Human Sexuality: Past,Present and Future*

The historical impact of times, people, and events on the foundation and development of the human sexuality profession is presented. The present status of the field and the efforts of some of today's leading contributors are also surveyed. Some recent research findings and trends in the direction sex research is taking are briefly discussed.     

A model of nonverbal exchange in physician-patient expectations for patient involvement

This paper reviews the literature on the nonverbal aspects of physician-patient interaction, focusing on how expectations about patient involvement are conveyed and negotiated by physicians and patients. Important outcomes of this process, such as satisfaction, adherence, and patient health, are examined. A model of physician-patient negotiation involving four interaction styles is presented to examine the negotiation process and the effects of patient involvement on outcomes.We would like to thank Valerian Derlega and the two reviewers, Debra L. Roter and Richard L. Street, for their helpful comments.     

TIMING OF SURVEYS FOR PUBLIC POLICY

This keynote address at the 7th Australian Statistical Conference (1984) discusses briefly seven modifications of sample design for improving the usefulness and timeliness of surveys relevant to public poky. These are: better estimates for small domains, cumulating rolling samples, more panel surveys, multipurpose designs for periodic samples, split panel designs (SPD) combining panels with nonoverlapping samples, and frequent collections cumulated for less frequent reporting periods.     

Phytosociological analysis of restored and managed grassland habitat within an urban national park

Floyd Bennett Field (FBF), 579 ha in extent, is a division of Gateway National Recreation Area. It is the site of a former airfield, constructed by filling salt marshes with dredged materials. Except for the portion known locally as the North Forty, all sections of FBF have been cut over to maintain low vegetation. A grassland management plan (GRAMP) for 165 ha was initiated in 1986, to maintain habitats for open-country birds. Over the next few years, encroaching woody vegetation was removed manually and mechanically from the management area. Since then, it has been maintained as a grassland and receives annual mowing, as well as continued manual removal of the larger woody sprouts.A portion of the GRAMP management area (III) was selected for intensive study of vegetation composition. A grid system was created and vegetation cover was estimated in 127, 1 m × 1 m quadrats. The quadrats were subjected to cluster analysis (CA). Eleven clusters were recognized. These clusters were treated as plant associations. The following types were distinguished: (native) little bluestem–dewberry grassland, six-weeks fescue annual grassland, a grass marsh, a rush marsh, a switchgrass dry grassland, and a deer-tongue panicgrass grassland; (exotic) mugwort herbland, oriental bittersweet-Japanese honeysuckle vineland, Kentucky bluegrass-mixed grassland, Japanese knotweed tall herbland, and spotted knapweed-common St. Johnswort herbland. The little bluestem–dewberry association accounted for nearly half of all quadrats; six subclusters were recognized. The plant associations determined by CA were compared with plant lists compiled during traverses of all of the map categories in the six GRAMP Areas (I, II, III, IV, V, VI). A table was created to relate the quantitative data of the plant associations to the appropriate map categories. A nonmetric multidimensional scaling ordination (NMDS) was performed on the quadrat data. Finally, the plant associations were compared with those described in the literature of local vegetation studies. The mowing program has been effective in decreasing woody plant cover and has permitted the invasion of a few taxa into monospecific communities, but attendant disturbance of the substrate is likely to cause an increase in exotic plant taxa. As earlier studies noted, mowing has caused the increase in cover of sod-forming grass, and bare ground has virtually disappeared in the managed area. This has negative implications for the maintenance of those grassland bird species that require open ground for nesting.     

Mental Illness in Assisted Living: Challenges for Quality of Life and Care

ABSTRACT

An unknown number of mentally ill elders in the United States receive care in assisted living, along with persons facing physical or cognitive challenges. While dementia is familiar in assisted living, our data indicate that neither staff nor residents are prepared to work or live with the mentally ill. Challenges are created for professionals, since these residents bring diverse needs. Daily interresident interactions are also disrupted or stressful. Qualitative data describe the impacts on quality of resident life as well as care and management dilemmas identified within five assisted-living settings having varying presence of mental illness among residents.