Loss and grief: The experience of transition to residential aged care

There is growing recognition of the experience of non-death-related loss and grief. One unexplored area of non-death-related loss and grief is associated with older people’s transition from home to residential aged care (RAC). This paper reports findings from a qualitative study that explored the experiences of people living in RAC, carer-relatives of people living in RAC and RAC staff. Using theories of loss and grief, the paper identifies features of the transition to RAC that are associated with unresolved loss and maladaptation to changed circumstances, and the types of support that would mitigate these. Using a series of focus groups with both residents and carer-relatives, as well as staff, the study found that residents and their families need more support to negotiate the multiple, often necessarily hasty decisions and bureaucratic requirements associated with transitioning to RAC, while simultaneously experiencing loss and grief. The types of support that families would welcome from service providers include facilitating shared decision making, valuing family and community carer expertise and providing practical information and assistance to fulfil administrative obligations.     

Reviews

Abstract

Michelle DeMars reviews The Indispensable Academic Librarian: Teaching and Collaborating for Change; Norma Durian reviews The Library Outreach Casebook; Trina Boykin Nolen reviews Licensing Digital Content: A Practical Guide for Librarians, Third Edition.     

Effects of variations in water quantity and quality in the structure and functions of invertebrates’ community of a Mediterranean urban stream

Urban Ecosystems - Urban streams provide important ecosystem services to cities’ population, from the maintenance of urban biodiversity, temperature, humidity and air quality to improving...     

Decision-making: from neuroscience to neuroeconomics—an overview

Theory and Decision -     

Japanese and American Identities: Values and Their Transmission in the Family

In this paper, we are studying social identities within a cross-national framework as they are reflected in values regarding social institutions. We compare value items to infer similarities and differences between Japan and the US, but more importantly we analyze value configurations, using factor analysis, as an expression of underlying cultural expectations. We also argue that the way values are transmitted further defines the distinctive cultural basis of social identities. Using a unique data set, The Generations Survey , we propose to contribute theoretically and methodologically to understanding the role of culture in postmodern societies. Our research, based on identical national surveys collected in 1995, provides a systematic way to compare values in two countries. The research builds on and specifies existing ethnographic case studies and in-depth interviews around a variety of themes that shape social identities such as the link between family and work expectations, the role of ethical values in business, the importance of national identification, and the meaning of community involvement. The paper concludes by suggesting that despite homogenizing trends and surface similarities, cultural distinctiveness persists in the ways values cluster and is transmitted in the family, shaping the social identities of Japanese and US respondents.     

Gay Affirmative Practice: A Model for Social Work Practice with Gay,Lesbian, and Bisexual Youth

Gay affirmative practice has recently been introduced into the social work literature as a culturally sensitive model for working with gay, lesbian, and bisexual (GLB) adults, however, this model has rarely been applied to practice with GLB youth. In this article, the authors review the literature to present the main tenets of gay affirmative practice, outline the challenges that GLB youth face, and delineate the environmental and individual strengths that can be enhanced to promote well-being. The authors then apply the gay affirmative practice model to GLB youth, offering concrete information about the specific knowledge, attitudes, and skills that social workers should acquire to better serve the unique, yet diverse, needs of GLB youth.     

Conditional Likelihood Estimators for Hidden Markov Models and Stochastic Volatility Models

ABSTRACT.  This paper develops a new contrast process for parametric inference of general hidden Markov models, when the hidden chain has a non-compact state space. This contrast is based on the conditional likelihood approach, often used for ARCH-type models. We prove the strong consistency of the conditional likelihood estimators under appropriate conditions. The method is applied to the Kalman filter (for which this contrast and the exact likelihood lead to asymptotically equivalent estimators) and to the discretely observed stochastic volatility models.