Health professional-patient confidentiality: does the law really matter?

Confidentiality is often tested in the health professional-patient relationship, particularly given that both the law and ethics permit disclosure of confidential information in the public interest. This column outlines the results of an Australian Research Council project indicating that mental health professionals may place more weight on their ethical responsibilities relating to confidentiality than what the law requires. The outcomes of the project, which used both questionnaires and focus group discussions, suggests that there is some confusion as to legal requirements in this area and that many mental health professionals rely on ethical frameworks to justify disclosure even where there is no legal requirement to do so. It is suggested that ethics training for health professionals should be of primary importance to ensure responsible decision-making in this area.     

Britain’s Choice: Polarisation or Cohesion

Britain’s Choice, a report published by More in Common, develops a new segmentation of the British public based on their core beliefs, values and identities. Identifying seven segments, the report aims to better understand the British public, the goal being to work out how to build a more cohesive Britain—the choice facing Britain being a path to further division and polarisation or one to greater solidarity and shared values. The report strikes a broadly optimistic turn and highlights the shared values across the seven groups, but there are warning signs in the data that there are still many issues on which these groups could be divided, the overlap between them, for now, limiting the success of attempts to do so and throwing up a ‘kaleidoscopic’ pattern that changes from issue to issue.     

G. A. Cohen’s historical materialism: a feminist critique

ABSTRACT

Forty years on, G. A. Cohen’s reconstruction and defence of Marx’s theory of history is still widely, and justifiably, considered the best of its kind, and it remains unsurpassed in clarity, argumentation and textual support. This article presents an under-explored critique of the theory that arises once we recognize that it is meant to apply to the circumstances of women as well as men. The article argues that, when extended to women, the reconstructed theory’s predictions fail to materialize, its characterizations of historical stages fall apart, and its functional explanations appear implausible. In addition, although the theory claims to be able to explain the emergence and diffusion of different ideologies by their effects on productive development, it cannot plausibly explain the presence of sexist ideologies despite their pervasive and profound impact across history. The article concludes by showing that these flaws highlight the many respects in which Cohen’s orthodox version of Marxism is a conservative ideology, and one that egalitarians in particular should view with suspicion. Once we analyse the different components of the theory, the idea of a right-wing Marxism no longer seems as odd as it sounds.     

Die zivilrechtliche Haftung für Grenzbäume – geklärte und ungeklärte Fragen

Natur und Recht - Grenzbäume werfen in der Praxis immer wieder verschiedene Rechtsfragen auf. Sie können durch Überwuchs störende Wirkungen auf Nachbargrundstücke haben....     

Identity orientation and stakeholder engagement—the corporatisation of elite schools

Identity orientation provides a means to understand the social motivations of organisational relationships and organisational policy and practices. This study uses identity orientation to understand the highly marketised context of independent ‘elite’ schools in Australia and how they relate to stakeholders to straddle their roles as social institutions that are increasingly required to operate in a corporate manner. Interviews with managers in quite new school roles such as marketing communication and business management were conducted in non‐government schools to understand the schools' external orientations, coveted internal member traits, and frames of reference. The study shows that, in contrast to existing literature on the rhetoric of schools as focusing on ‘the child’, there was a strong emphasis on individualistic orientations in schools that saw stakeholders in instrumental terms of resources and connections, saw teachers as providing an innovative and leading edge, and used other prestigious schools as their frame of reference. To a lesser extent, schools would also be interested in the relationships with families, teachers, and the community for their own means. There were very few instances where the identity orientation was contributing to society, instead, focusing on university and network outcomes for pupils. Using identity orientation provides a theoretical lens to connect organisational governance to stakeholder engagement by providing insights into an organisation's identity including practices and behaviours, in relation to others. Copyright © 2014 John Wiley & Sons, Ltd.