Enhancing Gerontology Education

Abstract

Co-learning opportunities for elders and students may enhance the ability to make course information “real” for traditional students and provide elders with new relationships that can reduce stereotypical thinking about younger people. A Human Development and Aging course taught at Kansas State University in the Spring of 2003 brought eighteen young adult students and eighteen auditors from a retirement community together to explore their understanding of aging issues. Based on evaluations through focus groups and written surveys, older and younger participants alike experienced changes in their attitudes toward persons of age groups other than their own.     

Student Knowledge of and Attitudes toward Psychotropic Drugs

Abstract

Expanding social work roles in medication management and psychoeducation, especially in mental health, clearly require that students possess an enlarged knowledge base and a set of enlightened attitudes regarding psychotropic medications and their use. This article reports the results of a survey that investigated the knowledge of and attitudes toward psychotropic medications among a population of social work students. If the survey results were scored like a school exam, then the average student surveyed scored a “C !.” The article also suggests that both personal and professional experiences in the mental health field apparently influence knowledge of and attitudes toward psychotropic drugs. It is recommended that social work course content be expanded to include relevant information on psychotropic drugs.     

Exploring Epistemologies: The Debate Continues

ABSTRACT

Stigma is a significant barrier to recovery and full community inclusion for people with mental illnesses. Social work educators can play critical roles in addressing this stigma, yet little is known about their attitudes. Social work educators were surveyed about their general attitudes about people with mental illnesses, attitudes about practice with people with mental illnesses, and attitudes about students with mental illnesses. On average, educators’ general and practice attitudes were not negative. However, respondents did view a student with a mental illness differently from a “typical social work student.” Findings suggest that we, as social work educators, must raise our awareness and address our own attitudes to support students and uphold our social work values.     

Theologies of Exclusion: Christian Universities and Discrimination against Sexual Minorities1

Abstract

In an era of rapidly evolving attitudes toward lesbian, gay, bisexual, and transgender rights, why do some Christian colleges and universities continue to discriminate against lesbian, gay, and bisexual students? The most intuitive answer to this question might point to many religious traditions’ conservative teachings about same-sex relationships. Nevertheless, many schools associated with socially conservative religious traditions are actually inclusive of their sexual minority students. Building on recent insights from the literature on religion and the “culture wars,” and analyzing original data on student handbook bans on same-sex relationships and “homosexual behavior” across 682 Christian colleges and universities, I show that it is when schools are associated with individualist religious traditions that emphasize personal piety that conservative teachings on same-sex relationships are associated with discrimination against sexual minorities. The study holds implications both for research on the exclusion of sexual minorities in schools and for theoretical debates on the relationship between religion and social injustice.     

Analysis of perception of training in graduates of the Faculty of Medicine at Universidad de Castilla-Mancha

IntroductionProblem-based learning has been a key component of the teaching method employed at the Faculty of Medicine at the University of Castilla La Mancha (UCLM) in Albacete, Spain since its creation. The aim of this study was to evaluate perceptions of training among residents who graduated from the first three years of the UCLM Degree in Medicine.MethodsUsing the Jefferson Medical College postgraduate rating form, residents rated their performance in four areas of clinical competency (medical knowledge, data gathering skills, clinical judgment, and professional attitudes) at the beginning of residency training in comparison with colleagues from other faculties. The construct validity of responses was evaluated using Cronbach's alpha and exploratory factor analysis.ResultsOver half the respondents (57.8%) considered that they had received better training than peers from other medical schools, and 98.5% felt that their general performance in the four competencies analyzed was similar or superior to that of their colleagues. Factor analysis revealed two major factors: “the physician as scientist” and “the physician as manager and communicator”.ConclusionsOur study shows that graduates from the UCLM Faculty of Medicine perceive their training, which is largely based on problem-based learning, as satisfactory.     

