Senior Centers

Abstract

This article explores the degree of influence of the racial and linguistic characteristics of staff and the availability of culturally diverse programs on the level of minority elder participation in senior centers. Two hundred twenty senior centers, recreation clubs, nutrition sites, and local Area Agencies of Aging in New York State were surveyed and comprise the study population. The impact of factors such as the racial/ethnic backgrounds of the senior center staff, linguistic abilities of the staff/administrators, and the availability of culturally specific programs on the level of participation among non-Caucasian elderly were evaluated. The study found that increasing the representation of minority staff and diverse programming, increases the level of participation of minority elders in senior centers. These findings provide the framework for recommendations to increase the representation of non-Caucasian staff in senior centers. Doing so will lead to a greater diversity of senior center consumers and allow senior centers to reach out to traditionally under-served populations.     

“Res Ipsa Loquitur” … It Speaks for Itself … Social Work—Values,Pain, and Palliative Care

Abstract

Despite the mandated and moral imperative to advance linguistic competence in all health care contexts, leadership that addresses this area of practice and study in end-of-life and palliative care is not readily obvious. Because social work is ideally suited to lead efforts to advance linguistically-accessible end-of-life and palliative care, social workers are encouraged to assume the challenge. This article focuses on topics that are elementary yet central to discussions on language diversity and leadership initiatives to advance language access in end-of-life and palliative care contexts: importance and function of language, extent of language diversity, inequity related to language diversity, mandates and standards related to language access, and approaches and competencies that contribute positively to language access.     

Linguistic indirectness in parent–preschooler reminiscing about emotion‐related events: Links with emotion regulation and psychosocial adjustment

The concept of linguistic indirectness is well established within the field of pragmatics, in which it has been observed that speakers express ideas directly and indirectly. We integrated the analysis of linguistic directness and indirectness with the examination of two established measures of parental emotion socialization through reminiscing: elaboration and emotion explanations. We examined the unique associations of parents’ direct and indirect elaboration and emotion explanations with preschoolers’ emotion regulation and psychosocial adjustment. Participants were 55 parent–preschooler dyads (31 girls, 24 boys). The dyads reminisced about positive and negative events. Conversations were coded for parental elaboration, parental use of emotion explanations, and parental linguistic directness and indirectness. Children's emotion regulation was observed during standard tasks, and teachers reported on children's psychosocial adjustment. Multivariate regressions including direct elaboration and direct emotion explanations indicated that parents who engaged in more indirect elaboration when discussing positive events had children with worse emotion regulation. Parents who used indirect emotion explanations when discussing positive events had children with better psychosocial adjustment. Parents’ indirect speech during negative event discussions was not related to child outcomes. The results suggest differential functions for indirect elaboration and indirect emotion explanations in relation to children's social outcomes, and support the utility of examining linguistic indirectness.     

Pathways to age-friendly communities in diverse urban neighborhoods: Do social capital and social cohesion matter?

ABSTRACT

Using a social capital and social cohesion lens, we reposition the concept of civic engagement among older adults to examine pathways for building age-friendly communities. We analyzed data drawn from a Community-Based Participatory Research study in the Southern U.S. that explored lived experiences of older adults, age 55 and above, who participated in individual interviews (n = 15) and six focus group discussions (n = 45) to examine their perceptions of social identity, social connectedness, and civic engagement geared toward an age-friendly city. Findings indicated that several older adults had access to social networks and socially invested resources, thereby having opportunities for civic engagement and building age-friendly neighborhoods. However, social, cultural, linguistic, and structural barriers were more evident among certain diverse ethnic populations. Marginalized low-income minorities and immigrants, such as Hispanic participants, felt the lack of social cohesion among the larger society limited their ability to give back, thus decreasing their civic engagement activities. In contrast, Caucasian and African-American older adults were able to contribute to the political process through more civic participation activities. We provide implications for examining the role of social capital and social engagement to bolster civic engagement among older adults in building age-friendly communities.     

Medical and Psychosocial Treatment Issues in Breast Cancer in Older Women

ABSTRACT

The medical, psychological and social aspects of breast cancer in older women are discussed. Information is presented on relative risk, diagnostic procedures and treatment options available to breast cancer patients. The unique psychosocial issues confronted by older breast cancer patients are explored. Clinicians are encouraged to assess developmental stage, concurrent life stressors and the woman's personal interpretation of the meaning of the cancer diagnosis. Medical caregivers are urged to avoid age bias, including ageist attitudes held by the patient, in assessment and treatment planning.     

