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Of Mail-Order Brides and Boys Own Tales Representations of Asian-Australian Marriages Essay Example
Of Mail-Order Brides and Boys Own Tales: Representations of Asian-Australian Marriages Essay Of Mail-Order Brides and Boys Own Tales: Representations of Asian-Australian Marriages Author(s): Kathryn Robinson Source: Feminist Review, No. 52, The World Upside Down: Feminisms in the Antipodes (Spring, 1996), pp. 53-68 Published by: Palgrave Macmillan Journals Stable URL: http://www. jstor. org/stable/1395773 . Accessed: 31/07/2011 01:59 Your use of the JSTOR archive indicates your acceptance of JSTORs Terms and Conditions of Use, available at . http://www. jstor. org/page/info/about/policies/terms. jsp. JSTORs Terms and Conditions of Use provides, in part, that unless you have obtained prior permission, you may not download an entire issue of a journal or multiple copies of articles, and you may use content in the JSTOR archive only for your personal, non-commercial use. Please contact the publisher regarding any further use of this work. 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This articleexamines two instances in whichtheideaof Asiahasbeentakenup in debates aboutmarriage relations S and between andwomen. Asiais a siteof fantasy menin an erawhenthey à ° men for feelthattraditional valuesof malepre-eminence the familyare beingunderin mined. his fantasy, In Asiais knownthrough stereotypic representations, the z stereotypes underlying nature theresponse thepopular the of in media. ,, Keywords X vl mail-order brides;Gillespiekidnapping; marriage; Australian-Asian relations; Australian identity Stereotypes, however inaccurate, one formof representation. fictions, are Like theyare created serveas substitutions, to standing for what is real in Theyarean invention, pretence one knowswhenthe stepsthatwould a that makerealknowing possible c annotbe taken arenot allowed. bellhooks,1992:341) The mail-order bridehas becomea potentsymbolin Australian representations Asia. Mail-order of bridesis the pejorative image which has come to stand for womenwho are Philippine nationalsmarrying Australians. spiteof the factthatthesewomenrepresent verysmall In a proportion the total immigration of intake,in termsof mediacoverage and publiccontroversy is probably next biggest it the immigration issue afterChineseand Indo-Chinese refugees immigrants and fromMuslim countries. ecentpopular A film,The Adventuresof Priscilla,Queen of the Desert, created character a who encapsulated dimension the one of stereotype: sex-crazed, a manipulative ex-bargirl who had trickeda decent, outback Aussiebattler marrying (Thecharacter a parinto her. is ticularly unpleasant notablyso as the filmdealswith transgressive one, sexualities thatthe central in characters dragqueens. )1 are Whyhas this phenomenon attracted much attentionand generated negative so t he stereotypes? 53 Media eoverage of mail-order brides orientalist readings o in issuebegan appear the revealing newsocial this reports Newspaper of frequency in late 1970s when a trendwas discernible an increased women. The prevailing men Australian and Filipino between marriages media responsewas negative,drawingon powerfulrepresentations Filipinas have discourse. as whichSaid(1978) has identified orientalist as withinthis discourse meek,docile slaves,oriental been constituted but with shadypasts,passiveand manipulable, also grasping beauties The power queues. o usingmarriage jumpimmigration and predatory, tropes: on fromits reliance orientalist of the mediaimagewas derived arbitrary for sensuality, lackof respect the individual, a beauties, steamy such as Mail OrderBridesin Vice exerciseof power. (See headlines Trapin the SydneyMorningHerald(Prior,1987). ) The term mailof storecatalogues, the conup orderconjures imagesof department which commodity on sumerselecting the basisof a n imagea consumer ln y 1S necessarl passlve tne acqulsltlon. . . . . . . f elements fearand we theserepresentations seethecontradictory Within Australian as (1990)has identified characterizing whichHamilton desire in of of imaginings Asia. Theelements desireare easilyrecognizable the beauties aresex slavesto Australian who compliant imageof the luscious with mediadiscussion, Fearis evidentin the oftenhysterical husbands. But of prophecies gloomand doomaboutthesemarriages. 2 the fearis where this also of miscegenation: is not likeotherformsof immigration in Heretheyare introduced the most can the newcomers be ghettoized. ivingbirthto Australian households, remoteregionsinto Australian to analysis relates the transcendence also Desirein Hamiltons children. identity, thiscase,desire in of heart Australian of the fearof the empty of familyvalues,a fearof the bankruptcy our own confor traditional socialforms. temporary bridehas in the of hold this stereotype the mail-order The powerful r evealed thepresscoverage in was consciousness spectacularly Australian eventsat the time of the deathof soap-opera the surrounding real-life in LangHancock 1991. His widow, mining magnate Australian Western bride,or evenmail-order to referred as a Filipino Rose,was constantly par the represented stereotype excellence, marriage The bride. Hancock roughdiamond, to Asianbeautymarried an old Australian a younger elements It forays marriage. drewon powerful into of the survivor earlier rich the of the discourse, factthathe was spectacularly andthatshe was and froma poor background had once workedas his houseallegedly to 1992). Disclaimers the effectthat 1990; Heinrichs, keeper(Shears, had familyin the Philippines she is froma wealthyand well-connected 4 no effecton thepublicdiscussion theissue. TheHancock of case,withits contestation between widowand Hancocks the daughter froma former marriageover considerable wealth (Riley and Humphries,1992), endorsed suspicion the that Filipinas marryAustralians money,not for love,a taken-for-granted of Australian basis marriages. In a bizarreepisode,Rose Hancockappeared the Midday Show on (1992) to refutethe allegations. Part of the interview was conducted froma bathful milk,perhaps an ironiccomment the imageof of as on the sultryexoticbeauty whichshe was refuting. Australia in the region The growthin the number Australian marrying of men Asianwomenis connected the growthin sex tourismin the region,givenan initial to impetus the R R offered US soldiers by to fighting Vietnam, in and boostedin its phenomenal growthby masstourism consequent the on development the wide-bodied Media headlinespromotedan of jet. image of a commercial trade in sex akin to slavery,for example, Marriage Market the SydneyMorningHerald (Brown, in 1980);Sella Visa,BuyA Girlin the Bulletin (Lees,1988). The WeekendAustralian featured Mail-Order Misery: Thebrides tendto comefrompoorand lowermiddle-class backgrounds and to be motivated chiefly economic by factors. Butthereare otherfactors involved somecases,suchas poormarriage in prospects theirown society in becausethey are too old, singlemothersor formerprostitutes. The bottomlinein manymail-order marriages the husbands is inability finda to partner hisownsociety. inability be a result geographic in This can of isolation but oftenit arisesfromnegative personality traits. . . [heis] shunned the by womenof his own society. About5000 mail-order brides in Queenslive land,wheretheymakeup 95 percentof the Filipino migrant community, a muchhigher proportion in otherStates. than (Lowe, citedin Jackson, 1989) The stereotypes encountered the everydaydiscussionof the issue in reflected fundamental a truth: thecurrent in globalsystem, whereindustrialcapitalist countries ourownconsume disproportionate like a amount of wealth,the accident birthmeans thesemenoccupya particular of that locationin the contemporary world as male members a capitalist of metropolis, economically the dominant society. An Australian way of marriage? The newspaper reports focusedon the fact that in manycasesthe men weremeeting theirbrides through introduction agencies whichsometimes 55 operated