Institutionalisation and the Long-Term Course of Schizophrenia

1993 ◽  
Vol 162 (4) ◽  
pp. 533-538 ◽  
Author(s):  
David Abrahamson

It is ironic, in a field with many other ironies, that a number of studies (Johnstone et al, 1981; Mathai & Gopinath, 1985; Curson et al, 1992) have questioned what Mathai & Gopinath call “the hitherto inviolate (and ingenious) concept of institutionalisation”, at a time when massive deinstitutionalisation is casting into relief some of the practices to which it refers (Team for the Assessment of Psychiatric Services, 1990; Murphy, 1991; Abrahamson, 1993). However, the gap that this creates between theory and practice may be risky for the future. It would certainly be a major failure if the institutional era with which psychiatry's early professional identity was so intimately bound up were to end in unresolved contradictions. With this background, it will be argued here that re-examination of institutionalisation in the context of the longitudinal course of schizophrenic disorders both confirms the validity of the concept and sets a demanding agenda for alternative care in the community.

Author(s):  
M. Reina Ortiz ◽  
E. Macchioni ◽  
C. Cancino ◽  
L. Rainer ◽  
C. Vernaza ◽  
...  

Abstract. The church of Santiago Apóstol of Kuñotambo is located in the southeast area of the Cusco province of Acomayo, containing remarkable interior mural paintings that contribute to the heritage value of the building and the area. The building was studied, conserved and seismically retrofitted as a model project for the Seismic Retrofitting Project (SRP), a collaborative project between the Getty Conservation Institute (GCI) and the Ministry of Culture of Peru in Cusco. Carleton Immersive Media Studio (CIMS) participated in the documentation of the decorated surfaces with an initial campaign in 2013, organized a series of workshops on documentation theory and practice with international experts and local professionals in 2017, and carried out a final recording after the conclusion of the site work in 2019. This last documentation phase provided a comprehensive documentation baseline and acquisition guidelines to plan the future long-term care of the decorated surfaces after their conservation. This paper presents the documentation carried out in 2019 and focuses on the three documentation scenarios proposed for the long-term preservation of decorated surfaces in the church: (1) Visual Documentation; (2) Digital Documentation; and (3) Comprehensive Digital Documentation. These different scenarios considered the particularly isolated location of the temple, the availability of equipment, the level of expertise in the different techniques proposed, and the frequency of future monitoring activities. Finally, the required tasks, necessary equipment, and potential challenges are presented for each of the documentation scenarios, with the objective being to offer a sustainable framework over time that serves the future Monitoring Plan for the heritage site.


2020 ◽  
Vol 4 (3) ◽  
pp. 29-39
Author(s):  
Sulkhiya Gazieva ◽  

The future of labor market depends upon several factors, long-term innovation and the demographic developments. However, one of the main drivers of technological change in the future is digitalization and central to this development is the production and use of digital logic circuits and its derived technologies, including the computer,the smart phone and the Internet. Especially, smart automation will perhaps not cause e.g.regarding industries, occupations, skills, tasks and duties


2017 ◽  
Vol 168 (4) ◽  
pp. 181-185
Author(s):  
Marc Hanewinkel

The forest-game conflict – how can forest economics contribute to solve it? (Essay) Core parameters of forest economics such as land expectation value or highest revenue show that damage caused by wild ungulates can critically influence the economic success of forest enterprises. When assessing and evaluating the damage in order to calculate damage compensation, methods are applied in Germany that look either into the past (“cost value methods”) or into the future (“expected value methods”). The manifold uncertainties related to this evaluation over long-term production periods are taken into account within a framework of conventions through strongly simplifying assumptions. Only lately, the increased production risk due to game-induced loss of species diversity is also considered. Additional aspects that should be taken into account in the future are the loss of climate-adapted species, the change of the insurance values of forest ecosystems and the impossibility of specific management systems such as single-tree selection forestry due to the influence of game. Because of high transaction costs when assessing the damage, financial compensation should only be the “ultimate measure” and a meditation between stakeholder groups with the goal to find a cooperative solution before the damage occurs should be preferred.


Author(s):  
Pasi Heikkurinen

This article investigates human–nature relations in the light of the recent call for degrowth, a radical reduction of matter–energy throughput in over-producing and over-consuming cultures. It outlines a culturally sensitive response to a (conceived) paradox where humans embedded in nature experience alienation and estrangement from it. The article finds that if nature has a core, then the experienced distance makes sense. To describe the core of nature, three temporal lenses are employed: the core of nature as ‘the past’, ‘the future’, and ‘the present’. It is proposed that while the degrowth movement should be inclusive of temporal perspectives, the lens of the present should be emphasised to balance out the prevailing romanticism and futurism in the theory and practice of degrowth.


2003 ◽  
Vol 20 (3-4) ◽  
pp. 46-82
Author(s):  
Fathi Malkawi

This paper addresses some of the Muslim community’s concerns regarding its children’s education and reflects upon how education has shaped the position of other communities in American history. It argues that the future of Muslim education will be influenced directly by the present realities and future trends within American education in general, and, more importantly, by the well-calculated and informed short-term and long-term decisions and future plans taken by the Muslim community. The paper identifies some areas in which a wellestablished knowledge base is critical to making decisions, and calls for serious research to be undertaken to furnish this base.


