The effect of sex role differences on the societal reaction to mental retardation

This paper investigates the thesis that sex role definitions in the U.S. support a double standard in societal reactions to mental incompetence. Role expectations for women are such that females are generally expected to be less competent than males in a variety of instrumental tasks, although perhaps more expressive. Males in turn are expected to be more active and aggressive than females in their exercise of the greater power and responsibility ascribed to them. In light of these generalized expectations we suggest that incompetence in instrumental fields is more disturbing when demonstrated by males, and we hypothesize that societal reactions to the mental deficiencies of males are more prompt and severe. The paper supports this hypothesis with data suggesting that mentally retarded males are more likely to be institutionalized than retarded females, and that males tend to be institutionalized at earlier ages and for milder disorders. It is noted that these data are consistent with previously reported data on mental illness.     

Smoking and persistent mental illness: an exploratory study

The rate of smoking is alarmingly high among persons with persistent mental illness and they are no less susceptible to the harmful effects of smoking. Nicotine is a potent, addictive drug which affects neurotransmitters. Smoking can affect psychiatric symptoms as well as blood levels of psychotropic and other medications. Most persons with mental illness are aware of the detrimental health risks of smoking and many are interested in quitting. Poor physical health is associated with efforts to quit. Personal commitment is important to successfully quitting.     

‘Older people’ talking as if they are not older people: Positioning theory as an explanation

This paper addresses the question of how we account for ‘older people’ talking as if they are not older people. Membership of an age category is usually conceptualised as having a pre-discursive reality, as is inherent in the concept of ‘denial of ageing’. This paper theorises membership of an age category as a discursive resource and uses positioning theory to examine what is said. Working within the framework of discursive psychology, it demonstrates both the complexity and the fruitfulness of identifying older-age related positions in talk. Data is presented where speakers position themselves as not-older-people or modify positionings of themselves as older. The data comes from interviews about a topic where age status is often treated as pertinent: sexual activity in later life. The analysis demonstrates that how speakers position themselves in relation to older age depends on, and has important consequences for, the particular local business of the interaction.     

Measuring societal effects of transdisciplinary research projects: design and application of an evaluation method

Most Transdisciplinary Research (TdR) projects combine scientific research with the building of decision making capacity for the involved stakeholders. These projects usually deal with complex, societally relevant, real-world problems. This paper focuses on TdR projects, which integrate the knowledge of researchers and stakeholders in a collaborative transdisciplinary process through structured methods of mutual learning. Previous research on the evaluation of TdR has insufficiently explored the intended effects of transdisciplinary processes on the real world (societal effects). We developed an evaluation framework for assessing the societal effects of transdisciplinary processes. Outputs (measured as procedural and product-related involvement of the stakeholders), impacts (intermediate effects connecting outputs and outcomes) and outcomes (enhanced decision making capacity) are distinguished as three types of societal effects. Our model links outputs and outcomes of transdisciplinary processes via the impacts using a mediating variables approach. We applied this model in an ex post evaluation of a transdisciplinary process. 84 out of 188 agents participated in a survey. The results show significant mediation effects of the two impacts "network building" and "transformation knowledge". These results indicate an influence of a transdisciplinary process on the decision making capacity of stakeholders, especially through social network building and the generation of knowledge relevant for action.     

Social networks for women with serious mental illness.

Assessment of ways to work with situations as they exist, and capitalizing on positive factors or strengths within the client's life context, may enhance the nurse-client relationship, and the likelihood of positive outcomes. It is important to identify "natural helpers" and "natural community resources," such as churches and adult centers within the community and to assess the actual and potential contributions and needs of these resources.     

Storytelling as an educational strategy for older adults with chronic illness

As the population of older adults with chronic illness continues to increase, it is imperative to implement patient education strategies that are designed to elicit information and help health practitioners understand the world of the older adult. This article describes how storytelling, grounded in the basic principles of gerogogy, serves as an effective teaching and learning patient education strategy for older adults with--or without--chronic disease.     

Traditional versus Western perceptions of mental illness: women of Moroccan origin treated in an Israeli mental health center

This paper focuses on the problems encountered in providing Westernized psychiatric treatment to a population with traditional healing beliefs. The sample comprised women of Moroccan origin living in Israel undergoing treatment for psychiatric disorders (N=38), and their treating psychiatrists (N=9). Ethnographic interviews were conducted among both groups. The results revealed that the symptoms, perceptions of the illness, and problems encountered in the therapeutic relationship differed across three age groups, young women (20–30 years), more mature women (31–42 years), and older women (43–60 years). While cultural conflict appeared to affect the development of mental illness in each group, this was most pronounced among women in the middle age range. Moreover, problems in the therapeutic alliance were greatest in this age group. The data from the therapists indicated that they maintained a Western perspective in both their understanding and diagnoses of these patients' illnesses. The different perspectives of the therapists and each of the three groups of women are discussed. It is concluded that professionals treating traditional populations must avoid imposing Western standards, and consider the treatment in the context of cultural beliefs. The developmental stages of the individual, and the stage of acculturation must also be taken into account if treatment is to be effective.     

Needs of families affected by mental illness

1. To obtain the best outcomes for clients with mental illnesses, the needs of their families must also be assessed and addressed. One basic need is information. 2. Nurses can effectively teach clients and families many skills, including problem solving, parenting, coping with daily living and personal and family stressors, and effective communication. 3. Referring families to appropriate outside resources can provide them with a means of continuing support.     

The impact of mental illness on employment: consumers' perspectives

This paper is based on a qualitative study of employment for people with mental illness. Forty-one consumers of mental health services were interviewed to obtain their perspectives on employment. One of the major issues they discussed was the ways in which mental illness affected their employment experiences. These effects were complex and interrelated and varied between individuals depending on their unique characteristics and circumstances. Participants described effects relating to the need to maintain mental health, difficulties with work performance, and work confidence and work goals. Understanding consumers' perspectives on how mental illness affects employment is necessary for practitioners and researchers seeking to explain or improve consumers' employment outcomes.