Reconnecting the person with humanity: how psychiatric nurses work with suicidal people

A modified grounded-theory (qualitative) study was undertaken in an attempt to discover the psychosocial processes involved when psychiatric/mental health nurses provide care to suicidal people, and in so doing, to induce the first comprehensive theory of psychiatric nursing care of the suicidal person. The findings highlight that the key psychosocial process (or core variable of the theory) is "reconnecting the person with humanity" and that this has three stages: reflecting an image of humanity, guiding the individual back to humanity, and learning to live.     

Political Parties and Minority Governance in Hybrid Political Orders: Reflections from Lebanon’s Palestinian Settlements and Kosovo’s Serbian Enclaves

This article analyses how minority populations govern and are governed in South Lebanon’s informal Palestinian settlements and the Serbian enclave in North Kosovo. Drawing on literature about hybrid political orders, it is argued that in both settings political parties play a linchpin role in local governance. Based on this finding, three key functions of political parties in the governance of minority populations in hybrid political orders are identified: representation, provision and brokerage. Understanding the interdependencies and trade-offs between these different roles contributes to remedying the analytical blind spot regarding the nature, positions and roles of political parties in hybrid political orders.     

He who pays the piper calls the tune: Credit rating agencies and multilateral development banks

Multilateral development banks (MDBs) have proved to be one of the most popular and enduring forms of international organization ever created, in large part because of their unique financial model. MDBs raise most of the resources needed for operations from international capital markets rather than government budgets, which greatly increases their financial capacity and attractiveness to member governments. However, this model has a trade-off: MDBs must pay close attention to the perceptions of bond investors, who have little interest in development goals. This paper explores the influence of credit rating agencies (CRAs) on MDB operations, based on an analysis of the methodologies used by CRAs to evaluate MDBs and interviews with MDB financial staff and CRA analysts. The study demonstrates that the methodology used by Standard and Poor’s seriously undervalues the financial strength of MDBs, limiting their ability to pursue their development mandate. These findings suggest that MDB dependence on capital market financing may weaken the ability of major shareholder governments to fully control MDB activities.     

An enterprising municipality? Municipalisation,corporatisation and the political economy of Birmingham City Council in the nineteenth and twenty-first centuries

English local authorities not only have a high level of path dependency but also are capable of significant path-breaking innovations. Conventional ‘great man’ and punctuated equilibrium explanations of path-switching undervalue material factors. Theoretical sampling is used to develop and illuminate the way in which material conditions impact two significant changes in the institutional path of Birmingham City Council – the late nineteenth-century municipalisation of private providers (gas and water) and the early twenty-first century corporatisation of public services (back-office functions, building control, educational support, and museums and art galleries). Data are drawn from secondary sources including Council documents and contemporary accounts. Centrifugal pressure in the early twenty-first century result in arm’s length companies offering greater financial resilience. This contrasts with late nineteenth-century centripetal pressure to minimise the patchwork of private providers and trade for a wider public benefit.     

Policies for Decent Labour Standards in Britain

Decent labour standards are a prerequisite for perceived justice and social cohesion. Insofar as they have been achieved in Britain in the past, it has been the result of collective bargaining between employers and trade unions. This has all but vanished in the private sector and, it is argued, there is no chance of its being revived. Upholding labour standards now lies in the provision of statutory individual employment rights. Experience with minimum wages provides some guidance on how these might be developed through social partnership arrangements. Once achieved, such rights amount to little without effective enforcement. Increasingly important for this is the use of the law and consumer campaigns to expose poor employment practices and complex supply chains so that offending employers can be held to account. If Britain is to avoid falling into a competitive ‘race to the bottom’ with Brexit, it must institute a robust means of implementing and enforcing decent labour standards.     

Evaluating Collaboration: The Solution to One Problem Often Causes Another

Collaboration has become the predominant approach to solving complex public problems. This choice, however, often is not driven by demonstrated effectiveness. Collaboration is instead chosen in the hope that a networked arrangement will be more effective than individual organizations working on the issue alone. Questions regarding collaborative effectiveness persist and constitute a significant challenge facing both public management practitioners and public administration scholars. In light of the case study in this issue of Public Administration Review by Maurits Waardenburg and colleagues, this article reviews the current thinking on the measurement of collaborative performance and discusses steps that professionals can take to evaluate the effectiveness of their collaborative endeavors.     