Neural Mechanisms of Trace in Chinese Topicalized Constructions

Abstract

Trace theory is a very important linguistic hypothesis within the framework of Generative Grammar. But whether the theory is correct, namely whether the assumed empty trace exists in syntactic representation, must be verified by experiments concerning the neural mechanisms of language. On the basis of Generative Grammar, the current study uses event- related potentials (ERP) to examine the neural mechanism of trace in Chinese topicalized constructions. The results show that three types of waves (a sustained negativity, a negativity elicited by the verb and a P600 elicited at the sentence-final position) are observed in the processing of Chinese topicalized constructions. These neural electrophysiological indexes indicate that the sentence-initial topic does leave a trace in the position out of which it moves, i.e. the sentence-final position, suggesting that there is a syntactic dependency between the topic and its trace. Consequently, we draw the conclusion that trace is neurologically supported in Chinese topicalized constructions and trace theory is neurophysiologically viable. Meanwhile, the study also adds neural evidence to the view that Chinese topicalized constructions are structures derived from syntactic movement.     

On the Construction of World Poetics

Abstract

Since “world literature” has in recent years become a topic of heated international discussion in the humanities, we need to formulate a concept of world poetics. This is for the following theoretical reasons. Firstly, world poetics is a natural theoretical sublation of research achievements in the field of world literature and comparative poetics. The current dominance of Western literary theories does not do justice to the experience of the literatures and literary theories of other countries and peoples. Secondly, to date, all influential literary interpretations and theories have been produced in a Western setting. However, due to the limitations of the linguistic and cultural background of such interpretations, they cannot simultaneously cover the categories and experiences of Eastern and Western literatures and literary theories. Thirdly, Chinese scholars have a long history of research in cutting-edge Western literary theories and abundant experience in indigenous Eastern literatures and critical theory. Formulating the concept of world poetics will improve world literary theories and concepts and will remap the scenario of existing world literatures and literary theories.     

In Praise of Wordless Comfort

Abstract

This paper explores the author's experience as a cancer patient. She explains why she did not seek talk therapy after learning of her diagnosis. Instead, art therapy provided access to her unconscious and helped her process bodily changes after surgery. It facilitated communication of her experience to others and expanded her self-definition. She describes the importance of other avenues of non-verbal communication, including touch, and concludes that many different modalities may provide support and comfort during critical life crises.     

The topography of medieval popular protest

ABSTRACT

Assumptions about the topography of popular revolt have been essential in constructing sociological and historical models that demarcate a ‘pre-modern’ from the ‘modern’ period. In Charles Tilly’s words, the ‘repertoires of collective action’ before the mid-nineteenth century were ‘parochial, particular, and bifurcated’, while afterwards, they became ‘cosmopolitan, autonomous, and modular’ (2008). By relying on primary sources across the Italian peninsula, France, Flanders and Britain and for the early modern period across German-speaking regions into Russia, this article shows that the plethora of late medieval revolts were rarely, if ever, confined to a neighbourhood or bounded by local religious congregations or family ties. Instead, they were citywide and north of the Alps fused alliances with the peasantry and other cities. With popular protest pushing eastward in the early modern period, these long-distant dimensions became more extensive, crossing linguistic boundaries and thousands of kilometres. In addition, this article raises new questions, such as why peasants and urban rebels in Italy, in contrast to northern Europe, resisted cross-mural alliances, and to what extent late medieval popular insurrection differed from those of the early modern period. The article ends with a call for new models to understand these differences.     

Types of boys amenable to treatment in a junior republic 1

Abstract

Educators currently are giving considerable attention to the diagnosis and remediation of children with learning disabilities. The integration into clinical social work of this body of knowledge and experience presents a major challenge. The task of understanding the impact on development of neurocognitive delays, distortions, and deficits has just begun. In this paper I review the major paradigms of learning disabilities, and discuss those psychoanalytic developmental theories that have attempted to integrate the concept of neurocognitive differences in endowment into their frameworks. I then offer a developmental perspective based on selfpsychology and the narrative metaphor to assess the impact on children's development of differences in their endowment. A case illustrates a theme in the self‐narrative of a child with a learning disability.     

