home, a stranger,
the border disputes have been settled
the volley of shots have shattered the truce
you are wounded, lost in action
dead, fighting back…
To survive the Borderlands
you must live without borders,
be a crossroads.
Gloria Anzaldua, 1999, Borderlands – La
Frontera, 2nd edition, San Francisco, Aunt
Lute Books
20
21. Paradoxical space
(http://daltarak.blogspot.co.uk)
Mental health service user
involvement in academic
research as ‘a paradoxical
space’ (Rose, 1993; Spandler,
2009)
Potential simultaneously
for both emancipation
and appropriation/co-
optation/assimilation
(Beresford, 2002)
21
22. Service user involvement as appropriation/assimilation/co-
optation
Editorial - Asylum Toronto
[…] Many so-called ‘mental health activists’ have become consumed by
assimilationist strategies, opting to promote the idea that change can be
delivered from within [the mental health system], and advocating peer
support and continuing professional education as the new solution to age-
old systemic problems: coercion and forced treatment, racism and white
supremacy, poverty, homelessness and social isolation … When did we start
seeing the mental health care ‘system’ in the likeness of a group of naïve
and idiotic professionals – doctors, nurses, health practitioners, policy
makers – who are at the same time well-intentioned and unknowing? And
when did we decide that a seat at their table or a moment of their time
would make even a bit of difference? What led us to believe that there was
power in disclosing our stories, our experiences and our secrets? When did
we start deluding ourselves that we mattered that much – or at all, in truth?
It would be laughable if it weren’t so pervasive. And dangerous.’
(Asylum - The magazine for democratic psychiatry, Volume 20, Number 4, 2013, p.3)
)22
23. Recovering Our Stories: A Small Act of Resistance
‘We all have stories. Many of our stories are deeply personal.
Some of our stories are painful, traumatic, hilarious, heroic, bold,
banal. Our stories connect us—they reflect who we are and how
we relate to one another. Stories are extremely powerful and
have the potential to bring us together, to shed light on the
injustice committed against us and they lead us to understand
that not one of us is alone in this world. But our stories are also
a commodity—they help others sell their products, their
programs, their services—and sometimes they mine our stories
for the details that serve their interests best—and in doing so
present us as less than whole. - Becky McFarlane, Recovering
Our Stories event, June 2011’
(Costa et al., 2012, p. 86)
23
24. The paradoxes of mental health service user
involvement in academic research as lived
contradictions
• The structural paradoxes of mental health service user
involvement in academic research as ‘lived contradictions’
(Cresswell and Spandler, 2013; Hamilton, 2001)
• A past diagnosis of ‘psychotic depression’, detention under a
section, and use of secondary mental health services got me a
job on the IMHA project– The ‘mental illness as an advantage’
paradox;) ‘For some academic researchers, mental illness can
be an advantage’ (The Guardian, 2009)
• Being a mental health service user in academic research -
privileged as having ‘unique insights’, ‘valuable service user
knowledge’, ‘expertise by experience’; BUT the mental health
service user identity is a stigmatising , devalued, ‘spoiled’
(Goffman, 2009) social identity I have often wished to disown
24
25. Relationships between mental health service
user researchers/academics and non-service
user researchers/academics
• In one study (Patterson et al., 2014, p.5) mental health service user participants
involved in research acknowledged that ‘engaging with or employing service users
was commonly perceived as risky in academic environments’
• What exactly is considered ‘risky’ (presumably by non-service user academics?) about
engaging with service users?
• This idea of service user involvement as a risky endeavour links I think to the notion
of ‘unsettling relations’ (Bannerji et al., 1991; Church, 1995; Church 2005) between
service users and traditional (non- service user) researchers; it also links I think to the
notion of mad/survivor/service user knowledge as ‘difficult and troublesome
knowledge’(LeFrancois, Menzies and Reaume, 2013; Pitt and Britzman, 2003) and as
‘dangerous knowledge’(Cooper and Lousada, 2005)
• I found the comment about risk very interesting as it compels us to ask what the risk
is about and think more in-depth about the emotional dynamics (including
unconscious processes) at play in the encounters between service user
researchers/academics and non-service user researchers/academics;
• Such more in-depth thinking and discussions will hopefully take us beyond repeated,
rather superficial arguments about the need to provide ‘more training’ to service
user researchers/academics and non-service user researchers/academics where
more training seems to be considered as panacea when it comes to resolving
difficulties in the complex relations between the two groups
26. Epilogue: Some hard and troubling questions…
• Are Universities genuinely interested in mental
health service user/survivor knowledge and
involvement in research?
• How far can the emancipatory and democratic
ideals, and the ethical claims to equality, diversity
and inclusion that underpin the discourse of mental
health service user involvement in research, be
reconciled with the markedly hierarchical,
exclusionary and largely non-democratic
infrastructures, cultures and relations that
characterise Academia?
• How to do collaborative, relational and participatory
research work in Academia when individual success
and competition dominate? 26
27. References
• Ashmore, C. (1995) ‘Partnership sourcing-love match or shotgun wedding?’,
Engineering Management Journal, 5(4), 148-152.
