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341.
This study examined harm, hurt, and neglect by caregivers as well as self-neglect and physical and mental health status among 113 lesbian, gay, and bisexual (LGB) older adults aged 60–88 years, who attended community-based social and recreation programs or groups in the United States. Reporting on their experiences with caregivers, 22.1% of the participants experienced at least one type of harm, including physical, emotional, verbal, sexual, financial, and neglectful; additionally, 25.7% of the participants reported they knew LGB older adults who experienced at least one type of harm from his or her caregiver. With regard to self-neglect, 62.8% reported experiencing it; those indicating positive psychological health reported fewer experiences with self-neglect.  相似文献   
342.
Gay‐Straight Alliances (GSA) and school policies focused on support for lesbian, gay, bisexual, transgender, and queer/questioning youth may reduce bias‐based bullying and enhance social supports in schools. Using multivariate regression, we tested the relationship between youth reports of the presence of GSAs and LGBTQ‐focused policies, independently and mutually, with experiences bullying and perceived support (= 1,061). Youth reported higher classmate support in the presence of GSAs and higher teacher support in the presence of LGBTQ‐focused policies; the presence of both GSAs and LGBTQ‐focused policies was associated with less bullying and higher perceived classmate and teacher support. The findings indicate that GSAs and LGBTQ‐focused policies are distinctly and mutually important for fostering safer and more supportive school climates for youth.  相似文献   
343.
This cross-sectional observational study examined the frequency of older patient-physician discussions about exercise, who initiates discussions, and the quality of questioning, informing, and support about exercise. The study used a convenience sample of 396 follow-up visits at 3 community-based practice sites, with 376 community-dwelling older patients and 43 primary-care physicians. Audiotapes were analyzed using the Multi-Dimensional Interaction Analysis coding system. Results demonstrate that exercise was discussed in 13% of visits and the subject was raised equally by patients and physicians. Exercise was significantly more likely to be discussed in dyadic visits (14.7%) than in triadic visits (4.1%). Patient level of education, patient overall physical health, and the physician's being female were significant predictors of the occurrence of exercise discussion. Given the importance of exercise for maintaining health and independence in older adults, more clinical and research attention is needed to address barriers to effective discussions in this area.  相似文献   
344.
本文呼吁在世界事务研究中对全球城市给予更多的关注,以便更全面地解读全球治理这一由相互重叠的管辖权力范围组成的多层次的进程。文章指出,国际研究对全球城市的战略角色非常不敏感,同时展现了全球城市如何通过发挥其联网能力在世界舞台上演绎纵横,从城市的角度为厘清全球治理多层次的治理性提供了线索。笔者认为,通过全球城市的视角,能够使理论学者将被治理方式与政治团体相隔开的宏观进程与微观动态联系起来。  相似文献   
345.
346.
Related party transactions (RPTs) are transfers of resources, services or obligations between a reporting entity and a related party (IASB 2009); criteria for a related party definition may significantly differ among the various accounting and governance academic studies and regulatory principles, but they usually depend upon the ability to influ-ence contractual terms and conditions. The topic has been neglected for a long time. In the literature two theories prevail: (a) conflict of interests, considering these dealings as potentially harmful and carried out in the interest of directors; (b) efficient transaction hypothesis, describing them as sound economic exchanges. The paper examines both theories critically through a deductive approach, and also on the basis of their economic rationale. Then, a contingency perspective is suggested, underling how the effectiveness and the efficiency of the proposed solutions are strictly correlated to organizational contexts, institutional environments and governance practices. The study is largely based on a literature review and has different purposes: (a) to shed light on a topic, that, despite its potential impact, has not yet deserved great attention in governance studies; (b) to stress possible inconsistencies in the above mentioned theories, both, to some extent, ideologically biased and unable to offer a proper picture of these heterogeneous dealings; (c) to suggest a more balanced and pragmatic approach, less influ-enced by a suspicious attitude (typical of the conflict of interests theory), possibly more consistent with their economic rationale (as suggested by the efficient transactions hypothesis) as well as social fac-tors and governance practices.  相似文献   
347.
348.
Through depictions of the landscape in the literary works of contemporary Jewish national-religious poets and writers, ambivalence in their relationship towards their natural and man-made surroundings is laid bare. The implementation of the Israeli occupation on the West Bank has rendered a profound impact on the landscape; yet for religious Jewish settlers who subscribe to the promise of redemption that will mark the unification of Jews, God and the land – such unity is desired yet unattainable. In the reading of these texts, the landscape takes on many of the qualities of Jacques Lacan's ‘objet a’ that is both a surplus of the Real and testimony to its absence. Coveted and resented, pure and profane, inclusive and alienating – the portrayed spaces and places of the Israeli occupation allude to binary poles that can be read through Bruno Latour's investigation on the nature of ‘factishes’; these render the depiction of the landscape a unison between what its dwellers are, and what they desire. Through the prism of these two approaches, the depicted landscape of the Israeli occupation that emerges from these texts is one that borrows from Zionist ideology, and yet carves for itself its own niche. In its relationship with the land and the landscape, religious-national sentiment is not yet another manifestation of a national ideology (though it both feeds from and is fed by it), but is propelled by the desire to lay claim to the Lacanian notion of a longed-for Real. In these as yet relatively unstudied texts, the landscape of occupation maps the landscape of its writers’ pleasures and pains, and that of continuous desire.  相似文献   
349.
This study examines the effect of the previous marriage on remarried couples within the context of a blended family. Fifteen couples in stepfamilies married from 1 to 38 years were interviewed. Qualitative analysis, using constructivist grounded theory, revealed four significant themes: (a) Most couples exhibited caution when considering marrying their spouse. (b) Differing loyalties caused stepparents to feel their needs came last and the biological parents to feel caught in the middle. (c) Antagonism toward the ex-spouse brought couples together but also resulted in their feeling powerless and frustrated. (d) Role confusion created frustration for the stepparents and guilt for their spouses. Self-psychology was the theory used to analyze the results, and implications for treatment are discussed.  相似文献   
350.
ABSTRACT

Welfare reform has been successful in helping clients achieve self-sufficiency. However, some individuals experience problems associated with basic needs, physical health, mental health, substance abuse, and intimate partner violence (IPV) that can impede transitioning from welfare to work and/or interfere with parental responsibilities. The Targeted Assessment Program (TAP) was created more than a decade ago to identify and address these problems and help clients move off the welfare rolls in Kentucky. Self-reported interview data were used to examine changes and effect sizes between baseline assessment and 6-month follow-up from a sample (n = 322) of Temporary Assistance for Needy Families-eligible clients participating in Kentucky's TAP. Using McNemar's test for correlated proportions, paired-sample t-tests, and measures of effect size, significant changes with varied effect sizes were found for selected basic needs, as well as physical health, mental health, substance use, and IPV barriers. Findings suggest that social service practitioners could incorporate strengths-based case management and motivational interviewing into their practice. Further research is suggested utilizing longitudinal and controlled studies on evidence-based practice that address pretreatment and assessment strategies involving case management and motivational interviewing.  相似文献   
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