scholarly journals Do clinicians and clinical researchers do enough to foster social inclusion?

2015 ◽  
Vol 19 (1) ◽  
pp. 5-11
Author(s):  
Sue Holttum

Purpose – The purpose of this paper is to raise questions about the social issues involved in mental and physical health. It highlights how, even where social issues are evident, clinicians and clinical researchers often focus mainly on individual people and what has gone wrong with them. This has the effect of making it less likely that social exclusion and adversity will be taken into account or that clinicians will help to change these. Design/methodology/approach – Three journal papers are summarised. The first one reports an attempt to test whether depression is a result of people feeling defeated and trapped. The second paper reports the results of analysing medical writing about domestic abuse. The third paper discusses the need for trainee clinicians to be made more aware of social conditions that affect people's lives. Findings – It does appear that people who feel defeated and trapped are more likely to become depressed. However, the life circumstances that lead to feeling trapped need more attention. Medical writing about domestic abuse may need to incorporate the broader context so that it is not just seen as a “women's problem”. It may be worth training clinicians about social conditions and how they might help to change them. Originality/value – These papers highlight important links between social exclusion and mental and physical health. There is a key role for clinicians and clinical researchers to be more part of the solution where they sometimes unwittingly help maintain the problems.

2019 ◽  
Vol 24 (4) ◽  
pp. 168-175
Author(s):  
Liz Tilly

Purpose Tackling social exclusion, which can lead to social isolation and loneliness, is an important current issue. People with a learning disability have a right to be full members of their communities, yet often experience social exclusion. Community connections play a key role in people developing reciprocal relationships. It is therefore important to know the barriers to full inclusion. The paper aims to discuss this issue. Design/methodology/approach This paper builds on an inclusive research project exploring these issues (Mooney et al., 2019) and aims to place that study’s main findings in a broader academic, policy and practice context. Findings Whilst there is a wide range of literature about social exclusion, lack of friendships and loneliness experienced by people with a learning disability, there is a gap in knowledge regarding some of the specific social barriers that prevent wider social inclusion, and therefore opportunities to make and keep friends. Originality/value This paper relates the findings of an inclusive research project to the current literature. It identifies the social barriers that limit community involvement and draws on the experience of people with a learning disability to find possible ways forward.


Author(s):  
Giménez‐Bertomeu ◽  
Domenech‐López ◽  
Mateo‐Pérez ◽  
de‐Alfonseti‐Hartmann

This study examines the social exclusion characteristics of a sample of users of primary care social services in two local entities in Spain. The objective of this study was to identify the intensity and scope of social exclusion in an exploratory way and to look at the typology of existing exclusionary situations to inform policy making and professional practice. Data from 1009 users were collected by primary care social services professionals, completing the Social Exclusion Scale of the University of Alicante (SES-UA). The dimensions with the greatest levels of social exclusion in the study population were those related to work/employment, income and education and training. The dimensions with an intermediate level of exclusion were those related to housing and social isolation. Social acceptance, family and social conflict and health were the dimensions with the lowest levels of exclusion. The analysis also showed the existence of five significantly different groups, that showed five different life trajectories along the continuum between social exclusion and social inclusion. The results show the importance and utility of developing professional and policy intervention protocols based on research evidence, with the objective of improving the quality of life of the users.


2019 ◽  
Vol 28 (4) ◽  
pp. 434-445 ◽  
Author(s):  
Angelo Jonas Imperiale ◽  
Frank Vanclay

Purpose The purpose of this paper is to reflect on what can be learned about disaster risk reduction (DRR) from the L’Aquila trial of scientists. The court case was initiated because of a controversial meeting on 31 March 2009 of the Major Risks Committee (MRC), held under the auspices of the Italian Department of Civil Protection. The purpose of the meeting was to consider (prior to the fatal earthquake of 6 April 2009) disaster risk in the L’Aquila area, which was being affected by an earthquake swarm since October 2008. Design/methodology/approach The authors undertook a document analysis of trial materials, and a review of academic and media commentary about the trial. Findings The legal process revealed that disaster governance was inadequate and not informed by the DRR paradigm or international guidelines. Risk assessment was carried out only in a techno-scientific manner, with little acknowledgement of the social issues influencing risks at the local community level. There was no inclusion of local knowledge or engagement of local people in transformative DRR strategies. Originality/value Most previous commentary is inadequate in terms of not considering the institutional, scientific and social responsibilities for DRR as exposed by the trial. This paper is unique in that it considers the contents of the MRC meeting as well as all trial documents. It provides a comprehensive reflection on the implications of this case for DRR and the resilience of peoples and places at risk. It highlights that a switch from civil protection to community empowerment is needed to achieve sustainable outcomes at the local level.


2021 ◽  
Vol 15 ◽  
Author(s):  
Min Fan ◽  
Jing Jie ◽  
Pinchao Luo ◽  
Yu Pang ◽  
Danna Xu ◽  
...  