pen pal clubs. Magazines, as Australian Singles, as such o featured of photographs brief pages and biographies Filipinas of seeking =penpalswitha viewto matrimony: thecharacterization hence of the O mail-order bride. was at a timewhenintroduction This agencies (as 3 well as newspaper columns radioprogrammes up to find and set partners) lesscommon theyaretoday. ere than Hence, hadthe they F stench illegitimacy failing conform whatwasassumed of by to with to s bethenorm marriage of arising of theromantic out attachmenttwo of freeindividuals. A feature themedia of discussion thehint therespective was that partners couldnot achieve theirdesired through end legitimate means. Hence therewas a stresson the characteristicsmenas olderthantheir of brides (old,uglymenwithno currency the market on getting young, beautif ul women practisingkindof hypergamy, is, marrying a that up into a higher status category). omen, contrast, seeking The by in a wayout of poverty marryingforeigner a developed by a from country, wereseento be acting an illegitimate (and on basis practisingkindof a economic hypergamy). apparent This transgression the ideology of of romantic allowed women be branded grasping love the to as opportunists, nothing better thanprostitutes. moresympathetic The version hadthem sexslaves, as forced selltheir to bodies (obviously) in loveless marriages. , The mediadebate drawn has powerfully discourses gender on of in contemporary Australian society. lany themedia In of stories, men the seeking Filipino brides havebeenquoted linking motivation as their to negative feelings about Australian women. example, manfrom For a an agency whicharranges thesemarriages quoted saying, was as many menwanted Asian wivesbecause werefed up withthe demands they Australian women makeandtheirunfaithfulness (Brown , 1980). Here is an alternative discourse: Asianwomen trulyfeminine, the are and Eastis a source traditional of family values. Thisdiscourse holdsa promise family andstable of life marriage canbetapped marrywhich by inganAsian bride. ssumption these The that marriages so evidently are not basedon romantic is a powerful love challenge assumptions to in our own society aboutthe connections between romantic and love marriage. Changing gender relations Australia in Thepower theimage themail-order canalsobe related of of bride to changing gender relations marriage and relations Australia, as in such the large-scale of women the workforce the post-Second entry into in 56 WorldWarera, the introduction the mid-1970sof no-faultdivorce, in limitedstate supportfor womenin the formof singleparentpensions and so on. In contemporary Australiaa significantproportionof marriages breakdownandwomenhavetended retain to controlof their childrenin such cases. Marriageand family relationsare amongst 3 the most hotly debatedissues in the contestation about male-female relations our own society. in Australian womens response the media to reports reflectsthe way the issues take their meaningfrom these tensionsbetweenmen and women. For example,a womanwrote to The Australianaftera Four Corners television programme dealt with these issues, expressing anger at the attitudesexpressed men her by marrles Fllplnas: to . . I stronglyresentthe statementby the Aussiemales,that Australian women had somethingto learn from the subservient Filipinowomen. In my opinion these lazy bastards. . . are not prepared spend any energymakingan Australian to marriage work . . . and so importa meek, obedientslave to be theirwife. (Bacon,1979) Themenarerepresented failures slobswho taketheeasyway out, as and incapable shaping to a red-blooded of up Aussiegirl. Where are the Filipinas in the debate? Suchcomments drawon the presumption womenas a grouphavea that transparent of common set interests, thata (politically so conscious) First World whitewomancan speakfor all women,so thatthe Filipino brides are regarded sisterslettingthe side down. Theydo not take account as of the varyingsituations interests womenwho occupydifferent and of positionsin the global system. The assumed rightof white womento speakforThird World women, assumptions theuniversal the of character of patriarchy the unity of womenspoliticalstrugglehave been and challenged. 4 Thewomenthemselves beenlargely have silenced thesedebates. n There havenot beennumbers highprofilearticles of reporting theirstated on motivations, any consideration broader or of issuessuchas the assumptions underlying marriage the Philippines. 5 is despitethe fact in This that in recentyearsFilipinas haveestablished advocacy organizations to counter stereotype. television the A drama Mail OrderBrideendeavoured to represent theirpoint of vie w. Set againstthe background white of Australian racism a country in town,it revealed contradictory the nature of the way the structural issuesare playedout for individuals, very a sensitiveportrayal which challenges stereotypes, shows their the but power. For example,the wife is rapedby a matewho earlierin the 5i7 o = O 3 F s uw film tells other matesthat all womenfrom the Philippines marrying Australians ex-prostitutes will takehis moneyandrun. In spite are who of the growing feelingbetween manand his wife,we see how these the attitudes awayat himand so, for example, firstassumes she eat he that has beenunfaithful, only recognizes rapewhenhe sees she has and the beenbeaten. The filmalso explores conflictoveruse of the contrathe ceptivepill the wife is a Catholic and differing assumptions about dutyto onesfamily (ABC 1985). TV, Academic research: challenging the stereotypes This mediadebateand the negativeimagesportrayed, especially the negatlvelmages ot Flllplnowomen, led to concernedcommentln academic journals, particular seriesof articlesbeginning 1982 in a in in The AustralianJournal of Social Issues. The firstof these,by David Watkins, university a bureaucrat was himself who married a Filipina, to challenged stereotype the meek,submissive the of beautyby discussing the academicliterature, especiallythe social psychologyliterature. His agenda to disabuse was would-be suitors whoseimages Filipinas, of and hence expectations, were being shaped by the media debates. He countered negativestereotype the with another, womanwho the appeared be compliant to because herfemininity was accomplished of but in the covertexercise power. was askedto writea comment his of I on paper(Robinson, 1982). . . . . . . . . I founda dearth factual of information aboutthe women,and the men seekingthem as partners. The mediareportscited by Watkins were basedon interviews with a few individuals. elevant The government departments the timeImmigration Foreign (at and Affairs) no data had on the women or the marriages, althougha ForeignAffairssocial worker gaveme herpersonal opinionoverthe telephone whichdrewon the prevailing mediadiscourse the ugly,old Australian couldn of who get himself brideand the poor,dumbslave,the Filipina a beauty. Most intriguing a letterto the Sydney Morning Herald froman expert, was the DeputyDirectorof the Marri age Guidance Bureau(see Watkins, 1982). His letterseemedto indicate that thesewomenwerepresenting as a clientgroup. WhenI followed up with the Marriage this Guidance Council, was not so. His letterwas all conjecture, it another projection of the samestereotypes aboutthe dangers cross-cultural of marriage. By the late 1980s a seriesof studieshad beencarried whichaimed out to discoversomething about these womenand their situation, beginningwith Charita Ungsons study(1982). Most took as theirfocusthe powerful stereotype the mail-order of brideand endeavoured rebutit to 5l 8 (see,for example, Cooke,1986; Jackson Flores,1989). One of the and most interesting, basedon an analysis the 1986 census,was suppleof mented a survey Filipinos Australia by of in (Jackson, 1989). Thisstudy demonstrates degree fantasy the of whichunderpins stereotypes. the The picture whichemerges of womenin theirthirties, is average 30 to age 31, marrying Australian men who are, on average,11. 