Decision-making capacity: the core of self-neglect

Self-neglect in the elderly is a pervasive public health issue that affects 1.2 million elderly each year. In working with self-neglect cases, ethical issues are often raised that challenge all professionals. Professional and family's wishes to remove obstacles to the wellbeing of an elderly may be directly in opposition to the individual's wishes. The core of many ethical dilemmas resides in the question of the individual decision-making capacity. Issues surrounding decision-making capacity are complex with many confounding factors. Through case-discussion, fundamental ethical issues of decision-making capacity relating to self-neglect will be explored and strategies will be offered to resolve these dilemmas.     

Suicide among elderly white men: development of a profile.

1. Older white men have the highest suicide rate in the nation; a linear increase of suicide occurs with each passing year of chronological age. 2. Elderly who attempt suicide are more likely to communicate their intentions less frequently and to use violent and lethal means. 3. Chronic sleep problems, pain, degenerative illness, or clinical depression may be experienced by older white men at suicidal risk; somatic complaints including imaginary symptoms can mask depression. 4. Educational programs, outreach mental health programs, and enhanced consultation/coordination improve case findings and early intervention. Holistic nursing care, including pain alleviation, depression assessment, and simple comfort measures, are imperative in suicide prevention in the elderly.     

Social networks among lower income Korean elderly immigrants in the U.S.

This study examines the composition and cultural context of the social networks of a sample of primarily lower-income Korean elderly immigrants and the resources and supports available through those network ties. In-depth, in-person interviews were used to investigate categories of network ties and the nature of network exchanges. Non-kin and organizational contacts were primary sources of emotional and instrumental support among this sample, with the norms and institutions of elder care in the U.S. shaping expectations regarding sources of support.     

The devil is in the details: self-neglect in Australia

Although elder self-neglect is of significant concern to adult protective service (APS) workers in the United States, minimal research has been conducted on this topic in Australia. Using qualitative research methods, this article examines how 24 Australian professionals understand situations of self-neglect. Unlike in the United States, where the term self-neglect is used in a broad and all-encompassing manner, participants in this research differentiated among self-neglect (the neglect of self), squalor (extreme neglect of environment), collecting (the accumulation of certain objects), and hoarding (the inability to throw objects away). It is argued that separating out the various behaviors that are classified under the broad umbrella of neglect can be useful in fostering reflective interventions in these situations.     

Social networks and getting a home: Do contacts matter?

Under what conditions does one find a new home via one's social network? Does the way in which a house is acquired affect how satisfied one is with the house? We formulate hypotheses on the characteristics of personal networks, the context of the move and their effect on those who attain a house through informal channels and how satisfied they are with the new home. We use a representative dataset from the Netherlands (the Survey of the Social Networks of the Dutch, SSND, n = 1007) to test our arguments. Our results show that buyers with more diverse social networks and renters with larger social networks are more likely to find their home via social contacts. However, finding a home through an informal channel does not enhance their satisfaction with the house that is found.     

Assessing capacity in the setting of self-neglect: development of a novel screening tool for decision-making capacity

Compared with older adults with disabilities and those who autonomously choose to live in squalor, self-neglect syndrome arises from a predicate state of vulnerability in frail older adults. This state of vulnerability is characteristically associated with a decline in decision-making capacity regarding the ability to care for and protect oneself. We developed the COMP Screen to evaluate vulnerable older adults to identify potential gaps in decision-making capacity using a screening tool. A total of 182 older adults were evaluated and consistent declines in cognitive ability and decision-making processes were present in this population. However, there were no significant differences between elders referred for self-neglect and matched older adults. These findings suggest that declines in decision-making processes are not uncommon in vulnerable older adults but traditional conceptualizations of decision-making capacity may be inadequate for differentiating the capacity for self-care and protection in elders who self-neglect.     

