Comparison of the characteristics of homes for older people in Slovenia with Goffman's concept of the total institution

The past concepts of life and work in homes for older people in Slovenia are no longer adequate to meet the needs, wishes and requirements of their current users. One of the basic premises, relying on Goffman's concept of the total institution, is that the first and foremost characteristic of homes for older people is that they are institutions. The theoretical starting point, namely that Goffman's concept of the total institution is ideal-typical, was corroborated by an investigation of the presence of elements of the total institution in Slovenian homes for older people, proving that not all features of the total institution can be found in any chosen empirical selection of institutions, with the data showing that those characteristics which are present do not exist in the ideal, that is in the most pronounced form. The homes’ users are given consideration, their personnel are adapting to their needs and requirements, even though this occurs within the functioning of an institution whose aims, i.e. to care for a large number of people living in one place, make life in such an institution subordinated to rules, along with the bureaucratisation and routinisation of services.     

A migration model of pleasure travel

Pleasure travel has become an institutionalized feature of the social life of modern industrial societies, involving large numbers of people and a great number and variety of human organizations. Pleasure travel may be seen as a special type of migration; therefore, Everett Lee's theory of migration was used as a guideline to review the literature and as a heuristic device to construct a demographic theory of pleasure travel. The result of this effort was an inventory of propositions that summarized the conclusions of that literature. These propositions suggest that the volume of pleasure travel from place to place is related to the areal differentiation, the demographic differentiation, and the economic development of those places, as well as the relative difficulty of the intervening obstacles separating them. The propositions also suggest that streams of pleasure travel tend to follow predictable paths and that travelers are selected by various socioeconomic and demographic characteristics.     

Performance measurement: Some conceptual issues

Measures of how well a system is operating are clearly of interest to a wide range of users, from organizational researchers to system managers. The current literatures in such areas as “performance measurement, ” “organizational effectiveness, ” and the like show little consistency in their definitions of terms or in their methods for generating measures. The present paper attempts a clarification of these issues in the form of a conceptual minimalist position which requires only three basic definitions, and leaves, as far as possible, all remaining issues open to empirical investigation.We first review the literature on “organizational effectiveness” contrasting the organizational goals and systems paradigms, and note the lack of either theoretical or empirical convergence between the two. An examination of the nature of effectiveness statements suggests that this failure of convergence flows mainly from the different criterion sets generated by the two paradigms — and, importantly, that one should not expect convergence on a single measure or set of measures which uniquely define how well a system is performing. One's view of how well a given system is performing is a function of where one stands (either theoretically or in relationship to the system), and pursuit of the one true set of performance measures is a futile exercise. Instead, we propose to redirect attention to the identification of the various individuals and groups (“constituencies”) with an interest in system performance, and to the investigation of those items of system relevant information (their “performance measure sets”) which do, in fact, change their evaluations of how well the system is performing. This perspective will, we hope, redirect effort from futile theoretical debate to empirical investigations of what measures are used, by whom, and to what effect, in specific settings.     

NETWORK AND MEANING: AN INTERACTIONIST APPROACH TO STRUCTURE*

Social network is a concept interactionists might use to link individual behavior to the larger social system. A symbolic interactionist formulation of network would: 1) approximate the original, anthropological usage better than the current structural conception does, 2) offer symbolic interactionists a unit of social organization better suited to their perspective than the small group, and 3) allow symbolic interactionists to deal with “macro” sociological concerns. Network is conceived of as a set of relationships which people imbue with meaning and use for personal or collective purposes. By emphasizing subjective meaning and the investigation of multi-purpose and weak ties, the interactionist formulation provides theoretical insights into those aspects of society which “structural” approaches overlook.     

