A test of the utility of social indicators for behavioral health service planning

Given current imperatives for more effective, responsive, and economical government, policy planners and administrators are seeking increasing assistance from social scientists. Here the usefulness of social indicators to the processes of policy planning and implementation in the delivery of mental health, alcohol and drug abuse services is investigated to determine whether social indicator data can contribute to more effective policy planning. In a two part study, the relationship between social indicators and Specific sources of these data were: population total, subdivided by geographic area and race (Caucasian, Black, and Other, which in Arizona is virtually all Native Americans) from the 1975 special census; population by age and ratio of dissolutions to marriages from the Arizona Statistical Review for 1977; crime rates from the Arizona State Justice Planning Agency for 1975; and cause of death rates from the Bureau of Vital Statistics, Arizona Department of Health Services for 1975. Subjective measures of psychological well-being were not available for the internal validational component of the study. state wide service utilization rates and The Negative Affect Scale measures the individual's level of anxiety, worry, loneliness, and sadness, and is associated with other measures that have been used in epidemiological studies to identify persons with psychological difficulties. The Psychiatric Screening Inventory assesses an individual's level of psychiatric impairment as evidenced by the frequency with which he or she reports having experienced each of the 22 psychological and psychosomatic symptoms on the scale. It has also been used in numerous epidemiological studies to investigated levels of impairment among various populations. The Positive Affect Scale reflects the degree to which the person is involved with, interested in, and experiences control over his or her physical and social environment. Active involvement with the world and frequent social participation are considered to be conducive to the experience of positive affect. The Perceived Quality of Life Scale measures the degree to which the persons is satisfied with the quality of his or her life. The score on this scale is a composite of the respondent's level of satisfaction in different areas of life such as standard of living, health, personal functioning, and family life. The greater the satisfaction in these separate areas, the higher will be the individual's overall evaluation of the quality of his or her life. psychological well-being in the community is examined. Both objective and subjective social indicators were studied. Both types of indicators were found to be useful and complementary in identifying service needs and states of well-being in the community.     

I Want to Pretend I'm Eleven Years Younger: Subjective Age and Seniors' Motives for Vacation Travel

Subjective age–as distinct from chronologicalAge–is a relatively recent area of scientificinquiry within quality-of-life studies. Thepurpose of this empirical study was to seewhether the size of the gap between actual andself-perceived age could be predicted from aknowledge of a senior's reasons for wanting totravel on vacation, and his or her valuepriorities and sense of physical well-being. Asurvey of 356 Australian seniors ranging in agebetween 56 and 93 yielded data on theirsubjective age, measured in terms of (a) howold they felt; (b) the activities they wouldchoose to experience or enjoy while on avacation; and (c) the age they wished to betreated and recognized as–as well as theirpsychological motives for vacation travel,personal values, and self-rated health. Theresults of multivariate analyses indicate thatthe gap between actual age and subjective ageis a function of seniors' particular motivesfor travel and what they value in life, and,for certain aspects of subjective age, howhealthy they feel and their gender.     

Investigating the Substantive Aspect of Construct Validity for the Satisfaction with Life Scale Adapted for Children: A Focus on Cognitive Processes

The objective of this study was to investigate the substantive aspect of construct validity of the Satisfaction with Life Scale adapted for Children (SWLS-C; Gadermann et al. in Soc Indic Res 96:229–247, 2010). Specifically, the study examined the cognitive processes of children when responding to the items of the SWLS-C to find out how they interpret and respond to the items. Think-aloud protocol interviews were conducted with 55 students in grades 4–7 (58% girls, mean age of 11 years, ranging from 8.8 to 12.8 years) and content analysis was used to analyze the data. The findings indicate that most children had no difficulty in understanding the items, and used mainly two strategies for responding to the items: (1) an absolute strategy, in which children used absolute statements to indicate the presence or absence of something that is important for their judgment of their satisfaction with life, and (2) a relative strategy, in which children used relative or comparative statements. In the absolute statements, children primarily referred to social relationships, personal characteristics, time use, and possessions. In the relative statements, the children primarily compared what they have to (a) what they want (b) what they had in the past, (c) what other people have, and (d) what they feel they need. Furthermore, most children considered it important that information on their life satisfaction is obtained. The results are discussed with regard to multiple discrepancies theory (Michalos in Soc Indic Res 16:347–413, 1985) and previous empirical findings. The results provide insights into children’s cognitive processes when responding to items on life satisfaction and provide validity evidence that the SWLS-C is an appropriate measure to assess life satisfaction in children of this age.     

