Networking to support suicide survivors

This paper is the first report on a national program for increasing bereavement support for suicide survivors in the Flemish region in Belgium. A Working Group consisting of representatives of a wide variety of mental health institutions, social programs, and suicide survivor groups in the area determined that a program developing networks between the services seems to hold the greatest promise for both an increase in the number of services available and an improvement in the quality of services offered.     

Current understandings of suicide survivor issues: research, practice, and plans. Report of the 1st International Suicide Postvention Seminar, September 8, 2006, Portoroz, Slovenia

The goals of the Postvention Taskforce of the International Association for Suicide Prevention (IASP) are to increase awareness of postvention and survivor issues. One of the strategies is to organize meetings. We report on the 1st International Suicide Postvention Seminar, held as a 1-day preevent at the 11th European Symposium on Suicide and Suicidal Behavior in Portoroz, Slovenia, September 2006. The seminar provided a state of the art review of the postvention field, with plenary presentations on research, psychotherapeutic care, development of national networks, and of postvention materials. We summarize the presentations below.     

Addressing the Needs of Survivors of Torture: A Pilot Test of the Psychosocial Well-Being Index

Survivors of torture experience numerous psychosocial stressors that threaten individual well-being in resettlement. This study reports findings from a pilot test that applied the newly developed Survivors of Torture Psychosocial Well-Being Index. The study used a case-level mixed design to assess survivor psychosocial well-being across 16 life domains from intake up to 18 months. Ecological systems theory grounds this study. Participants demonstrated increased well-being as evidenced by statistically significant change on the mean ratings of their total scores. Three case examples illustrate the instrument. Practice applications, lessons learned, study limitations, and future directions are presented.     

The impact of suicide on the family

Little research has examined the consequences of a suicide for social or family networks. Because suicide occurs within families, the focus on the aftermath of suicide within families is an important next step to determine exactly how to help survivors. In this article, we review and summarize the research on the impact of suicide on individuals within families and on family and social networks. We begin with a discussion of family changes following suicide. Next, we discuss the effects of suicide on social networks overall and responses of children and the elderly to a suicide in the family. Finally, we identify key issues that remain to be resolved in family survivor research and make recommendations for future studies.     

Public-Sector Reform: Employment Security and Quality of Decision Making in the Australian Taxation Office

This article examines the impact of structural reforms and industrial relations changes on the employment security and decision behaviors of middle-level managers in the Australian Taxation Office (ATO). This article is based on an empirical study using focus group and survey data that investigated how structural change and public-sector reforms substantially altered the employment environment. This research reveals that the ATO environment can be characterized by low morale, risk aversion, fear, and distrust brought about, in part, by employment insecurity. Where middle managers perceived organizational threats to their employment security, they engaged in self-protective “survivor” behaviors even when no such threats to their employment security existed. The article concludes that a substantial number of middle-level managers, survivors of years of restructuring, downsizing, and organizational change, were unlikely to display high-quality decision-making behaviors.     

Querying the resilient local authority: the question of ‘resilience for whom?’

ABSTRACT

Analysis of how English local authorities (LAs) have fared post large cuts to their funding by the Coalition and now Conservative governments indicates a considerably resilient organisation. Engaging with recent critical strands in the resilience literature this paper, however, queries that resilient LA account. Better consideration of resilience’s repercussions across the landscape of local services provision is needed. The question of ‘resilience for whom?’, drawn from the conceptual literature, is introduced and frames an exploration of the experiences of LA resilience strategies among small charities in deprived areas of London. Deleterious dimensions of resilience are seen in its distancing and de-coupling effects and associated voluntary provider fading. There are losers and a dark underside to explore. Such perspectives add to the local government and austerity scholarship insight as to the noted ‘austerity puzzle’ and a questioning of its tendency towards a ‘great survivor’ account.     

The Survivor Network: The Role of Shared Experiences in Mass Shootings Recovery

ABSTRACT

Social support from others with shared experiences can be an invaluable resource for individuals impacted by traumatic events, like school and mass shootings. While a growing body of literature explores the psychological impacts of these events on those who survive them, these studies predominantly focus on shootings at two universities, do not assess the effects beyond three years post-shooting, and rely almost exclusively on quantitative methodologies. To extend this body of literature, the present study relies on in-depth interviews with 16 survivors of the April 20, 1999 shooting at Columbine High School to explore the way in which they viewed various forms of social support during their trauma recovery process in both the short- and long-term. The findings indicate that the most effective support came from “similar others,” or those who had experienced the shooting in an analogous manner. Social support from the outside, even when well-intended, was viewed as unhelpful, while mixed perspectives were found related to community-level support. Based on these findings, broader consideration is given to the benefits of informal survivor networks.     

