2.3 Community care, fear and the ‘high-risk’ service user

So far in this unit you have seen how the concept of risk has come to suggest danger. This section explores in greater depth how the changes that have led to this situation have impacted on mental health policies and practice. The next activity involves reading an article to help you consider risk in the context of mental health services.


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1.2.2 Boundaries of difference

One of the things that language does is define and give a name to differences between people – to delineate the boundaries that separate them. In the mental health field, the ‘mad’ are at one end of the social divide that separates the ‘normal’ from the ‘abnormal’. They are ‘the other’, a point made in the article by Perkins (above): ‘To be mad is to be defined as “other”’.

This is a recurring theme in the mental health field. In the following passage Abina Par
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3.21 Conclusion

This extract has shown that CAM practice raises a variety of ethical issues. Although ethical considerations have different dimensions when applied to CAM, this extract demonstrated that ethical issues – such as consent, competence, boundaries and effective communication – remain central to good practice. CAM practitioners, like all other responsible health care workers, must be taught and encouraged to recognise the ethical dimensions of their work. All practitioners must be accountable
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3.19 Key ethical issues for CAM practitioners: professional etiquette and whistleblowing

In the past, professional bodies cautioned their members against disparaging other members of the same profession in front of a user. In the UK many codes of ethics still discuss professional etiquette from the perspective of safeguarding the interests of the practitioner rather than the user. Sensitivity is required when treating a user who is dissatisfied with a previous practitioner, but this should not prevent a practitioner being critical of someone else's obviously unacceptable treatmen
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3.10 Difficulties in applying conventional bioethics to the CAM relationship

Much of the literature in bioethics views the doctor/patient relationship as the paradigmatic example of a health care encounter. Various assumptions are made about the roles of ‘good’ doctors and ‘good’ patients, gender, dominant cultural values, patient expectations and a shared (western) understanding of health and disease. These assumptions may not be shared by many CAM practitioners or, indeed, CAM patients. Can
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2.4 Ownership, control and ideas about the body

This section focuses on the extent to which a person becomes invisible when a practitioner rigidly adheres to a specific view of health and disease, and fails to accept that others (specifically the person they are treating) may have different ideas about illness or, indeed, about their body. The imposition of a fixed view of illness and disease can be extremely disempowering for people seeking help.

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1.5.8 Bibliographic software

If you are considering taking your studies further you might like to consider using bibliographic software. Bibliographic software can be used to sort references, annotate them, manage quotations or create reading lists.

There are several software packages on the market. Some are listed below.

1.5.6 Copyright – what you need to know

An original piece of work, whether it is text, music, pictures, sound recordings, web pages, etc., is protected by copyright law and may often have an accompanying symbol (©) and/or legal statement. In the UK it is the Copyright, Designs and Patents Act 1988 which regulates this.

In most circumstances, works protected by copyright can be used in whole or in part only with the permission of the owner. In some cases this permission results in a fee.

However, the UK legislation incl
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2.3 ‘Looked-after’ children

There are 70,000 ‘looked-after’ children in the UK (National Statistics, 2005). Children are ‘looked after’ when they are:

  • in care (this term refers to children who are the subject of a care order made by a body with legislative powers) and are accommodated

or

  • provided with accommodation, by voluntary agreement with those having parental responsibility for the child.

The t
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3.1 Young people's mental health: diversity and inequality

We will now focus on young people's mental and emotional wellbeing, as a way of exploring how social divisions create diverse and unequal health experiences for young people.

Earlier in the unit we cited claims that young people today are experiencing an increase in mental health problems. What is certainly clear is that there has been an increasing concern in the media and elsewhere about young people's mental health, resulting in a range of reports and initiatives.

But ho
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4.3 Processes of development

A central concept in Piaget's theory is that of the schema, a representation of a sequence of actions developed as a result of a child's action on the environment. A schema is, initially, a simple sequence of behaviour like sucking, or reaching and grasping. Piaget believed that the fact of possessing a schema, such as sucking, in itself creates a motivation for its exercise and for its application to multiple objects and situations which is beyond any immediate physical need to apply it, suc
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