7 years older According the censusfigures,Filipinas to livingin Australia were ten timesmorelikelyto havea tertiary qualification Australian than women in general. The mediadebatehad focusedon the personal qualities of the men marrying Filipinas and the assumed expectations about their brides hencehadbeenlocated theterrain the shifting and in of definitions of genderin our own society. Censusdata revealed that Filipinas in mixed marriage households tend to show a greaterconcentration in miningareas,areaswith unbalanced ratios,regions sex whosecharacter has beencreatedby earlier wavesof migration wheresinglemen have beenselectively recruited cheaplabourfor Australian as industry: Could one not then arguethat the Filipinas prepared live and succeedin to remotecommunities the new heroinesof the outbackand to be are admired (Jackson, [? ] 1989: 180). The generalpicturehe presents, of the demographic socialprofileof the peopleinvolvedin Filipinoand Australian marriages, mirrored findings othercommunity the of surveys (seeUngson,1982; Cooke,1986). In 1987 therewas anotherarticlein the AustralianJournal of Social Issues countering new dimension the mediaimage;the claimthat a to thesemarriages brokedown morefrequently Australian than marriages. An examination FamilyCourtstatistics otherdata enabledthe of and authors conclude therewas no evidence thesemarriages to that that are inherently moreunstable thanthe Australian norm(Chuaet al. 1987). In spiteof the fact that a lot of information come into the public has domainrefuting aspectsof the stereotype, has none the less gained it a powerfulhold. Filipinasliving in Australia reportthat they now feel tarred with the brush, peoples that attitudes reflect assumption the that all Filipinas mail-order are brides, that they fit the stereotype in termsof theirpersonal qualities, theirmotivati ons the negative and view of their partners. They feel malignedand spurnedby the pejorative stereotype. Paradoxically, probablyas a result of media attention,both the Australian Philippines and governments have tightened procedures, up so thatthe smallpercentage meetthrough who mail-order agencies and pen pal clubs is decliningeven further(Payne,1990). However,the stereotype not beenrevamped linewiththischange. has in 5g O e Whyhas this stereotype gained such a hold? The issue has resoundedwith meaningsderived from the contestations in contemporaryAustralian society about the nature of male-female with debates which have intersected relations,and the natureof marriage, of relationswith Asia. Constructions genderare signifiabout Australian cant in both ethnic identitiesand their counterpoint,ethnic stereotypes. In a recent article dealing with reportingon Asia, Peter Mares cites an article from the British newspaperthe Independent:Love hotels are spread all over Asia, where the supposed christian ideal of life-long fidelity to ones spouse is replaced by an easy-going, matter-of-fact approach to sex (cited in Mares, 1993). Said (1978) argues that the West portrays the East as an ideal and unchangingabstraction. Orientalismis a way of dealing with the Orient by making statements about it, authorisingviews of it, describingit, by teachingit, settlingit, ruling over it . . . an acceptedgrid for filteringthe Orient into Western (Said,1978:7). LauraNader (1989)extendsher argument consciousness women as a to show how the orientalistgrid is importantin maintaining subordinateclass in both the Orient and the Occident. She stressesthe importanceof the use of comparisonin genderconstruction. Critiqueof of the other may be an instrument control when the comparisonasserts a position of superiority'(Nader, 1989:234). That is, while it may be bad here it is worse somewhere else, for example, in the Orient. So images of women in other societiesreinforcenorms of subordination in our own (Nader, 1989: 347) through the process of constructing Hence the negativestereotypesof women in other positionalsuperiority. iscourse. The culturesare significantin both orientalistand patriarchal positional superiorityof Westernwomen as symbolic of the positional of superiority the West is a deeply ingrainedidea (Nader,1989:329). The particularconstructionof the mail-orderbride, the sensual sex slave, and the counterview of the oriental bride as the salvation of traditional family values, can be understood as constructionsof the other in the Australianquest for identity. The negativestereotypewhich is the prevailingone relates both to issues of female subordinationin of our own society and to the ideologicaljustification our position as an affluentcountryin a region of the world wherepovertyis still the norm. o e z 2, TheGillespiecase a battle of images We can develop the idea of understandingthe representationsof Asians in marriagesto Australiansas being instancesof orientalistand patriarchal readings by looking at another recent media issue, the Gillespie case, which was also about tensions in the constitution of 6C D context. The Gillespie case confamilies, heightened a cross-cultural in married a Malaysian, the to and cernedan Australian womanformerly of between Australian the caseemerged against background tensions the and Malaysiangovernmentover the television series Embassy, a veiled classicallyorientalisttext with easternpotentates,submissive lurkingbeneaththe surface women,and politicaland sexualdisorder had nobletitle, and (see Mitchell, 1993). The ex-husband a Malaysian media as the prince. was consistently referred in the Australian to his from In July 1992 he was reported havekidnapped two children to their Australian other who had custody during an access visit. The headlineMalaysianPrinceVanishesWith Two Little Aussies 1992: 1). Kidnappings appeared the SydneyMorningHerald (Hewett, in bornparent occurso frequently that of children an estranged by foreign on the Australian government tightenedup restrictions parents has this of takingchildren overseas. no othercaseshaveattracted degree But publ icity. cast. Mrs Gillespie The earliestpress reportswere in an orientalist backbecause Islamic expressed fearsaboutnot gettingthe children her law will be biased against her. Invokingher alleged sentenceof (Jacqueline six strokesof the cane for leavingthe prince,Mr Gillespie Gillespies secondhusband) said,formy wife, livingin a fundamentalist Islamic societyas a member a royalfamilywas likegoingbackthree of and (Hewett, 1992). hundred years. It was verybrutal repressive the within On 16 JulyMr Gillespie claimed princewouldbe regarded as the fundamentalist Islamcommunity a hero, rescuinghis children were veryadeptat fromthe infidels (Cornwall, 1992a). The Gillespies promoting these orientalist imagesin the mediain the serviceof their of cause. Theprince challenged storyof the six strokes the caneand the had as The criticized fact thathis children beenbaptized Christians. the as Malaysian minister law was reported sayingthat underMalaysian custody because hadconverted she to law MrsGillespie surrendered had interview, representative a Christianity (Cornwall, 1992b). In a television of the Malaysian government askedaboutthe case- the interviewer was (Jana Wendt) focusing the six strokesof the canestory- and about on invokinga negativeand threatening the threatof femalecircumcision, imageof Islam. The orientalist imageswere used to greateffectiveness 1992 issueof the by Mrs Gillespie puttingher case. The September in EveryWomans Australian WomansWeeklyhad the coverline Living Gillespie, WorstNightmare emblazoned acrossa pictureof Jacqueline of in holdinga childstoy, with framedphotographs the children the background. The interviewwith JacquelineGillespiewas a classic and (Duncan, 1992) orientalist aboutharems, text beatings sexualcruelty s1 O o zeo O 3 As in the representation mail-order of brides, images thoseof a the are sensual orientin whichwomenhavea subordinate position oddswith at the elevated positionof western women:the harem,violentoppression of women,andso on. Againwe saw the imageof the olderman(in this case, the Asian) marrying younger(Eurasian-Australian) the woman. Thereare sharedimageswith