The identity crisis in Jordan: historical pathways and contemporary debates

This study aims to identify the attempts to form a Jordanian national identity from the establishment of the Jordanian state in 1921 to date. This study reviews the efforts of the Jordanian state, which was subject to internal, external, political, social, economic, and cultural circumstances, and variables that led to change the Jordanian national identity to incorporate religious, national, regional, ethnic, and tribal aspects. The regime has been unable to address and resolve the issue of national identity; instead, it has tried several means to circumvent the problem of national identity. The identity card is a means that the regime has used to achieve its goals. These policies led to the state’s failure to define, establish, and maintain a comprehensive national identity for its citizens. The formation of a national identity has been a dilemma for Jordan since the establishment of the state; there is almost no known national identity. This situation calls for the construction of the Jordanian national identity on a fixed and clear basis to prevent its disintegration, to facilitate the process of social integration, and to build a final national identity that is both inclusive and representative. Without this identity, division and conflict may prevail in Jordanian society.     

Achieving zero hunger: implementing a human rights approach to food security in Ethiopia

A human rights approach to food security seeks to empower vulnerable groups to claim their rights. It also reinforces a government’s obligations to respect, protect and fulfil the right to food. Furthermore, it encourages the integration of the right to food into the design and implementation of food security policies. This article examines the human rights approach to food security, with specific reference to Ethiopia. It assesses the historical causes of Ethiopia’s food insecurity, and examines the legislative and policy measures that the country has adopted over the last three decades in order to achieve food security. Food insecurity in the country is largely explained by the absence of government accountability. In 1973 and 1984, the hunger caused by drought was transitioned to famine not because of overall unavailability of food in the country, but because the government failed to provide food aid to the starved people and concealed the occurrence of famines from the international donors. Despite designing some food security policies over the last three decades, the country has not yet adopted sufficient legislative and judicial measures to enforce the right to food. This article argues that Ethiopia should introduce a framework law on the right to food to end hunger in the context of achieving national food security.     

Current legal approaches to international Terrorism

Abstract

Most difficulties in achieving international cooperation to suppress “terrorism” reflect failures to take account of the way authority is distributed in the international legal order. Attempts to narrow or abolish the “political offense,” exception to extradition treaties, are seen as either futile or self‐defeating for both political and legal reasons. Five other approaches are analyzed and promise is seen in three of them. The fourth, resting on the extension of national jurisdiction in disregard of the limits inherent in the international legal order, is seen as the one most attractive to the United States, Germany, and Iran, but the one most likely to lead to unmanageable political complications. The fifth, relating to an “international criminal court,” is seen as most attractive to lawyers who would like to rule the world, but is inconsistent with both law and reality. A plea is made to statesmen and lawyers to examine the other three more closely.     

Emigration and expulsion in the Third World

The right of individuals to leave their country, and conversely their right not to be forced to leave, are generally recognized tenets of international law. In developing countries, 2 patterns of assault on these rights are apparent. 1 pattern concerns political and ethnic pressures associated with the pain and tribulations of nation building in new societies, which tends to produce refugees. The 2nd pattern is an effort to block the brain drain of skilled personnel to more developed countries. The desire to be rid of those who don't fit in and the desire to make those with needed skills fit in explains much of the apparent inconsistency and vacillation of governments on both issues. States with no tradition of statehood often turn to authoritarian models to create cohesion. Where ruling elites attempt to strengthen national unity, they tend to turn on groups whose language ethnicity, religion, culture, political beliefs, or socioeconomic status do not fit in. The 2nd pattern of constraint on Third World emigration is a reaction to the threatened loss of manpower. While Sudan lost only 1% of its labor force to emigration, this included 70% of its medical graduates and such high percentages of high level clerical personnel as to become an obstacle to efficient government. It is not the least developed countries that suffer most from the brain drain; they have less competition for available openings and adjustment to developed country life is more difficult for their citizens. Many "drainees" feel political pressure to leave, although the decisive motivation appears to concern working conditions and employment. the "drained" countries not interested so much in imposing restrictions on themselves as in gaining recongnition of the responsibility of the industrialized nations to developing ones; they want compensation for losses incurred.     

