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81.
This article discusses factors that contribute to resilience in older women. Face-to-face audio taped interviews with seventeen women between the ages of seventy and eighty were the primary data source. Open-ended questions related to the experience of advantage and adversity across the life span comprised the interview guide. Paths to resilience were variously affected depending on developmental, social- structural, historical, and individual life story influences. Among seven factors that emerged as salient to resilience in the sample are the external resource of social connectedness and internal resources, including a head-on approach to challenge and spiritual grounding. Pivotal in the women's lives were curiosity and extending self to others. Moving forward with life following adversity and maverick (nontraditional) behavior facilitated preservation of the self in these resilient women.  相似文献   
82.
This study examined the relationship among the recovery grip strength, functional outcomes, and work performance following occupational therapy intervention for hand trauma. This study had a sample size of 15 participants whose recovery grip strength was measured using a Jamar dynamometer, whose satisfaction with outcomes was measured by the Michigan Hand Outcomes Questionnaire (MHQ), and whose compliance with the home therapy program was measured by a visual analog scale (VAS). A Pearson r correlation demonstrated a significant relationship between recovery grip strength and two MHQ subset scores: overall hand function (r = 0.59, p = 0.019) and activities of daily living (ADL) performance (r = 0.61, p = 0.016). The participants' self-rating of compliance did not predict or influence either recovery grip strength or MHQ scores. A moderate positive correlation approaching significance (r = 0.51, p = 0.052) was found between grip strength and overall MHQ scores. The researchers concluded that a recovery grip strength measure should be used along with functional measures to appropriately assess overall hand function following hand trauma.  相似文献   
83.
The focus of this article is adult learning theory and the concept of ‘communities of learning’. Drawing on the authors' experiences as educators, it offers a critique of liberal-humanist and critical ideas about pedagogy, and draws on feminist poststructuralism to disrupt notions of ‘dialogue’, ‘community’and ‘difference’. The aim is to interrupt critical pedagogies through recognition of partial knowledges, exclusionary practices, and differences and similarities within learning communities. The article argues the need for an understanding which acknowledges both the universal and the particular, and engages with the discursive and the material realities entailed. El foco de este artículo es la teoría de aprendizaje para adultos y el concepto de ‘comunidades de aprendizaje’. Recurriendo a las experiencias de los autores como educadores, ofrece una crítica de las ideas liberales-humanistas e ideas críticas acerca de pedagogia, y recurre tambien al postestructuralismo femenista para trastocar nociones de ‘diálogo’, ‘comunidad’ y ‘diferencia’. El objectivo es interrumpir pedagogias críticas mediante el reconociemto de conocimientos parciales, prácticas exclusionarias y diferencias y similitudes entre comunidades de aprendizaje. El artículo sostiene la necesidad de un entendimiento que reconoce tanto lo universal como lo particular, y que aborda las supuestas realidades materiales y discursivas.  相似文献   
84.
Through interviews with 40 American Red Cross communication professionals, this study examines how an organization that frequently responds to crises proactively manages on- and offline communication before, during, and after crises. The results provide the first empirical evaluation of an emerging model: the blog-mediated crisis communication model (BMCC). The lessons shared by the American Red Cross are insightful for researchers to understand the process of blog-mediated crisis communication in the nonprofit sector, which are also relevant for other public relations professionals. The findings support components of the original BMCC model, but also clearly indicate important revisions, including renaming the model the social-mediated crisis communication model (SMCC).  相似文献   
85.
The commencement of bisexual behavior and the ontogenesis of a bisexual orientation was studied in order to aid in the better understanding of how sexual behavior patterns begin and change. The investigation was conducted through in‐depth interviews held in California, Oregon, and Washington with the first 50 female volunteers gathered from a variety of sources who met the study requirements. Those requirements were that each subject, at the time of her first sexual contact with another female, (a) was married; (b) was at least 30 years of age; (c) was engaged in swinging; (d) was enjoying sex with males; and (e) had no history, prior to age 30, of a sexual attraction to females. “Multi‐female” and “multi‐male” sexual activity are terms introduced to remove the ambiguity and mislabeling which results from defining sexual activity between all persons of the same sex as necessarily homosexual. Subjects typically revealed a high incidence of early and continuing autosexual and heterosexual activity and current high frequencies of sexual activity with each sex. Influences facilitating a typical subject's initial and subsequent sexual activity with females were found to be her husband, other swingers, and the general swinging environment—the husband's influence usually being of paramount importance. It was concluded that those influences, perhaps together with a predisposition toward gaining perceived fulfillment of felt needs through sexual activity, will result in some heterosexual females engaging in multi‐female sexual activity and eventually adopting a self‐identified bisexual orientation.  相似文献   
86.
Abstract

