The tidal model. The healing potential of metaphor within a patient's narrative

1. The human experience of growth and development is a fluid phenomenon, occurring in small, barely visible changes. 2. The Tidal Model embraces a patient's expression of his or her experience by focusing on the lived experience of the narrative and its personally meaningful metaphors and symbols. 3. To re-empower a patient, the Tidal Model assessment is written in the patient's own voice and all care planning is conducted conjointly. 4. The Tidal Model was developed from empirical studies of the perceived need for nursing and the process of empowerment in clinical nursing practice.     

Outcasts…Outliers…Oppressed: Civic Advocates in U.S. History Worth Investigating

As de Tocqueville recognized, the U.S. democratic system relies on the advocacy of civic-minded individuals. Although U.S. history is replete with persons using different means to advance one or more democratic principles, VanSledright and Hess argued that secondary history education reinforces a persistent national narrative, one characterized by progress toward achieving national goals, an emphasis on ethnic success stories and avoidance of ethnic struggles and conflicts, and a quest for freedom. Such an approach results in a celebratory story of success, rarely one of struggle or failure. This approach silences those seemingly on the fringes of democratic society, denying students access to a richer, more nuanced narrative and to diverse ways to become civically engaged. To address this situation, we suggest first enabling students to contemplate what influences how individuals become civically engaged, next to apply their thinking to contemporary public policy matters, and finally to compare their decisions to those of historical figures, such as Bayard Rustin, often overlooked in the national narrative.     

Factors That Differentiate Distressed and Nondistressed Marriages in Army Soldiers

Data from U.S. Army soldiers (N = 697) were analyzed to determine the factors that differentiate distressed from nondistressed relationships. Results show that most soldiers had relationship satisfaction scores that categorized them as nondistressed. In addition, soldiers in dual-military marriages had relationship satisfaction scores similar to those of soldiers in military-civilian marriages. Finally, several variables including rank, relocation status, relationship length, and relationship status differentiated distressed from nondistressed relationships. Implications for intervention programming and future research directions are discussed.     

CIVIC ENGAGEMENT AND RELIGIOUS ACTIVITIES: EXAMINING THE INFLUENCE OF RELIGIOUS TRADITION AND PARTICIPATION

Typically the relationship between civic engagement and religion has been investigated using only basic measures of religious attendance or denomination. We utilize more detailed indicators of various types of religious participation and a more valid concept of religious traditions to examine the influence on civic engagement, finding that typical measures of religious attendance or denomination camouflage much of religion's influence. We show that while several religious traditions are positively related to civic engagement, being an Evangelical Protestant or Black Protestant is negatively related. The results also indicate that religious attendance reduces overall civic engagement, while other types of religious participation increase civic engagement. At the specific levels of civic engagement such as belong, contribute, volunteer, and lead, we find similar variations in religious traditions and types of religious participation. Our findings suggest that scholars often overlooked the importance of religious participation beyond religious attendance and reached conclusions regarding civic engagement that do not accurately describe religion's effects. Thus, we contend that attendance and religious tradition, while they may be important and should be included in analysis, should not be the sole, or even primary, focus.     

The Epistemic Integrity of NASA Practices in the Space Shuttle Program

This article presents an account of epistemic integrity and uses it to demonstrate that the epistemic integrity of different kinds of practices in NASA's Space Shuttle Program was limited. We focus on the following kinds of practices: (1) research by working engineers, (2) review by middle-level managers, and (3) communication with the public. We argue that the epistemic integrity of these practices was undermined by production pressure at NASA, i.e., the pressure to launch an unreasonable amount of flights per year. Finally, our findings are used to develop some potential strategies to protect epistemic integrity in aerospace science.     

The impact of high-calorie-expenditure exercise on quality of life in older adults with coronary heart disease

The acceptability of a high-calorie-expenditure (HCE) exercise program in older coronary heart disease patients participating in a behavioral weight-control program was evaluated. Seventy-four overweight patients (median age 63 yr) were randomly assigned to a 5-mo intervention of HCE exercise (3,000-3,500 kcal/wk daily walking) or standard cardiac-rehabilitation (CR) exercise (700-800 kcal/wk). Both groups received counseling to achieve a dietary caloric deficit of 3,500 kcal/ wk. Assessments at baseline and 5 mo included self-reported measures of quality of life and psychosocial variables. The HCE group experienced significantly greater weight loss (8.2 ± 4 vs. 3.7 ± 5 kg, p < .001). Changes from baseline to 5 mo on scores of physical, emotional, and social functioning were greater for the HCE than CR group (p < .05). HCE exercise also resulted in greater positive change in exercise enjoyment (p = .05), which was mediated by weight change. Even high-risk older adults can be successful in an HCE exercise program and experience no adverse physical or emotional changes.     

Net migration and migration effectiveness: A comparison between Australia and the United Kingdom, 1976–96 Part 1: Total migration patterns

A nation’s population is redistributed through migration flows and counterflows between its constituent subnational areas, resulting in a geographical pattern of net migration gains or losses which may change from one time period to another. Migration effectiveness is the indicator commonly used to measure net migration as a proportion of gross migration turnover for any territorial unit. This paper explores the effect of net migration in two different countries, Australia and the United Kingdom, using measures of migration effectiveness computed from period-age migration data sets for a system of city regions assembled for four consecutive five-year periods in each country. While the evidence suggests that the overall effectiveness of net migration has declined over the 20-year period in both countries, marked similarities and contrasts are apparent in the spatial patterning of migration that together provide useful analytical insights into the changing space economies of the two countries.     

Postmodern synergistic knowledge creation: extending the boundaries of disability studies

The tensions between the competing discourses of the medical and the social models of disability have traditionally provided a platform for discussion and research in the fields of disability studies and special needs education. Over the last 30 years a wealth of literature has consolidated the debate and produced particular knowledge of impairment and disability. In this paper we argue that by privileging notions of ‘deficit’ within these medical or social model perspectives the richness of the lived experience of people with impairments is denied. The individual becomes lost within a framework of medical symptoms or social inequalities. This paper considers alternative approaches which reveal a fuller picture of the lives of people with impairments. The authors conducted two separate empirical studies, one employing a Deleuzo‐Guattarian perspective, the other a Bourdieusian perspective. In this paper we illustrate how these theories of practice can reveal situated understandings of the individual with impairments and his/her daily life. By embracing new understandings and different theoretical perspectives we show how new knowledge can emerge to illuminate the fluid and ever‐changing notions of ‘disability’, ‘inclusion’ and ‘exclusion’, which form elements of the individual lived experience of the research participants.