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This paper demonstrates the need for a broad array of clinical services in treating the emotionally disturbed, mildly retarded youngster in the foster care system. A hypothesis suggests that cognitive deficits and borderline pathology are interrelated, and that treatment involves modifications of traditional therapeutic techniques. The definition of clinical is expanded to include seemingly concrete and environmental services, in addition to the office therapy session. Finally, some systemic impediments to effective treatment of the population are explored.This paper was completed as a requirement of the Post-Master's Program in Advanced Clinical Social Work of Hunter College School of Social Work.  相似文献   
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There has been a perceived increase in the number of medical negligence claims in recent years. The modern metropolitan medical examiner is increasingly called upon to deal with numerous medical, legal, social, and ethical issues. Nowhere is the role of the medical examiner more important than in the investigation of deaths related to surgical, diagnostic, anesthetic, or therapeutic procedures. Medical examiners have an important role in the investigative process. Through utilization of the offices and services of the medical examiner, questions raised by families, physicians, and other hospital employees may be satisfactorily answered a priori, and litigation may therefore be averted.  相似文献   
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The project reported in this article aimed to discover how well the needs of women were being met with respect to rural development and to identify the best approaches to communicating information to farmers in Tanzania. Semi-structured interviews of male and female respondents in selected 200 households in Shinyanga, northwestern Tanzania, were conducted. The interviews were conducted in order to record data on gender differences in farming and herding with the aim of determining how to communicate information on development. Findings showed that women continued to be the poorest group in the community. Use of introduced technology was mostly associated with men's work. The activities of Hifadhi Ardhi Shinyanga conducted through communication channels were also more accessible to men than women. The improved stoves specifically aimed at women also failed because of ineffective communication strategies. It is difficult to approach women because they tend to be tied far more closely to the area of their homes. Thus, training through village workshops would encourage the active participation of women. This would enable information to be shared with, and between, as many women as possible.  相似文献   
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The topic of branch banking in the United States in the year 2000 is obviously one that has been in the minds of California bankers for some time because California is the largest state in the United States to permit virtually unlimited statewide branch banking. It is a topic that must also be in the minds of a large number of European and Asian bankers as well because several non-U.S. banking systems have already established large branch networks in the United States. It is a difficult topic because no one knows precisely what will be the status of branch banking in the year 1990, let alone the year 2000. This article makes some predictions.  相似文献   
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The introduction of major information systems into organizations can be fraught with difficulties. The negative effects of such systems can, for many important organizational members, be too great a price to pay for the supposed benefits. The advent of computerised information systems has served not merely to deskill the clerical ‘craft’ but can also be used as a strategy by top management to reduce the management control gap. However, by undercutting the organizational ‘rules of the game’, information systems innovation can produce severe strains and stresses in the political system. The proposals in the literature to combat the effects of innovation are examined. A broader, political perspective is used to reveal some of the inadequacies of these proposals and supporting data, gathered from interviews in several Canadian organizations, are presented to illustrate this. The paper ends with a discussion of the implications of this broader approach.  相似文献   
7.
In this study, intra‐ and inter‐generational perspectives on youth participation are combined and compared. Young people were invited to participate as research partners in an interactive research circle and conducted a survey about participation with other young people as respondents. The discussion concerns how an interactive methodology contributes to the understanding of the concept of participation. It is suggested that political definitions of participation be amended to include having a sense of being recognised in a communicative context, taking responsibility and share with other people one's experiences. This is based on the perspectives of young people.  相似文献   
8.
Inclusion as Social Practice: Views of Children with Autism   总被引:4,自引:0,他引:4  
This study illuminates the social realities of inclusion of 16 high functioning children with autism (HFA) in public schools in the United States. The study suggests that the practice of inclusion rests primarily on unaffected schoolmates rather than teachers, who typically are occupied monitoring academic progress and disciplinary transgressions across a range of children. Utilizing ethnographic observations and video recordings of quotidian classroom and playground activities, the analysis elucidates how classmates employ a range of positive and negative inclusion practices that either integrate or distance autistic children. Ethnographic observations of the study population indicate that the children whose diagnosis was fully disclosed enjoyed more consistent social support in the classroom and on the school playground. The study further suggests that high functioning children with autism exhibit a range of reactions to negative inclusion practices such as rejection and scorn. Such reactions include oblivion, immediate behavioral response, and emotionally charged accounts of disturbing school incidents shared after-the-fact with family members. Significantly, these observations indicate that HFA children can be cognizant of and distressed by others' derisive stances and acts, despite symptomatic difficulties in interpreting others' intentions and feelings.  相似文献   
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