manyof the Filipino stories- of forced and/orviolentsex andpolygamy Lowe,1988:3; Taylor, (see 1990:18). The return of a fathers right? However, therewas another element the mediacoverage; manyof of in the stories,the assertion the fathers of rightwas a dominant image. It resonated with debates aboutmensrightsand theirchildren, of one the issuesfor the contemporary mensmovement. example, ABC For an programme featured exclusive an interview with the princebackhome in Malaysia. He was given a sympathetic hearing,at one stage the interviewer asking,is thatyourchildren can hearin the background I theysoundjustlike mine'(Law Report, 1992). At aboutthe sametime the ABCalso hostedan AustraliaTalksBack (1992)programme, where listeners were invitedto telephone with theiropinionson the Gillespie case,explicitly linking controversial to the ongoingcritique the issue of the FamilyCourt,by men who felt it had takenaway theirrightsto theirchildren. This had the overtones a cautionary Thiscould of tale: happento you, girls, if you arentmore considerate mensrights. of Therewas the juxtaposition storiesin The Australian,linkingthe of kidnapping issuesof custody men(Fife-Yeomans, to for 1993). InOctober 1993, the princewroteto WeekendAustralian,linkinghis case to that of othermen treated badlyby the Family Court,thanking the all Australian fathers who have beensupportive his case (Shah,1993). of TheABCRadioNews (1993)broadcast as sayinghe hadbeenconhim tactedby manyAustralians dissatisfied the Family with Court. ) When the princere-emerged Malaysia,there were happy family in picturesof him with the childrenin newspapers and on tel evision (Harris,1992; Gleick,1993). Somenewspapers recounted heroic the effortsthe princewent throughto reclaimhis children, showingan admiration the military-like for planning his escapeandavoidance of of authority (see, for example, Connolly, 1992;Wright,1992b). Through suchrepresentations, princewas rescued the fromthe orientalist stereotype:the loving father,the wily strategist overcoming odds to be all reunited his children. with 62t Theprince consistently givena voice,for example, the radio has been in interview referred above,but particularly the earlypartof 1993, to in y following announcement an whenthe issueagainhit newsheadlines from that the Australian government they would seek his extradition Malaysia(Stewart al. , 1993). This secondroundshowedboth sides et on images the partof adeptly exploiting mediain termsof orientalist the imageson the partof the prince. In an the Gillespies, occidentalist and was interview the SydneyMorningHerald,the prince askedaboutthe in childrens relations with his secondwife. H e repliedthat he had been and took to her stepmother, when amazed how quickly daughter at his givesme this kindof he askedher why,she said:Nobodyin Australia attention. s therewhen I got [sic] to bed, at homewhen I come She 1993:23). homefromschool'(Harris, Sixty Minutes. on programme The princewas interviewed the television wherehe brokehis ex-wifes He was askedaboutthe allegedincident correctly, she nosewith a coat hanger because had not hunghis trousers The in and which had been reported the WomensWeekly interview. In the denialof the incident. discussing princes answerwas an indirect who sociologyclass,the only student programme an introductory with reported as saying,YesI did hit her, him had watched programme the It but I was withinmy rightsas thatis our custom. eemsthe students influenced (in this case)the orientalist by hearing moreprofoundly was said. stereotype it was by whatwas actually than was with TheSixty Minutesinterview introduced a claimthatthe prince his to had no t had sufficient opportunity put his case,and stressed right to be heard(Sixty Minutes, 1993). Thisis a rightwhichhas neverbeen reclaiming his The father stressed mail-order for brides. sentimentalized as rightswas not subjectto the same disapprobation the mail-order So the or motives. hereas bridemarrying economic otherspurious for the Filipinabridesare demonized, princevery quicklyturnedfrom a his to demonwho had kidnapped children take thembackto a life of into tyrannyand Islamicfundamentalism a kind of BoysOwn hero reclaiming rights a father. his as Conclusion of in Both of the cases discussed this articlerelateto the complexity heterosexual marriage and familyrelationsas they are revealedin a relations. cross-cultural context. Whatis at stakeis a view of conjugal of the case Thediscourse surrounding Gillespie is revealing the discourse aboutFilipinas. he identifies marriage In The Sexual Contract (1988), CarolPateman found in contemporary contractas criticalto the form of patri archy two freeand capitalist societies. Ratherthan beinga contractbetween 63 equalindividuals, argues is themodethrough she it whichthecommunity of menregulate theiraccessto women. Thisfraternal of patriarchy form or brother rightin herviewsuperseded olderformof patriarchy an or ON fatherright which was characteristic societieswhose fundamental of 3 socialformwas basedon relations status,not contract. nalysis of Her is instructive the understanding the issuesof the reasonfor the for of F differing representations the mail-order of brideon the one hand,and E the prince, BoysOwnhero,on the other. the o zeh O Welivein an erawhere marriage beingredefined, partin response is in to the changingsocial role of women, and specificfeministdemands. Changes such as no-faultdivorce,womensentryinto the workforce, and (notionally) equalpay,are undermining manyof the underpinnings of marriage a patriarchal as institution. The prevailing stereotype of Filipinas mainlynegative the ountervailing is b ut discourse, stereothe type of the Asianwomanas a repository traditional of familyvalues, can be understood termsof debates in aboutrelations between and men womenin our own society. The censorious tone towardsthe parties involved Australian/Filipina in marriages indicates the phenomenon that is seento represent undermining thedominant an of myths oursociety in aboutsexualattraction romantic and love as the appropriate basisfor marriage. 6 Pateman not dealwiththeemotional does aspects marriage romantic of love, sexualattraction, parents feelingsfor children, However, etc. s RobertaHamilton(1978) exploresin her work, notionsof romantic lovehavebeencritical the formulation contemporary to of constructs of marriage. argues as production She that increasingly became located outsidethehome,lovebecame elevated thechiefideological as underpinning of marriage. Hencewe can readsomeof the hostility the mail-order to brideas the challenge such arrangements to the ideological pose construction marriage a lovematch. of as Muchof the negative publicity aboutno-faultdivorceand the Family Courthas focusedon the issuesof mensrightsto theirchildren. The prince represented bothpositive negative is in and readings his actions of as the bearer a culture of whichenforces stronger a notionof father right thanour own. In thisinstance Islamic Malaysia becomes site of desire a for menwho see the erosionof theirrightsto theirchildren through a weakening the powerof the marriage of contract centralto fraternal formsof patriarchy. Thedebate aboutfamily relations whichengage withtheother to be has understood onlyin termsof orientalist not construction the other, of but also in termsof patriarchal constructions the heartof the constitution at 64 W of ourselves andtherein its power. ies Thuswe cansee the connections mail-order betweenthe seemingly disparate imagesof the subjugated brideand the heroic princeassertinghis right as a father. Asia is of constituted a site in our imaginary as wherethe tensions traumas and our own rapidly changing worldbecome playedout. The subtextin the = Filipino brides debateis, women herehavegot it good;in t he Gillespie c. caseit is, males herecan haveit bewer. vb Notes of Kathryn Robinson a SeniorResearch is Fellowin the Department Anthropology,Research School of PacificStudiesand Asian Studiesat Australian with NationalUniversity, Canberra. esearch beenconcerned issuesof Her has of development Indonesia, particular effects the development a multiin in the of nationalowned nickelmine. Her most recentwritingsfocus on authorized modelsof femininity, including promotion contraceptive Her work the of use. nations) takesas its starting pointrelations between Australia otherwealthy (and andthe AsiaPacific region. 