Behavioral Stability as an Emergent Process: Toward a Coherence Theory of Concentrated Personal Disadvantage

The best predictor of future misbehavior is a history of aberrant and wayward conduct. Even so, few theories attempt to account for time-stable maladaptive pathways. To this end, we advance a theory of stability, what we term Coherence Theory. Coherence Theory conceptualizes stability as an emergent property that occurs when antisocial dispositions, social consequences, and misconduct coalesce within an individual. In this sense, misconduct is viewed as only one component of a larger, overarching and multi-faceted emergent construct we label as “concentrated personal disadvantage.” When these three components coalesce within an individual, temporal stability in maladaptive pathways should be expected. Using nationally representative, longitudinal data from the National Survey of Children, we test specific hypotheses derived from our theory. This study makes use of the first and second waves of survey data (N wave 1 = 2,301; N wave 2 = 1,423). The sample overall was 51% male and 52% white. Our analyses provide tentative support for the proposed theory. Concentrated personal disadvantage was found to emerge when the identified constellation of variables coalesced in individuals, and was found to be relatively stable over a 5 year period for males and females. Coherence Theory challenges traditional theories on the stability of antisocial pathways, offers specific conditions under which high levels of stability are likely, and explains why disruption off of antisocial pathways is so difficult.     

Immigrants and undesirables: “terrorism” and the “terrorist” in 1930s France

This article investigates French understandings of the terms “terrorism” and “terrorist” in the period of the late Third Republic when a series of assassinations, murders and bombings suggested that France was dangerously exposed to the threat of terror. The article deconstructs contemporary understandings of the phenomenon, showing that, if a variety of actions were labelled “terrorist”, the term was deployed in particular in relation to matters of foreignness. It was believed that immigrants, refugees and foreign secret agents imported terrorist violence to France. French citizens did not – could not even – perpetrate terrorism. Parallels may be drawn between discussions of citizenship in the wake of twenty-first century acts of terrorism and manifestations of such violence during the 1930s when notions of terrorism, Frenchness and foreignness were intimately connected.     

Is an exemption from US groundwater regulations a loophole or a noose?

In the United States, the Safe Drinking Water Act (SDWA) regulates most groundwater used for drinking water. The Act covers most urban areas but because it does not cover small water systems, it implicitly exempts nearly half of those living in rural America. In large measure, monitoring required by the SDWA has illustrated the prevalence of naturally occurring arsenic in groundwater in concentrated areas throughout the country. Even though many in Congress seem aware of this threat and have, indeed, supported more stringent arsenic standards, Congress, on the whole, has failed to update the SDWA to cover those water systems left unprotected by the Act. Conventional political science theory suggests that effective congressional oversight depends on Congress creating both active (e.g., hearings and commissioned studies) and passive oversight mechanisms (i.e., citizen suits and opportunities for constituent feedback). In this case, Congress had, in fact, created sufficient tools to detect a serious problem but, having identified it, nevertheless failed to respond. Why? In exploring Congress’s inaction, we find something unexpected: the structure of the SDWA has created perverse incentives not only for unregulated water systems but also for regulated systems to push to keep exempted water systems unregulated. The outcome is that those outside of the SDWA’s protections remain outside and continue to drink contaminated water by the glass full. So, while Congress created a loophole, it may have inadvertently tied a noose.     

Longitudinal Effects of Perceived Maternal Approval on Sexual Behaviors of Asian and Pacific Islander (API) Young Adults

Data were obtained from the National Longitudinal Study of Adolescent Health to examine the longitudinal association between Asian and Pacific Islander (API) adolescents’ perceptions of maternal approval of their sexual activity and contraception use, and four sexual outcomes during young adulthood. The study includes a nationally representative sample of 1,195 API adolescents. Logistic regression analyses were used to estimate the associations between predictors (Wave I) and outcomes (Wave III), controlling for covariates. API adolescents who perceived that their mothers approved of their sexual activities were more likely to have engaged in sex before age 15, contracted HIV/Sexually Transmitted Diseases, had multiple sex partners, and paid money for sex during young adulthood. Findings highlight the need for parent–adolescent communication and parental involvement in preventing negative sexual health outcomes among API adolescents transitioning to young adulthood.