The East End of London experienced an explosion of its Jewish population, from 35,000 in 1881 to 120,000 in 1910. The majority were poor, of foreign birth, living in overcrowded, sub-standard housing, and engaged in unhealthy occupations. Their arrival brought problems for both the indigenous population and the existing London Jewish community, threatening a crisis which could have overwhelmed the strained general medical services and irreparably damaged the Jewish community. A further problem was the attempt by various missionary societies to provide medical assistance at the cost of religious conversion. The crisis was averted, due to the efforts of the poor themselves and the wealthy established Jews - not always in harmony; and to simultaneous advances being made in public health, medicine, national insurance, and the improving Poor Law facilities. The major triumph of the immigrants, who preferred denominational institutions, was in establishing the London Jewish Hospital after a prolonged bitter battle against Lord Rothschild and many wealthy anglicised Jews, who considered the existing hospitals sufficient and wished to avoid jeopardising concessions already gained for Jews from the London Hospital and other medical centres. London, and the East End in particular, had many medical resources superior to those elsewhere in the country. The East End Jews enjoyed the added advantage of a comprehensive network of Jewish institutions and organisations, of which the Jewish Board of Guardians was foremost, which supplemented the Poor Law and voluntary systems and which had been created and funded largely by the rich of the community. In many areas of medical care Jewish organisations led the way. The initial effect was that the poor East End Jews, and especially their children, enjoyed better health than their non-Jewish neighbours in similar circumstances; but as the anglicisation of the immigrant increased, so the differences narrowed.

Thesis (Ph.D.)--Indiana University, Dept. of Educational Leadership and Policy Studies, 2009. / Title from PDF t.p. (viewed on Feb. 10, 2010). Source: Dissertation Abstracts International, Volume: 70-06, Section: A, page: . Advisers: Margaret R. Sutton; Donald R. Warren.

Thesis (M.A.)--Ohio State University, 2009. / Title from first page of PDF file. Includes vita. Includes bibliographical references (p. 39-43).

Thesis (Ph.D.)--Indiana University, Dept. of History, 2008. / Title from home page (viewed on May 11, 2009). Source: Dissertation Abstracts International, Volume: 69-08, Section: A, page: 3277. Adviser: John H. Hanson.

<p> This project examines African American adolescent males&rsquo; perception of fatherhood by exploring the participants definition, assessing how personal experiences shape this definition and defining the external influencing factors and assess the influence of African American adult males who work with them in an employment or volunteer setting. The study occurred in two phases, the first was in-depth interviews with African American adult males and the second phase was focus groups of African American adolescent males. The definitions of fatherhood and masculinity were different among the study population. The adult males focused on traditional fatherhood and male roles using language that described actions and physical and personal attributes, while the adolescent males found their definitions of fatherhood and masculinity to be nearly the same, as they used traditional language to describe the role but contemporary language for their needs. Black masculinity, expectations of fathers and father figures, and influences were found to be the dominant themes that emerged in their perspectives. These findings indicate: the definitions provided were demanding and one could easily falter; all participants showed awe in the role; African American adolescents can understand and communicate their needs; and this research counters the narrative and negative imagery of Black fathers. </p><p>

A comparative history of the development of palliative care services and policies in England and the Netherlands during the post-war period is presented in this thesis. These countries were chosen as England is the country where the modern hospice movement started, whereas a different set of services developed in the Netherlands. Examples of questions addressed are why the service developments in these two countries differed substantially and how specialist services for the dying related to the health care system. Given the choice to study England and the Netherlands, attention had to be paid to the impact of the acceptance or rejection of euthanasia on the development of palliative care as well. Chapter 1 provides an overview of the thesis and its aims. It also includes a literature review and elaborates on the comparative research approach chosen. Chapter 2 discusses the development of palliative care services and policies in England. The main topics addressed are the establishment, expansion, and diversification of palliative care services by the voluntary sector and the governmental policies that led to an increasingly close connection between these voluntary organisations and the National Health Service. Chapter 3 is an intermezzo that discusses the main characteristics and developments of the health care system in the Netherlands. Chapter 4 considers the role of nursing homes in the development of palliative care in the Netherlands. It is concluded that these institutions cannot be considered the equivalent of the English hospices. Moreover, two projects to improve care for the dying and their attempts to obtain public funding are discussed. Chapter 5 focuses on various models for specialised services for the dying that were developed in the Netherlands during the 1980s and early 1990s. Major differences with the English hospice based model of palliative care existed as volunteers had a central role in providing palliative care in the Netherlands. Moreover, the Dutch government aimed to develop palliative care as a generalism rather than the specialism that it became in England. Chapter 6 covers the period from the mid 1990s to the present. The policy programme that the Dutch government initiated because of the imminent legalisation of euthanasia, and its impact on palliative care are the main topics. Conclusions, illustrations of the policy relevance of these histories, and suggestions for further research are presented in the final chapter.

