The Royal College of Surgeons Comparative Audit Service was set up in 1990 so that surgeons could pool their audit data, to provide 'standards' with which to compare their own figures. A total of 405 consultant otolaryngologists were circularized in December 1991 inviting them to return data about their resources, workload, case-mix and complications, and about two specific audit topics-Myringoplasty and Carcinoma of the Larynx--for the calendar year 1990. A total of 65 consultants returned proformas with data on 52208 admissions and 31240 surgical procedures. The 'average' respondent admitted 829 patients in the year (19% of these day cases and 14% emergencies) and performed 744 surgical procedures with a mean complication rate of 1.39% using three theatre sessions per week. Cancelled theatre sessions per annum per consultant ranged from 0 to 71. The mean known success rate after myringoplasty was 65%, with hearing improvement in 53%. The 'average' ENT surgeon saw 3.5 new cases of invasive carcinoma of the larynx and treated 69% of these with radiotherapy alone, compared with 14% surgery alone. As well as allowing a profile to be drawn up of the 'average' respondent, this audit allowed individual consultants returning data to compare their own figures in detail with the pooled data, which were presented graphically at a meeting in April 1992.
There is a positive revolution sweeping psychology that emphasises how individuals get the most out of life and manage to stay healthy and happy in the face of adversity. Simultaneously, in Australia and throughout the world, there is an increasing emphasis on how to cultivate police wellbeing and resilience to stress and trauma. Fresh solutions are urgently needed to address complex issues underpinning unsustainable rates of police medical leave, retirement, and psychological stress that adversely impact wellbeing and capacity to safeguard civilians. In this chapter, we capitalise on Self-Determination Theory to report on the results of three mixed-methods studies to identify the nature and correlates of police wellbeing, and present the implications of the findings for enabling police wellbeing.
We present an empirical typology of professional translators based on three crossed criteria: point of view on the translation process (symmetrical or asymmetrical), approach (focus on unity, difference or linguistic multiplicity) and motivation (quest, recognition, expression, craftsmanship, subsistence, etc.). This typology supports six tropisms corresponding to different types and areas of professional translating. These in turn help to explain the discordance felt by translators between personal ethics and business imperatives, and justify career choices.
Self-determination theory (SDT) represents a comprehensive framework for the study of human motivation, personality development, and wellness as evidenced by the breadth and variety of chapters in this Handbook. This introductory chapter provides a review of the basic assumptions, philosophy of science, methods, and mission of SDT. It also includes a brief history of SDT, linking various developments within the theory to the contributions found in this volume. Finally, discussion focuses on the place of SDT within the landscape of past and contemporary theoretical psychology, as well as its relations with modern historical and cultural developments, in part explaining the continued growth of interest in SDT’s basic research and real-world applications.
The authors report an unusual presentation of amnestic syndrome mislabeled as malingering in a man with mild developmental disability. The case highlights the challenges to medical personnel in treating persons who visit emergency rooms often, particularly individuals with mental retardation. Diagnostic overshadowing was a primary factor in the failure to diagnose amnestic syndrome. Overshadowing occurs when a patient's problematic behaviors are attributed to mental retardation, and no attempt is made to search for the root causes of the problem. The case also highlights the need for emergency room personnel to maintain links with agencies involved in the day-to-day care of persons with developmental disabilities.