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881.
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In all cases of newborn adoption where placement is made directly into the permanent adoptive home, the adoptive parents become the psychological parents for that child. While birth parents give the gift of birth, they do not experience the developmental process of being a parent because in reality they are emotionally unprepared for this responsibility. We discuss the clinical meaning of a voluntary termination of parental rights, the appropriate grieving of the real narcissistic loss of the baby, and the meaning of adoption for a birth parent.There is a new trend in the field of child welfare toward openness in adoption which purports to change traditional confidential adoptions. We discuss the crucial aspects of the intrapsychic difference for a birth parent experiencing an open or confidential adoption.This paper was presented to the National Committee for Adoption, Convention, October, 1982: the First International Conference on Pediatric Social Work, August, 1982 and to the Child Care Association of Illinois Convention, April, 1982. All authors have the M.A. degreeThis paper is the first of a four-part series to appear in this journal  相似文献   
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In all cases of newborn adoption where placement is made directly into the permanent adoptive home, the adoptive parents become the psychological parents for that child. While adoptive parents enter the development phase of parenthood, the task is complicated by the fact that the child they are about to raise is not their biological child. We discuss the biological and psychological foundations of parenthood and examine the tasks that adoptive parents face when confronted with either an open or confidential adoption. We focus on the ways in which either procedure may assist or disrupt the adoptive parents' ability to form and maintain an on-going healthy attachment to the child.There is a new trend in the field of child welfare toward openness in adoption, which purports to change traditional confidential adoptions. We discuss the crucial aspects of the intrapsychic difference for an adoptive parent experiencing an open or confidential adoption.And so they wrangled before the King ... Kings II, Ch. VThis paper was presented to the National Committee for Adoption Convention, October, 1982; the First International Conference on Pediatric Social Work, August, 1982 and to the Child Care Association of Illinois Convention, April, 1982. All authors have the M.A. degree and are affiliated with St. Mary's Services, an Episcopal Child Welfare Agency, est. 1894, 5725 North Kenmore Avenue, Chicago, IL 60660.  相似文献   
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Abstract

Patients with psychosomatic conditions, who comprise a significant proportion of students seeking health care, demonstrate clearly the need for effective functioning of the health care team. These patients usually present themselves with problems of physical illness for practical, social, and psychodynamic reasons. Socially they seek to avoid the stigma attached to acknowledging psychological problems. Psychodynamically, such patients have transformed psychological problems into physical illness and need help in reversing this transformation. Attending only the physical illness or dismissing the patient because “it's all in your head” are inappropriate responses deeply embedded in popular culture. Case illustrations are used to show the need for careful diagnosis from physical and psychological standpoints, for skillful referral and interdisciplinary collaboration, and to show how psychotherapy can reverse the psychosomatic process and the underlying psychological determinants. The illustrations include cases of headache, asthma, ulcers, and disturbances of sleep and appetite. Both specific psychotherapeutic technique and overall theory are discussed.  相似文献   
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In this article we identify the key survey data for examining the issue of equality in the lives of disabled people in the UK. Such data is essential for assessing change in quality of life over time and for the evaluation of the impact of policy initiatives. For each data source we consider definitions, data collection, issue coverage, sample size and data access. It is evident that there is only limited survey data on the lives of disabled people in the UK. A number of national surveys include questions on disability, but many offer only limited coverage. There is a tendency to focus on the medical aspects of disability and a failure to clearly distinguish disability from other health issues. Moreover, disability definitions vary and sample sizes are often too small to compare differences by age, gender, ethnicity or locality. For effective policy development there is a need to identify and measure what leads to change in disabled peoples' lives.  相似文献   
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Fronek P, Cuthbert D. The future of inter‐country adoption: a paradigm shift for this century The only existing international framework for inter‐country adoption (ICA) is a legal one. Current legal and welfare approaches have limitations in that ICA tends to be conceptualised in individualistic terms, while strategies that prevent ICA by strengthening communities and addressing structural inequalities in the first instance are neglected and divorced from ICA practice. A vision and an overarching framework based on a socioecological approach that informs other arenas, such as health promotion, are proposed. The article concludes that the development of collaborative, intersectoral approaches, the reorientation of public and private resources and international leadership from academics, legislators, policy makers, practitioners and communities are necessary for a paradigm shift for this century.  相似文献   
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Greater global interconnectedness produces a transformation in the ways in which groups constitute and interpret the boundaries of community formation and political practice. This article considers the ways in which a group engages (or not) with the possibilities for transnational identity formation and border‐crossing politics granted by the changing structures of the global order. A comparative analysis identifies similarities and differences in the patterns of community formation and political engagement of Salvadoran migrants settled across different urban centers of North America. Variations in the territorial orientation and scales of immigrant political practice are explained by the national and city‐level contexts of immigrant reception, the institutional opportunity structure in which migrant groups are embedded, and the nature of relations between migrants and their migrant and nonmigrant institutional interlocutors in places of settlement and their country of origin.  相似文献   
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