“I'm Nobody”

Television and film writer Joss Whedon has produced a number of popular culture works which explore representations of what female bodies are seen to be capable of and how these representations affect what female bodies can do. Texts such as Buffy the Vampire Slayer (1997–2003), Serenity (2005), and Dollhouse (2009–2010) are as much celebrated for subverting gender and genre conventions as they are criticized for reinforcing sexualized images of women and violence. Instead of approaching Whedon's texts in terms of their representations of gender, and how feminist or otherwise these representations are, this paper explores the ways in which Whedon's texts suggest that subjectivity is textually and discursively constructed. In particular, I will stage a reading of his latest television program, Dollhouse, as a representation of the somatechnical construction of bodies and identity. Somatechnics refers to the inextricable connection between the soma, the material corporeality of bodies, and the techne or techniques and technologies through which bodily being is produced and lived. By making visible the somatechnics of bodily being and the ways gender and embodiment are experienced through and produced by cultural and discursive technologies, Dollhouse emphasizes the role of power in the construction of embodied identity rather than something which always or inevitably oppresses and constrains bodies gendered as female.     

An interpretive review of women's experiences of gestational diabetes mellitus: Proposing a framework to enhance midwifery assessment

BackgroundGestational diabetes mellitus (GDM) affects almost 5% of pregnancies in Australia, and within 15 years, 25% of affected women will go on to develop Type 2 Diabetes Mellitus (T2DM). The adoption of preventive health behaviours may be influenced by women's experiences of GDM.QuestionThis review sought to understand women's beliefs, values, perceptions and experiences following diagnosis of GDM.MethodsPeer reviewed and professional journals were searched for primary research, published between January 1991 and December 2011 that explored the beliefs, values, perceptions and experiences of peripartum or postpartum women with a diagnosis or history of GDM.FindingsNineteen studies met the inclusion criteria and the majority of these studies were qualitative (n = 15). Each study was reviewed and synthesis revealed three emergent themes and core concepts related to each theme: Responses (initial reaction to GDM diagnosis, negative thoughts following diagnosis, struggle to manage GDM, feelings of ‘loss of control’, changes to identity and adapting to change), Focus of Concern (concern for baby's health, mother's concern for her own health, perceived seriousness of GDM, perceived fear of T2DM) and Influencing Factors (cultural roles and beliefs, social stigmas, social support, professional support, adequate and appropriate information, social roles and barriers to self-care).ConclusionThe experiences of women with GDM are unique and personal however this review highlights common experiences evident in the existing research. The proposed framework may be used by midwives in clinical assessment and care of women diagnosed with GDM.     

Evidence-Based Well-Being/Positive Psychology Assessment and Intervention with Quality of Life Therapy and Coaching and the Quality of Life Inventory (QOLI)

Quality of Life Therapy and Coaching (also known as Quality of Life Therapy) is a comprehensive, manualized, theory-based, and, according to Diener (2013) and Seligman (Flourish, Free Press, NY, 2011, p. 292), evidence-based approach to well being, happiness, and positive psychology intervention suitable for both coaching and clinical applications. Clients are taught strategies and skills aimed at helping them to identify, pursue, and fulfill their most cherished needs, goals, and wishes in sixteen valued areas of life said to comprise human well-being and happiness. Quality of Life Therapy and Coaching is “manualized” in the form of the book entitled Quality of Life Therapy (Frisch 2006), providing step-by-step instruction in assessing well-being, tailoring interventions, and monitoring progress, outcome, and follow-up with the evidence-based well-being assessment, the Quality of Life Inventory or QOLI^®. This article describes Quality of Life Therapy and Coaching and reviews developments and research since the publication of the manual in 2006. Randomized controlled trials bearing on the empirical support of Quality of Life Therapy and Coaching and the related assessment, the Quality of Life Inventory, are reviewed. The steps in Quality of Life Therapy and Coaching are delineated in the context of an illustrative case and an underlying theory which attempts to integrate findings from the fields of well-being, positive psychology, happiness, quality of life, social indicators research, psychotherapy, and coaching. Future applications and research are suggested which may identify the effective components of Quality of Life Therapy and Coaching and assess their direct impact on health and illness, encourage the use of evidence-based assessments and interventions on the part of well being coaches and therapists, and create health care delivery systems in which well being assessments and interventions are conducted concurrently with symptom-oriented tests and treatments.     

