Objective: Symptom improvement is often examined as an indicator of a good outcome of accessing mental health services. However, there is little evidence of whether symptom improvement is associated with other indicators of a good outcome, such as a mutual agreement to end treatment. The aim of this study was to examine whether young people accessing mental health services who meaningfully improved were more likely to mutually agree to end treatment.Methods: Multilevel multinomial regression analysis controlling for age, gender, ethnicity, and (...) referral source was conducted on N = 8,995 episodes of care [Female = 5,469, 61%; meanAge = 13.66 years] using anonymised administrative data from young people's mental health services.Results: Compared to young people with no change in mental health difficulties, those showing positive meaningful changes in mental health difficulties were less likely to have case closure due to non-mutual agreement. Similarly, they were less likely to transfer or end treatment for other reasons than by case closure due to mutual agreement.Conclusion: The findings suggest that young people accessing mental health services whose symptoms meaningfully improve are more likely to mutually agree to end treatment, adding to the evidence that symptom improvement may be appropriate to examine as an indicator of a good outcome of accessing mental health services. (shrink)

Fundamental theological and ethical themes of Luther's thought and tradition provide a basis for appreciating both the role of business in God's providential design and the importance of occupation for living out one's Christian vocation. These same insights establish the ethical basis for a critical appraisal of the current practice of downsizing and its negative impact on the quality of individual lives and whole communities. While Lutheran ethics is realistic about the ambiguities of life, it is also an ethic of (...) compassionate love seeking justice in the world of business as in all of life. (shrink)

Fundamental theological and ethical themes of Luther's thought and tradition provide a basis for appreciating both the role of business in God's providential design and the importance of occupation for living out one's Christian vocation. These same insights establish the ethical basis for a critical appraisal of the current practice of downsizing and its negative impact on the quality of individual lives and whole communities. While Lutheran ethics is realistic about the ambiguities of life, it is also an ethic of (...) compassionate love seeking justice in the world of business as in all of life. (shrink)

EDUCATION AND THE PHILOSOPHY OF EXPERIMENTALISM CHAPTER I AN INDIGENOUS AMERICAN PHILOSOPHY "Whoever is interested in the future should especially study ...

Fundamental theological and ethical themes of Luther’s thought and tradition provide a basis for appreciating both the role of business in God’s providential design and the importance of occupation for living out one’s Christian vocation. These same insights establish the ethical basis for a critical appraisal of the current practice of downsizing and its negative impact on the quality of individual lives and whole communities. While Lutheran ethics is realistic about the ambiguities of life, it is also an ethic of (...) compassionate love seeking justice in the world of business as in all of life. (shrink)

Simply counting the numbers of women present in politics is an inadequate basis for theorizing the difference they might make. Drawing on research on British MPs Act), this article shows how insights gained from empirical research can inform and improve our theorizing. It suggests that the relationship between women’s descriptive and substantive representation is better conceived as complicated rather than straightforward.

In academic research on interracial relationships, as well as popular discourses such as film and television, Black women are often characterized as angry and opposed to interracial relationships. Yet the voices of Black women have been largely neglected. Drawing from focus group interviews with Black college women and in-depth interviews with Black women who are married interracially, the author explores Black women’s views on Black-white heterosexual relationships. Black women’s opposition to interracial dating is not simply rooted in jealousy and anger (...) toward white women but is based on white racism, Black internalization of racism, and what interracial relationships represent to Black women and signify about Black women’s worth. The impact of racism and sexism are clear, with Black women devalued by white standards of beauty and faced with a shortage of available Black men and a lack of “substantive opportunities” to date interracially. (shrink)

Rudolf Steiner is perhaps most widely known as the founder of the Waldorf schools and for his challenging and innovative ideas on children's mental development and education. What these ideas are and how they are put into practice are not so well known. Steiner (Waldorf) Education is a clear exposition of Steiner's view of the child as a developing personality based on body, soul, and spirit. It describes the stages of the child's development and gives a detailed account (...) of the Steiner/Waldorf school curriculum and teaching methods. It will be useful both to those already involved with Steiner/Waldorf schools and also to anyone who wants to learn more about this well-established alternative to the state educational system. (shrink)

