Correlates of depression in self-neglecting older adults: A cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability

ABSTRACT

Self-neglect among older adults results in increased morbidity and mortality rates. Depression is strongly linked to self-neglect and when untreated, severely complicates management of health and functional outcomes. The study aims to identify factors correlated with depression to inform approaches to service recruitment and retention that improve long-term outcomes. The sample included urban community-dwelling older adults (n = 96) 65 years of age and older with Adult Protective Services-substantiated self-neglect. All participants completed a range of validated cognitive, functional, and self-report demographic and clinical measures around health and mental health functioning. A secondary data analysis using multivariable logistic regression revealed that a positive screen for alcohol abuse, low self-rated health, and higher self-reported pain were associated with significantly higher odds of self-reported depression. Further research is needed to understand the temporality between these correlates and depression and to inform prevention and intervention practices for self-neglecting older adults.     

Conceptual Model and Map of Psychological Abuse of Older Adults

Psychological abuse of older adults is a hidden and pervasive problem that is not well conceptualized nor well measured. Goals. The goals were to (a) conceptualize psychological abuse using three-dimensional concept maps, and (b) develop theoretical models. Methods. Statements describing the construct were generated by local and national panels. These were sorted and rated using Concept Systems software whereby the concepts were depicted as a map. Results. The concept maps guided development of theoretical hierarchies. Significance. Theoretical models may help to develop measures to estimate prevalence better and may enable more precise screening for triage into appropriate interventions.     

THE POPULAR IN THE POLITICAL SYSTEM

This paper suggests a systems theoretical re-reading of popular communication and the Popular in the political system. Luhmann' anti-humanist notion of communication helps to reframe the discussion of the Popular: it is not defined by an en- or decoding instance, but by a particular mode of ‘connectivity'. Drawing from heterogeneous material (Mars Attacks!, crowd psychology, theory of democracy), it is argued that the problem of the Popular arises when a functional system has to represent something that transgresses the system' universality. That which the system has to exclude to become a system re-emerges as ‘grotesque hybrid’, thus pointing at a universality that is, on the one hand, an opportunity for a further universalization and, on the other, a threat to the very universality of the system. The ‘Popular’ thus acquires a hybrid position by articulating these two dimensions.     

Ethnosemiotics: Some personal and theoretical reflections

The question of how individual memory fits, or more accurately, does not fit with history is at the heart of this paper on Maryse Condé’s novel Heremakhonon about Veronica Mercier, a character who was born in Guadeloupe, lived in Paris and travels to West Africa in search of an ancestry that was interrupted by slavery. Suggesting that readings that focus on Mercier as a character are limited in approach, it reads the novel as a staging of time and is attentive to the gaps between thought and speech, between memory and history, between Guadeloupe and Africa, and between women’s personal sexual pleasure and the impersonal reproductive body that interrupt the narrative. The central character’s personal quest for her African roots – for ‘niggers with ancestors’, for Africa as a singular lost object, which necessarily involves ignoring the subaltern – is nuanced by the novel’s deployment of heterogeneous time.     

Goal-Directed Supervision of Social Work Students in Field Placement

Abstract

Permanency Planning for Children , by Anthony N. Maluccio, Edith Fein, and Kathleen A. Olmstead. London: Tavistock Publications, 1986. Reviewed by Donald Brieland

Feminist Visions for Social Work , edited by Nancy Van Den Bergh and Lynn B. Cooper. Silver Spring, MD: National Association of Social Workers, 1986. Reviewed by Cleo S. Berkum, DSW

People and Contexts: Social Development from Birth to Old Age , by Henry S. Maas. Englewood Cliffs, NJ: Prentice-Hall, Inc. 1984. Reviewed by Harris Chaiklin

Case Management in Human Service Practice by Marie Weil, James M. Karls, and Associates. San Francisco: Jossey-Bass Publishers, 1985. Reviewed by Doman Lum

Law and the Mental Health System: Civil and Criminal Aspects , by Ralph Reisner. St. Paul, MN: West Publishing Co., 1985. Reviewed by Wynne Sandra Korr

Testing the Social Safety Net , by Martha R. Burt and Karen J. Pittman. Washington, DC: The Urban Institute, 1985. Reviewed by Julia M. Watkins     

过程中的心理治疗

身体和心理都是极其复杂的,且二者有着迥然相异的模式,心理治疗会被这些模式所影响.怀特海主义者所从事的心理咨询强调治疗方法的多样性,但这并不意味着所有形式的心理治疗的构想和具体形式都是令人满意的.很多常见问题的产生缘于实体思维的不断加重:这在某些情境下将导致对于自我中心的放纵;在另一些情境中将促进对于终生的、固定的潜能的追寻;而在另一些情境下将导致对个体完全自主的张扬.在这些心理疗法中或许能找到一些积极的内容,但其理论上的错误仍然导致了很多问题的产生和不必要的付出.针对这一情况,怀特海过程思想除了能提供一种批判性的评价各种疗法的视野之外,也提出了一些具体的做法.     

Invisible republics and secret histories: A politics of music

Abstract

How does music ‐ or any cultural artefact ‐ assume significance for those who encounter it? Why does one sound or image come to matter, while others are overlooked or forgotten? The answer is not to be found in the sounds alone, but in the context and conditions in which they are heard. This article explores this argument by considering the case of The Anthology of American Folk Music, a set of recordings from the 1920s and 1930s, which has exercised an extraordinary power over popular music since its release in 1952. Using the arguments expounded by Robert Cantwell and Greil Marcus, and pointing to the uses of music in establishing national identities and mobilising social movements, the article argues for an understanding of music's significance that links social experience, aesthetic pleasure and political values.     

Using E-Health Programs to Overcome Barriers to the Effective Treatment of Mental Health and Addiction Problems

E-Health programs for mental illness and addictive behaviors have recently emerged as potentially useful self-help resources. Health care professionals will soon have the option of referring clients to free-to-end-user online, expert-moderated e-health programs as complementary means of assisting clients. Such programs will have significant implications for developing improved stepped models of care. This article describes various e-health programs and lessons learned related to access, promotion, user demographics, and patterns of use. In addition, validation procedures, effectiveness and attrition rates, fitting and tailoring, and qualitative analyses of social networks are described. It is difficult to validate e-health programs that are completely anonymous and do not require registration, personal interaction, or membership fees. As competition emerges in the budding e-health industry, best practice guidelines will need to be developed for collecting data and evaluating the utility of these programs.     

Technology and Obsessive Compulsive Disorder: An Interactive Self-Help Website for OCD

Obsessive Compulsive Disorder (OCD) is a neurobiological illness characterized by unwanted thoughts and/or images followed by repetitive rituals. About 5 million Americans live with Obsessive Compulsive Disorder. OCD is a manageable illness when proper interventions are utilized. Treatment for OCD is limited due to the lack of adequately trained professionals and the high costs of treatment. Cognitive behavioral therapy (CBT) in conjunction with exposure with response prevention (ERP) is the most effective intervention modality available for OCD. To address the treatment gap, an online, interactive self-help website was developed for those living with OCD without access to an effective intervention. This report will explore development of the OCD Challenge website and future implications of its use.