Charles Henry Pearson on the Decline of the Family

A common observation and frequent lament about family change in contemporary societies is of the shift of childraising responsibilities from parents to the state. This shift (and what might be done to reverse it) was a theme, for example, of James S. Coleman's 1992 presidential address to the American Sociological Association. In the new circumstances, said Coleman, “carrying the family's honor into the future is less important”; in many families adolescent children “are abandoned psychologically and socially.” The state, however, still has “strong interests in maximizing a child's value to society, or minimizing its cost.” A century before Coleman, Charles Henry Pearson, in the passage reproduced below from his book National Life and Character: A Forecast (1893), wrote of the decline of the family in quite similar terms. He argued that state intervention was undertaken only reluctantly, a byproduct of changes in conjugal relations from arranged marriages to “marriages of inclination,” along with easier divorce, and consequent lessening of parental interest in the family line. The state, almost by default, needed to assert the public interest in the raising of children, even though its measures, notably compulsory education, further eroded parents' rights over their children and children's sense of duty and obligation to their parents. While Pearson mostly welcomed the gender equity and individualism he saw emerging, he regretted their effect on the family—on what he termed (metaphorically) “the religion of household life.” His prescient forecast was of “a state of things in which marriages will be contracted without reflection, and broken up without scruple, in which children will be cared for when they are young with, it may be, even more tenderness than of old, but with incomparably less anxiety to fit them for the moral obligations of life, and in which the claim of parents to be obeyed will cease with the children's need of support.” His conclusion: “Family life will be a gracious and decorative incident in the system of such a society; but the family, as a constituent part of the State, as the matrix in which character is moulded, will lose its importance as the clan and the city have done.” Charles Henry Pearson (1830–94) was a British historian who had a second career as an educationist and politician in the colony of Victoria in pre‐Federation Australia. Educated in London and Oxford, he was appointed professor of modern history at King's College, London. His early work included travel writings and a well‐received History of England during the Early and Middle Ages (1867). When his academic career stalled (partly because of very poor eyesight) he emigrated to Australia, where he became closely involved with educational issues. He was elected to the Victorian legislature and was for a time minister of education, able to put into practice his firm views favoring secular education. (See his remark below that Church‐run schools “have generally been strong enough to exclude competition, [but] not rich or enlightened enough to use their monopoly well.”) In 1892 he returned to England, and the following year published National Life and Character. This work, widely read and praised at the time, went through several editions over the next two decades. It essayed forecasts in various domains of society and politics, including a prediction (couched in elitist language) of the passing of the ascendancy of European peoples as other nations grew in numbers and strength (“We shall awake to find ourselves elbowed and hustled, and perhaps even thrust aside,…”). The excerpt is from pages 261–270 of Chapter 5, “The Decline of the Family,” in National Life and Character: A Forecast (London: Macmillan and Co., 1893).     

Disclosing a LGB Sexual Identity When Living in an Elderly Long-Term Care Facility: Common and Best Practices

ABSTRACT

This study aims at exploring staff perceptions of common and best practices toward a situation in which an older resident discloses their non-heterosexual sexual identity, differentiating between gay men, lesbians, and bisexuals. A total of 2,254 staff members from 96 Spanish long-term care facilities took part in the study. They were asked about what they think most of their workmates would do and what they think should be done in a situation in which an older resident discloses his/her non-heterosexual sexual orientation. The results indicate that, in general, staff’s attitudes to non-heterosexual older residents’ disclosure of their sexual identity are quite tolerant and open. However, differences in staff perceptions of common and best practices indicate that there is still potential for improvement. Results underline that factors such as residents’ sexual identity (and particularly, bisexuality), generation, professional position, and the prevailing model of care influence staff responses.     

Positioning the self

This article explores how a group of regular magazine readers interpreted representations of women's lives in women's magazines. These readers consistently evaluated magazine texts in relation to their own lives and their own conceptions of identity. They used their personal experiences and their notions of what a woman's life is really like in order to distinguish between relevant and irrelevant journalism in women's magazines. When talking about women's magazines they formulated narratives about their own identities, and they drew on various discourses that placed women's magazines in relation to their subjective experiences of ordinary everyday life. A reflexive positioning of the self was therefore crucial to their mode of interpretation. The analysis is based on qualitative in-depth interviews with subscribers to a popular Norwegian women's magazine, and the findings are discussed in the light of Anthony Giddens' theory of the reflexive self and Toril Moi's reading of Simone de Beauvoir's existentialist feminist philosophy.     

Liberation groups and life philosophy

Social liberation movements are significant arenas for cultural value growth. I discuss two forms of value growth that occur on the social liberation front-life philosophy value growth and life-style value growth. I show how life philosophy values are personal identity instilling values while life-style values are social identity instilling values. Unfortunately, within many social liberation movements, the two sorts of values often get confused with one another. I discuss some of these confusions within both the black liberation and feminist liberation movements. I also discuss some proper value growth models that work appropriately within these movements.     

