One of the major problems facing behaviour therapy has been the relative lack of success in bringing about lasting change in complex environments. The difficulty in assessing and understanding these failures may well be due to an unnecessarily narrow view of change in terms of small units of behaviour and short time-scales. In contrast, if one takes a “setting events” perspective, this might generate more explanatory hypotheses by focusing on larger behavioural units and longer time-scales. This exploratory study adopted such a perspective in order to consider staff opinions about the maintenance and generalization of an innovative behavioural programme in psychiatric rehabilitation. The results of a structured interview with a small group (n = 11) of multidisciplinary staff indicated the potential value of this perspective: factors traditionally regarded as obstructing innovation (such as not enough time, staff or facilities) were not in fact seen as problematic. On the contrary, factors which were more readily manipulable (such as feedback, nursing officer support and in-service training) were regarded as facilitating planned change. The implications of these findings and this perspective for sustained organizational development are discussed.

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The advent of the nursing process and the success of behaviour therapy in psychiatry have created a need for a revised emphasis on nursing practice and education. This paper outlines an in-service, 'core-course' in behaviour therapy which addresses this need. The results from an initial and very comprehensive evaluation of the course are presented in terms of the attitudes, knowledge and skills of 65 nurses. We then give a summary of seven subsequent replications of the course in different British National Health Service psychiatric hospitals. These involved nurses in the organization and running of the core-course, and, together with the very favourable results, they illustrate one strategy for developing nurses' proficiency in behaviour therapy.

SummaryIn the essay, ‘Of Other Spaces’, Michel Foucault contends that every society constructs sites which can be defined as effectively enacted utopias (heterotopias), sites where social policies are articulated and where ideals of social ordering are physically performed. The article examines how a number of places in Fascist Italy, which conformed entirely to the principles of the heterotopia that Foucault sets out, were perceived by a selection of prominent writers and journalists. It examines the recorded journeys to the cemeteries of the First World War, to various renovated prisons within Italy and finally to the new towns south of Rome. It explores the kind of mental and physical sensations which the different writers evoked as well as examining the ways in which their written accounts of their imaginative experiences interacted with the myths of identity and social control which were central to Fascist ideology.

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