Suchergebnisse

The actions, attitudes and experiences of German society between 1939 and 1945 played a crucial role in ensuring that the Second World War was not only 'the most immense and costly ever fought' but also a conflict which uniquely resembled the ideal type of a 'total war'. The Nazi regime mobilised German society on an unprecedented scale: over 18 million men served in the Wehrmacht and Waffen SS, and compulsoryVolkssturmduty, initiated as Allied forces approached Germany's borders in September 1944, embraced further millions of the young and middle-aged. The German war effort, above all in occupied Eastern Europe and the Soviet Union, claimed the lives of millions of Jewish and gentile civilians and served explicitly genocidal ends. In this most 'total' of conflicts, the sheer scale of the Third Reich's ultimate defeat stands out, even in comparison with that of Imperial Japan, which surrendered to the Allies prior to an invasion of its Home Islands. When the war in Europe ended on 8 May 1945 Allied forces had occupied almost all of Germany, with its state and economic structures lying in ruins. Some 4.8 million German soldiers and 300,000 Waffen SS troops lost their lives during the Second World War, including 40 per cent of German men born in 1920. According to recent estimates Allied bombing claimed approximately 350,000 to 380,000 victims and inflicted untold damage on the urban fabric of towns and cities across the Reich. As Nicholas Stargardt notes, this was truly 'a German war like no other'.

This article examines German Catholics' sense of community and identity during the Second World War. It analyses how far they were able to reconcile their religious faith with support for Nazism and the German war effort and questions the extent to which Catholicism in the Rhineland and Westphalia represented either a sealed confessional subculture or a homogenising Nazified 'national community' (Volksgemeinschaft). The article argues that, in their pure forms, neither of these analytical paradigms accounts for the complexities of German Catholics' attitudes during this period, which were far more contested and diverse than outlined by much existing historiography. Religious socialisation, Nazi propaganda and older nationalist traditions shaped Catholics' mentalities during the Third Reich, creating a spectrum of opinion concerning the appropriate relationship between these influences and loyalties. At the level of lived experience, Catholics' memberships of religious and national communities revealed themselves to be highly compatible, a tendency which in turn exerted a restraining influence on church–state conflict in wartime Germany.

Purpose
This paper aims to illustrate the complexity of understanding and managing violent behaviour in health care. The authors will show how different perceptions of the reasons for violent behaviour, and linkages between violent behaviour and illness have contributed to the creation of a wicked problem and added significant complexity to the management of violence towards staff within health-care settings. This paper will conclude with a call for strong multi-disciplinary action to address this ongoing issue.


Design/methodology/approach
A narrative review was undertaken to explore the ways that violence has been perceived in health care and the ways in which the concept of violence has moved from being seen as a criminal issue to being within the realms of disease. This paper will show the importance of understanding who is perpetrating violence in health care, why and in what settings. It will expound on the idea that considering violence as a consequence of disease necessarily adds a layer of complexity to both individual and organisational responses to violence towards health-care staff.


Findings
Understanding the complexity in preventing and managing violence against health-care staff can assist policymakers and managers to develop multi-faceted approaches to violence prevention, including better recognition and understanding of perpetrators of violence.


Originality/value
This paper provides a unique perspective on thinking about violence in health care and the implications of its complexity.

Purpose
This study aims to investigate whether emergency health-care workers distinguish between different categories of perpetrators of violence and how they respond to different types of perpetrator profiles.


Design/methodology/approach
Five focus groups with emergency health-care workers were held in Canada. The participants were asked whether they identified different groups of perpetrators of violence and how that impacted their approach. The focus group responses were transcribed verbatim and analysed thematically using a phenomenological approach.


Findings
Participants consistently identified five groups of perpetrators and tailored their approach on their assessment of the type of perpetrator involved. The five categories are: violence or aggressive behaviour from family members or bystander and violence related to; underlying mental health/illness issues; underlying physical health issues; addiction and substance use; and repeat visitors/offenders. Violence with an underlying (mental) health cause was handled professionally and compassionately by the health-care workers, while less patience and understanding was afforded in those instances where violence was associated with (recreational) alcohol or illicit substance use.


Originality/value
Emergency health-care workers can consistently distinguish between types of perpetrators of violence and aggression, which they then use as one factor in the clinical and situational assessments that inform their overall approach to the management incidents. This conclusion supports the need to move the focus away from the worker to the perpetrator and to an organisational rather than individual approach to help minimise violence against emergency health-care workers.