Education Language and Youth Entrepreneurship in Chad

This study aims to assess the effect of education language (Arabic or French) on the probability of being self-employed in Chad. Mainly, we make use of a recursive bivariate Probit model and matching techniques to assess the effect, as well as to remedy to the endogeneity problem. Overall the analysis suggests that youths with Arabic-language education are more likely to be self-employed, however, most of them specialise in modest informal micro-enterprises. These results can help to shed light on the education language implications, and then, can help policymakers to design appropriate policies to foster youth entrepreneurship in Chad.     

Putting the ‘rights‐based approach’ to development into perspective

This paper seeks to unravel some of the tangled threads of contemporary rights talk. For some, the grounding of rights‐based approaches in human rights legislation makes them distinctively different to others, lending the promise of re‐politicising areas of development work—particularly, perhaps, efforts to enhance participation in development, that have become domesticated as they have been ‘mainstreamed’ by powerful institutions like the World Bank. Others complain that like other fashions, the label ‘rights‐based approach’ has become the latest designer item to be seen to be wearing, and has been used to dress up the same old development. We pose a series of questions about why rights have come to be of interest to international development actors, and explore the implications of different versions and emphases, looking at what their strengths and shortcomings may come to mean for the politics and practice of development.     

Nemesis of ‘market fundamentalism’? The ideology,deregulation and crisis of finance

Although the global financial crisis is deepening and becoming increasingly unresponsive to ‘management’, most academic analysts still give priority to the technical aspects of the problem, while governments continue to act as though solutions can be found that will result in a return to ‘normality’. Such functional approaches may be necessary for understanding elements of the crisis and dealing with immediate issues, but are insufficient in the context of what is now revealing itself as a systemic failure: a process that is negatively affecting the economy and society, obliging people to give greater consideration to the kind of world in which they live. This article will seek to address the shift from objective problem to subjective question by examining the political economy of the crisis and the ensemble of factors, ideology, the history of deregulation and politics as well as technical matters, which have led us to this juncture.     

Notes on a psychodynamic theory of terrorist behavior

Abstract

Because of the diversity of terrorist groups and causes, there is no one terrorist “mindset.” Within this diversity it is useful to distinguish two major categories: the “anarchic‐ideologues,” such as the Red Army Faction, committed to destroying the world of their fathers; and the “nationalist‐secessionists,” such as ETA of the Basques, who carry on the mission of their fathers.

There is a tendency for marginal, isolated, and inadequate individuals from troubled family backgrounds to be attracted to the path of terrorism, so that for many, belonging to the terrorist group is the first time they truly belonged, and the group comes to represent family. This creates powerful pressures to conform within the group, for to disagree is to be seen as disloyal, and to risk losing the group. Organized against society, the group is seen as all good, and the outside society as all bad, this being the rationale for committing violent anti‐society acts.     

Anticipating demographic superiority: Kazakh thinking on integration and nation building

"In order to understand and to forecast what kind of nations will take shape in the new states of the former Soviet Union it is important to focus on the express objectives and actual strategies of the nation builders.... In this article I will concentrate on the ideological aspect, that is, on official and semi-official statements outlining the idea of ?the Kazakhstani nation', as Kazakhstani nation builders would like to see it develop." Particular attention is given to the changes in the ethnic composition of the country due primarily to the different demographic characteristics of the main ethnic groups that make up the population, the ethnic Kazakhs and Russians, and to the political implications of the growth of the Kazakhs from a minority to a majority ethnic group.     

Policy implications of the diffusion and control of medical technology.

Medical technology has become a controversial national policy issue, largely because of rapidly rising national health expenditures and their relation to medical technology. These costs are increasingly viewed in relation to benefits or effectiveness. Attempts to control medical technology, to consider benefits in relation to costs, have largely been regulatory, and have failed to ameliorate cost rises. This failure has stimulated consideration of the reimbursement system as a controlling device. The Medicare program already has developed a rather formal process for making reimbursement decisions based on technology assessments. However, fundamental reform of the reimbursement system seems necessary to counter perverse incentives built into payment. Recent proposals to shift to prospective payment is an example of such a change. However, the basically private nature of the health care system and the limited leverage of the Medicare program limits the power of the federal government to make change.     