Krise im Betrieb

Since 2008 European societies are confronted with fundamental economic, political and social crises. While southern European countries are especially struck by the ongoing economic crisis, economic data suggests a relative stability for Austria. But what remains from the crisis also in Austria are strong feelings of insecurity and uncertainty within the Austrian population. The concrete perceptions of the economic crisis were therefore analyzed with the aid of semi-structured, quantitative interviews with workers?? councils (n?=?99). The survey concentrated itself on questions such as what the crisis means for workers, whether there are connections between the perceptions of the crisis and feelings of insecurity and uncertainty and which societal consequences these feelings of insecurity and uncertainty could have.     

Aging in a Foreign Country: Voices of Iranian Women Aging in Canada

ABSTRACT

Older Iranian women, who immigrated to Canada in later adulthood, experience unique issues as they age. In order to better understand this experience, in-depth, personal and semi-structured interviews were conducted with five immigrant/refugee Iranian women who immigrated to Canada in their later life. Analysis revealed that although each woman's story conveyed individual differences and idiosyncrasies, all the stories highlighted the critical interweaving of the aging experience and the immigration experience: neither experience could be understood in isolation of the other; each aspect gave meaning to the other experience. Two interrelated messages dominated the women's stories: first was the importance of each woman's immigration story for grounding her experience of the aging process in Canada. Second, each woman's personal story suggested that the immigration experiences were accorded priority for accounting for her experiences in Canada. Specifically, cultural identity (i.e., social class, education, religious affiliation and immigration status) offered a valuable cloak for overshadowing the force of the aging process and the aging process emerged as an elusive force that lurked in the background without ever being fully acknowledged or given power in their lives. The implications of these findings in relation to theory development on intersectionality and professional practice are discussed.     

Regrets in Later Life

ABSTRACT

With the various options of life choices in the American culture and the great opportunity for choosing one's own path in life, there is also great opportunity for regretting paths taken and not taken. Information on regrets in later life was collected both qualitatively and quantitatively through interviews and mailed questionnaires from 140 retired individuals. Regret was measured using the Life Revision Index (LRI) (DeGenova, 1992) and the Regrets Self Inventory (Klein & Gotti, 1992). Both men and women reported they wish they would have pursued more education, but women had significantly higher regrets in this area. In general, the desire to have spent more time understanding the self and developing the mind and intellect was especially evident among women.     

Who decides the position for birth? A follow-up study of a randomised controlled trial

BackgroundPhysical benefits are suggested for women and their babies when women adopt an upright position of their choice at birth. Available care options during labour influence women's impressions of what intrapartum care is. This indicates that choice of birth positions may be determined more by midwives than by women's preferences.QuestionThe aims of this study were to investigate factors associated with adherence to allocated birth position and also to investigate factors associated with decision-making for birth position.MethodAn invitation to answer an on-line questionnaire was mailed.FindingsDespite being randomised, women who gave birth on the seat were statistically significantly more likely to report that they participated in decision-making and that they took the opportunity to choose their preferred birth position. They also reported statistically significantly more often than non-adherers that they felt powerful, protected and self-confident.ConclusionsMidwives should be conscious of the potential impact that birth positions have on women's birth experiences and on maternal outcomes. Midwives should encourage women's autonomy by giving unbiased information about the birth seat. An upright birth position may lead to greater childbirth satisfaction. Women's experience of and preferences for birth positions are consistent with current evidence for best practice.     

Generationenabfolge – ein Faktor des Wandels in Modernisierungsprozessen. Shmuel N. Eisenstadts Beitrag zur Generationensoziologie

This paper will highlight to what extend Eisenstadt’s theory connects to the approach of historic generations. At first, his early comparative work “From Generation to Generation” is reconstructed. In this book, Eisenstadt presents a model of generations based on structural-functionalist assumptions; he conceptualizes the relation between generations and social change as a problem of system integration of specific age-groups on the one hand and the regulation of tensions between these groups on the other hand. Using the youth- and student movements as an example, this article shows how Eisenstadt’s interpretations change with the development of his theory. In the second part of this paper, it will be proposed how his approach can be developed further by interlocking his concept more closely with Mannheim’s theory of generations as well as other recent findings of socialization theory. It will furthermore be discussed, how his modernization theory has the potential to solve a theoretical problem inherent in Mannheim’s approach.     

