A recent report from the Center for Investigative Reporting (CIR) disclosed that physicians, under contract with the California Department of […]
Psychiatric Nursing at St. James Hospital
By Sandra Trudgen Dawson
I’ve been a little hesitant to write a blog about some of my experiences in a psychiatric hospital in 1980s Britain for a number of reasons. I am aware that those who suffer mental illnesses are some of the most vulnerable members of society. This was definitely true in the mid-1980s in Britain. I write this with the utmost respect for the patients I came into contact with and the nursing staff charged with their care.
Emancipating Intimate Labor in the Care Economy
By Austin McCoy
On December 15, 2011, the Obama administration announced “administration action” to protect the nation’s 1.7 million home care workers. President Obama called for the establishment of minimum wage and overtime standards that all workers recognized in the Fair Labor Standards Act (FLSA) received. These new reforms would virtually eliminate the “elder companion exemption” in the FLSA that Congress established in 1974 which allowed home care employers to continue their exploitation of home care workers.
President Obama delivered this announcement four years after the Supreme Court decided unanimously that the case’s plaintiff Evelyn Coke, and other home care workers, were not entitled to minimum wage protections and overtime pay. Like most home care workers, Evelyn Coke worked long hours for little pay. Coke performed what scholars Jennifer Klein and Elieen Boris call “intimate labor”—she cooked, cleaned, and bathed her clients.[1] Coke worked 24 hour shifts often and she worked decades without receiving benefits. When Coke decided to sue for back pay, the Supreme Court ruled against her, reinforcing the historical stigmatization of intimate labor. Two years later, the home care workers’ movement lost Evelyn Coke. Home care workers are still waiting for Obama’s “administration action” four years after the ruling.
“Born This Way” Or Not: No Justification Required
To get us started, take a listen to some of Lady Gaga’s “Born This Way.” A few warnings: There’s skin. […]
Institutions, Mental Health and Morality
I grew up on Hayling, a small Island off the coast of Hampshire, between the mainland cities of Portsmouth and Chichester. We moved there in 1968. It was a very rural island with several dairy and fruit farms as well as holiday camp physical and mental disabilities– differently abled children.
Night Nurse Nursing
By Sandra Trudgen Dawson
My first job as a State Registered Nurse in mid-1980s Britain was night shift on an Acute Geriatric ward in Portsmouth. The shifts were long—eleven and a half hours—and it was hard, physical work. All sorts of strange things happen at night. At times it felt as though the ward was bewitched—sometime around midnight. Hospital patients who were perfectly sane during daylight hours became confused, frenzied and belligerent after darkness fell. Nakedness, for some reason and for some patients, became an urgent necessity as did climbing over bed rails or side tables. Zimmer frames (walking frames) and walking aids so benign on dayshift, transformed into fencing weapons at night as patients who had bottled up a lifetime of frustration finally let go. Keeping sparing patients apart can occupy nurses for hours at night. Hiding potential weapons does not always help as water jugs and cups can become flying missiles at night. Patients in Britain, unlike the United States, cannot be physically restrained in any way and so “sitting” with an agitated patient is the only action to prevent falls or the accidental maiming of another patient.
What Does Responsibility Have to Do with Reproduction?
By Adam Turner
Genetic counseling, as the previous two posts in this series suggest, has a lot to offer for navigating the tricky decisions things like prenatal testing and preimplantation genetic diagnosis raise. Well, in this post I’d like to make things a little more complicated. Enter the sheer messiness of history. I still believe genetic counseling is the best approach we have right now for helping prospective parents with hard choices, but it has a complicated — and not so distant — past that continues to shape counselors’ ways of interacting with clients.
The Blame Game in Autism
The interwebz have been abuzz this week, debating Moises Velasquez-Manoff’s editorial in the New York Times on autism and immune function. Although Velasquez-Manoff is a little late on the autism/immune function thesis (which has been posited in research projects since at least 2005), it’s his use of autism stereotypes and ableist language that put this article on my radar. It’s the assumption that autism is a sign of a broken or damaged child that has made me question both his interpretation of that thesis and the implications for the families of children with autism – and the autists themselves.
Now It’s Everybody’s Fault
By Adam Turner
Welcome to the second in a series of posts discussing genetics, prenatal testing, and genetic counseling. In this post we’ll be thinking about blame and birth atypicality. Earlier this month the New York Times and other news media reported on the findings of a recent study published in the journal Nature. In some cases, the study suggested, the increased genetic mutations found in older men’s sperm could make it more likely their offspring might develop autism or schizophrenia.
The Baby in the Double Helix
Part 1 in a series on genetic counseling What makes for a healthy baby? Is it an absence of something? […]