1 Theimage forcenot justin thepopular has media. recent A DavidWilliamson his play,Money and Friendscontained joke aboutthe manwho divorced a expensive Australian wife, got anotherfrom the Philippines was now and copingwith her desireto bringher familyto live with him. In her book put The Sexual Contract,Carole Pateman comments, Wives no longer up are by for auction Australia, in Britain the U. S. buttheycan be bought mailand order fromthe Philippines (1988:190). of 2 In recent yearstherehavebeensomewell-publicized violentincidents wife husbashing murder, and whereFilipinas havebeenthe victims Australian of such bands. Thesecaseshavealso beenreported a manner in whichimplies than these violence morelikelyto be a feature thesemarriages, is of rather proportion marriages exhibiting violence the whichis a feature a significant of of all Australian marriages for example, (see, Dempsey, 1991;Dibben,1995). The negative representation Rose Hancock of was so strongthat the (then) of RaceRelations Commissioner, Moss,criticized mediainvocation Irene the received little the stereotype the mail-order of bride, although comments her attention fromthe media. 4 For example, debatesin Spare Rib, AustralianFeministStudies and on the ComingOut Stow. 5 Thereis an exp ectation marriages be arranged, thatin the case that will and of arranged marriages, parentshave a responsibility duty to consider and ideology economic issueswhichin our societyareobfuscated the powerful by of romantic love. i5 6! @ s à ° , In Southeast therearetraditions romantic andsexualpassion, Asia of love for example,in courtchronicles the Mababtaratain Indonesia. like However, untilrecenttimesit was not usuallyassumed that this was an appropriate basisfor marriage. Marriage arranged was between families the bride the of and groom,with an eye to constituting successful household; was a new it assumed desireand passionwoulddevelopbetween husband wife after and thewedding. z . References l ABC RADIO (1993)Newsbroadcast, RadioNational October. 18 ABC TV (1985)Mail OrderBride,27 October. AGE, THE (1992a) Fortune forgedin iron (Obituary LangleyGeorge for 16 Hancock 1909-1992), March: 28 21. (1992b)Hancock be buried thehatchet not,4 April: may but is 5. AUSTRALIA TALKS BACK (199 2) TheGillespie case,Talkback programme, ABCRadioNational, August. 4 AUSTRALL4N (1983)Mail order mismatches, Editorial, January: S 6. BACON, C. (1979)Letter theEditor, to Australian, 4 October: 8. BOER, C. (1988)Are You Looking Fora Filipino Wik8: A Study of Filipina Australian Marriages A Research Project the Anglican of General SynodSocial Responsibilities Commission the International and Affairs Commission, Sydney: General Synod Office. BROWN,M. 1980)Growth theFilipino in marriage market spectacular Sydney Morning Herald, 3 September: 10. CADZOW, (1982)Whysomebrides tearful J. are Australian, 17 March: 9. CHIO-NUNEZ, (1988)A Study of tte General Settlement Status of tte Filipino J. Immigrant Women in New South Wales (February): 1-33. CHUA, F. et al. (1987)DoesAustralia havea Filipina brides problem? Australian Journal of Social Issues Vol. 22, No. 4: 573-83. CONNOLLY, (1992)Boldkidnap A. dashDaily Mirror, 9 October: 7. COOKE, M. (1986)Australian-Filipino F. marriages the 1980s:t hemythand in thereality, Viviani in (1986). CORNWALL, (1992a) D. Govtoffers to Australian aid mother Sydney Morning Herald, 16 July: 5. (1992b)Govthas deserted children familySydney Morning Herald, 22 July: 3. DEBELLE, (1993)Prince escape P. of Newcastle Herald, 9 January: and 39. 1 DEMPSEY, (1991) Filipino S. brides: elevenkilledin Australia Herald, Sun 14 July:12-13. DIBBEN,K. (1995) Murder mail-order by Sunday Mail, 26 February: 95. 66, DUNCAN, S. (1992) WhyI had to escapemy life with a prince Australian Womens Weekly, September: 8-11, 49. s w_tYT x _S 4 n s * 14 * | . . . FIFE-YEOMANS, (1993) Childabduction easy,says judgeAustralian, J. too 8 July:4. GLEICK, (1993) WhyI stolemychildren E. WHO Weekly, May:28-35. 24 GROSSBERG, NELSON,C. andTREICHLER, A. (1992) CulturalStudies L. , P. ; z = New York: Routledge. HAMILTON,A. (1990) Fearand desire: Aborigines, Asiansand the national imaginary AustralianPerceptionsOfAsia: AustralianCulturalHistory No. 9: 14-35. HAMILTON,R. (1978) The LiberationOfWomen:A Study OfPatriarcby and Capitalism, London, Boston: Allen Unwin. HARRIS,M. (1992) Thecourtorder thatled to a kidnapping SydneyMorning Herald,3 August: and4. (1993) A besiegedprincedefendshis cause Sydney Morning Herald, 15 May:23. HEINRICHS,P. (1992) The revenge the WestTSe Sunday Age, S April: of m 1, 4. HENRY,S. andPORTER,J. (1992) Child abduction prince pleadsfor fairgo Australian, July:3. 28 HEWEll, T. (1992) Malaysian prince vanishes with two littleAussies Sydney MorningHerald, 14 July: 1. HOOKS, bell (1992) Representing whitenessin the black imaginat ion, in Grossberg al. (1992). et HUMPHRES, D. (1993) Lawbreaks hearts wontbendWeekendAustrabut lian, 22-23 May:1. HUMPHRIES, LIGHT,D. andRILEY, (1992) Hancock D. M. denied dying his wishfor dignity Age, 4 April: TWe 1. JACKSON, R. T. (1989) Filipino migration Australia: imageand a to the geographers dissent AustralianGeograpticalStudiesVol. 27, No. 2. JACKSON,R. T. andFLORES, R. (1989) No Filipinosin Manilla:A Studyof E. FilipinoMigrantsin AustraliaTownsville: JamesCook University. LAWREPORT(1992) Interviewwith PrinceBahrinShah. ABC Radio National, 28 July. LEES,C. (1988) Sell a visa, buy a girl TWe Bulletin,13 September: 46-8. LOWE,B. (1988) Mail-ordermisery WeekendAustralian,25-6 June (Supplementary): 3. MARES,P. 1993) Asia:a many-splendoured thing24 Hours April:35-7, 41. MIDDAY SHOW (1992) John Mangosinterview with Rose Hancock,Channel9, 13 May. A41GRATION (1988) Filipinas Australia myth and realityApril:10-13. in Nll 1 tLL, 1. 1 88t Wrlentallsm ln Kagaan: emoassys lmaglnatlve ge ographyMeanjinVol. 52, No. 2: 265-76. NADER, L. (1989) Orientalism,occidentalismand the control of women CulturalDynamicsVol. 2, No. 3: 323-55. PATEMAN, (1988) Tbe Sexual ContractCambridge: C. Polity. PAYNE, (1990) Banon mail-order-bride J. businesses welcomedMigration79, June/July: 3. 6i7 W s e Sydney Morning PRIOR,N. (1987)Mail order brides vicetrap,study in finds Herald, 9 November. but RILEY, andHUMPHREYS, (1992)Lang M. D. Hancock buried feudlives on Sydney Morning Herald, 3 April: 2. A ROBINSON,K. (1982)Filipino brides: slaves marriage or partners? comment Australian Journal of Social Issues Vol. 17, No. 2: 166-70. SAID, Edward (1978)Orientalism New York: Pantheon. à ° , z ^2 SHAH,RajaBahrin(1993) My case for all, Letterto the EditorWeekend 16-17 October: 16. SHEARS, (1990) A rose colouredspectacle R. Australian Womens Weekly, August: 10-13. ith SlXTY MES (1993) Theprincespeaksout, Ray Martininterview RajaBahrin Shah, Channel 16 September. 9, prince STEWART, HENRY, and GUNN, M. (1993)Gillespie C. , S. abduction: sought Weekend Australian, 8-9 May:1-2. 18. TAYLOR, (1990)Filipino T. women luredby ruseThe Age, 6 April: UNGSON,C. (1982) A Bride for All Reasons: Report on a Pilot Survey of Affairs. Filipino Brides Melbourne: Department Immigration Ethnic of and 1-65. VIVIANI, (1986)editor, N. Australia-Asia Papers No. 37, December: WALL, R. (1983)Filipino D. brides: slavesor marriage partners? A further comment Australian Journal of Social Issues Vol. 8, No. 1: 217-20. Australian WATKINS, (1982) Filipino D. brides: slavesor marriage partners? Journal of Social Issues Vol. 17, No. 1: 73-84. Australian (1983)Filipino brides revisited a replyto Robinson Wall and Journal of Social Issues Vol. 18, No. 1, 221-2. WHOWEEKLY (1994)A royaltugof love,3 January. WILLIAMS, (1987) Looking a long-nose L. for husband Sydney Morning Herald, 5 August. WRIGHT,T. (1992a)Abductor prince: the will of GodSydney Morning its Herald, 27 July:1 and7. (1992b)How princefooled our coast patrolSydney Morning Herald, 30 July:1 and6. Australian, 68
