Relationship to the bereaved and perceptions of severity of trauma differentiate elements of posttraumatic growth

The field of bereavement and grief has been expanding to recognise the potential for growth following the loss of a loved one. This study sought to examine the effect of the relationship to the deceased and perceptions of the severity of the trauma on dimensions of posttraumatic growth. Participants were 146 people who had lost either: a) a first degree relative, b) a second degree relative, or c) a non-related friend. Results demonstrated that both severity and the relationship to the bereaved differentiate posttraumatic growth outcomes. For example, participants who had lost a first degree relative reported higher levels of growth than those who had lost a second degree relative. Consistent with previous research in general trauma populations, the more severe the loss was rated, the higher the levels of growth. Implications for practice are discussed.     

Demanding work schedules and mental health in nursing assistants working in nursing homes

Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A cross-section of 473 US female nursing assistants working in nursing homes was surveyed. Work schedule characteristics included shiftwork, hours per day and week, days per week, number of weekends per month, number of double shifts per month, breaks, and number of jobs worked. Working two or more double-shifts per month was associated with increased risk for all mental health indicators, and working 6–7 days per week was associated with depression and somatization. There was a trend for increasing odds of adverse mental health with increased numbers of demanding work schedule factors. The odds of depression was increased four-fold when working 50+ h/week, more than two weekends/month and more than two double shifts/month. Providing work schedules that are less unhealthy may have implications for both worker retention and the quality of care delivered to nursing home residents.     

DEPENDENCE AND INDEPENDENCE

The contributions that adult men and women make to households in terms of paid and unpaid work have undergone substantial change, particularly in respect of women's responsibility for income generation, and have been seen as part of the processes of individualization. Recent contributions to the literature have suggested that children are now acquiring independence earlier as part of those same processes. The paper uses qualitative methods to explore the way in which parents in two-parent families, where both are employed, perceive the risks attached to children's exercise of greater independence, how they seek to ‘manage’ those risks and how far the perceptions of parents accord with those of children. We find parents’ perceptions of risk to be strong, but to have little to do with working patterns. In addition, they are often at odds with the actual behaviour of the child. Risks are managed by negotiation, in which children played an active part. We are also able to make some preliminary comments on the difficulties of interpreting scale measures in relation to interview evidence.     

The Significance of Shift Work: Current Status and Future Directions

This paper provides a review and synthesis of research literature on the effects of shift work on workers’ physical health, mental health/well-being, and family life. The focus is on current knowledge, unanswered questions, and new directions for future research. The selection of research literature is guided by a general conceptual framework that identifies predictor variables, moderating variables, and outcome variables. The paper concludes with a discussion of the variables that should be incorporated into an agenda for future research.     

The effect of marital disruption on children’s health

This study uses retrospective illness histories to investigate whether children's health deteriorates after parental separation. Separation is associated with illness in a multivariate cross-sectional analysis as well as in an analysis of a sample of disrupted children only, in which illness rates before and after separation are compared. Three explanations are hypothesized: (1) divorce reduces the resources available to children, (2) the stress of divorce depletes children's health, and (3) frailer children are selected into divorce. The first hypothesis has stronger support than the second, but the data are too poor for a rigorous test of either. The selection hypothesis is not supported.     

‘Failure to thrive’ revisited

The term ‘non‐organic failure to thrive’ (FTT) has long been used in relation to young children with faltering growth for which no organic cause is found. In this paper, problems arising from dichotomised organic/non‐organic responses to FTT are explored and reasons for the assumption that non‐organic FTT was always due to emotional abuse or neglect are presented. The case is made that, except in a minority of cases, children fail to grow because they consume insufficient calories. Research studies on reasons for poor intake, from factors related to the child and their parents to the wider family and environment, are summarised. Following a brief reference to literature on outcomes, I argue that centile charts should be routinely completed for all young children. If faltering growth is identified, a multi‐factorial assessment should be undertaken. Such an assessment reduces the risk of interventions being based on outdated assumptions about non‐organic FTT and maximises the potential for successful resolution of poor growth. After briefly summarising the literature on interventions, I conclude with suggestions for improving practice in this field, including working in partnership with families and with health and social care professionals already known to them. Copyright © 2008 John Wiley & Sons, Ltd.     

From leprosy to The Willow Tree: decoding disability and Islamic spirituality in Iranian film

The lack of attention in academic discourse to representations of disability in films from the Middle East has led to an incomplete picture of representations of disability in global cinema. For instance, the diverse meanings of disability in Iranian cinema and the influence of disability on the emergence of Iranian New Wave cinema have been almost completely ignored by scholars. A number of award-winning films from Iran have featured disability as central to their narratives – such as The House is Black (1963), Taste of Cherry (1997), The Color of Paradise (1999), The Willow Tree (2005), and The Painting Pool (2013). Disability in these films serves alternatively as a symbol of spiritual possibility, a mark of marginalization, and a covert social critique. These films examine the emotional, physical, and social implications of disability, while celebrating the cultural power of film to challenge social, religious, and artistic barriers.