The healing power of dogs: Cocoa's story

Animals bring a sense of "at homeness" and even normalcy to people who are hospitalized or live in health care facilities. Illnesses, separation from family, fear, loneliness, and even depression may be lessened for those who receive a therapy dog visit by providing a welcome change in routine and something to look forward to. Individuals are often more active and responsive during and after a visit. Just stroking and petting a dog requires the use of hands and arms, as well as the motions of stretching and turning. Dogs are also unconcerned with age or physical ability; they accept people as they are. This alone causes many to reach out and interact with dogs. Animals provide a focus for conversation and a common interest. As Cocoa's human partner can attest, a pet also makes it easier for strangers to talk. Cocoa is known by so many people at the facilities she visits that residents' family members often stop to talk with "Cocoa's mom" when they meet her in the community, asking questions about how Cocoa is doing. When Cocoa is no longer able to perform her services, many in her community will mourn. Cocoa's story, as well as the limited research literature, supports the positive physical and psychological effects of animals, but continued research on the effect of therapy animals on health outcomes is needed. As advocates for clients, nurses are in key positions to facilitate the inclusion of animals in clients' care. Although not for everyone, including those who react negatively to animals or who are allergic, pet therapy offers important possibilities for providing holistic care that extends not only to clients, but also to family members and staff, and to the pets themselves.     

The success of the Cuban success story: Ethnicity,power, and politics

This article examines the convergence of various forces that constructed a public image of Cuban Americans in the United States as a politically united, socially homogeneous, and economically successful ethnic group. The claims that comprise the Cuban “success story” are not well‐grounded in an objective, empirical reality, but do reflect the historical interplay of power and politics locally, nationally, and internationally. The focus is on how politicians, the media and the civic elite construct images of reality, the processes that determine which images gain prominence in the public mind, and the ways in which the images, themselves, shape social and political outcomes. Metropolitan Miami provides the laboratory, but the analytical approach generates important insights for the study of ethnicity and the politics of identity more generally.     

Voting power measurement: a story of misreinvention

In this account of the history of voting-power measurement, we confine ourselves to the concept of a priori voting power. We show how the concept was re-invented several times and how the circumstances in which it was reinvented led to conceptual confusion as to the true meaning of what is being measured. In particular, power-as-influence was conflated with value in the sense of transferable utility cooperative game theory (power as share in constant total payoff). Influence was treated, improperly, as though it were transferable utility, and hence an additive and distributive quantity. We provide examples of the resulting misunderstanding and mis-directed criticism.     

Listening for the patient's story. The psychosocial story of a patient with end-stage heart disease

1. The way patients make sense of their lives can be heard in the stories they tell. 2. Nurses should address the patient's experience as well as the patient's disease. 3. Listening carefully to patients gives nurses valuable tools for intervening in their lives. 4. Medical illnesses extend far beyond the biological processes.     

International guidelines and the inclusion of disabled people. The Ugandan story

Uganda has made much progress towards including disabled people in its mainstream development, particularly in the political agenda. The exact process by which this has been achieved and the relationship between this and international guidelines and legislation are not known. This study undertakes to examine this from two specific perspectives: (1) How do international documents relevant to disabled people relate to national legislation in Uganda? (2) What can this comparison, together with the perceptions of stakeholders, tell us about how the legislation and services could improve? International legislation and Ugandan legislation is reviewed and compared. Data from 5 semi‐structured key informant interviews and 6 focus group discussions involving a total of 38 people are collected and analysed. The themes arising from the data are related to the documents, legislation, policies and other relevant literature. The results examine the barriers to service provision; the role of change; the importance of representation; policy and legislation issues; and the effects of devolution. Five specific findings relate to how legislation and services can improve: more resources to increase access for disabled people; strong leadership and collaboration between Disabled People’s Organisations (DPOs) funding bodies and governments; awareness raising and training; representation from all impairment groups; and raising the profile of disabled people through further legislation.     

Telling the American story to the world: The purpose of U.S. public diplomacy in historical perspective

This paper seeks to provide an historical reflection on the central purpose of U.S. public diplomacy through an examination of the manifest mandate of the three major institutional settings for such international communication programs, i.e., the Committee on Public Information, the Office of War Information, and the United States Information Agency, and to shed light on the current public diplomacy endeavor spearheaded by the Department of State. The review demonstrates that U.S. public diplomacy has been principally an ad hoc instrument of American foreign policy to meet wartime exigencies and has been underscored by the promotion of American values of democracy and freedom. Over the years, it has expanded to encompass multiple modes of engagement, while at the same time there has been constant tension concerning the role of public diplomacy as a strategic, policy function versus merely as a “mouthpiece” within the foreign affairs apparatus. All of these themes continue to reverberate in the contemporary practice of public diplomacy.     

Pioneering the life story method

This autoethnography describes how a Korean woman made a decision to be a qualitative researcher, what she has confronted in a positivistic culture, and how she has survived as a qualitative researcher. The author, using self-reflection, raises issues of professional development, academic politics, and coping strategies for qualitative researchers.     

The case: a story found and lost

This first case in our series presents an elderly patient's encounters with the medical system as chronicled in her medical records.     

The other side of the story. Student narratives on the California Drug, Alcohol, and Tobacco Education Programs

Within the context of a large-scale, comprehensive evaluation of the California Drug Alcohol Tobacco Education (DATE) program, this study sought to extend knowledge of student perceptions of prevention education using a naturalistic approach. The constant comparative method was used to analyze 40 focus group interviews of risk and thriving groups conducted in 11 high, middle, and elementary school districts. This article presents three assertions generated solely from 490 "narrative stories" found in the data set. "At-risk" and "thriving" students at all three levels of schooling (a) use "story" to make sense of prevention education, and (b) distinguish use from abuse. High school students of both groups (c) believe that hearing only one side of the substance use/abuse story and strict expulsion policies further alienate students most in need of help. Implications for the use of story as an assessment tool are discussed, as are implications for substance use prevention policy.     

Economic and behavioral factors in an individual's decision to take the influenza vaccination in Japan

In this paper, we investigate what people in Japan consider when deciding to take the influenza vaccination. We develop an economic model to explain the mechanism by which people decide to take the influenza vaccination. Using our model and the data obtained from a large-scale survey we conducted in Japan, we demonstrated that people make rational decisions about vaccinations after considering its cost and benefits. People consider the probability of infection, severity of the disease, and the vaccination's effectiveness and side effects. The time discount rate is another consideration because the timing of costs and benefits of the vaccination differ. Risk aversion (fearing the contraction of the flu and vaccination's side effects) also affects the decision. People also deviate from rationality—altruism and status quo bias play important roles in the decision-making. Overconfidence indirectly affects the decision via perception variables such as the subjective probability of infection and assessment of influenza's severity. The decision also depends on attributes such as gender, age, and marital status. If the general perception of flu and vaccination is inaccurate, supplying accurate information regarding those may increase or decrease the vaccination rate, depending on whether this perception is, respectively, higher or lower than the objective rates. Thus, we examine whether the general perception is biased. Our survey suggests that disseminating information on the vaccination's effectiveness may increase the rate of vaccination, whereas that on the probability of infection may have the opposite effect.