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81.
Objectives. We examine the independent and interactive effects of marital conflict and marital disruption on women's depressive affect and how these effects vary by family's poverty status. Methods. We use the OLS regression and data from the National Longitudinal Survey of Youth to test the hypothesized relationships. Results. The results showed that marital conflict and marital disruption each predicts subsequent depression after controlling for the initial level of depression and other antecedent variables. The effect of marital conflict on depression is stronger among women in poverty than those out of poverty. Furthermore, among women in poverty, marital conflict followed by marital breakup is related to a heightened level of depression, whereas among women financially better off, there is a reduction in the level of depressive affect. Conclusions. These findings point to the importance of a family's economic condition and its impact on the interrelationships among marital processes and women's psychological health.  相似文献   
82.
This paper discusses the outcomes of an initiative to empower ten‐year‐olds as active researchers. It debates some of the barriers that are commonly cited with regard to children of this age taking ownership of their own research agendas—power relations, competence, knowledge and skills—and challenges the status quo. It describes a study in which a group of ten‐year‐olds participated in a taught programme aimed at equipping them with the knowledge and skills to design their own research. This empowering process resulted in the children undertaking research projects of their own choosing, designed, carried out and reported entirely from their perspective. Reports from two of those projects are presented as part of this paper.  相似文献   
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84.
The new General Medical Services contract was introduced into general practice in the UK in 2004, and it links pay to performance far more than in the past. As a result, accurate data collection about patients and the care that they receive is now not only important for good patient care but also to prove that targets are being met. The use of electronic records and information technology has thus become much more sophisticated. This article reports the results from an ethnographic study of the early stages of the new contract in two general practices. As expected, electronic data collection had increased in importance in both practices, with consequences both for clinician–patient interactions and for the structures and processes in the practices, as uniform data collection instruments are put in place that privilege ‘hard’ biomedical data that can be easily coded above ‘softer’, more patient-centred information. Roles and responsibilities had been changed to reflect the needs of the new systems, and new software applications allowed increased surveillance of both doctors’ and nurses’ performance; both of these had an impact on patterns of authority in our study practices. Furthermore, the structural changes that were found acted to embed the new ways of working, ensuring their reproduction in the future. In spite of these effects, we found little opposition to or critical reflection on the changes, and the doctors in our study continued to view their improved computer systems as neutral recording devices. The implication of these findings is discussed.  相似文献   
85.
86.
Free time has the potential to reduce time pressures, yet previous studies paradoxically report increases in free time concurrent with increases in feeling rushed. Using U.S. time diary data from 708 individuals in 1975 and 964 individuals in 1998, we review the evidence on trends in free time and subjective perceptions of feeling rushed, and reexamine the relationship between free time and time pressure. We find that women's time pressure increased significantly between 1975 and 1998 but men's did not. In addition, the effects of objective time constraints vary by gender. Whereas more free time reduces men's perceptions of feeling rushed at both time points, among women, free time marginally reduced time pressure in 1975 but no longer reduced time pressure in 1998. Our findings suggest that persistent inequality in gendered time‐use patterns is paralleled by gendered experiences of time pressure.  相似文献   
87.
A principal components analysis performed by David M. Smith on 47 U.S. state level indicators of social well-being yielded several components. The first two of these are socio-economic well-being and social pathology. Structural hypotheses are offered to explain state differences in these components. The structural variables condensed by a principal components analysis of state political, economic and social structure measures are differentiation, flexibility-rigidity, and progressive industrialization. These, along with several population measures, determine a substantial part of the variance in the two measures of social well-being.  相似文献   
88.
89.
Summary The growth and development of the California Institute for Clinical Social Work has been parallelled by the enhanced professional contributions of its alumni. Of the 59 graduates of the Institute, ten hold academic positions in top-ranking institutions of higher learning while three more are the chief administrators of social agencies. The remainder devote their time to direct clinical practice.In a recent survey of alumni, all graduates commented in one form or another upon the fact that because of the program, their work was more rewarding personally and was more responsive to clients' needs because of the knowledge and skill that they had gained. The evolution begun in 1974 still continues. This novel program has been elaborated to meet changing needs. Study of its efficacy and flexibility will be pursued as its development proceeds.  相似文献   
90.
Psychiatric nurses or therapists may be subpoenaed to appear as direct or expert witnesses. The response must be carefully prepared, and nurses must be aware that testifying in court can be an anxiety-provoking experience. Testifying often involves being an advocate for a client. Clients who have a mental illness, are developmentally disabled, or have a history of abuse or recent violence deserve a conscientious response. The legal process is the avenue for providing safety or empowerment, for assuring that needs are met, and rights are obtained, and being part of that process is an important role. Being prepared for the role is essential.  相似文献   
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