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(2012)Journal ArticleObjectives HIV care is provided in a range of settings in Australia, but advances in HIV treatment and demographic and geographic changes in the affected population and general practitioner (GP) workforce are testing the sustainability of the special role for GPs. This paper explores how a group of ‘key informants’ described the role of the GP in the Australian approach to HIV care, and conceptualised the challenges currently inspiring debate around future models of care. Methods A thematic analysis was conducted of semistructured interviews carried out in 2010 with 24 professionals holding senior roles in government, non-government and professional organisations that influence Australian HIV care policy. Results The strengths of the role of the GP were described as their community setting, collaborative partnership with other medical and health professions, and focus on patient needs. A number of associated challenges were also identified including the different needs of GPs with high and low HIV caseloads, the changing expectations of professional roles in general practice, and barriers to service accessibility for people living with HIV. Conclusions While there are many advantages to delivering HIV services in primary care, GPs need flexible models of training and accreditation, support in strengthening relationships with other health and medical professionals, and assistance in achieving service accessibility. Consideration of how to support the GP workforce so that care can be made available in the broadest range of geographical and service settings is also critical if systems of HIV care delivery are to be realistic and cost-effective and meet consumer needs.
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(2011)Journal ArticleUnited Nation’s conventions exist to help facilitate and protect vulnerable people’s human rights: including people with disabilities (Convention on the Rights of Persons with Disabilities, 2006) and children (Convention on the Rights of the Child, 1989). However, for some families where a family member has a disability, there may be inherent conflicts in meeting stand-alone human rights’ conventions. These conventions should work together to ensure that young people with disabilities and challenging behaviour and their parents and siblings all have equal rights to full participation in social, economic and civic life. Yet service system deficits mean that this is not always the case. This paper argues that governments need to provide a whole of family and community support approach to ensure the human rights of all family members are met. This is a complex ethical, moral and human rights issue that needs addressing by disability scholars and the disability community.
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(2013)Journal ArticleLong recognised as a painting ‘about’ painting, Velázquez’s Las Meninas comes to Lacan’s aid as he explicates the object (a) in Seminar XIII, The Object of Psychoanalysis (1966-1967). The famous 17thC painting provides Lacan with a visual mapping of the ‘ghost story’ he discovers in the Cartesian cogito, insofar as it depicts the unravelling of the Cartesian representational project at the moment of its founding gesture. This article traces Lacan’s argument as he turns to art, linear perspective and topology to model how the object (a) persistently eludes the grasp of scientific knowledge. Following a discussion of distance-point perspective in Renaissance Italy and the role this innovation played in enabling distorted depictions of objects in space, I propose Henry James’s ghost story, “The Jolly Corner,” as the sequel to Lacan’s reading of Las Meninas. In James’s tale, we obtain a narrative account of what the figures in Velasquez’s painting might ‘see’ as they return our gaze towards us.
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(2011)Journal ArticleThe population of people living with HIV in Australia is increasing, requiring an expert primary care workforce to provide HIV clinical care into the future. Yet the numbers of family doctors or general practitioners (GPs) training as community-based HIV medication prescribers may be insufficient to replace those retiring, reducing hours or changing roles. We conducted semi-structured interviews between February and April, 2010, with 24 key informants holding senior roles in organisations that shape HIV-care policy to explore their perceptions of contemporary issues facing the HIV general practice workforce in Australia. Informed by interpretive description, our analysis explores how these key informants characterised GPs as being ‘moved’ by the clinical, professional and political dimensions of the role of the HIV general practice doctor. Each of these dimensions was represented as essential to the engagement of GPs in HIV as an area of special interest, although the political dimensions were often described as the most distinctive compared to other areas of general practice medicine. Our analysis explores how each of these dimensions contributes to shaping the contemporary culture of HIV medicine and suggests that such an approach could be useful for understanding how health professionals become engaged in other under-served areas of medical work.
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(2011)Journal ArticleAs an alternative to psychoanalysis’s aggressive subject/object relation, Leo Bersani proposes a more modulated, aesthetic subjectivity. This essay explores Bersani’s concept of aesthetic relations through impressionism’s and realism’s competing demands on the artistic object in Henry James’s “Flickerbridge.” I suggest this 1902 short story can be productively read as a theory of the perspectival shift James was exploring in his experiments with literary impressionism in that period.
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(2012)Journal ArticleThe theme adopted for issue one is Shaping Industrial Design Education in Australia. The backdrop for this theme is a recent succession of educational program reviews that have occurred or are occurring at many universities. In our region University of South Australia, Canberra University and Auckland University of Technology have moved to a 3 year undergraduate program with a lead-in to post graduate study.
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(2012)Journal ArticleJim (James) Montague was head of Industrial Design at the University of Technology, Sydney, formally Sydney College of the Arts, from the early 1980s until mid-1990s. He was an influential design educator and remembered with affection by many of his colleagues and those many students who studied Industrial Design under his guidance.
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(2013)Journal ArticleThis paper investigates recent developments in low-cost 3D printing and offers a case study on the practicalities of commissioning a low-cost, kit based 3D printer. It discusses a range of practical considerations and possibilities on how it can assist in reconnecting students to making in an educational setting. The promise of digitally printed parts and models from an affordable desktop machine has many perceived advantages in complementing the more established 3D printing and traditional methods of model making. In addition, low-cost 3D printers have opened up new making possibilities for a wider community of non-professional designers and makers. In design education settings the integration of low-cost 3D printers can offer new making opportunities earlier in the design process by integrating with existing digital design tools.
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(2013)Journal Article
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(2013)Journal ArticleOBJECTIVES: Social inclusion theory has been used to understand how people at the margins of society engage with service provision. The aim of this paper was to explore the cancer care experiences of Aboriginal people in NSW using a social inclusion lens. METHODS: Qualitative interviews were conducted with 22 Aboriginal people with cancer, 18 carers of Aboriginal people and 16 health care workers. RESULTS: Participants' narratives described experiences that could be considered to be situational factors in social inclusion such as difficulties in managing the practical and logistic aspects of accessing cancer care. Three factors were identified as processes of social inclusion that tied these experiences together including socio-economic security, trust (or mistrust arising from historic and current experience of discrimination), and difficulties in knowing the system of cancer treatment. CONCLUSIONS: These three factors may act as barriers to the social inclusion of Aboriginal people in cancer treatment. This challenges the cancer care system to work to acknowledge these forces and create practical and symbolic responses, in partnership with Aboriginal people, communities and health organisations.