Youth participation informing care in hospital settings

Abstract

In this article, we use an ecocultural framework to understand young people’s experiences of the care provided by a specialist children’s hospital. This framework conceptualizes hospital culture as situated and embodied rather than separate from people and practices. Young people’s responses, gathered during a one-day forum at the hospital, suggest ways in which a hospital can respond to them not just as individual bodies but also as members of the families and peer groups who form their broader web of care. Their input highlights the importance of consulting young people about the operations of health services themselves, not just about the patient-medico relationships that they experience whilst using a service.     

'Intemperate and Unchaste': Jean Rhys and Caribbean Creole Identity

In this article, Carr examines Jean Rhys's ambivalent feelings about her West Indian origins. She looks at the problems both she and others have had in deciding whether her work can be truly considered to belong to the category of Caribbean literature. The difficulty lies not just in her expatriate existence or European themes, but goes back to her position as a white Caribbean Creole woman, the descendant of slave-owners. Carr looks at the traditional representations of the Creole woman, and suggest that the characteristics assigned to Bertha Mason in Jane Eyre , 'intemperate and unchaste', persisted to Jean Rhys's day, and that all her fiction, even when not explicitly Caribbean, can be seen to write back to such representations. When Rhys arrived in England, she was immediately identified as Other because of her Caribbean accent, something that marked her out as disturbingly associated with non-white West Indians; in England, she was no longer really white, although back in the Caribbean her whiteness made her unacceptable to so many of her fellow Dominicans. Much of the power of her fiction comes from her knowledge of the violent scars left in the Caribbean by the colonial past, and her own experience of the prejudices and oppressions of a hierarchical metropolitan society. In particular, if it had not been for her stigmatization as the always racially dubious West Indian when she reached England, her insight into the injustices of metropolitan and colonial society might never have been so acute.     

Patterns of governance: the rise of transnational coalitions of NGOs

This paper explores patterns of governance in transnational development non-governmental organisation (NGO) coalitions. Governance is a term that has increased in usage during the last decade; it has been used in a variety of ways, by a variety of actors. Here, governance is broken down into two elements—governance as a purposive activity, and governance as an explanatory framework. This is an empirically grounded paper which focuses on the mechanisms of governance as a purposive activity, illustrated by interviews with four transnational development NGO coalitions. The principal aim of this research is to illustrate the workings and mechanics of governance.