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11.
The development of one's sexual minority identity is often stunted by a heterosexist society. For individuals with multiple minority oppressions, this process becomes even more complicated. As such, there has been a call among researchers for more empirical research on the experiences of lesbian, gay, bisexual (LGB) individuals from racial/ethnic minority groups. This study uses qualitative methods to fill gaps in the literature related to identity development among same-gender attracted Middle Eastern/Arab individuals living in the United States. From 12 interviews, 13 themes associated with intersectionality, race/ethnicity, sexual identity development, discrimination, stigma, oppression, and invisibility. Themes, subthemes, and their implications are discussed.  相似文献   
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Reports on the 2005 North Carolina Serials Conference, the twentieth anniversary conference of the North American Serials Interest Group, the 2005 Acquisitions Institute at Timberline Lodge, and a program on electronic archiving sponsored by the New England Chapter of the Association of College and Research Libraries.  相似文献   
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Kleinian theory seems both intimidating and alien to many American psychotherapists. This paper offers an entry into Klein's work. The theory is approached by emphasizing three areas especially valuable in clinical practice: mourning and manic defenses, schizoid relationships, and envy and idealization. A detailed presentation of an individual psychotherapy case is offered as an illustration of how her ideas may be integrated into a broader objectrelations treatment perspective.  相似文献   
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This research is based on in-depth ethnographic interviews and focus groups with 88 African American family caregivers from various regions of the United States during a stressful time in their family development--caregiving at the end-of-life--and the grieving during the aftermath. The study employed a stratified purposeful sampling strategy. Subjects were African Americans from the Northern, Southern, and Midwestern United States. Formal care is complicated by the distrust that many African Americans hold toward the health care system, which has resulted from years of exclusion, racism and discrimination. The findings highlight the importance of hearing from African American families to gain an understanding of what services, including family therapy and other psychotherapy, they will need during this process.  相似文献   
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Leading therapeutic groups is an underused but viable treatment role for nurses in all specialty areas. A dynamic psychoeducational group model provides structure as nurses invest and collaboratively participate to actively learn the group leader role. this article highlights the sequencing of instruction of group theory and skills with examples from a baccalaureate nursing curriculum. Samples from student journals reveal their growing assimilation of the group leader role as learners actively participated in groups, collaborated, and reflected on their learning. Examples of creatively adapted group exercises, as well as selected nursing group leader interventions, demonstrate group leadership as a skill that can increase nurses' repertoire of therapeutic responses. Therapeutic groups are both exciting and cost-effective treatment strategies for use with mentally ill clients. The skills of an accomplished group leader are transferable from within the psychiatric population to working with families, bereavement groups, and other client populations, ranging from people with diabetes to survivors of catastrophic crises. Group leadership ability complements the management and negotiation skills needed in professional nursing roles. When students and staff nurses grow in group leadership expertise, clients in various settings will be better served with this currently underused treatment option.  相似文献   
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An increasing number of aging community providers and consumers support consumer-direction (CD) in long-term care services. In regard to devolution, consumer-direction goes beyond the usual approach of shifting responsibilities from the federal government to state governments to bring programs "closer to the people." Consumer-direction goes even further by placing resources directly in the hands of consumers. Yet, many questions remain unanswered regarding how to implement CD personal assistance services in general, and especially for older persons. This article describes the importance of examining views from multiple key stakeholders involved in implementing CD programs. We report on three background studies that have informed the Cash and Counseling Demonstration and Evaluation (CCDE) design and implementation-policy expert interviews as well as surveys and focus groups with consumers and representatives. As a fourth data source, we drew upon experiences in designing the CCDE and initial results from the first year of implementation. Each of the three studies on its own provided essential information for planning the CCDE. However, when we examined the studies together, and added CCDE design and implementation experiences, views expressed by the different stakeholders formed a type of multi-perspective "dialogue" that expanded our knowledge about implementing CD services. We hope this increased knowledge will help expand the availability of such services for consumers of any age who want to direct their own care.  相似文献   
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In this article, we examine the association between the legalization of abortion with the 1973 Roe v. Wade decision and youth homicide in the 1980s and 1990s. An interrupted time series design was used to examine the deaths of all U.S. 15- to 24-year-olds that were classified as homicides according to the International Classification of Diseases (codes E960-969) from 1970 to 1998. The legalization of abortion is associated over a decade later with a gradual reduction in the homicides of White and non-White young men. The effect on the homicides of young women is minimal. We conclude that the 1990s decline in the homicide of young men is statistically associated with the legalization of abortion. Findings are not consistent with several alternative explanations, such as changes in the crack cocaine drug market. It is almost inconceivable that in the United States of today, policies affecting the choice to have children would be justified as a means to control crime. Yet, if the legalization of abortion had this unintended effect, the full range of policy implications needs to be discussed.  相似文献   
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Domestic violence and substance use are issues which pervadesocial work practice, yet are often on the margins of the knowledgebase for practitioners and their managers. This article providesan overview of the literature on substance use and domesticviolence, highlighting the problems with the separation of bothpractice and policy in these areas. Research on substance useand the needs of women survivors of domestic violence are explored,alongside the more substantial literature on perpetrators ofdomestic violence and patterns of substance use. The problemsof a simplistic analysis which suggest that there is a causallink between substance use and domestic violence are highlighted.Using data from an on-going research project, the sources ofthe continuing and dysfunctional separation of work in theseareas are explored.  相似文献   
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