A conceptual model for barrier free facilities planning

This paper presents the proposal of a model for planning a barrier free industrial facilities, considering the demands that inclusion requires, ranging from outside the factory (social environment), to the needs of the production system and the workstation. Along with literature review, the demands were identified in a shoe manufacturer that employs people with disabilities, and organized taxonomically in agreement with the structure for planning facilities. The results show that the problems are not primarily related to eliminating architectural barriers and factors aimed at preventing risks to people's health and safety but, rather, are related to the company's cultural environment, because the main hazards are managerial. In special cases, it is suggested there is a need to adjust those parts of tasks that the worker cannot do, or even to re-schedule work so as to make it possible for employees with disabilities to perform their tasks.     

A model of group treatment to facilitate recovery from chemical dependence

In this article, a model of group treatment is proposed that incorporates four different group approaches (i.e., experiential, physiological-cognitive-behavioral, mutual support, advocacy) sequentially to achieve recovery outcomes among people coping with chemical dependence. The model identifies two strategies (i.e., reflection and restoration, action and support) as overarching frameworks guiding the use of these four treatment approaches. The first strategy of reflection and restoration incorporates experiential and physiological-cognitive-behavioral group approaches to promote precontemplation, contemplation, preparation, and tentative action among group members. The second strategy of action and support uses mutual support and advocacy approaches to help group members achieve and maintain treatment gains, learn from setbacks, and adopt new personal and social roles.     

Bulimia: A new perspective

The incidence of bulimia is on the rise, while its knowledge base is presently limited. The author attempts to contribute to our knowledge by sharing clinical case material which highlights characteristics of the disorder. Bulimia has been connected with anorexia nervosa as well as being considered a separate diagnostic category. Such differences of opinion reflect the newness of the knowledge and account for the variation of prognostic judgments about the disorder. Etiology of the disorder is still under investigation by researchers. Possible etiological factors are suggested. The cluster of these psychosocial factors in the patient's history include reinforcement at an early age by a parent for self care, other directedness, and the overevaluation of food in the family.     

A group model for adoption studies for special-needs children

A comparison of the effectiveness of the group model with the individual method for adoption studies reveals that the group method had a greater success in permanent placement and used adoption staff members' time most efficiently.     

Bulimia nervosa. Associated physical problems.

1. Bulimia involves more serious problems than previously thought. Bulimia nervosa is a psychiatric disorder characterized by binge eating followed by some form of combination of purging, including laxative or diuretic use, strenuous exercise, and self-induced vomiting to eliminate unwanted calories. 2. Physical problems of bulimia include oral and neck problems, metabolic acid-base imbalances, volume depletion, hypochloremia, hypokalemia, hyponatremia, hypomagnesia, hypocalcemia, hyperuricemia, gastrointestinal problems, and edema. 3. The physical problems of bulimia are less well known than those of anorexia. Nurses must be alert for clues, act on suspicions, use a nonjudgmental approach, and be knowledgeable of all assessment factors, including psychological parameters.     

A Thematic Guide To Bulimia Nervosa

This article offers a thematic guide to bulimia nervosa for both therapists and clients. It explores the relationship of common themes — developmental, interactional, sociocultural and behavioural — to the central issue of control. It uses examples from therapy sessions to highlight the themes as they emerge in therapy and to illustrate the ways in which the problem may be addressed.     

Bulimia: A false self identity

This article is based on the author's clinical experience with fifteen bulimic women over the past five years. It covers the family origins, unique characteristics, internal dynamics, and treatment of bulimia. Bulimics have a cohesive, albeit pathological, identity based on the False Self. Relying on D.W. Winnicott's theory of ego splitting between the True Self and False Self, the author elaborates the components of False Self identity. The author concludes with a comparison of the effects of group and individual therapy, and suggests that group is generally more effective than individual, and that a combination of group and individual treatment is optimal.     

Evaluation in residential treatment: the conceptual dilemmas.

Determining effectiveness of residential treatment must be preceded by basic decisions on precisely what the goals are, and in what time-frame and dimensions--symptoms or adaptability--will achievement be measured.     

A model for short-term group therapy on a children's inpatient unit

The paper describes the group therapy model which has evolved over the past two years on the Child Psychiatry Inpatient Unit of North Carolina Memorial Hospital. It begins with a brief review of the literature concerning group therapy with latency-aged children. The setting and patient population are described. Vignettes from group sessions are used to illustrate techniques which have evolved to deal with this particular setting and population. These include a leadership style characterized by much clarification, modeling, and limit setting; extensive focus on beginning and terminating; clearly defined behavioral limits; the use of time out; and use of play materials requiring little skill or attention as anxiety binders as well as projective media; and observation and supervisory discussions open to all members of the treatment team. The paper concludes with a discussion of the potentials and limitations of group therapy in such a setting. The thesis is that this model is effective in diagnosing developmental levels, in developing interpersonal skills, in substituting verbalization for action, and in mastering separation anxieties, though the setting limits the extent to which controlled regression, transference, and group pressures can develop and be used to produce change.     

A conceptual model of gambling behavior: Fishbein's Theory of Reasoned Action

The Theory of Reasoned Action holds that behavior is rational and is dependent on the individual's analysis of available information. With this view, gambling activities can be explained in terms of gambling attitudes and subjective norms. This is a departure from the more traditional lines of research that examine the influence of demographic and selected personality variables on gambling behavior. According to the Theory of Reasoned Action, these variables could influence gambling behavior, but only to the extent that they affect attitudes, subjective norms, or both.     

CASAWORKS for Families. A new treatment model for substance-abusing parenting women on welfare

This article provides a brief overview of CASAWORKS for Families (CWF), an innovative intervention designed to help substance-abusing parenting women on welfare. CWF was developed in response to the passage of welfare reform legislation in 1996. Factors that provided a background and context for the development of CWF are considered. The rationale, key elements, and the conduct of a pilot demonstration of CWF are described. Evaluation findings that serve to guide the next steps to improve the intervention are reviewed. Finally, new welfare policy priorities emerging around the importance of addressing behavioral health problems among welfare recipients are highlighted.     

Dual-earner couples and the decision to work less: A conceptual model

This paper examines the factors that affect the decision made by dual-earner couples concerning the possibility of one (or both) partners working a reduced-hours schedule. We rely on a comprehensive review of the literature on part-time work among dual-earner couples and on the factors that affect the decisions couples make about their work hours as well as preliminary findings from our ongoing study to consider two key questions: (1) What factors do dual-earner couples take into account when they consider whether one or both might work a reduced-hours schedule? (2) If the couple decides that one partner will work a reduced-hours schedule, how do they decide which partner reduces the hours of employment? Most previous research has focused on the centrality of gender in the decisions that couples make concerning the hours that they work. However, our review of the literature and the preliminary findings of our current research suggest that there are other factors that affect (directly or indirectly) the couples' decisions related to part-time options. Based on this review we present a new decision-making model for two-earner couples that will have implications for future research and policy initiatives. This paper is particularly timely for several reasons: the number of dual-earner couples continues to increase; there is some indication that more employees would choose to reduce their work hours if that were a viable option; and recently, managers and professional workers have become more vocal about their interest in part-time career options.