This study explores perceptions of risk commonly shared by children and young people living in care system in Romania. The original data, reported here, were gathered through direct interviews with children and young people living in public and private care. In undertaking the research, the authors wanted to challenge dominant, largely media created, representations of the care system in Romania. The aim was to explore the real risks that young people face arising out of their daily experiences. Research data were gathered using a narrative interview approach. Specific forms of risk are identified including: risks arising out of peer and staff relationships, care system policy and practice, external perceptions and beliefs and young people's fear of the future.
Introduction: The syndromes of mild cognitive impairment (MCI) or mild neurocognitive disorder (MiND), often prodromal to dementia (Major Neurocognitive Disorder), are characterized by acquired clinically significant changes in one or more cognitive domains despite preserved independence. Mild impairment has significant medicolegal consequences for an affected person and their care system. We review the more common etiologies of MiND and provide a systematic review of its medicolegal implications. Methods: We conducted a systematic review of the peer-reviewed English literature on medicolegal aspects of MCI or MiND using comprehensive search terms and expanding our review to include sources cited by these reports. Results: Impairment of memory, executive function, social cognition, judgment, insight or abstraction can alter an individual’s abilities in a variety of areas that include decision making, informed consent, designation of a surrogate decision-maker such as a health care proxy, understanding and management of financial affairs, execution of a will, or safe driving. Conclusion: Even mild cognitive impairment can have significant behavioral consequences. Clinicians can assist care partners and persons with MCI or MiND by alerting them to the medicolegal concerns that often accompany cognitive decline. Early recognition and discussion can help a care system manage medicolegal risk more effectively and promote thoughtful advance planning.
After Diane Baumrind described the parental styles, many authors have studied their impact on different dimensions of children's development and mental health at the age of adolescence. However, few studies have aimed to explore the impact of parental style on mental health in adulthood and the recovery process. The present study aims to fill this gap. The case presented in this paper is part of a body of forty life story interviews with Romanian immigrants. The choice of this case is justified by the complexity of the narrative and the fact that it best reflects the researched issues. This study presents how the authoritarian style manifested by the interviewee's parents, in an interdependence culture, influenced how she felt, thought and acted at different stages of her life course, until falling into depression. Also, the study presents the winding road of recovery from depression. An authoritarian parenting style, manifested in a family environment in which the interdependence of members is strongly promoted, can affect mental health, creating vulnerability to depression. Understanding the past seems to be the foundation for the beginning of a journey for the personal reconstruction of a new and dynamic sense of self, in the winding road of recovery.
Objectives Return to work after chronic disease is important for workers, employers and society. The process, however, is challenging. This article provides an analytical and theoretical framework for explaining this process informed by the person-environment fit theory. Methods This article uses a narrative method to (1) review the key concepts, benefits and influencing factors in the literature on return to work after chronic diseases, (2) analyse and critique the most important theoretical models used for explaining return to work after chronic diseases, and (3) review the person-environment fit theory and how it has been used so far. Results The existing models highlight different aspects, but they overlook the relationship between the worker and the employer. An analytical and theoretical framework is proposed to comprehensively explain the worker-employer dynamic. The framework also considers the role of broader factors (policy, labour market) and other stakeholders (health professionals, civil society actors) emphasising the idea that return to work is a phased and cyclical process. Discussion The framework can be used to guide future qualitative and quantitative studies, or as a map for identifying problematic areas related to the worker or the work environment. The model should be empirically tested in future studies.
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