This article provides a conversation analytic description of a two-part structure, ‘I don’t want X, I want/just want Y’. Drawing on a corpus of recordings of family mealtimes and television documentary data, I show how speakers use the structure in two recurrent environments. First, speakers may use the structure to reject a proposal regarding their actions made by an interlocutor. Second, speakers may deliver the structure following a co-interactant’s formulation of their actions or motivations. Both uses decrease the likelihood of (...) challenge in third-turn position. When responding to multi-unit turns speakers routinely deal with the last item first. The value of ‘I want Y’ is to formulate an alternative sense of agency which undermines the preceding turn and shifts the trajectory of the ongoing sequence. The article contributes to work in discursive psychology as I show how speakers may formulate their ‘wants’ in the service of sequentially unfolding social interaction. (shrink)

The essays in this special issue of HEC Forum provide reflections that make explicit the implicit anthropology that our current pandemic has brought but which in the medical ethics literature around COVID-19 has to a great extent ignored. Three of the essays are clearly “journalistic” as a literary genre: one by a hospital chaplain, one by a medical student in her pre-clinical years, and one by a fourth-year medical student who reports her experience as she completed her undergraduate clerkships and (...) applied for positions in graduate medical education. Other essays explore the pandemic from historical, sociological, and economic perspectives, particularly how triage policies have been found to be largely blind to structural healthcare disparities, while simultaneously unable to appropriately address those disparities. Central issues that need to be addressed in triage are not just whether a utilitarian response is the most just response, but what exactly is the greatest good for the greatest number? Together, the essays in this special issue of HEC Forum create a call for a more anthropological approach to understanding health and healthcare. The narrow approach of viewing health as resulting primarily from healthcare will continue to hinder advances and perpetuate disparities. Health outcomes result from a complex interaction of various social, economic, cultural, historical, and political factors. Advancing healthcare requires contextualizing the health of populations amongst these factors. The COVID-19 pandemic has made us keenly aware of how interdependent our health as a society can be. (shrink)

Biblical scholars have generally prided themselves on their independence from systematic theology. Yet their greatest achievements have been accomplished in those periods when constructive theology was strong and virile.

There exists a variety of types of folk healers in African American society. This paper examines the sequence of dreams and visions whereby a woman realized the status of evangelical healer. "It was hypothesized that these altered states functioned as facilitating mechanisms whereby the subject could alleviate anxiety while at the same time realize a new master status. By gathering extensive interview data and employing a structuralist analysis, it was possible to relate the dreams and visions to personal crises, thus (...) substantiating the hypothesis. In addition to offering processual insight to Anthony Wallaces "mazeway reconstruction,” this analysis provides a fresh perspective from which to examine the recruitment process to the status of "healer.”. (shrink)

Since the financial crisis, the malfeasance of business leaders has been a recurring theme in the news, along with calls for increased regulation and oversight. This focus on the ethics of the business community raises a concern about the ethics of those in business or going into business. The ethics of business people and business students has been explored by a number of researchers using survey techniques. We propose and report the results of an alternative method for investigating unethical behavior (...) by students. In a motivated economic experiment with introductory level students, we find that business students were almost twice as likely to lie for a monetary reward as students in other disciplines, demonstrating the need for effective business ethics. (shrink)

IN MANY CHURCH-BODY DISPUTES OVER THE MORAL STATUS OF SAME-gender unions, the last line of defense against the affirmation of such unions is often an appeal to homosexual orientation as inherently "disordered," rendering same-gender unions unacceptable regardless of the loving and just qualities they may embody. On the basis of a biblical anthropology shaped by the eschatological orientation of the scriptures and further enhanced by contemporary Trinitarian discourse, this essay engages and challenges this traditional view as it has been developed (...) in the theological ethics of Helmut Thielicke. In so doing, the essay raises a key metaethical question of the theological foundations that inform Christian sexual ethics in general. (shrink)

CHAPTER I Characteristics of Deliberate Education FOR man education is not a mere adornment, it is a life necessity. ...