Complementary properties of binary relations

After defining the complementary relation R of a binary relation R on a set X, this paper constructs the binary relation C (is a complementary property of) on the set P of nine well known elementary properties that R might possess. It deduces some theorems about C; especially that symmetry is the only one of these possible properties of R on X that is possessed by C on P. The set P may be enlarged to contain other elementary properties of R on X without changing the truth of these theorems, when the symbols of sets are properly modified. Finally, the paper discusses the desirability of a general theory of elementary properties of binary relations for the further development of statistical decision theory.     

Family and Friends of People with HIV/AIDS Support Group

ABSTRACT

Those who are supporting a loved one with HIV/AIDS are under a great deal of stress and need support too. This article describes a support group for family and friends living with HIV/AIDS in which members share their personal experiences, educate one another, and in the process, realize they are not alone as they learn to cope with the diagnosis of AIDS or HIV+ in someone they love. The struggles, conflicts, and emotions of the group members and of the group facilitators are discussed.     

Parents’ verbal communications with schizophrenic offspring∗

Abstract

Current research findings as well as both public protests and lawsuits by parent groups demonstrate the increasing dissatisfaction with prevailing approaches to the diagnosis and treatment of the syndrome termed “childhood hyperactivity.” First, this study summarizes a comprehensive review of research about the syndrome, and elaborates the research and practice issues that give rise to the contemporary controversy. Then, a promising, comprehensive new theory of child development, psychopathology, and treatment — intrapsychic humanism — is applied to the psychosocial treatment of children labelled hyperactive and their families in mental health, educational, and child welfare settings.     

Facility Organizational and Facility Resident Characteristics in Nursing Homes Serving Residents With a Mental Health History

ABSTRACT

The prevalence of mental health disorders among nursing home residents has been noted. The purpose of this study was to identify characteristics among nursing homes serving residents with a mental health history. A retrospective, cross-sectional design was conducted using the 2003 national Online Survey, Certification, and Reporting facility data merged with the resident-level Minimum Data Set resulting in 2,499 nursing homes. Across facilities, 22% of the total residents had a diagnosis of a mental disorder not including any form of dementia. Among those with a mental health history, 53% of facility residents had depression and 37% had schizophrenia.     

Extreme Copulas and the Comparison of Ordered Lists

We introduce two extreme methods to pairwisely compare ordered lists of the same length, viz. the comonotonic and the countermonotonic comparison method, and show that these methods are, respectively, related to the copula T _M (the minimum operator) and the Ł ukasiewicz copula T _L used to join marginal cumulative distribution functions into bivariate cumulative distribution functions. Given a collection of ordered lists of the same length, we generate by means of T _M and T _L two probabilistic relations Q ^M and Q ^L and identify their type of transitivity. Finally, it is shown that any probabilistic relation with rational elements on a 3-dimensional space of alternatives which possesses one of these types of transitivity, can be generated by three ordered lists and at least one of the two extreme comparison methods.     

Experiences of Caregivers in a Dementia Simulation Program

Abstract

Objectives: Simulation-based training has been used in health care to increase clinical knowledge and skills and understanding the experience of others. There is a lack of research in exploring experiences of caregivers of people with dementia in a dementia simulation program and its potential benefits on caregivers. The purpose of this qualitative study was to explore experiences of caregivers of people with dementia who participated in a dementia simulation program, called Dementia Live?.

Methods: Fourteen caregivers were interviewed after participation in DL, and thematic analysis using NVivo 11 software was used.

Results: Three themes emerged, including: (i) the Dementia Live? as an eye-opening experience; (ii) the perceived benefits of the Dementia Live? on themselves; and (iii) recommendation of the Dementia Live? to other caregivers.

Conclusions: Dementia simulation programs such as the Dementia Live? may help caregivers to have more empathy, understand better about the behaviors and feelings of people with dementia, and to use strategies that can help when working with people with dementia. Further experimental research is needed to examine effectiveness of the dementia simulation program on caregivers and people with dementia.     

Experiencing breast cancer in the context of mental illness in New Zealand

ABSTRACT

This study aimed to explore the experiences of women with mental illness who had also experienced breast cancer diagnosis and treatment, in particular, to identify barriers and facilitators to cancer treatment. Semi-structured interviews were conducted with ten breast cancer survivors who had had contact with secondary mental health services prior to their cancer diagnosis. Thematic analysis was used to identify key themes. Participants described positive experiences of cancer treatment, expressing surprise at both how well they coped with diagnosis and treatment and how well they were treated by services. Many contrasted this with their less positive experience of mental illness and mental health services. The women interviewed were active participants in their cancer treatment and did not report feeling stigmatised because of their mental health experiences. A lack of connection between cancer and mental health services was described, but this was not regarded as necessarily a bad thing. This study begins to counter the stereotypes of the difficult patient or the person unable to understand and cooperate in their own care which are prevalent in the literature. Further work is needed to understand the reasons for disparities in cancer outcomes.     

