Narrating and navigating patient experiences of farm work in English psychiatric institutions, 1845–1914

Author(s):  
David Kilgannon

Abstract This article investigates the admission of the intellectually disabled to institutional psychiatric facilities in the Republic of Ireland between 1965 and 1984, using this as a way to explore disability provision and the later years of the state’s congregate mental hospital network. Drawing on institutional documents and news media, it argues that ‘handicap admissions’ continued along an established pattern, while demonstrating how these facilities remained ill-equipped to meet the needs of disabled residents. In doing so, this article begins to address the broader lacuna surrounding intellectual disability within Irish historiography, while complicating an emergent body of work on the ‘deinstitutionalisation’ of the state’s psychiatric hospitals during the late twentieth century. It suggests ways in which institutional records can be used to access patient experiences and highlights the need for further research on intellectual disability, examinations of which can contribute towards the histories of institutionalisation and social policy in post-war Ireland.


2020 ◽  
Vol 29 (3S) ◽  
pp. 631-637
Author(s):  
Katja Lund ◽  
Rodrigo Ordoñez ◽  
Jens Bo Nielsen ◽  
Dorte Hammershøi

Purpose The aim of this study was to develop a tool to gain insight into the daily experiences of new hearing aid users and to shed light on aspects of aided performance that may not be unveiled through standard questionnaires. Method The tool is developed based on clinical observations, patient experiences, expert involvement, and existing validated hearing rehabilitation questionnaires. Results An online tool for collecting data related to hearing aid use was developed. The tool is based on 453 prefabricated sentences representing experiences within 13 categories related to hearing aid use. Conclusions The tool has the potential to reflect a wide range of individual experiences with hearing aid use, including auditory and nonauditory aspects. These experiences may hold important knowledge for both the patient and the professional in the hearing rehabilitation process.


Moreana ◽  
2018 ◽  
Vol 55 (Number 209) (1) ◽  
pp. 79-93
Author(s):  
Marie-Claire Phélippeau

This paper shows how solidarity is one of the founding principles in Thomas More's Utopia (1516). In the fictional republic of Utopia described in Book II, solidarity has a political and a moral function. The principle is at the center of the communal organization of Utopian society, exemplified in a number of practices such as the sharing of farm work, the management of surplus crops, or the democratic elections of the governor and the priests. Not only does solidarity benefit the individual Utopian, but it is a prerequisite to ensure the prosperity of the island of Utopia and its moral preeminence over its neighboring countries. However, a limit to this principle is drawn when the republic of Utopia faces specific social difficulties, and also deals with the rest of the world. In order for the principle of solidarity to function perfectly, it is necessary to apply it exclusively within the island or the republic would be at risk. War is not out of the question then, and compassion does not apply to all human beings. This conception of solidarity, summed up as “Utopia first!,” could be dubbed a Machiavellian strategy, devised to ensure the durability of the republic. We will show how some of the recommendations of Realpolitik made by Machiavelli in The Prince (1532) correspond to the Utopian policy enforced to protect their commonwealth.


2018 ◽  
Author(s):  
Phillip Yeoh ◽  
Bernard Khoo ◽  
Paul Carroll ◽  
Simon Aylwin
Keyword(s):  

2019 ◽  
Author(s):  
Dalya Al-Moghrabi ◽  
Fiorella Beatriz Colonio-Salazar ◽  
Ama Johal ◽  
Padhraig Seamus Fleming

BACKGROUND Diligent wear of removable orthodontic retainers requires prolonged compliance and is invariably necessary to preserve optimal results. Patient-informed behaviour-change interventions represent a promising and novel means of enhancing compliance with retainer wear. OBJECTIVE To describe the development of a patient-informed mobile application aimed to enhance retainer wear. METHODS Four aspects were considered during mobile application development: participant preferences; analysis of publicly-available retainer-related posts on Twitter; available interventions; and behaviour-change theories. Audio-recorded one-to-one interviews were conducted with a subset of participants to account for patient preferences in terms of features, design and content. A criterion-based purposive sample of participants wearing vacuum-formed retainers for at least 4 years was used. Thematic analysis of transcribed data was undertaken. RESULTS The need to facilitate communication with the treating clinician, responsive reminder and tracking systems, and access to useful and engaging written and visual information, in addition to other personalised and interactive features were considered important. Concerns related to retainer wear shared on Twitter informed an exhaustive list of frequently-asked questions. Application features were mapped to relevant theoretical constructs. Determinants of existing behavioural change theories were used to link application features to expected outcomes. CONCLUSIONS A holistic process involving both patient and professional input can be useful in informing the development of mobile applications. The orthodontic application (“My Retainers”) will undergo further scrutiny in relation to its effectiveness in inducing behavioural change and concerning patient experiences prior to finalisation.


Physiotherapy ◽  
2017 ◽  
Vol 103 (1) ◽  
pp. 98-105 ◽  
Author(s):  
S. Wilson ◽  
N. Chaloner ◽  
M. Osborn ◽  
J. Gauntlett-Gilbert

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