The exercise of autonomy and self-regulation is seen in the literature as one of the basic criteria of professionalism. Since in modern states Medicine has generally been the occupational grouping which has most completely attained that status, it is seen as the model or archetype of professionalism. This study focuses on just one aspect of medical autonomy, that relating to the right of medical professionals to be accountable only to their fellow professionals as far as the maintenance of practice standards are concerned. In this thesis, the theory underlying this system of "peer review" is examined and then its application during the course of the 20th century is traced in one particular jurisdiction, that of the State of New South Wales in Australia. The reason for the focus on NSW is that in this jurisdiction, medical autonomy existed and was exercised in a particularly pure and powerful form after it was instituted in 1900. However, it was also in NSW that for the first time anywhere in the world, an institutional challenge to medical disciplinary autonomy emerged with the establishment in 1984 of the "Complaints Unit" of the Department for Health. The thesis of this study is that as a result of this development, which within a comparatively short space of time led to the emergence of a system of "co-regulation" of medical discipline, medical disciplinary autonomy and peer review had within a decade, been so severely challenged as to be almost extinct in this State. In the light of theoretical frameworks provided by Weber, Habermas and the American scholar Robert Alford, the study examines the long drawn out struggle to institute medical autonomy in NSW in the 19th century, its entrenchment by subsequent legislation over the next eight decades and the "counter-attack" staged by the emergent forces of consumerism, supported by the forces of the ideology of "Public Interest Law" in the last two decades of the century. The study concludes with a discussion of the implications for definitions of professionalism which might result from the loss by Medicine in NSW, of its right to exclusive control of medical discipline and the consequent disappearance of medical peer review.

No description available.

This study investigates the development of services and treatment modalities for the mentally ill of Western Australia from a nursing perspective. The thesis moves from the influences of Europe to focus on the emergence of services for the mentally ill in Western Australia. In particular the process of change that has occurred in the treatment of Western Australia’s mentally ill from colonisation to the end of the 1980s is considered. The study has a central focus on nursing care, and how nursing has adapted to changes in treatment modalities for mental illness as well as emerging government policy, fiscal restraint and community beliefs concerning mental illness. Through exploration of the role and care provided by mental health nurses and a description of the environment where this care was administered, an insight into how the mentally ill were perceived and treated is gained.

The exercise of autonomy and self-regulation is seen in the literature as one of the basic criteria of professionalism. Since in modern states Medicine has generally been the occupational grouping which has most completely attained that status, it is seen as the model or archetype of professionalism. This study focuses on just one aspect of medical autonomy, that relating to the right of medical professionals to be accountable only to their fellow professionals as far as the maintenance of practice standards are concerned. In this thesis, the theory underlying this system of "peer review" is examined and then its application during the course of the 20th century is traced in one particular jurisdiction, that of the State of New South Wales in Australia. The reason for the focus on NSW is that in this jurisdiction, medical autonomy existed and was exercised in a particularly pure and powerful form after it was instituted in 1900. However, it was also in NSW that for the first time anywhere in the world, an institutional challenge to medical disciplinary autonomy emerged with the establishment in 1984 of the "Complaints Unit" of the Department for Health. The thesis of this study is that as a result of this development, which within a comparatively short space of time led to the emergence of a system of "co-regulation" of medical discipline, medical disciplinary autonomy and peer review had within a decade, been so severely challenged as to be almost extinct in this State. In the light of theoretical frameworks provided by Weber, Habermas and the American scholar Robert Alford, the study examines the long drawn out struggle to institute medical autonomy in NSW in the 19th century, its entrenchment by subsequent legislation over the next eight decades and the "counter-attack" staged by the emergent forces of consumerism, supported by the forces of the ideology of "Public Interest Law" in the last two decades of the century. The study concludes with a discussion of the implications for definitions of professionalism which might result from the loss by Medicine in NSW, of its right to exclusive control of medical discipline and the consequent disappearance of medical peer review.