Black Caribbean parents often immigrate in order to increase their fortune and improve opportunities for themselves and their families. Frequently, they leave their children in their country of origin, to be raised by family members. Reunification with their children often occurs at the time of adolescence and, for a multitude of reasons, is often fraught with conflict which sometimes necessitates the involvement of social services and other agencies. Some reasons for these difficulties are presented and are illustrated through the use of case histories. Mental health professionals are advised to take societal and cultural factors into consideration when creating treatment plans for this population.

BackgroundVery recent acts of terrorism in the UK were perpetrated by 'homegrown', well educated young people, rather than by foreign Islamist groups; consequently, a process of violent radicalization was proposed to explain how ordinary people were recruited and persuaded to sacrifice their lives.DiscussionCounterterrorism approaches grounded in the criminal justice system have not prevented violent radicalization. Indeed there is some evidence that these approaches may have encouraged membership of radical groups by not recognizing Muslim communities as allies, citizens, victims of terrorism, and victims of discrimination, but only as suspect communities who were then further alienated. Informed by public health research and practice, a new approach is proposed to target populations vulnerable to recruitment, rather than rely only on research of well known terrorist groups and individual perpetrators of terrorist acts.ConclusionsThis paper proposes public health research and practice to guard against violent radicalization.

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Communication plays an important role within the surrogate-surgeon dyad. Psychologic variables such as expectations, and the perception of both the surrogates and the surgeons, influence the amount of information that is proffered and the manner in which it is received. Improved communication may be achieved by use of visual aids, discussion of anesthesia and the postoperative course, recognition of the circumstances around the discussion, such as timing and location of the discussion, and personalization of the discussion.

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