Home Environment and Its Relation with Quality of Life of Older People

In this cross-sectional study, we tested the relationship between sociophysical environment, quality of life (QOL), and perceived social support among elderly in Iran. The sample includes 128 participants recruited in the city of Shahrekord, Iran. We measured Evaluation of Older People Living Environment (EVOLVE); Control, Autonomy, Self-realization and Pleasure scale (CASP-19) and Multidimensional Scale of Perceived Social Support (MSPSS) tools respectively, through home-based observation and interview. A significant relationship was found between several domains of home environment, QOL, and perceived social support. The interaction effect of the home environment and gender in relation to QOL and perceived social support was statistically significant. Our results support that the home physical environment may not be considered a strong predictor of QOL among the Iranian elderly.     

Differences in facilities' acceptance of patients under long-term care insurance in Japan

OBJECTIVES: In April 2000, Japan launched a public, long-term care insurance (LTCI) plan for elderly people who need support. This study describes how medical support for the elderly is delivered at LTCI care facilities in Japan now and gaps between system goals and current activity. Recommendations are made for enhancing the implementation of LTCI. METHODS: We mailed questionnaires to all health service facilities for the elderly (HSF) and special nursing homes for the elderly (SNH) located in the Kyushu area of Japan, asking whether they would accept patients with nine specific conditions. RESULTS: We found that HSFs, which are required to employ a full-time doctor and are reimbursed at a higher rate, accept significantly fewer patients with four conditions that need medical support than are accepted by SNHs, which are not required to employ a full-time doctor. DISCUSSION: In this study, we find discrepancies between system goals and current activities at LTCI care facilities. For the Japanese LTCI system to work well in the limitation of medical resources, we must understand how it really works and to reform the system continuously.     

Does income support increase abortions?

Currently, Temporary Assistance for Needy Families (TANF) programs in 32 American states allow low-income childless pregnant single women (CPSW) to receive monthly cash assistance, while 28 states and the District of Columbia use lump-sum payments to divert low-income families from TANF. Past research has not investigated the possible consequences on abortions of these two welfare policies. We construct a theoretical model of low-income CPSW to investigate them. The results of the theory yields the following hypotheses: (1) diversion payments to low-income mothers lower abortion incidence; and (2) diversion payments and CPSW eligibility together raise abortion incidence. We use data from the US Centers for Disease Control and Prevention’s Abortion Surveillance, and a system GMM dynamic panel, two-way fixed-effects empirical model to test our hypotheses. Our empirical results provide statistically significant evidence for the first hypothesis, but not the second.     

Safety implications of infotainment system use in naturalistic driving

The use of a radio while driving has long been considered a "threshold" of distraction that is socially acceptable although it may be a factor in some crashes and near crashes. This "social acceptance" has prompted the use of radio tasks, specifically radio tuning, as "references" that should not be exceeded by other secondary and tertiary tasks that make their way into the vehicle. As new functions make their way into vehicle radios (or more advanced infotainment systems), however, it is possible that radio tasks may become distracting to a level that surpasses current driver expectations. This investigation examines the naturalistic usage of several advanced infotainment systems and examines whether usage is associated first with changes in near crash occurrence and second with changes in driving behavior. Little association was found with near crashes: 5 of 46 near crash events observed in the dataset exhibited infotainment system use. Drivers involved in infotainment system use during near crashes, however, did exhibit distinct glance behaviors, generally suggesting lower levels of awareness about their driving environment. Initial analyses of a larger dataset appear to confirm these findings.     

A Critical Analysis of Parental Alienation Syndrome and Its Admissibility in the Family Court

Abstract

Over the past three decades, parental alienation syndrome (PAS) has been proposed to explain behaviors by a child who refuses to spend time with a parent and actually denigrates that parent within the context of a child custody dispute. Although some mental health professionals and child custody evaluators, attorneys, and judges have been quick to accept and admit PAS as evidence in these disputes, there has been no consistent empirical or clinical evidence that PAS exists or that the alienator's behavior is the actual cause of the alienated child's behavior towards the target parent. This article attempts to help those working with custody issues understand how the PAS construct fails to meet scientific standards and should not be admissible in courts.     