Effects of a multimodal activation program (SimA-P) in residents of nursing homes

Is it possible to maintain or even enhance functional and cognitive independence in residents of nursing homes? Little is known about the potentials and limits of therapeutic methods designed to maintain independence in elderly people already in need of residential nursing care. The aim of the “Rehabilitation in Nursing Homes” research project was to determine the practicability and effectiveness of a rehabilitative approach targeting residents of nursing homes. The main objectives of the activation program were to maintain and enhance residents’ cognitive and functional autonomy. Data on psychological, functional, and medical variables were obtained from a sample of 294 nursing home residents (age range?=?70–99 years) at three points of measurement over a 12-month period. The intervention approach draws on the theoretical and practical findings of the SimA Study (“Bedingungen der Erhaltung und Förderung von Selbstständigkeit im höheren Lebensalter,” “conditions on maintaining and supporting independent living in old age”; Oswald et al., Z. Gerontopsychol. Psychiatr., 15:61–84, 2002, Z. Gerontopsychol. Psychiatr., 15:13–31, 2002) and incorporates the results of recent therapeutic and rehabilitative studies in the fields of geriatrics and gerontopsychiatry. The intervention involves a combined program of cognitive and physical activation. An alternative program based on biographical information was designed specifically for residents with dementia. Results show that the intervention had significant effects on cognitive and functional parameters. Moreover, transfer effects were observed with respect to activities of daily living and frequency of falls.     

The Impact of Short-Term Quality Intergenerational Contact on Children's Attitudes Toward Older Adults

ABSTRACT

This article describes a research study designed to investigate the influence of short term quality intergenerational contact on the attitudes of children toward older adults. Glass and Trent's (1982) Typology of Approaches to change attitudes and Amir's (1969) Contact Hypothesis guided the development of this study. Glass and Trent reported that there are three primary ways that attitudes change: through discussion with others about the attitudinal object, direct experiences with attitudinal objects, and the acquisition of more knowledge about the attitudinal object. If attitudes are a reflection of internal and external influences, then it is assumed they can change.

The study revealed that children who participated in the treatment had a more positive attitude toward older adults. Both inclusion in the intergenerational activities and time spent with related older adults were significant in explaining the changes in the children's attitudes toward older adults.     

The “American Dream” in Poor Urban Neighborhoods: An Analysis of Home Ownership Attitudes and Behavior and Financial Saving Behavior

Abstract

The desire for home ownership and saving to accumulate wealth are two hallmarks of the “American Dream” that are typically associated with middle class values. Much urban research has suggested that continual exposure to neighborhood poverty has produced attitudes and behavior that differ dramatically from these values. In this study, we examined whether residents in poor urban areas embraced these tenets of the American Dream. Based on the Urban Poverty and Family Life Survey of Chicago, logistic and multivariate analyses were used to assess the relationship of neighborhood poverty, race/ethnicity, household economics, and social variables to attitudes and behavior about home ownership and saving. The effects of “ghetto poverty” and neighborhood poverty “tipping points” were evaluated. Findings showed varying effects of race / ethnicity, neighborhood poverty, and social indicators depending on whether attitudes or behavior were under consideration. We also found that household economic status consistently was better in explaining participation in these tenets of the American Dream than variables that directly measure neighborhood poverty.     

The Perspectives of Older Greek-Australians Toward Changes in the Nature of Family Support: Implications for Family Care Policies

Internationally, public policies encourage “aging in place,” and the majority of older Australians requiring care in the community receive informal care, supplemented by publicly subsidized formal services. The effect of contemporary social changes on informal care in aging migrant communities is poorly understood. This articles explores the perceptions of older Greek-Australians toward changes in the nature of family support. Bicultural and bilingual researchers carried out in-depth interviews (n?=?27) and five focus groups (n?=?63 total participants) with older Greek-Australians in modern Greek. While “cultures of care” remain among Greek-Australian families, the means for a family to assist have shifted, and these compromises are met with considerable powerlessness among older Greek-Australians. Implications for policy include the need to better involve older migrants and their families in decisions about their care needs, potentially involving consumer-directed care models. Service providers may also need to adopt the use of new technologies to communicate with increasingly time-pressured family members.     

Sexism,Erotophobia, and the Illusory “No”

SUMMARY

I examined erotophobic, sex-negative attitudes toward female sexuality as they relate to acquaintance rape. Evidence suggests that sexist assumptions about female eroticism are intrinsically related to sexual violence against women. The argument is made that society's willingness to acknowledge women as sexual victims while simultaneously failing to validate women as sexual agents creates an ideal breeding ground for acquaintance rape. Accordingly, an analysis will be offered: in a culture that denies women freedom to say “yes” to sex without negative stigma, “no” does not always mean “no.” In this article, I will assert mat those who care about stopping sexual aggression in dating relationships have an obligation to work to eradicate sexist assumptions that neuter women's erotic selves.     