Social exclusion has a significant impact on cognition, emotion, and behavior. Some behavioral studies investigated how social exclusion affects pain empathy. Conclusions were inconsistent, and there is a lack of clarity in identifying which component of pain empathy is more likely to be affected. To investigate these issues, we used a Cyberball task to manipulate feelings of social exclusion. Two groups (social exclusion and social inclusion) participated in the same pain empathy task while we recorded event-related potentials (ERP) when participants viewed static images of body parts in painful and neutral situations. The results showed early N2 differentiation between painful and neutral pictures in the central regions in both groups. The pattern at the late controlled processing stage was different. Parietal P3 amplitudes for painful pictures were significantly smaller than those for neutral pictures in the social exclusion group; they did not differ in the social inclusion group. We observed a parietal late positive potential (LPP) differentiation between painful and neutral pictures in both groups. LPP amplitudes were significantly smaller in the social exclusion group than those in the social inclusion group for painful stimuli. Our results indicate that social exclusion does not affect empathic responses during the early emotional sharing stage. However, it down-regulates empathic responses at the late cognitive controlled stage, and this modulation is attenuated gradually. The current study provides neuroscientific evidence of how social exclusion dynamically influences pain empathy.


2021 ◽  
pp. 89-97
Author(s):  
Despoina Mantziari ◽  
Evdokimos Konstantinidis ◽  
Despoina Petsani ◽  
Nikolaos Kyriakidis ◽  
Vassiliki Zilidou ◽  
...  

AbstractAiming at limiting the risk of ageism & social exclusion of older adults in society, the Thess-AHALL looks at co-design and open science solutions for social inclusion for the ageing population.


2016 ◽  
Vol 12 (3) ◽  
pp. 463-483 ◽  
Author(s):  
Inna Blam ◽  
Katarína Vitálišová ◽  
Kamila Borseková ◽  
Mariusz Sokolowicz

Purpose The paper aims to analyze actual issues of the corporate social responsibility (CSR) practices in monofunctional towns in Russia, Slovakia and Poland. The process of social investment restructuring is obviously under way in these countries. However, there can be identified a few examples where the dominant employer with the long tradition (from the soviet period, even longer) has initiated and directly influenced by the social policy the local and regional development. The paper analyzes their development during the past decades, with the special emphasis on social issues. It identifies its strengths and weaknesses and defines future research areas. Design/methodology/approach The first part of the paper defines the CSR with focus on the social sphere and relationships between local dominant employer, local government and community. Refer to the theory, the paper adopts a case study methodology to explore the specifics of CSR with a focus on monotowns, especially the role of local dominant employer and its relationship with local government and community in three selected post-communist nations – Russia, Slovakia and Poland. The research uses also the secondary data (the strategic documents, statistical data) and own observation during the study visits to the selected cities. The authors analyze the town’s development during the past decades, with the special emphasis on the social issues. Findings It is shown that maintenance and development of essential living conditions in many monofunctional towns depends upon the direct participation of large dominating companies. The paper argues that there is a principal difference between the current social policy conducted by these dominant local employers and the policy that was conducted in the past. What is more, most of the engagement of large in the social affairs in monotowns refers to the CSR concept. The paper summarizes the common features and differences in functioning monotowns in selected states, from the perspective of social responsible behaviors of dominant companies, suggests the practical implications and identifies future research areas. Originality/value The paper maps the specific kind of social responsibility interconnected with the issue of local and regional development – monotowns in Russia, Poland and Slovakia – in the countries with common political and social history. It brings in the form of case studies the detailed overview of the selected examples from Russia, Ukraine and Poland dealing with the CSR. Based on the collected data, it summarizes the advantages and disadvantage of these towns and opens the new research areas.


2014 ◽  
Vol 4 (5) ◽  
pp. 1-22 ◽  
Author(s):  
Chris Ogbechie

Subject area The case concerns sustainability and social entrepreneurship. Study level/applicability The case is relevant for teaching sustainability and social entrepreneurship to MBA students as well as for executive training programmes for middle- and senior-level employees. Case overview The Dignified Mobile Toilets (DMT) case describes how the innovative idea of Isaac Durojaiye, popularly known as Otunba Gadaffi, yielded a lot of socioeconomic and environmental impact and changed the face of sanitary health in Nigeria as well as glamorized what he called “shit business.” The case gives an account of how Isaac Durojaiye – a graphic artist and a credit card fraud investigator – conceived and built the first mobile toilet in Nigeria by using a 40-feet container. Initially, he had to battle with the lack of patronage, as not a single order came in for the first four years that the wagon toilet was displayed. But Durojaiye was not discouraged because he was involved in security consulting along with the sanitary job. The case recounts how the Founder/CEO of DMT mobile toilets identified social issues (lack of public toilet facilities, poverty, disease, unemployment, crime and so on) in the society and turned it into business success; his efforts helped the development of the social sector in Nigeria. The case also narrates the growth of the mobile toilet market in Nigeria and DMT's market share of this sector. This case also describes the poor state of public toilet facilities in Nigeria, which forced people to answer the call of nature in open places, thereby polluting the environment and jeopardizing public health. The DMT marketing strategy and how the company made proper use of the area boys and widows to franchise their toilets was stated. The case also highlights the social and environmental impact of DMT toilets and the company's future direction. Expected learning outcomes The case will help student see opportunities in the social space and understand that there are business models that provide both social and economic benefits simultaneously. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email: [email protected] to request teaching notes.


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