Violence in Roman Egypt. A Study in Legal Interpretation

Claudia Ulbrich, Leibherrschaft am Oberrhein im Spatmittelalter (Veröffentlichungen des Max‐Planck‐Instituts für Geschichte 58) (1979), 327 (Vandenhoeck &; Ruprecht, Göttingen, DM 70). (Serfdom on the Upper Rhine in the Later Middle Ages)

Mervyn James, English Politics and the Concept of Honour, 1485–1642 (1978), 92 (Oxford, Past and Present, Supplement 3, £1.75).

Walter Makey, The Church of the Covenant, 1637–1651: Revolution and Social Change in Scotland (1979), vii+216 (John Donald, Edinburgh, £15).

Hilary J. Beattie, Land and Lineage in China: A Study of Tung‐ch'eng County, Anhwei, in the Ming and Ch'ing Dynasties (1979), x+208 (Cambridge University Press, Cambridge, £12.50).

Charles F. Nunn, Foreign Immigrants in Early Bourbon Mexico, 1700–1760 (1979), xi+243 (Cambridge University Press, Cambridge, £15.00).

R. B. Rose, Gracchus Babeuf. The First Revolutionary Communist (1978), ix+434 (Edward Arnold, £12.95).

Malcom J. Rohrbough, The Trans‐Appalachian Frontier: People, Societies, and Institutions 1775–1850 (1978), xv+444 (Oxford University Press, New York, £9.25).

Michael Ruse, The Darwinian Revolution: Science Red in Tooth and Claw (1979), xiv+320 (The University of Chicago Press, Chicago and London, £12).

Benwell Community Project, Final Report Series no. 6, The Making of a Ruling Class, Two Centuries of Capital Development on Tyneside (1979), 121 (Benwell Community Project, 85/87 Adelaide Terrace, Benwell, Newcastle upon Tyne, paperback £1.80).

Adelheid von Saldern, Mittelstand im ‘Dritten Reich’. Handwerker ‐ Einzelhändler ‐ Bauern (1979), 401 (Campus Verlag, Frankfurt/New York, n.p.). (The Mittelstand in the Third Reich. Artisans ‐ Shopkeepers ‐ Peasants)     

Home-Based Palliative Care Study

Abstract

Purpose: To examine differences in site of death and costs of services by primary diagnosis for patients receiving home-based palliative care as compared to usual care at the end of life verity of illness, service use, and site of death.

Design and Methods: A nonequivalent group design was employed with 298 terminally ill patients diagnosed with cancer, CHF, or COPD enrolled. The treatment group received an interdisciplinary home-based palliative care program and the comparison group received usual Kaiser Permanente services. Data collected included patient demographics, se-

Results: Among all diseases, patients enrolled in palliative care were more likely to die at home. Enrollment in palliative care was significant associated with cost reductions for patients with cancer, COPD, and CHF. No significant difference was found between diagnostic groups in terms of magnitude of cost savings.

Implications: Provision of interdisciplinary home-based palliative care at end of life can effectively increase the likelihood of dying at home for patients with CHF, COPD, and cancer while realizing significant COSt savings.     

Suicide reports in the news – impact of Chief Coroner's call to open up suicide reporting

ABSTRACT

Aim: In 2010, the then Chief Coroner called for an opening up of suicide reporting in the press. We aimed to discover if this controversial action influenced the nature and extent of reporting of individual suicide cases in the newsprint media.

Method: A Factiva search of news reports from high circulation newspapers was conducted over four years. We counted the number of news reports of individual suicides and examined any mention of demographics, methods, location and contributing factors.

Results: We retrieved 291 individual suicide reports, 161 before and 130 after the Chief Coroners’ call. Reporting was more detailed after the call, with increased reporting of demographics, contributing factors and methods but less reporting of location. Most of these differences did not reach statistical significance.

Conclusion: The press did not appear to take the action of the Chief Coroner as a licence to report more frequently on individual suicide cases.