Understanding Older Americans' Attitudes,Knowledge, and Fears About Vision Loss and Aging

ABSTRACT

The purpose of the present study was to identify factors associated with attitudes, knowledge, and fear of age-related vision impairment in a representative sample of US adults age 55 and older. Data were obtained from a national telephone survey. Attitudes toward vision impairment and aging were positive, but fears were extensive and knowledge was lacking. Higher socioeconomic status and experience with nonrelated persons who were visually impaired predicted better attitudes and greater knowledge. Being a women and having experience with persons who were visually impaired predicted lower fear. Findings emphasize the importance of accurate knowledge and training about visual impairment for practitioners working with this population.     

Speaker abstracts

Purpose: There is no consensus on possible benefits and risks of testosterone supplementation. Here we review various controlled studies of testosterone supplementation in aging males.

Methods: We performed a PubMed search using the terms “testosterone/therapeutic use” with the limits “>65 years of age”, “randomized controlled clinical trials”, and “male gender”, starting in 1999.

Results: Forty-three articles have been published since 1999. Some of these studies also included patients in middle-age or younger. Findings reported in these articles were not entirely consistent. After weighting studies by the number of patients, hints are found that testosterone supplementation increases bone mass, lean body mass, muscle mass and hematopoiesis, and improves sexual functioning and perhaps mood, but does not affect serum lipids, cardiovascular parameters, prostate-specific antigen level, or cognition. Considering studies including only men older than 65 years, and in which testosterone supplements were compared with placebo treatment, slightly different results are obtained. In these patient groups, testosterone does not improve sexual function or mood.

Conclusion: The overall benefit of testosterone supplementation for the aging male remains unclear. Any supplementation in men with age-normal testosterone levels only on grounds of subjective symptoms is not advisable.     

The attitudes of medical professionals toward children and children at risk of separation from parents in Eastern Europe

This article reports the findings of a multi-country study of medical professionals' perceptions and evaluations of children. The primary aim of the study was to establish the perceptions medical professionals working in three Eastern European countries (Romania, Bulgaria, Moldova) hold toward children identified as “typical”, “at-risk” and “with disability”. A second aim was to explore the existence of country-level differences in medical professionals' perceptions of children. The third aim was to examine the pattern of associations between attitudes toward children and a change in use of institutional care to family and community-based alternatives. Over 800 respondents provided survey responses using paper-based and online returns. Findings indicated that positive affect toward children was associated with the favourability of attributes generated about “typical” children. In contrast, positive affect toward children was associated with less favourability toward at-risk children. Attribute favourability ratings generated for at-risk children were positively associated with attributes generated for children with disability. Differences were identified between respondents working across the three countries. No association was identified between attitudes toward children and endorsement of a statement supportive of de-institutionalisation as part of child protection reforms. These findings illuminate how children are conceptualised and understood by a group of medical professionals who hold considerable sway over decisions and recommendations about their relative risk and vulnerability.     

GLOBALIZATION,CULTURE WARS,AND ATTITUDES TOWARD SOCCER IN AMERICA: An Empirical Assessment of How Soccer Explains the World†

This study examines the “culture wars” using the lens of attitudes toward soccer. Despite soccer's increasing popularity in the United States, anti‐soccer rhetoric is fairly common. In his widely read book, How Soccer Explains the World (2004), Foer contends that the “culture wars,” including divisions over soccer, are better explained by reactions to globalization than social class or political ideology. Using data from a survey of Nebraskans, we find that attitudes about cultural globalization are the best predictor of soccer sentiment. Contrary to popular claims about the “culture wars,” most respondents were moderate in their attitudes toward both soccer and globalization.     

Aging male symptomatology and eating behavior

Objective: The literature on eating disorders in older males is still very limited. We assessed the relationship between aging male symptomatology and eating behavior in middle-aged and older men.

Method: We distributed anonymous questionnaires to men aged 40–75?years living in or near Innsbruck, Austria, covering demographic items, current eating disorder symptoms (as defined by DSM-5), and associated measures of eating pathology, body image, and sports activity (including exercise addiction). We also administered the Aging Males’ Symptoms scale (AMS), and classified respondents as “high-AMS” (AMS score ≥37; N?=?82) or “low-AMS” (AMS score <37; N?=?386).

