The active engagement of clients in mental health services offers far greater chances of successful outcomes. When clients do not actively engage in treatment, their risk of becoming part of the population of 'high users' is greater. The 'high users' consume a disproportionate share of health resources, which may prevent other potential clients from accessing services. Engagement can be particularly challenging in crisis situations, which is how many clients attracting psychotic diagnoses first enter the service. New Zealand Māori bring a transcendent quality to the idea of 'respect for Other', which would make it sacrilegious to overpower Other in most situations. This paper reviews a growing body of literature indicating how we might integrate an enhanced respect or reverence of Other into clinical practice. This includes the idea of engaging more frequently with the social network when building rapport with an individual is particularly challenging. There is some evidence that services adopting this kind of approach are more economical.
Purpose To better understand where the banking industry is heading and how it can thrive in the new environment of converged industries and competition, the IBM Institute for Business Value, in collaboration with Oxford Economics, surveyed 850 banking and financial markets executives across all major geographies and a variety of C-suite roles. Design/methodology/approach The survey sought answers to three key questions: What impacts are the changing currents around ecosystems, business models and business economics having on banking and other financial services organizations? What strategies are likely to be most successful for banks to adopt over the next few years? What steps can banking leaders adopt today to accelerate their progress toward obtaining a leading competitive position? Findings Most senior executives surveyed – 72 percent – agree that platform business models – and the ecosystems that underpin them – are disruptive for the banking industry: 70 percent of executives say that platform business models are driving changes in traditional value chains across the industry. 69 percent acknowledge that platforms are disrupting their organization’s own business and operating models. Practical implications As many as 79 percent of banking executives globally say that adoption of platform business models will help them achieve sustainable differentiation and competitive advantage with benefits across multiple dimensions. They identify profitability, innovation and access to markets as the top-three areas where platform models can drive advantage. Originality/value Visionary banks believe engagement with partners across platforms should increase their commitment to innovation, especially relating to the search for new and more valuable product and service combinations. They realize that radical transformation is required across business and operating models and in the way resources, business processes and technologies are assembled to create value.
This article offers an alternative understanding of the ‘scientist‐practitioner’ in clinical practice. The ‘dodo bird’ hypothesis or ‘common factors’ findings suggest that the specific technique of a particular treatment protocol, whether supported or not by empirical validation, are not as important as feedback to the clinician as to whether this particular treatment is working or not. A new philosophy of science and cognition suggests that ‘know‐how’ and ‘withness‐knowledge’ is of more importance than any ‘know‐that’ or ‘aboutness’ knowledge. Two hundred years ago Goethe suggested a method of science that was more focused on performativity than representationalism, which is being discovered again by postmodern science and philosophy. This model of science, combined with Levinas' call for an ethics first approach, can provide an alternative to the move towards treatment manuals.
Wittgenstein holds a special place in Solution-Focused Brief Therapy due, in no small part, to his idea that” … problems are solved in the literal sense ofthe word - dissolved like a lump of sugar in water”(2005,§421).1 In the last twenty years there has been renewed interest by philosophers in Wittgenstein due to a relative ly new perspective on his work known as the ‘resolute reading’ or the New Wittgenstein (Read & Crary, 2000; Fischer, 2011). This is the idea that Wittgenstein’s work can be looked upon as primarily a form of therapy for untangling knots or conceptual confusions in our thinking generated by philosophical assumptions, in order that we might be more attuned to the world and each other. 2 There is also a more subtle version of this, known as the ‘elucidatory reading’, which says not only are we more present as a result of this philosophical therapy, but we are also more aware of what gets us into philosophical knots (Hutto, 2003/2006). This may be of some interest to psychotherapists as they also have interest in dissolving problems so that people can get on with their lives more harmoniously. This, the first of two papers overviewing Wittgenstein’s work, focuses on his early work and life.
This second of two papers provides an overview of Wittgenstein's later work and life from the perspective of what is called the 'resolute' or 'elucidatory' reading, for Solution-Focused Brief Therapists. This perspective takes the view that Wittgenstein's work can be seen as a form of therapy that enables us to be more at tuned to the world and each other.
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