Professional ideology and physicians’ perceived disclosure patterns toward cancer patients

This study examined differences in physicians’ perceptions of their disclosure patterns toward cancer patients based on their professional ideological orientation. Adapting Strauss et al.’s (1964) sociotherapeutic (SCT) and somatotherapeutic (SMT) ideologies, it was hypothesized that physicians who strongly identified with the SCT ideology would perceive themselves as more willing to disclose the diagnosis to cancer patients and that there would be differences in the way and types of information presented depending on physicians’ ideological orientation. The findings suggest that physicians perceive choosing particular disclosure patterns based, in part, on their professional ideological orientations. Those who identify with a strong SCT orientation perceive themselves as more willing to disclose the diagnosis and provide some additional information to cancer patients and their families. Implications of these findings and directions for future research are discussed.     

Policy ‘partnerships’? Power dynamics in curriculum reform

In curriculum policy, discourses of ‘policy partnerships’ and ‘communities of practice’ have become increasingly prevalent and were reflected in Western Australian curriculum policy processes from the mid‐1990s to the late 2000s – a period of significant, highly contested change. This paper presents the findings of an empirical study into the impact of curriculum reform on the changing dynamics within and between the government and non‐government education sectors, drawing on critical theory and post‐structuralist approaches to policy analysis within a broader framework of policy network theory. This approach is used to highlight power issues at all levels of the policy trajectory. This research found that despite policy discourses of collaborative and consultative processes to create a ‘shared’ curriculum, the government and non‐government education sectors remain largely distinct due to significant power differentials, as well as structural and cultural differences. The analysis reveals three closely connected emergent themes – limited collaboration, regulated consultation and enhanced state control of curriculum policy agendas. It is argued here that although discourses of ‘policy partnerships’ and ‘community of practice’ are increasingly evidenced in contemporary curriculum policy, they do not take sufficient account of embedded hierarchical power relationships. Further, such discourses can be used as legitimisation strategies to promulgate policy changes which enhance the steerage capacity of the state. Deeply entrenched power differentials operate simultaneously to distort policy partnerships and communities of practice, by both including and excluding particular sets of policy actors.     

Transitioning to a more sustainable society: unpacking the role of the learning–action nexus

In recent years, action on sustainability has been highly influential around the globe and many now recognize the importance of individual and social learning for inspiring action and achieving sustainability outcomes. Transformative learning theory has been criticized, however, for insufficient development of the link between learning and action. The purpose of this paper is to deepen our understanding of the learning–action cycle among adult learners in the sustainability context. We consider this through insights from two studies in Kenya and Canada, utilizing a qualitative approach. Both studies employed semi-structured interviews as their primary data collection instrument and used other tools such as focus groups and journal writing. Three broad nodes of social action—individual, interpersonal and collective—are identified and defined based on the data collected. Results show that while all three types of action were evident in the outcomes of participants, individual social action was the most common and collective social action was the least. Barriers to applying learning in action are also derived from the data, including situational, personal, interpersonal, sociocultural and environmental obstacles. Factors that assist in overcoming such barriers include community support networks and skills training.