Social work field education: believing in students who are living with a disability

This paper is an exploration of social work placements with students who are living with a disability. The paper discusses hurdles including censoring placements and opportunities, equal access, strategies for building a belief in ability and self-esteem. Field education is a significant part of the social work degree internationally. It allows social work students to further develop their social work identity and to apply their knowledge to professional practice through real-life learning. The paper broadens the conversation on social work placements and ability, adding some personal narratives and sharing some insights from an Australian university context.     

Social networks and labour market outcomes in a meritocracy

This paper examines the significance of personal contacts in job searches, in the context of Singapore's meritocratic system. I show that in certain sectors, such as the state bureaucracy, social networking brings no distinct advantages as appointments are made exclusively on the basis of the academic credentials of the candidates. Thus, personal contacts are not always useful, especially in labour markets that rely heavily on the signalling role of academic credentials to match persons to jobs and allocate rewards. In contrast, personal contacts are more useful among less qualified job searchers in the private sector.     

Social networks and the asylum cycle: the case of Iranians in the Netherlands

"This paper examines the traditional distinction between the migration of refugees and labor migrants in the context of Iranian asylum seekers in the Netherlands. The empirical strategy adopted is to apply a framework designed specifically to explain labor migration to the case of asylum migration, and the social networks approach is identified as the most appropriate. This paper examines the role of social networks through the asylum cycle, focusing on the decision to migrate, the choice of destination, and adaptation in the host society. The key conclusion is that the validity of the distinction between refugee and labor migration varies through the asylum cycle even for the same individual."     

The content of the General Social Survey discussion networks: an exploration of General Social Survey discussion name generator in a Chinese context

This study focuses on the discussion network name generator used in the 1985 General Social Survey (GSS). Based on the data from a Chinese survey, it explores the content of the discussion networks by examining the overlapping of names generated by the GSS discussion name generator and the exchange name generators. It finds that the GSS discussion question has generated a range of social ties, which accounts for an important part of a Chinese personal network. Specifically, the people with whom the Chinese respondents discussed important matters are also likely to spend leisure time with the respondents and to be the confidants for personal matters. Some of them are expected to offer substantial help or to possess important social resources; however, they are least involved in what are considered family affairs.     

Social networks: A village of support for single mothers

The purpose of this study was to expand the literature by investigating the perception of social support by single mothers who sought online support through social media. This study explored sources of social support in single mothers using the Multidimensional Scale of Perceived Social Support (MSPSS) to examine if income, education level, or type of marital status is related to sources of social support among single mothers who utilized online support. The study also investigated statements regarding support from family, friends, and significant others that were ranked highest by single mothers who utilized online support. Results revealed that participants received sufficient amounts of social support from family, friends, and significant others, with income accounting for 12% of the variance in social support subscale scores and no significant differences with regards to education level or type of marital status. Results also indicated that three of the four most strongly rated items on the MSPSS related to social support from friends. This study invites mental health providers and researchers to consider the value and utilization of social media networks for single mothers.     

Social networks and student activism: on the politicising effect of campus connections

In the first part of this paper I present original survey data which suggests that the transition from further to higher education, or more specifically the process of becoming a university student, has a politicising effect upon some students. In particular, university students are more likely that their 6th form counter‐parts to have engaged in some of the forms of protest activity associated with social movements. This holds even during periods when levels of social movement mobilisation are low both on and off campus. In the second part of the paper I review several of the key theoretical explanations of student politicisation to be found in the social movements literature. Having criticised these theories and noted that they are challenged by my survey findings, I outline an alternative which focuses upon campus‐based social networks. University campuses, I suggest, facilitate the formation of a critical and connected mass of previously politicised actors who then use their further networks to recruit political novices into activism. It is this recruitment activity, which is greatly enhanced by the network structure of campus life, which explains the politicising effect of campus life. Moreover, insofar as new recruits go on to become recruiters this forms part of a self‐perpetuating dynamic of politicisation.     