Monday, November 25, 2019
Time of Death Estimation essays
Time of Death Estimation essays At the University of Tennessee At Knoxville, a two-and-a-half-acre field is dedicated to the study of human remains. The Body Farm has made important contributions to estimating the time factors involved in suspicious deaths. The field has provided valuable information in the field of forensics. Forensic Science allows investigators to unmask the secrets of a crime scene. In criminal cases involving a victim, it is crucial that all evidence be gathered to help solve the crime. One of the most important factors is establishing the time in which the crime occurred. A medical examiner will examine the victim and estimate the time of death based on a variety of changes to the body following death. The medical examiner is the most important individual in an investigation involving a victim. The medical examiner is usually a physician specializing in forensic pathology, the study of structural and functional change in the body because of injury. The medical examiner can determine if the cause of death is natural, accidental, suicidal, or homicidal. This is after the body has been looked over at the morgue, the scene of the crime or the location of death. The responsibility of the medical examiner to conduct an autopsy, examine medical evidence, study the victims history, and put together all the information in a report to be turned in to the proper authorities. The medical examiner can determine the time of death by a variety of changes to the body. The most common factor to determine the time of death is rigor mortis. Right after death the body begins to stiffen. The average amount of time for this to begin is two to three hours. The stiffness shows up in the face, lower jaw, and neck and after twelve to eighteen hours spreads throughout the body. Rigor mortis can last up to thirty-six hours before the body begins to go limp again. The most utilized time of death indicator is known as Ocular. Th ...
Thursday, November 21, 2019
The Sacrifice of Isaac Essay Example | Topics and Well Written Essays - 750 words
The Sacrifice of Isaac - Essay Example I wanted to argue with God, bargain with Him if possible. However, images of my years of pilgrimage on this earth flashed before my eyes like they just happened a few days ago. I remembered the very first day God spoke to me telling me to leave my people, my fatherââ¬â¢s household and go to a place He was to show me, a place I never saw and did not know what to expect. This begun my long journey and the adventures God set for me to enjoy and the lessons I was to pick along the way. I saw myself using my wife as my protection to my flesh and life against the Egyptians as we went there because of a famine we experienced along the way. I was afraid that Pharaoh might envy me because my wife was exceedingly beautiful even as she was getting old, might kill me and take Sarai as his own. Although she was my half sister, I asked her to reveal only that information and not tell them that she was also my wife. Although God did not speak directly to me that time that what I did was wrong, He showed me this by inflicting diseases on Pharaoh and his households. I know now that He wanted me to put my trust totally on Him and so as if doing a replay on this account, God allowed us to move to Gerar where the people were godless and again I feared for my life more than what God could do to me. This time, God spoke to Abimelech who took Sarai as his wife and instructed him to return my love to me. How gracious God has been with me during those years I figured He was not able t o protect me. There have been more miracles God performed in my life only to show me that He can do anything for me but I wish to tell most importantly of the miracle about my son who was born when me and my wife were already likened to a dead tree. Isaac was promised to us long before he was born however, when we were getting older and my wife was not yet conceiving, we thought God might have meant us to
Wednesday, November 20, 2019
Management class Essay Example | Topics and Well Written Essays - 500 words
Management class - Essay Example It is good that the people behind Merck have contributed a lot of their time and effort in searching for an effective drug that could treat onchocerciasis. Without the researchers and innovators behind Merck, a lot of less fortunate African people that lives in nearby rivers and works in the farm would still suffer from the said epidemic disease. Many of them would still go through the process of losing their eyesight and develop some uncontrollable itching, swelling, and thickening of the skin. (Salaam, 2002) If only Merck uses alternative methods such as ââ¬Ëmicrodosingââ¬â¢ in new drugs experiments (Rowland, 2006) instead of using animals on their experiment, the result of the companyââ¬â¢s success in developing Mectizanà ® would have been so much better for all of us. When Vioxxà ® was subjected to pre-clinical and clinical data, the drug was found out to have side effects particularly on gastrointestinal, cardiovascular, and renal safety of the users. (Martin, 2006a) Despite knowing the harmful effects of Vioxxà ®, the company decided to continue the selling of the drugs. In fact, the company collaborated with the FDA not to include the NSAID-class gastrointestinal warning on its label but instead, to modify it. (Martin, 2006a) As early as 1997, questions about the cardiovascular safety of Vioxxà ® have been raised. (Martin, 2006b) Since Merck has modified the warning label on Vioxxà ®, a lot of consumers were not provided with a more solid warning with regards to the use of the product. It was only in September 30, 2004 when the company formally declared the voluntary worldwide withdrawal of Vioxxà ® from the market. (Kim, n.d.) Approximately four years after a numerous incidence of cardiovascular problems and a lawsuit against Merck were reported to be cause by the use of the drug. (CNN Money, 2004; Berenson, 2005) It is advisable for consumers to study carefully the possible side effects of the drugs they are planning to intake. Promotion of drugs can
Monday, November 18, 2019
Midterm exam Essay Example | Topics and Well Written Essays - 750 words
Midterm exam - Essay Example It is on this account that men will use their positions and wealth to influence vulnerable women to have sex with them, only to abandon them later once they have satisfied their lust regardless of the consequences of their actions, which may include unplanned pregnancies. As such, allowing abortion becomes a key element towards protecting poor women from becoming single parents without intent as well as reducing poverty and street crime. A child deserves to have a better life i.e. access to quality education, healthcare, good nutrition among other basic necessities such as shelter and clothing. Apparently, a poor mother, who cannot even sustain herself, has nothing to offer her child and this implies that families built on this sort of foundation eventually has a high probability of becoming a liability to the society and the government at large. In fact, these are the people who unfortunately end up in the streets begging for assistance as well as conducting heinous acts such as pro stitution and robbery. In this light, abortion enables one to exercise her right to decide on the best time to become a parent, when she has accumulated all the necessary courage and economic stability to sustain herself as well as her offspring (Heary 22). Most of the societies set considerably high moral standards, which prohibit fornication alongside other irresponsible sexual behaviors such as prostitution and adultery. For example, the church has always advocated for celibacy as a natural method of solving dilemmas such as HIV/AIDS among other sex related issues (Beckwith 108). This has influenced greatly