Five recommendations to improve service delivery include: assignment of a dedicated member of the care team or case manager; proactive dissemination of information, education and psychosocial support; access to objective assessment of neuropsychological functioning; facilitating easier access to welfare payments; and services facilitating communication about difficult illness-related topics. Provision of services along these recommendations could improve supportive care of brain tumour patients and their carers.

Drawing on data from a study of middle-class women undergoing the transition to motherhood, this paper critically examines the early 1990s' work of Giddens and Beck on self-identity. Parallels with the work of Giddens and Beck are drawn, but it is argued that more attention needs to be paid to gendered and embodied identity. Using discourse analysis, it is suggested that the women are `excused' from aspects of their identity in the process of pregnancy, but remain within the same regime of subjectification. Six dimensions of an altered sense of self are identified, and the discourses on which the women draw in maintaining a coherent sense of self are discussed. The concept of a refracted self is proposed as a means of theorsing these changes.

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This article examines the relationship between discourses of motherhood and discourses of employment for contemporary middle-class women. Drawing on data from a study of the transition to motherhood conducted in Bristol, UK, it is suggested that there are important continuities as well as con¯icts between the discursive construction of these two spheres. In consequence, a variety of relationships may be established between mothering and employment identities. The concept of`inter-spatiality' is suggested to conceptualize how the women negotiated the relationship between the two. The ®ndings suggest both that women do not necessarily experience con¯ict between these two sources of identity, and that they may have a degree of agency in negotiating the relationship between these interlocking parts of their lives.KEY WORDS discourse^employment^inter-spatiality^motherhood^project of the self^self-identity

In this article, popular discourses of addiction are investigated. The development of these discourses since the concept of 'addiction' was developed a century ago is linked to changing conceptions of selfidentity.