The socio-cultural, economic and political impediments to pain care in the twenty-first century

2004 ◽  
Vol 41 (2) ◽  
pp. 179-196 ◽  
Author(s):  
Anthony J Eksterowicz ◽  
Nancy B Eksterowicz
2016 ◽  
Vol 30 (7) ◽  
pp. 1247-1267 ◽  
Author(s):  
Yancy Toh ◽  
Wei Loong David Hung ◽  
Paul Meng-Huat Chua ◽  
Sujin He ◽  
Azilawati Jamaludin

Purpose The purpose of this paper is to illustrate the dialectical interplay between centralisation and decentralisation forces so as to understand how schools leverage on its autonomous pedagogical space, influence the diffusion of innovations in the educational landscape of Singapore and how a centralised-decentralised system supports (or impedes) pedagogical reform for twenty-first century learning. Design/methodology/approach The paper first outlines the evolutionary stance of Singapore’s decentralisation from its past to present trajectories, thus providing a broader social-historical interpretation to its tight-loose-tight coupling of the education system; followed by situating the context of reform within the national narrative of Ministry of Education’s (MOE) twenty-first century competencies framework. The authors examine how school autonomy should be accompanied by systemic enabling mechanisms, through two case illustrations of whole-school reforms. Findings There are four carryover effects that the authors have observed: structural, socio-cultural, economic and epistemic. Middle managers from the two schools act as a pedagogical, socio-technological and financial broker outside the formal collaborative structures organised by the MOE. Such a “middle-out” approach, complemented by centralised mechanisms for “coeval sensing mechanism”, has resulted in boundary-spanning linkages and multiplier effects in terms of knowledge spillovers. Research limitations/implications Socio-cultural context matters; and what constitutes as co-learning between policymakers and practitioners in Singapore may be construed as policing that stifles innovations in other contexts. Originality/value In addition to the conceptualisation of how school autonomy may lead to school-based innovations, the paper provided some preliminary empirical evidence of how the co-production of knowledge has been engendered within, across and beyond individual Singapore schools through the mechanism of innovation diffusion. The unit of analysis is innovation ecosystem.


2006 ◽  
Author(s):  
Perri Six ◽  
Nick Goodwin ◽  
Edward Peck ◽  
Tim Freeman

2020 ◽  
Vol 5 (1) ◽  
pp. 65-73
Author(s):  
Eliza Preston

This article explores what the work of Sigmund Freud has to offer those searching for a more spiritual and philosophical exploration of the human experience. At the early stages of my psychotherapy training, I shared with many peers an aversion to Freud’s work, driven by a perception of a mechanistic, clinical approach to the human psyche and of a persistent psychosexual focus. This article traces my own attempt to grapple with his work and to push through this resistance. Bettelheim’s (1991) treatise that Freud was searching for man’s soul provides a more sympathetic lens through which to explore Freud’s writing, one which enabled me to discover a rich depth which had not previously been obscured. This article is an account of my journey to a new appreciation of Freud’s work. It identifies a number of challenges to Bettelheim’s argument, whilst also indicating how his revised translation allowed a new understanding of the relevance of Freud’s work to the modern reader. This account may be of interest to those exploring classical psychotherapeutic literature as well as those guiding them through that process.


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