the way the society perceives those unfortunate persons who intentionally or otherwise find themselves in these predicaments such as pregnancies out of wedlock. These people are discriminated against as they are perceived to be immoral and therefore, a shame to the society and the families which they come from. Some of the societies will even exclude them from their affairs fo r it will be apparent that they are a bad influence and bad examples to their age mates as well as the generation below them. To avoid all this, it would be of great significance to abort the child in order to maintain the level of standards expected by the society, by concealing sexual involvement. Abortion is also a way of controlling high population growth. In this case, it would be necessary to point out that I come from China, a country which is categorized as one with the highest population, of approximately 1.3 billion people, and which is expected to rise to approximately 1.6 billion people by the year 2025 (Beckwith 109). Due to this, the country has set up a one child policy, in order to slow down the rate of births. However, it has been noticed that there are those who fail to observe this policy, and goes ahead to have more than one child, especially in the rural areas, where analysts indicate that there is the culture whereby couples prefer the birth of boys as opposed to girls, mainly due to inheritance issues. In this context, if the first child is a girl, the parents cannot rest there for they will definitely have no heirs to their property and therefore, they have to bear more children until that time when a baby boy is born. It has been noted that such couples usually lie during census so as to protect themselves from facing the
Saturday, November 16, 2019
Family Are Involved In The Care Decision Process Nursing Essay
Family Are Involved In The Care Decision Process Nursing Essay According to Eilbert Lafronza Partnerships comprise of a social system or individual based agreement between participating organizations to collaborate on a common goal in which benefits and risks, as well as resources and power are shared fairly. Patients and families cannot entirely be involved in the care decision process unless they have established a solid partnership between their health care providers i.e Doctors, Nurses, General practitioners etc . (McQueen :2000).2 Some of the way that patients and their families can be involved in the care decision process is by making informed decisions on: Whether the patient wants treatment or not: Selinger (2009)3 states that the patient has every right to make an informed decision on the right to determine what investigations and treatments to undergo, and this decision must be respected by all doctors, nurses and caregivers. Whether the patient wants to complete a Do Not Attempt Resuscitation (DNAR) form or not: Healthcare professionals have an important role in helping patients to participate in making appropriate plans for their future care in a sensitive but realistic manner, making clear whether or not attempted CPR could be successful. Helping patients to reach a clear decision about their wishes in respect of CPR should be regarded as a marker of good practice in any healthcare setting (British Medical Association (BMA), the Resuscitation Council (UK) and the Royal College of Nursing (RCN) : 2007)4 And finally, what right the patient has to be involved in decisions about their medication. The National Collaborating Centre for Primary Care( 2009)5 states that patients have a right to be involved in decisions about medicines to the extent that they wish and it is the role of health professionals to facilitate and support patients in their involvement in decision-making and to support patients in taking medicine if the decision has been to prescribe. Patient and family partnerships are very important in the care decision process because without them numerous problems may arise. Some of which are: self-discharge, readmission, deterioration of condition and death. (Smith and Hider: 2009)6 According to Gott et al. (2000)7 successful patient partnerships are those in which the patient and healthcare practitioner meet as equals with different expertise. The doctor or nurse has the medical knowledge and skill, but the patient has personal knowledge and skill. This is useful because it provides two different perspectives which in turn will provide the best outcome for both the patient and the healthcare provider. For the most part, patient and family involvement is beneficial to the care process because the patient knows their own condition the best and if we assume that they are close to their family and share their struggle with managing their condition/disease with them then they too know what the patients condition well. Anderson and Funnell (2009)8 state that patient and family involvement in care decisions revolve mostly around decision making and empowerment. Patient involvement in decision-making is now generally regarded as a feature of good quality health care. Many health professionals, institutes and government policies such as the Department of Health (2007)9 now advocate that patients should be involved in some way in decisions about their health care. According to the RCN (2003)10 empowering patients is a central element of nursing care, by forming a solid patient- nurse partnership, and encouraging the patient and their family to be part of the decision making process, this allows the patient to feel empowered and in control of various aspects concerning their health. However according to a study carried out by Dickerson (2004)11 shows that although patient and family involvement is crucial in care decisions, various authors might argue that a lot of patients search for and find information/new treatments about their illness/ condition on non-credible sources such as the internet, magazines and social media and believe that whichever fact or new never trialled before treatment they read or hear about might be a diagnosis to their symptoms or a solution to their illness. The study showed that many patients (50%) relied on friends and family to navigate the Web, and most of patients reported that the information that they sought was unrelated to their clinical visit. This study shows that although patient and family partnerships are crucial to the care decision process, some patients and their family take the wrong path when seeking information about their condition, this is usually after a clinical encounter for diagnosis and/or reassurance or beca use of dissatisfaction with the amount of detailed information provided by the health professional during the encounter. (Kaimal AJ et al. :2008)12. According to McMullan (2005)13 Health professionals are reacting to the more Internet informed patient in some of the following ways: The health professional either feels threatened by the information the patient brings and responds defensively by asserting their expert opinion (health professional-centred relationship). Or, the health professional and patient collaborate in obtaining and analysing the information (patient-centred relationship) (Pautler et al. : 2001)14. Although the health professional almost always comes to a decision to progress with the latter option, feeling threatened and being defensive about the internet based information being presented to them by the patient and their family is usually the health professionals first reaction. An alternative approach would be for the health professional will guide patients to r eliable health information websites. It is vital that health professionals acknowledge patients search for knowledge, that they discuss the information obtained by patients and guide them to reliable and accurate health websites. It is suggested that courses, such as patient informatics are incorporated in health professionals education (Sommerhalder et al. : 2009)15. The Department of Health (2003)16 states an effective discharge as A process and not an isolated event. It has to