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Culturally Relevant Psychotherapy for Perinatal Depression in Low-Income Ob/Gyn Patients 总被引:1,自引:0,他引:1
Nancy K. Grote Sarah E. Bledsoe Holly A. Swartz Ellen Frank 《Clinical Social Work Journal》2004,32(3):327-347
To minimize barriers to care, ameliorate antenatal depression, and prevent postpartum depression in low-income women, we propose that a culturally relevant version of brief interpersonal psychotherapy (IPT-B) may be an effective approach. IPT-B is a modified form of Interpersonal Psychotherapy (IPT), an efficacious treatment for depression that we have altered to address the needs of women who have difficulty adhering to longer courses of psychotherapy. Culturally relevant additions to IPT-B include (1) a pre-treatment engagement strategy consisting of an ethnographic interview accompanied by psychoeducation to engage women in treatment; (2) convenient delivery of IPT-B in a public care Ob/Gyn clinic where the women receive prenatal services; (3) flexible scheduling of treatment sessions at the clinic or on the phone; and 4) facilitation of access to social services. 相似文献
854.
Nancy Phillips 《Demography》1971,8(2):261-270
This report presents data on the prevalence of tubal ligations, vasectomies and remedial sterilizing operations among white couples, with wife aged 20–54, who subscribe to a pre-paid medical care program and live in a suburban area near San Francisco. Contraceptive operations, more than two-thirds of which were male vasectomies, were found among 23 per cent of these couples. Some form of sterilizing surgery (contraceptive or remedial) was found among 31 per cent. The prevalence of surgical sterilization, specifically vasectomies, in this population is high compared with that found across the nation or in the Western states in the 1965 National Fertility Study. Variations in the prevalence of tubal ligations and vasectomies by parity, education and religion are described. Their prevalence increases with the parity of the wife, has a marked inverse relationship with education, and is highest when neither husband nor wife is Catholic. 相似文献
855.
Nancy Mandell 《Symbolic Interaction》1984,7(2):191-211
Focusing on the interaction of children with other children in day care centers, this paper examines the various ways in which children take the role of the other toward oneself. Using a sample of sixty-two children aged two to four, data was provided from a field work study involving intensive participant observation. Within a Meadian perspective, a model of negotiating meaning emerged with four characteristic stances of children's involvement in the process of taking children into account. Each stance is outlined using field work examples. The overall result is the provision of a continuum of interaction which documents the basic ways in which individuals move from the realm of private understandings to public or shared objects of attention. 相似文献
856.
An Integrative Examination of Peer Conflict: Children's Reported Goals, Emotions, and Behaviors 总被引:3,自引:0,他引:3
The primary purpose of the present study was to examine the interrelations among children's typical emotions, goals, and behavior during peer conflict and to examine emotions and goals as joint predictors of behavior. Children (7 to 11 years old) described recent conflicts with peers and were questioned about their emotions, goals, and behaviors. The friendliness of children's reported goals during conflict was associated with low anger intensity and with high intensity of sadness. Children who tended to report nonconstructive behavior also tended to report relatively intense anger and relatively unfriendly goals. Furthermore, in regression analyses, the friendliness of goals uniquely predicted the constructiveness of children's behavior after controlling for the effects of anger intensity, age, gender, provoking event, and friendship with the peer. Although boys and girls reported similar levels of anger and sadness, girls reported friendlier goals and more constructive behavior than did boys. The use of self‐reports of actual events to examine peer conflict during middle childhood is also discussed. 相似文献
857.
A common problem with medical surveillance programs using biomarkers is determining the optimal frequency of testing to minimize adverse health effects and cost. In the case of beryllium-exposed workers, frequency of testing for beryllium sensitization may be especially important. Recent studies indicate a lack of dose response for beryllium sensitization, but do support a dose response for the development of chronic beryllium disease (CBD). Though unproven, this implies that early identification of sensitization and immediate removal from exposure may reduce development of CBD. A model is proposed to project the optimal frequency of sensitization testing using the current beryllium lymphocyte proliferation test (BeLPT) to minimize disease-related costs, assuming that a positive BeLPT will precede CBD. Conversion rates for cumulative exposure to disease development were adapted from the literature and used with testing costs and cost of disease estimates in the model. The model was run assuming several test frequency regimes. Results support the use of periodic testing in line with the annual schedule proposed in the Final Chronic Beryllium Disease Prevention Program Rule (1999) following initial testing within three months of first beryllium exposure. The financial and health benefits of reducing the time from exposure to detection of early disease was also explored with the model and demonstrated as a highly desirable characteristic for an alternative test or improved BeLPT. Limitations of the approach are discussed as well as options for adapting this biomarker optimization methodology to consider biomarkers of other exposure-associated diseases. 相似文献
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A supervisory format used over a four year period for two isolated family therapists is discussed. After an initial face to face meeting, in-person supervision took place quarterly. Between these meetings, supervision was by a combination of audiotapes and letters. Supervisees recorded their questions, comments and news on cassette tapes, often sending as well the tape of a client session, and the supervisor responded by letter. The particular difficulties and advantages of this format are discussed, and some attention is given to the special needs of isolated practitioners. 相似文献