• Bannerji, H., Carty, L., Dehli, K., Heald, S. & McKenna, K. (1992) Unsettling
Relations: The University as a Site of Feminist Struggles, Toronto, Women’s Press
• Behar, R. (1996) The vulnerable observer: Anthropology that breaks your heart,
Boston, Beacon Press
• Beresford, P. (2002) ‘User Involvement in Research and Evaluation: Liberation or
Regulation?’, Social Policy & Society, 1:2, 95-105
• Church, K. (1995) Forbidden Narratives: Critical Autobiography as Social Science,
London, Routledge
• Church, K. (2001) Learning To Walk Between Worlds - Informal learning in
psychiatric survivor-run businesses: A retrospective re-reading of research process
and results from 1993-1999, NALL Working Paper No.20, Network for New
Approaches to Lifelong Learning, Toronto, Ontario Institute for Studies in
Education, University of Toronto
• Church, K. (2005) ‘Commentary’ in Tilley, S. (Ed.) Psychiatric and mental health
nursing: the field of knowledge, Oxford, Blackwell Science
28. References
• Cooper, A., & Lousada, J. (2005). Borderline welfare: Feeling and fear of feeling
in modern welfare, London, Karnac Books
• Costa, L. et al. (2012) ‘Recovering our stories: A small act of resistance’, Studies
in Social Justice, Vol 6, Issue 1, 85-101
• Farrier, A., Davis, R., Froggett, L. & Poursanidou, K. (2010) ‘A Shotgun
Partnership’: a case study analysis’, Journal of Place Management and
Development, 3 (2), 136-148
• Goffman, E. (2009) Stigma: Notes on the management of spoiled identity, New
York, Simon and Schuster
• Hamilton, M. L. (2001) ‘LIVING OUR CONTRADICTIONS: CAUGHT BETWEEN OUR
WORDS AND OUR ACTIONS AROUND SOCIAL JUSTICE’, The School Field, Vol. XII
Number 3/4, pp. 19-31
• Jones, N. (2012) ‘Schizophrenia Bulletin, the BJP & the Politics of First-
Person Accounts’, Ruminations on Madness, 15 August
(http://phenomenologyofmadness.wordpress.com/2012/08/15/schizophrenia-
bulletin-the-bjp-the-politics-of-first-person-accounts). Accessed 19 February
2014
• Le Francois, B., Menzies, R. and Reaume, G. (eds.) (2013) Mad Matters: A
Critical Reader in Canadian Mad Studies, Toronto, Canadian Scholars Press
29. References
• Moriarty, J. (2013) ‘Leaving the blood in: Experiences with an autoethnographic doctoral
thesis’. In Contemporary British Autoethnography, edited by N. P. Short, L. Turner & A.
Grant, Rotterdam, Sense Publishers
• Nayak, S. (2014).Race, Gender and the Activism of Black Feminist Theory: Working with
Audre Lorde, Hove, Routledge
• Pitt, A., & Britzman, D. (2003) ‘Speculations on qualities of difficult knowledge in teaching
and learning: An experiment in psychoanalytic research’, Qualitative Studies in Education,
16(6), 755-776
• Rix, EF., Barclay, L., Wilson, S., (2014) Can a white nurse get it? ‘Reflexive practice’ and the
non-Indigenous clinician/researcher working with Aboriginal people, Rural and Remote
Health, 14:2679 http://www.rrh.org.au/publishedarticles/article_print_2679.pdf
• Rose, G. (1993) Feminism and Geography: The Limits of Geographical Knowledge,
Minneapolis, University of Minnesota Press
• Shaw, E. (2009) ‘The consumer and New Labour: the consumer as king?’ in Simmons, R.,
Powell, M. and Greener, I. (Eds.) The Consumer in Public Services –Choice, Values and
Difference, Bristol, The Policy Press
• Short, N., Grant, A. & Clarke, L. (2007) ‘Living in the borderlands; writing in the margins: an
autoethnographic tale’, Journal of Psychiatric and Mental Health Nursing, 14, 771–782
• Spandler, H. (2009) ‘Spaces of psychiatric contention: A case study of a therapeutic
community’, Health & Place, 15, 672–678
• Tickle, L. (2009) ‘For some academic researchers, mental illness can be an advantage’, The
Guardian, 25 August (www.theguardian.com/education/2009/aug/25/mental-health-
academic-research). Accessed 19 February 2014
• Wetherell, M. (1998) ‘Positioning and interpretative repertoires: Conversation analysis and
poststructuralism in dialogue’, Discourse and Society, 9(3), 387–412
Editor's Notes
Context of a training initiative –we talked about power, but in the abstract – during delivery-the clinicians became peers and my role as an educator felt precarious – these were not my jokes, felt some of the drift away from looking at legal & institutional practices or a social model of analysis towards individual practices. (good nurses and bad nurses)
So what do we do when our ‘lived experience’ expertise is what we trade - we have experienced trauma, voicelessness, indignities, powerlessness and these are the experiences we draw on to sensitise others to issues otherwise not seen (eg why I cannot be secluded using recovery principles).
Journalling the research enterprise. Paying attention to the fine details across those 3 domains Using this to inform the shape of the conduct, design, interpretation etc, and an advisory group of service users. Being aware of institutional privileges learning how to build the capacity of service users in research. Exploring what personal privileges and world view one brings. Exploring and appreciating the learning and world view of the other.
What if our partners in co-production are critically reflective, take the time to make conscious issues of privilege, appreciate the impacts of involuntary treatment and detention, appreciate the need to decipher, describe and offset associated power imbalances. Be open to the influence of consumers in prioritising these things
Catherine: not ‘bona fide’ researcher. involuntary service use thus interest in elimination of seclusion/restraint, supported decision-making, self-determination/autonomy
This is by definition a voiceless place where testimony is suspect (epistemic injustice, Fricker) and we are constructed as