Social networks of old people in India: research and policy

This article presents a comparative analysis of the available research on the social networks of older persons in India. Most of this research has been done in North Indian cities. The research foci of the available studies include network size, core networks and beyond, life course changes in networks, impacts of residency in old-age homes, gender differences, and joint and nuclear family residence. This research is discussed in terms of its policy implications. Because the research demonstrates that social networks are important for the welfare of older Indians, one can conclude that social policy that encourages the maintenance of robust networks throughout the life course may be worth pursuing. One aspect of policy is discussed. The analysis of the relationship between social network and gender suggests that current policies that can be seen as supporting gender inequality in terms of property may have a negative impact on the networks of older women.     

Social embeddedness in a harmonized Europe: the social networks of European migrants with a native partner in Belgium and the Netherlands

Although intra‐European migration is often considered relatively easy to realize given European citizens' right to freedom of movement, settlement in another European country can still be experienced as socially disruptive. Insights in the insertion processes of European migrants, nevertheless, remain rather scarce. In this study, we analyse the social networks of European nationals with a native partner in Belgium and the Netherlands. The analysis is based on survey data from the EUMARR project (n = 576). First, we study the size and composition of European migrants' local family and friendship networks, and the frequency of contact with these networks. Second, we connect intra‐EU movers' insertion routes to investments in transnational networks in their home country. The results reveal how size, composition and contact with the local and transnational network change over time. Children help to maintain contact with both the local and transnational family network and form a bridge for parents to meet own friends in the host country. Moreover, having own friends and own family around matters for contact frequency with the local networks.     

Social networks of knowledge production in Brazilian psychology: comparing sub-areas

The social processes underlying the production of scientific knowledge make it an inherently social endeavor. The interaction between systems of thought and affiliation has been subject of the sociology of science, with remarkable developments in studies on the structure of scientific fields based on social networks analysis. Although psychology is one of the pioneer fields investigated in this literature, there is scarcity of research on psychology. The objective of this paper is to describe the social networks’ dynamics of knowledge production in psychology in Brazil, comparing association patterns among its sub-areas. For this purpose, 395 researchers responded an electronic questionnaire about their relationships. Networks of nine psychology sub-areas were analyzed for structural properties (i.e. density, centrality) and relational exchanges (the connecting roles of boundary spanners and central connectors). Findings showed different structures and connectivity patterns between networks, but most of these areas configure as small worlds. Discussion explores implications of these findings for the production of knowledge within areas, and for the national production of psychological knowledge as a whole, with effects on the international projection of knowledge produced in Brazil.     

Evaluation of myocardial alterations using the enzymatic profile of elderly long-distance runners

Elderly population often is encouraged to practice sports in preventing cardiovascular diseases. However, evidences exist that intense physical efforts are related with a higher risk for acute myocardial infarction and sudden death. Biological markers for myocardial injury was analyzed in a group of 15 elderly athletes without a history of coronary artery disease, who participated in the 77th International Sao Silvestre race (15,000 m) in Sao Paulo City. A statistical difference was observed between total CPK activity levels before the run, immediately after the run, and some time later. Similar results were observed in the concentration of CK-MB mass. The cardiac troponin I (TnI-c) levels remained unchanged and within normal limits during the same time periods. The results of the present study showed no evidence of myocardial injury in elderly subjects without a history of coronary artery disease after participating in long-distance runs, as confirmed by the analysis of TnI-c levels. The increase in total CPK activity levels and the concentration of CK-MB mass do not represent myocardial injury in these subjects.     

Social work field education: believing in supervisors who are living with disabilities

Much of what is written by non-disabled authors about living with disabilities does not mirror people’s experiences or opportunities. Literature is often written about people’s abilities (or disabilities) rather than by or with people. Discourse about supervision of social work students can risk assuming that supervisors are people who do not identify as living with disabilities. This research is a co-operative inquiry into the experience of being an Australian social work student supervisor who is living with disabilities. The article extends the literature about being a social work field educator to include ability, and values the practice wisdom of experienced social workers including a current student supervisor who is living with a disability.