Satisfaction with general practitioner treatment of depression among residents of aged care facilities.

Objective: This article investigates consumer perspectives on the treatment for depression among older people in residential facilities. Method: Aged care residents who were aware of being treated for depression in the past 6 months (24 women and 7 men, mean age = 83 years) participated in an interview that assessed their perspective on treatments. Results: Although more than half of the participants in the sample reported overall satisfaction with the medical treatments received for depression, qualitative data provided indications of unsatisfactory service delivery, including perceptions of low treatment efficacy, short consultation times, the failure to assess affective symptomatology, and negative responses to residents’ disclosure of symptoms. Discussion: The findings are discussed in relation to previous research on consumer satisfaction with health services and issues that may be pertinent to the elderly depressed. Training for general practitioners providing treatment in aged care is indicated.

Neoconservatism, US-China conflict, and Australia's 'great and powerful friends' dilemma

Following its time-honoured 'great and powerful friends' foreign policy tradition, Australia has been cultivating close ties simultaneously with the United States and China. Yet, as a rivalry between the two powers apparently looms large, Australia faces an acute dilemma. While the rise of China and the question of Taiwan are often cited as main causes of US-China discord, this article argues that the American neoconservative policy on China, underpinned by a belief in both military strength and moral clarity, is integral to this growing competition and is, by extension, partly responsible for the emergence of Australia's predicament. To avoid such a difficult choice, the article suggests that Australia should strive to curb the policy influence of neoconservatism both in the United States and at home by pursuing a more independent foreign policy, making clear its strategic postures on US-China relations, and helping establish a trilateral strategic forum between Australia, the United States, and China.

No outbreeding depression at a regional scale for a habitat-forming intertidal alga with limited dispersal

Hormosira banksii is distributed throughout southern Australasia, but dispersal of propagules is thought to be limited. In the present study, the hypothesis that outbreeding depression occurs in H. banksii was tested by assessing fertilisation success and early development of embryos in crosses between populations at local to regional spatial scales. Hierarchical experiments were conducted at three spatial scales with nesting present within each scale: small scale (within a rocky shore population), intermediate scale (regions separated by 70 km) and large scale (450-km separation between two states: Victoria and Tasmania). In each experiment, eggs and sperm were crossed within and between each population located in the spatial scale of interest. There were no consistent patterns of variable fertilisation success and subsequent development within a population or at different spatial scales. It was concluded that outbreeding depression is not detected in analyses of fertilisation success or early development processes in H. banksii. The results suggest one of the following to be likely: (1) H. banksii is capable of longer distance dispersal than previously considered, thus maintaining gene flow between distant populations, (2) gene flow is restricted by limited dispersal, but populations have not been isolated for a sufficient length of time to cause genetic divergence or (3) outbreeding depression is manifested as effects on later life-history stages.

Effectiveness of treatment programmes for depression among adults with mild/moderate intellectual disability

Background The current study describes the development and evaluation of group treatment programme for people with mild/moderate intellectual disability (ID).
Methods A total of 34 participants (16 males, 18 females) completed the treatment programme and 15 participants (six males, nine females) comprised a control group.
Results Compared to the control group, the intervention group showed an improvement in levels of depression, positive feelings about the self, and lower levels of automatic negative thoughts after the intervention. These changes were maintained at 3-month follow-up.
Conclusions These results demonstrate that intervention programmes are effective for the treatment of depression among people with ID.

Depression and its expression : art as problem solver

This workshop will focus on the ways in which ollr Journal Double Dialogues dealt with the question of the 'Anatomy of Pain'. In this workshop, by a process of demonstration and interaction, we will look at the theme of the representation of pain and engage with the ways in which different disciplines (psychological. visual, performative, philosophical. aesthetic and literary) explored this question. Emphasis will be given to the 'double dialogue' nature of the discourse in which practitioners of the arts have found a 'language' from aesthetics, history, theory, and philosophy that has succeeded in establishing a dialogue between the art-work and the discourse that might spring from the work itself or provide a relevant context. This session will draw on the e.xpertise of the audience for discussions and experiment within the Double Dialogue model.

Are employment effects of gender discrimination important? Some evidence from Great Britain

Interpreting the unexplained component of the gender wage gap as indicative of discrimination, the empirical literature to date has tended to ignore the potential impact wage discrimination may have on employment. Employment effects may arise if discrimination lowers the female offered wage and the labour supply curve is upward sloping. The empirical analysis employs the British Household Panel Study and finds evidence of both wage and associated employment effects.

Of great love and immense hate: the ambivalence of the other in a local/global school

In recent times, and in times of insurgent globalisation, modern notions of identity and with them, conceptions of essential and primordially defined difference seem to have fallen apart. Identity is understood as post-modern, a ‘moveable feast’ of ever-in-process, negotiated differences. The examination of the material and conceptual terms and conditions that position these logics otherwise suggests that these arguments remain tied within conceptions of ourselves made through the ambivalent conceptions of others. In this paper, I trace these paradoxical relations as they are represented in a particular local Melbourne school at each end of a decade and at a time of increasing demographic change and global transformation. Teachers and parents understood and defined their identities and the identities of others in ways that were increasingly fragmented, changing and complex. Beneath these changing patterns, they continued to define others as different and as not us in ways that were ambivalent and extreme. These negotiations took place differently in recent years as the definitions of essential notions of identity changed and became more complex to define. Nevertheless, they continued as ambivalent stories of otherness that transversed the tortuous spectrum between orientalism and nativism speculated upon in post-colonial writings.

Beyond the gap: great liberation through architectural design teaching in the bardo?

Tibetan Buddhists articulate the bardo as the gap that exists between one fundamental stage of existence and another. Its most common usage is to describe the interval between death and reincarnation, but more literally, bar means 'in-between' and do 'island' or 'mark'. The 'bardo experience' is thus any one in which the 'past situation has just occurred and the future situation has not yet manifested itself. Instruction in architectural design attempts to provide guidance in the process of guiding students across the bardo from intention, analysis, and theorisation, to the creation of architectural representations and products. As such the architectural academy operates within a history of methods and codifications which try to quantify and bring a level of certainty to this process.
Recently however, there has been a questioning of traditionally accepted ways of ‘knowing’ the world, which has manifested in challenges to received ‘truths’ and increasing interest in other, previously marginalised histories and knowledges. The critiques that flow from this questioning contend that objective cultural ‘truths’ are simply the discursive result of the dominance of particular ways of perceiving the world. The practice of architecture has not been immune from this. The field has become a subject, for instance, of sociological, feminist and postcolonial critiques. However, their bearing on the pedagogy of composing architecture remains fragmentary and contested. My interest in this subject is derived from a desire to use the opportunities presented by contemporary cultural shifts to develop design-based architectural research that will assist future architects to operate in the uncertainties of an irreducibly plural global community. This paper will explore some ways in which academic research might bear upon the design studio’s negotiation of architectural bardos.