Objective: This study assessed college student health providers' use of Motivational Interviewing (MI) with tobacco users, as well as their beliefs about the use of brief interventions to help college student tobacco users quit. MI is recommended by the United States Public Health Service to increase tobacco users' willingness to quit. Participants: Participants included 83 clinicians from health clinics at 7 different universities in North Carolina. Methods: Paper-and-pencil baseline survey from a cluster randomized trial of college student health clinicians. Results: Twenty-two percent of respondents reported always or usually using MI during the past month for tobacco-using patients not ready to make a quit attempt. Student health providers also reported information with regards to their beliefs about tobacco cessation treatment, barriers to intervening with patients, and confidence in motivating students to consider quitting. Conclusions: Results highlight the need to encourage clinicians' use of motivationally focused interventions with student tobacco users.

TABLE 1. Providers' Beliefs About Patient Tobacco Intervention and Cessation (N = 83)

  相似文献   
87.
Residential programmes for youth may improve youth behaviour during placement, but it is not clear whether there is an association between a youth's behaviour pattern during placement and post‐placement outcomes. Life course perspective has been used to understand longitudinal patterns and pathways, and new statistical methods have been developed to identify latent trajectory groups. This study used administrative data from a family‐style group care programme to assess whether a youth's externalizing behaviour trajectory while in placement can significantly predict delinquency and adjustment outcomes at discharge and 6‐month follow‐up. Findings from multinomial logistic regression revealed a statistically significant relationship between a youth's behaviour trajectory class and outcomes. Behaviour pattern during care was a stronger predictor of outcome than cross‐sectional measures such as other demographic factors, placement history or mental‐health need indicators.  相似文献   
88.
The basic contention of this paper is that research on subjective well-being would benefit from an integration of theory and research from other studies of subjective states, such as mental and physical health. Toward that end, we present results of an analysis of the impact of race and social roles on subjective well-being in a nationally representative sample of elderly men. The findings demonstrate that particular role configurations have an effect on happiness and that these effects are different for blacks and whites. Theoretical implications of these findings for subjective well-being research and role accumulation theory are discussed.  相似文献   
89.
Since the publication of Arlie Hochschild’s groundbreaking work, The Second Shift (1989), scholars have delineated and deliberated the predictors and implications of American men’s participation in unpaid labor. Still, there’s little consensus about the current or future state of gender inequality in US households. In the course of reviewing scholarship published on this topic over the last two decades, this piece outlines and critically reflects upon two paradoxical conclusions one might reach when examining trends in men’s housework and care work time. In comparing and contrasting what I call ‘the mop bucket is half full’ and ‘the mop bucket is half empty’ conclusions, I also highlight the major theoretical frameworks, empirical findings, and diverging opinions on whether Hochschild’s ‘household revolution’ is permanently stalled, slowly reigniting, or ready to take off. I then conclude with a call for consensus among scholars and suggestions for future research on men’s participation in unpaid labor.  相似文献   
90.
This study addresses the social and cultural underpinnings that shape children’s risk of type 2 diabetes, as identified by a racially and economically diverse group of parents and their children living in Anaheim, California. Based on in-depth interviews with 28 adults and 17 children, we explored how they understood what constitutes “good health” in children and the aspects of their neighborhoods and communities that acted as resources or impediments to their children’s well-being. We found that parents and children employed a language of food that reflected a fear-based, medicalized orientation to food consumption. Although nearly all agreed that children should stay active, densely populated neighborhoods, apartment complexes with rigid outdoor rules, high crime rates, police surveillance, and diminished access to public parks and recreational facilities posed challenges. Similarly problematic were deficits in school lunch programs and the limited sometimes demeaning, conversations with healthcare professionals about diabetes risk and prevention. Together, these narratives identify key structural processes attendant to type 2 diabetes risk in children and call for a more politicized conversation regarding prevention strategies and public healthcare practices.  相似文献   
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