Differences in Facilities' Acceptance of Patients Under Long-Term Care Insurance in Japan

Abstract

Objectives. In April 2000, Japan launched a public, long-term care insurance (LTCI) plan for elderly people who need support. This study describes how medical support for the elderly is delivered at LTCI care facilities in Japan now and gaps between system goals and current activity. Recommendations are made for enhancing the implementation of LTCI.

Methods. We mailed questionnaires to all health service facilities for the elderly (HSF) and special nursing homes for the elderly (SNH) located in the Kyushu area of Japan, asking whether they would accept patients with nine specific conditions.

Results. We found that HSFs, which are required to employ a full-time doctor and are reimbursed at a higher rate, accept significantly fewer patients with four conditions that need medical support than are accepted by SNHs, which are not required to employ a full-time doctor.

Discussion. In this study, we find discrepancies between system goals and current activities at LTCI care facilities. For the Japanese LTCI system to work well in the limitation of medical resources, we must understand how it really works and to reform the system continuously.     

FACTORS AFFECTING WILLINGNESS OF SOCIAL WORK STUDENTS TO ACCEPT JOBS IN AGING

The aging of the United States population is creating an increased need for social workers and other helping professionals with training in gerontology. Recent estimates indicate that less than 3% of MSW students are enrolled in an aging concentration, as compared to 19.0% enrolled in children/youth concentrations. This study (N=126) examines factors that affect the willingness of social work students to accept jobs in aging. Results of a hierarchical logistic regression indicate that age and personal/professional experiences with older people (but not gender, race, or educational level) significantly predicted willingness to accept jobs in aging.     

Rape: is there an app for that? An empirical analysis of the features of anti-rape apps

This study of mobile phone apps designed to prevent sexual violence (n?=?215) is a quantitative analysis of all their features (n?=?807). We analyze the intended users (victims, bystanders, and perpetrators) and rape prevention strategies of each feature, finding that anti-rape app design generally reinforces and reflects pervasive rape myths, by both targeting potential victims and reinforcing stranger-danger. To demonstrate that these limitations are primarily cultural rather than technological, we conclude by imagining apps with similar technical features that resist rather than reinforce rape myths. This study offers an empirical investigation of the relationship between technical design and social norms, and a unique methodology for uncovering the ideologies that underlie design.     

The influence of individual,marital, and family therapy on high utilizers of health care

Research has shown that people reduce their use of health care after individual, marital, and family therapy, which is known as the "offset effect." However, little research has been done to learn if high utilizers of health care reduce health care usage after therapy. Medical records of research participants (n = 65) from a health maintenance organization (HMO) were randomly selected and examined for 6 months before, during, and after therapy. Persons who received individual, marital, or family therapy all reduced their health care use after therapy, with the largest reductions coming from those participants who had some form of conjoint therapy.     

Age,religious beliefs,and sexual attitudes

Age effects on sexual attitudes were examined using the Hendrick and Hendrick (1987a) Sexual Attitude Scale. The study was cross-sectional, including people from various age groups, from young adults to older adults. The religious beliefs variable, which covaries substantially both with age and sexual attitudes, was controlled. Three main questions guided the study: (a) Is the four-factor structure (Permissiveness, Instrumentality, Communion, and Sexual Practices) previously identified in a sample of young students able to accurately account for data gathered over a full range of adult ages, (b) are older adults much less permissive and less instrumentalist than young people, and (c) to what extent are believers less permissive and instrumentalist than young people when age is taken into account? Factor analyses showed that at least five correlated factors were needed to account for the data; the fourth factor, Sexual Practices, divided itself into two distinct factors: Pleasure and Responsibility. Older adults and believers were shown to be less permissive than young people and nonbelievers, and this result held regardless of the participants educational level. As regards to instrumentality, however, the pattern of differences was extremely complex.     