Author(s):  
Hunter M. Holzhauer

This chapter begins with a breakdown of recent growth trends for the overall commodities market. However, the long-term future of the market will heavily depend on three pressing issues: excess supply, increased regulations, and algorithmic trading. The section on excess supply explores how traders are changing strategies to adjust to the current imbalance between supply and demand, especially in the steel industry, and how that imbalance might change in the future based on global population trends and climate change concerns. The next section examines several regulatory trends, including the dramatic exodus of some investment banks from certain segments of the commodities market followed by a section focusing on how algorithmic trading is influencing how commodities are traded. A discussion of potential scenarios for the commodities market follows. The chapter concludes by examining a few ways in which the market and commodity traders may both survive and even thrive in the future.


Author(s):  
P. Bala Bhaskaran

The case is structured around the takeover of Mindtree Ltd (ML) by Larsen & Toubro Ltd (L&T) in June 2019. ML was founded and nurtured by a group of software professionals. In two decades, it had blossomed into an enterprise with global presence, US$ 1 billion turnover and a unique organizational culture. In a strange sequence of events, more than 20% of ML’s shares landed in L&T’s lap. L&T grabbed this opportunity and ran a systematic campaign to acquire the company. In about 100 days, L&T achieved its objective and got into the driver’s seat. The case traces the evolution of ML from a start-up to a publicly held company with global standing. It examines the circumstances and events leading to L&T getting the initial stake in the company; it examines the acquisition campaign of L&T and the response of the top management of ML. Research Questions Was there a strategic fit between ML and L&T? Were the capital market processes just and fair to all the stakeholders involved in the acquisition? Was L&T fair, prudent and sensitive in the acquisition process? Was Siddhartha loyal and fair to the founders of ML? Link to Theory The theoretical concepts that would enable a better comprehension of the case are: Analysis of strategic fit in M&A situations Capital market: Theory and practice Strategy for corporate control of an enterprise Significance of culture and ecosystem in knowledge organizations Phenomenon Studied Leadership styles relevant at different stages of evolution of an enterprise are different. A leader, at a given point of time, is successful when he is able to match his aspirations with the leadership needs of the enterprise at that point of time. The case can be used to demonstrate this phenomenon. Case Context Context of the case is that of an emerging infotech enterprise, coming under corporate raid and the unfolding capital market processes. The case highlights the shortcomings of the co-founders, leading to their unseating as also the sensitivity of the incoming management in handling the transition. Findings The case demonstrates the ability of the capital market to be fair to all stakeholders ensuring reward for competence and punishment for sloppiness. The case emphasizes the need for co-founders to have an effective strategy for corporate control; only then they could hope to achieve the long-term objectives. The case also illustrates the significance of sensitivity in handling softer issues like people and ecosystem in ensuring long-term success. Discussions At the outset, the case may appear to be that of a big fish swallowing a small fish. But a closer scrutiny would reveal the multiple dimensions of the case. Consider the role of Siddhartha. He seeded the idea of the company; he was a financier to it; he remained an investor in the company longer than most of the founders; when he pulled out, the co-founders could not hold the company together. Neither Siddhartha nor the co-founders had the far-sightedness to consolidate their shareholdings for effective control of the company into the future. This would trigger discussions on the differing roles of technocrats, managers, leaders and founders. Another point worthy of discussion would be: How were the co-founders choosing their leaders? Was it by rotation among themselves, or did they engage a set of criteria to identify an incumbent capable of leading a global company?


2020 ◽  
Vol 49 (4) ◽  
pp. 539-594
Author(s):  
Simon Deakin ◽  
Gaofeng Meng

Abstract We consider the implications of the Covid-19 crisis for the theory and practice of governance. We define ‘governance’ as the process through which, in the case of a given entity or polity, resources are allocated, decisions made and policies implemented, with a view to ensuring the effectiveness of its operations in the face of risks in its environment. Core to this, we argue, is the organisation of knowledge through public institutions, including the legal system. Covid-19 poses a particular type of ‘Anthropogenic’ risk, which arises when organised human activity triggers feedback effects from the natural environment. As such it requires the concerted mobilisation of knowledge and a directed response from governments and international agencies. In this context, neoliberal theories and practices, which emphasise the self-adjusting properties of systems of governance in response to external shocks, are going to be put to the test. In states’ varied responses to Covid-19 to date, it is already possible to observe some trends. One of them is the widespread mischaracterisation of the measures taken to address the epidemic at the point of its emergence in the Chinese city of Wuhan in January and February 2020. Public health measures of this kind, rather than constituting a ‘state of exception’ in which legality is set aside, are informed by practices which originated in the welfare or social states of industrialised countries, and which were successful in achieving a ‘mortality revolution’ in the course of the nineteenth and twentieth centuries. Relearning this history would seem to be essential for the future control of pandemics and other Anthropogenic risks.


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