Investigating Adolescent Health-Related Quality of Life: From a Self-Identity Perspective

The aim of the study was to investigate the relation between self-identity and health-related quality of life (HRQOL) in adolescence. This study assumed that four aspects (i.e. personal, social, ability, and academic identity) of identity firmness could predict adolescent’s HRQOL more than four aspects of identity importance. Meanwhile, this study also hypothesized that psychological and social relationships domains of HRQOL could be largely explained by the concept of identity firmness. One hundred and ninety-eight female adolescents participated in this study. Each participant completed a booklet containing the measures of the Questionnaire of revised edition of identity importance (QII-R), the Questionnaire of revised edition of identity firmness (QIF-R), the WHOQOL-BREF Taiwan version, and Visual-analogue HRQOL items. This study administered multiple regression analyses to test our hypotheses. The results demonstrated the concept of identity firmness could predict adolescent’s HRQOL more than the concept of identity importance. The results also supported our hypotheses that psychological and social relationships domains of HRQOL could be largely explained by the concept of identity firmness. In general, this study supported our hypotheses that the concept of identity firmness is a crucial predictor to adolescent’s HRQOL.     

Socially disadvantaged women's views of barriers to feeling safe to engage in decision-making in maternity care

BackgroundAlthough midwifery literature suggests that woman-centred care can improve the birthing experiences of women and birth outcomes for women and babies, recent research has identified challenges in supporting socially disadvantaged women to engage in decision-making regarding care options in order to attain a sense of control within their maternity care encounters.ObjectiveThe objective of this paper is to provide an understanding of the issues that affect the socially disadvantaged woman's ability to actively engage in decision-making processes relevant to her care.Research designThe qualitative approach known as Interpretative Phenomenological Analysis was used to gain an understanding of maternity care encounters as experienced by each of the following cohorts: socially disadvantaged women, registered midwives and student midwives. This paper focuses specifically on data from participating socially disadvantaged women that relate to the elements of woman-centred care-choice and control and their understandings of capacity to engage in their maternity care encounters.FindingsSocially disadvantaged women participants did not feel safe to engage in discussions regarding choice or to seek control within their maternity care encounters. Situations such as inadequate contextualised information, perceived risks in not conforming to routine procedures, and the actions and reactions of midwives when these women did seek choice or control resulted in a silent compliance. This response was interpreted as a consequence of women's decisions to accept responsibility for their baby's wellbeing by delegating health care decision-making to the health care professional.ConclusionThis research found that socially disadvantaged women want to engage in their care. However without adequate information and facilitation of choice by midwives, they believe they are outsiders to the maternity care culture and decision-making processes. Consequently, they delegate responsibility for maternity care choices to those who do belong; midwives. These findings suggest that midwives need to better communicate a valuing of the woman's participation in decision-making processes and to work with women so they do have a sense of belonging within the maternity care environment. Midwives need to ensure that socially disadvantaged women do feel safe about having a voice regarding their choices and find ways to give them a sense of control within their maternity care encounters.     

“Fruits,” “Fags,” and “Dykes”: The Portrayal of Gay/Lesbian Identity in “Nance” Jokes of the ’50s and ’60s

ABSTRACT

What is humorous and how it is interpreted very much depends on the norms and values of a culture at a particular point in time, the characteristics of who is telling jokes, and the makeup of the audience. This article presents archival material and an analysis of an outsider's jokes about gays and lesbians. These were told to primarily heterosexual audiences by a heterosexual comic. They reveal the assumptions Americans held about gays and lesbians throughout the 1950s, 1960s, and a few years into the mid-1970s, when most of these jokes were compiled. Although generalizations about gay/lesbian humor in that period cannot be made from one person's private collection of nearly 1,000 jokes, they do reveal several clear patterns: Much of the humor about male homosexuality is used to debase men and their masculinity, by making them passive, feminine, or weak, except for their hypersexuality. The women are also depicted in the jokes as sexually eager, especially to give oral sex to possibly straight women or acting in the male insertor role. Rarely were the gay/lesbian jokes focused on political issues of discrimination, oppression, or romantic relationships.     

Images of a Loving God and Sense of Meaning in Life

Although prior studies have documented a positive association between religiosity and sense of meaning in life, the role of specific religious beliefs is currently unclear. Past research on images of God suggests that loving images of God will positively correlate with a sense of meaning and purpose. Mechanisms for this hypothesized relationship are drawn from prior work on attachment theory, religious coping, and symbolic interaction. We suggest that these mechanisms are complementary and that secure attachment styles, reliable coping strategies, and positive self-images work in tandem to facilitate a sense of meaning and purpose. Using a random, national sample from the second wave of the Baylor Religion Survey, we perform multivariate regression analysis that controls for key religious and demographic effects. In our full model, results indicate that the dependent variable is positively associated with student status, religious non-affiliation, congregational friendship networks, and frequency of prayer. Most important from the perspective of the present study, the connection between loving images of God and a sense of meaning and purpose is consistent and robust.