Background: Although the prevalence of older patients in forensic psychiatric services is increasing, research around service provision for this population is very limited. We aimed to gather the views of members of staff on how well secure services are meeting the challenges of an ageing population.
Methods: Three focus groups were carried out with 13 members of staff working with older patients in secure services. A topic guide, based on the research team’s previous research, guided the sessions. The focus groups were audio-recorded, transcribed and analysed through thematic analysis.
Results: Two themes were identified: (1) Identifying patients’ needs, which focused on how promptly any emerging issues in the older patients are identified and reported; (2) addressing patients’ needs, which focused on how the unique needs of the older patients are addressed, once established.
Conclusions: There are unique age-related issues that may have an impact on the older patients’ opportunities for recovery, including a lack of specialist training for members of staff, prolonged stay in secure care and a limited number of age-relevant activities. Far from optimal, provision requires improvement through the active involvement of the primary stakeholders. 相似文献
This article asks how far social differentiation referring to gender and ethnicity as well as related inequalities are not only a result of capitalist economy but a structural feature of capitalism. The intersection of social relations and hegemonic constructions are the subject of analysis. Arguments and insights of regulation theory, feminist theory and men??s studies are discussed and continued. It is shown how andro- and eurocentric orientations were an essential feature of capitalism from its origin, and how they determined its historic specific societal structures, societal orders and dynamics. This is discussed focusing on the functional differentiation and the division of labour, inter- and intra-societal relations and hegemonic constructions, and referring to globalization and gender relations. It appears that historically capitalist formation inevitably must be seen as based on gendered and ethnic domination, but that there are also contingencies beside relations of subordination. New arrangements of domination as well as tendencies towards equity emerge. In conclusion, an epistemological outlook opens up for an analytical view in favor of perspectives which transcend the critical reflection on the western capitalist standpoint. 相似文献
In this paper, we argue that lower prices for pharmaceuticals can be achieved by fostering a new type of competition in the
pharmaceutical industry. Lower drug development costs, and hence prices, can be brought about by abolishing national drug
administrations and replacing them with private certification boards that compete on the basis of safety, efficiency and cost
of their drug approval process. A major benefit of this type of privatization is that it would not necessitate limits on data
exclusivity in order to achieve lower prices. Drug approval privatization could achieve the same positive results as generic
competition, in terms of lower costs and prices, without the negative effects of intellectual property rights violation and
the consequent discouragement of innovative activities.
It has been argued that the use of the concept of ākāra—a mental “form,” “appearance” or “aspect”—in Buddhist epistemological analysis or pramā?a exhibits continuities with earlier Buddhist thinking about mental processes, in particular in Abhidharma. A detailed inquiry into uses of the term ākāra in pertinent contexts in Vasubandhu’s Abhidharmako?abhā?ya brings to light different semantic nuances and functions of this term. The characteristic use of ākāra in Buddhist epistemological discourse turns out to be continuous with only some of the nuances it has in Abhidharma. Moreover, ākāra becomes associated with novel explanatory functions in Buddhist pramā?a. These discoveries underscore the need to pay closer attention to the reuse of terms and concepts, ideas and arguments in Buddhist philosophy, and to the often subtle adaptations and transformations that formed an integral part of its history. 相似文献
The article sketches a newly developed analytical approach (“vocabulary analysis”) inspired by philosophy of language. Without engaging in the debate as to whether Germany’s foreign policy is best characterised either in terms of continuity or change, the article reconstructs the development of the German foreign policy practice between 1986 and 2002 on the basis of the foreign policy elite’s discourse. In an exemplary fashion it illustrates the use of the key concepts Germany, Europe, power, responsibility, self-confidence and pride. We conclude that vocabulary analysis reveals astonishing shifts in the semantic web of which German foreign policy discourse is “woven” — shifts which will also leave traces in Germany’s foreign policy identity. 相似文献
Auch in der Rechtsprechung des Bundesverfassungsgerichts finden sich immer wieder Verweise auf ausländisches Verfassungsrecht und auf die Rechtsprechung ausländischer Verfassungsgerichte. Im Zuge der Europäisierung und Internationalisierung des staatlichen Verfassungsrechts wird zudem vermehrt auf das Europarecht und die EMRK sowie die hierzu ergangene Rechtsprechung von EuGH und EGMR eingegangen. Solche Verweise können eine offene Haltung und die Neigung aufzeigen, im Kontext eines sich herausbildenden gemeineuropäischen Verfassungsrechts bei der Interpretation des Grundgesetzes über dessen Bereich hinauszublicken. Sie können aber bei defizitärer methodischer Reflexion auch eine eher zufällige Garnitur verfassungsrechtlicher Erwägungen darstellen, der sich über den Stellenwert des Verfassungsvergleichs letztlich wenig entnehmen lässt. Der folgende Beitrag zeigt, dass die Verfassungsvergleichung durch das Bundesverfassungsgericht zwischen diesen Extrempositionen zu verorten ist. Die Ausführungen gehen dabei über eine Auswertung der Karlsruher Rechtsprechungspraxis hinaus, indem sie der Bedeutung des Verfassungsvergleichs für die Auslegung des Grundgesetzes nachgehen. 相似文献