Results: High-AMS men reported a significantly higher mean current BMI, a greater prevalence of eating disorder symptoms, higher scores on the Eating Disorder Examination Questionnaire, greater risk of exercise addiction, and more negative body image than low-AMS men.

Discussion: We found a marked association between aging-male symptomatology and eating-disorder symptomatology in aging men. Our findings suggest that clinicians should carefully inquire about eating disorder symptoms in men aged 40 and above reporting aging-male symptomatology. Importantly, several men in the study reported “purging” via excessive exercise (as opposed to the more common methods of vomiting or use of laxatives or diuretics), and therefore this should be a subject of inquiry in clinical evaluations. To pursue these findings, subsequent studies of eating disorders in older men should consider assessing endocrinological measures, particularly testosterone levels, and should use longitudinal designs.     

Exploring Attitudes Toward Older Workers Among Australian Employers

Abstract

Research suggests that negative stereotyping is at the heart of age discrimination in not hiring older workers. As the aging of the population creates pressures to maintain older adults in the work force, it is important to gain knowledge of such stereotyping. A random sample of 128 hiring decision-makers across Australian industries responded to a questionnaire that was specifically developed to assess attitudes toward older workers. Results showed systematic negative stereotyping: Respondents indicated that they were unlikely to hire older workers. The likelihood of hiring significantly correlated with employers' attitudes. Specific attributes for which older workers were seen as inferior compared to younger workers included trainability, adaptability, creativity, and interest in new technology. The findings could inform policymakers and be utilized to develop interventions aimed to reduce hiring discrimination.     

Attitude Shifts: A Qualitative Analysis of Students' Awareness and Reaction to the Homeless

Abstract

Perceptions toward homelessness among 23 undergraduates were explored through individual, semi-structured interviews. Several higher-education institutions have incorporated non-traditional learning components to promote altruism and empathy among students toward the poor and homeless. We focused on one Midwestern university's experiential approach that had a “poverty-immersion” experience within a selected course. We explored how the poverty-immersion weekend altered undergraduates' perceptions of the poor and persons in homeless milieu. Students evidenced marked alterations in their understandings of the homeless: dispelling assumptions to consider individuals in light of personal and circumstantial situations that led to their states of homelessness, and the holistic nature of their needs. Students were challenged to reconsider the attitudes towards the homeless as expressed by those in the middle-class socioeconomic status.     

Response to Nettie Scott and Spencer Zeiger

This study of 285 BSW students over a 4-year period examines the students' initial attitudes toward learning research and identifies associated characteristics. In contrast to social work students' reputation of being “research reluctant,” findings reveal considerable variation, with a large portion of students reporting overall positive attitudes. Ordinary least squares regressions revealed that women and students with less statistical knowledge are more fearful of research courses, while older students and those with greater levels of social work empowerment find research courses to be more appealing. The study findings suggest 3 pedagogical principles upon which various teaching strategies may be based.     

Accommodating Culturally Meaningful Activities in Outdoor Settings for Older Adults

Abstract

A growing multicultural aging population necessitates an examination of the cultural responsiveness of American healthcare environments in enabling successful aging experiences. Environment-behavior studies establish positive effects of natural environments on the well-being of older adults. This study explored cultural differences in nature-related activities among Hispanic and Anglo-American elderly using six photographs of nature settings to elicit nature-related preferences and experiences. Findings indicate that Hispanic elderly find “furnished” natural settings more compatible with their preferred activities such as group-oriented socializing while Anglo-American elderly prefer “authentic” natural settings for preferred activities such as quiet reflection. Culture specific programming and design implications are discussed.     

Student Perspectives on Homelessness: Contact Is Related to Helpful Attitudes

Abstract

Research in the U.S. population shows that contact with homelessness, like exposure to social diversity, is associated with more helpful attitudes, promoting greater social responsibility and civic engagement. This article empirically examines the theory that students who have greater contact with homelessness through the media, schooling, and direct experiences also have more helpful attitudes about homelessness. Survey data support hypotheses to show that students who have more contact with or exposure to homelessness are significantly more accepting of structural explanations of homelessness and poverty, less likely to consider homelessness a community burden, and more willing to help reduce homelessness. Including homelessness in educational curricula helps increase student contact with homelessness, building structural explanations and promoting more helpful attitudes towards homelessness. Teaching and learning about homelessness can help students and teachers fulfill ethical obligations to engage with communities, take civic responsibilities, and improve society.