be planned for the earliest opportunity across primary, hospital and social services, ensuring that individuals and their carers understand and are able to contribute to care planning decisions as appropriate. Here we see the DOH (2003) describing an effective discharge as one that co-ordinates all of the services needed by the patient in order for the patient to have input on the discharge and for everything to be ready for the patients discharge. Nurses and other health care professionals recognise that planning for patients hospital discharge during the inpatient stay sets the stage for effective and therefore successful self-care management at home. (Nosbusch et al.:2010)17. According to the Wales NHS effective discharge policy document (:2009)18 an effective discharge constitutes of the following 6 principles: Communication when it comes to the transfer of care process, it is important that good communication consists of mutual understanding and having a common language between everyone involved. This requires effective dialogue and sharing of up to date information amongst patients, carers, providers and commissioners. Casey and Wallis (2011)19 state that Nurses and the nursing staff are at the core of the communication process: they assess, record and report on treatment and care and handle information sensitively and confidentially .To establish a healthy nurse- patient relationship, good communication is crucial. As a nurse, building a close rapport with your patient is one of the ways to make your patient feel listened to, understood and involved in their care. Good communication is vital in the process of decision making. Jonsdottir et al. (2004) 20 state that communication skills are one of the most imperative aspects of nursing, considering that nursing always is two-folded with b oth task-oriented and relational aspects. A nurses communication skill is an essential requirement for patient participation in decision making. Communication discrepancies have been recognised as one of the major barriers to partnership building between nurses and patients (Keatinge et al. 2002)21. Good communication in the care decision process is vital In order to achieve a seamless discharge for the nurse, patient, the patients family and all other healthcare practitioners/Multidisciplinary team (MDT) members involved. The NHS Trust Discharge policy (2010)22 states that before planning a discharge, the nurse and other healthcare practitioners must decide and inform the patient and their family on whether it is a simple discharge: one that involves minimal disruption to the patients activities of daily living, does not prevent or hamper a return to their usual place of residence and will not require a substantial change in support offered to the patient or their carer in the comm unity. Or whether it is a Complex Discharge: A discharge process that deviates from the simple discharge pathway and requires complex coordination of services to enable safe discharge. To ensure that the patient and their family is involved in the care decision process of discharge, the nurse and other clinicians must be certain that an effective and well-timed discharge plan is put in place. The main objectives of this will be to plan, inform, liaison and negotiate to ensure a smooth discharge for patients and their families. Supporting this is the need for an early establishment of what the discharge dates might be, including pre-admission planning, effective communication between individuals and across settings, good clinical management plans and the alignment of services to ensure continuity of care(DOH :2010)23. Assuming that it is a simple discharge, once the discharge plan has been put into place and is carefully explained to the patient and their family, the patient can then begin to contribute in the decision making process alongside the nurse and members of the MDT team.( Shepperd et al. :2010)24. Some of the ways a patient can contribute in the decision making process when it comes to discharge is to work alongside the nurse and members of the MDT team in order to inform and help them assess whether the patient can- Obtain and self-administer medications- the patient should inform the nurse and other clinicians (such as pharmacist) on what regular medication they take, what form they prefer their medication: liquidised, dosette boxes etc. How well the patient performs self-care activities, and does the patient eat an appropriate diet or otherwise manage nutritional needs and whether the patient is able to attend any follow-up outpatient appointments (Bull and Roberts: 2001)25. Atwal (:2002)26 states that ensuring that the patient and their family have full involvement in making the above decisions and steps to be discharged from the hospital will gi ve the patient a sense of control and therefore empowerment and in turn guarantee an organized discharge as well as patient satisfaction and the nurse feeling confident that they have done their best for their patient and therefore feel fulfilled in their role as a nurse. It is prominent that a patient must be an active participant in his/her empowerment, signifying that Nurses cannot empower patients: the role is to facilitate and support the empowerment (Laverack :2005)27. .
Wednesday, November 13, 2019
The Impact of Social Media on Terminally Ill Patients Essay -- commun
1. Introduction Social media is changing the way that doctors and patients communicate. It is reshaping health care with the help of modern technical innovations such as internet connectivity, smart phones, tablets, and desktops. This ranges from patient support groups to instant messaging (Aishwarya, 2012:[sp]). Media usage has evolved over the last few years and research in this field has shown how childrenââ¬â¢s psychological factors are linked to social media (Heim, et al, 2007:49). These factors suggest that the internet is a powerful communication tool that not only connects children with others but also empowers them by providing a learning environment and social support (Heim, et al, 2007:52-53). A rapid and innovated advance in social media offers numerous opportunities for modifying health behaviour by allowing the users to conduct research, review previous experiences, seek out medical advice, and lets users choose whether they would like to be identified or anonymous. Although there is a considerable potential for these media tools such as, video chat, weblogs and social networks, this media usage, requires careful application with regards to how the information is used, and may not always give the desired results when seeking medical advice or solutions (Korda, Itani, 2013:15). Carleen Hawn (2009:361) explains that across the health care industry, new media tools are changing the way that patients and doctors interact which is why people are adopting this method of using social media for health related issues (Korda, Itani, 2013:15). Bates (2013:[sp]) identifies that animation is an excellent and ingenious way to encourage children to communicate stories, ideas and concepts in a creative and original way. As explained... ...M- WEBSTER. 2014. Support Group. [online]. Available from: http://www.merriam-webster.com/medical/support%20group [Accessed 12/03/2014]. SEIVERS, C. 2012. 20 hospitals with inspiring social media strategies. [online]. Available from: http://www.prdaily.com/Main/Articles/20_hospitals_with_inspiring_social_media_strategie_10655.aspx [Accessed 12/03/2014]. TEXAS, D. Dialysis and Social Networking. 2013. [online]. Available from: http://devontexas.com/2013/03/30/dialysis-and-social-networking/ [Accessed 26/02/2014]. WIENER, L. CRUM, C. GRADY, C. MERCHANT,M. 2012. To Friend or Not to Friend: The Use of Social Media in Clinical Oncology. 8(2), 103-106. ZANNI, G, R. BROWNE III, C, L. Coping with Terminal Illness. 2010. [online]. Available from: http://www.pharmacytimes.com/publications/issue/2010/August2010/CounselingTerminalIllness-0810 [Accessed 28/02/2014].
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