Status and distrust: The relevance of inequality and betrayal aversion

Trust involves a willingness to accept vulnerability, comprised of the risk of being worse off than by not trusting, the risk of being worse off than the trusted party (disadvantageous inequality), and the risk of being betrayed by the trusted party. We examine how people’s status, focusing on sex, race, age and religion, affects their willingness to accept these three risks. We experimentally measure people’s willingness to accept risk in a decision problem, a risky dictator game, and a trust game, and compare responses across games. Groups typically considered having lower status in the US – women, minorities, young adults and non-Protestants – are averse to disadvantageous inequality while higher status groups – men, Caucasians, middle-aged people and Protestants – dislike being betrayed.     

The Paradox of the Quality of Life of Adults with Learning Difficulties

This paper is based on an empirical survey conducted in 1995 in Hungary. Data came from a stratified random sample of about 1300 adults with learning difficulties from all over the country. The author combines qualitative and quantitative methods in analysing the quality of life of people with learning difficulties and takes into consideration that their quality of life is as much determined by sociological factors as by the biologically and educationally understood level of difficulties. The paper shows that success in education and in the labour market does not equate to successful social integration. The quality of life of adults with learning difficulties is sometimes better in social circumstances which are less favourable for high achievement in education and in the labour market. Though the people from more privileged backgrounds may seem to lead a more active and social everyday life than those with working class origins they are still considerably less integrated in their social environments.     

Which Label? An Investigation into the Effects of Terminology on Public Perceptions of and Attitudes towards People with Learning Difficulties

There is much rhetoric around the damaging effect of certain labels applied to people with learning difficulties. This empirical study investigated the effect of three different labels in current usage on public perceptions of the groups so labelled. The labels contrasted were 'mentally subnormal', 'mentally handicapped' and 'people with learning difficulties'. Three independent groups of subjects were presented with an attitude questionnaire. This included a semantic differential scale to ascertain a stereotype of the labelled group, a social distance scale, and a series of questions to tap attitudes regarding people's abilities and rights. Each group was questioned with reference to one of the three labels only. A total of 111 subjects took part. The main findings supported the view that the term 'learning difficulties' is associated with more positive attitudes than either of the other labels which do not significantly differ from each other. However there was also evidence that people labelled as having 'learning difficulties' were thought to be less deserving of special provision. The implications of these findings are discussed in relation to present and future uses of labels.     

The role of social anxiety in volunteering

The volunteer management literature suggests that the most effective means of recruitment is personal asking. However, agencies that apply this method do not report the expected success in volunteer recruitment. Often they face the volunteer recruitment fallacy: those people assumed to be interested in volunteering do not necessarily volunteer. Based on the literature of shyness or social anxiety and on empirical observations, this article suggests that social anxiety often deters volunteering by new recruits. We hypothesize that people with greater levels of social anxiety will be less likely to volunteer. Furthermore, we hypothesize that people with high social anxiety will prefer to give monetary support to worthy causes rather than volunteer their time, and if they do choose to volunteer, they will do so alongside friends. Our hypotheses are supported based on the findings from a large‐scale nonrandom sample in North America. We suggest how to avoid the volunteer recruitment fallacy by creating a personal environment in which high‐social‐anxiety recruits feel safe and accepted. By removing the fear of being negatively judged by strangers as they enter the agency and creating a more personal approach, new recruits may have a higher probability of becoming long‐term and consistent volunteers.     

How different are their experiences and outcomes? Comparing aged out and other child welfare involved youth

This paper adds to the growing body of research examining the experiences of youth aging out of the child welfare system. Through a comparison of youth aging out with two other groups of child welfare-involved youth—those whose families received child welfare services but were never placed out of home and those who were in out-of-home placement but did not age out—it presents a profile of their care careers and other system involvement (e.g., mental health, justice system). Analyses indicate that young people aging out of care have experienced significant amounts of time in out-of-home placement, a great deal of placement instability, and high levels of other system involvement. In general, their involvement is more extensive than that of the two comparison groups. However, the justice system involvement of youth who experienced out-of-home placement but did not age out is just as high as that of youth who have aged out. This finding highlights the importance of devoting resources not only to youth aging out of care but also to similarly-aged young people with prior child welfare involvement.