The central provident fund scheme in Singapore: Challenges and reform

The article explains the features and evolution of the Central Provident Fund (CPF) scheme in Singapore and the reforms it has undergone in the face of recent challenges. At its inception, it was designed as an exclusively state managed savings scheme to meet the retirement needs of its members. Over the years, it has been gradually liberalised, allowing account holders to use their savings for additional purposes. In recent years two key challenges have arisen. One has been the problems arising out of liberalisation itself, which has left too many CPF members with insufficient savings for their retirement as a result of mistaken or imprudent choices in committing their savings to the additional options available. In response, the Singapore government has tempered or reversed the process of liberalisation, imposing or maintaining constraints on the use of CPF savings so as to ensure sufficient savings to meet retirement needs. The second challenge is the need to restructure the Singapore economy in the face of regional and global competition so as to sustain the profitability of the business sector and enhance employability of the older workers. The response of the government has been to allow the CPF contribution rates of employers to be adjusted and the CPF salary ceiling to be lowered so as to reduce business costs and increase the chances of employment of older workers. However, using the CPF scheme as a macroeconomic tool by reducing employers’ contribution rates may lead to less scope for CPF members to accumulate sufficient savings for their retirement. This would mean that the response to the second challenge would be at odds with the response to the first challenge.     

Varieties of population mobility in relation to development in China

China, in its efforts to effect economic modernization, has come to recognize the need for labor mobility to promote the development of small towns, to develop frontier agriculture, and to provide a tertiary sector in the cities and towns. Of China's 1 billion people (3rd census, 1982), 206 million or 20% of the population lived in 236 cities and 2664 towns. 50% of the urban dwellers were concentrated in the 3 metropolises of Shanghai, Beijing, and Tianjin. On the other hand 30% lived in the 2664 towns, which China wishes to develop. In the past large numbers of people have migrated to the large cities because there they were assured the life-long security of employment in state-owned industries -- the "iron rice bowl." However, China's present policy is to limit the size of big cities, develop medium-sized cities (between 200,000 and 500,000 people), and encourage the growth of small cities. China's 7th Five-Year Plan (1986-1990) calls for a massive movement of the agricultural labor force, not to the cities, but to the towns. To control population movement China instituted the Household Registration System in accordance with which a household must obtain permission to move permanently beyond the local area. Migration from the populous East Coast areas to the underdeveloped Northwest and to the rural impoverished areas of Gansu, Ningxia, and Qinghai is encouraged. But controlled migration has become more difficult since the decentralization which has accompanied the new economic policies, and the urban population has grown except for the 3 major cities. Moreover, as a result of the new "economic responsibility system" introduced in 1979, many surplus agricultural workers have been absorbed into nonagricultural activities in villages and townships. By the end of 1985, 67 million workers had moved from agriculture to industries, and peasants may now be granted temporary residence permits in towns. The total number of towns increased to 7280 by 1985; however, the new towns are concentrated in the more productive agricultural areas, which can support them. In addition to these more or less permanent migrants, large numbers of temporary migrants have come to the cities as representatives of local businesses, as construction workers, to operate urban outlets for agricultural and industrial products, to provide various services including domestic service, and as itinerant workers. 1986 statistics indicated that 3.21 million people were living as temporary residents of China's top 10 cities. The new economic policy has encouraged the resurgence of private plots and free markets and hence has stimulated the increased movement of peasants to rural markets and to free markets in cities.     

Crisis occurrence and resolution in patients with severe and persistent mental illness: the contribution of suicidality

Assertive community treatment appears to have limited impact on the risk of suicide in persons with severe and persistent mental illness (SPMI). This exploratory prospective study attempts to understand this observation by studying the contribution of suicidality to the occurrence of crisis events in patients with SPMI. Specifically, an observer-rated measure of the need for hospitalization, the Crisis Triage Rating Scale, was completed at baseline, crisis occurrence, and resolution to determine how much the level of suicidality contributed to the deemed level of crisis. Second, observer-ratings of suicidal ideation, the Modified Scale for Suicide Ideation, and psychopathology and suicidality, Brief Psychiatric Rating Scale, were measured at baseline, crisis occurrence, and resolution. A self-report measure of distress, the Symptom Distress Scale, was completed at baseline, crisis occurrence, and resolution. Finally, the patients' crisis experiences were recorded qualitatively to compare with quantitative measures of suicidality. Almost 40% of the subjects experienced crisis events and more than a quarter of these events were judged to be severe enough to warrant the need for hospitalization. Our findings suggest that elevation of psychiatric symptoms is a major contributor to the crisis occurrences of individuals with SPMI; although the risk of suicide may have to be conceived as somewhat separate from crisis occurrence.