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11.
Case management services for low-income couples receiving relationship education have been required by federal funding agencies. Studies examining relationship education outcomes for low-income couples have yet to address participant characteristics of those who attend case management services (e.g., distressed vs. nondistressed). Thus, this study examined the influence of baseline relationship satisfaction and demographics on attendance at case management visits for 2,628 low-income, partnered participants who attended relationship education. Findings indicated that participants who reported higher baseline relationship distress attended more family services counselor (FSC) visits. However, when we added demographics to the model, relationship distress no longer predicted FSC visits, whereas income served as a predictor for men and women, with those reporting greater monthly income attending more FSC visits.  相似文献   
12.
In the societal debate surrounding voluntary euthanasia or physician‐assisted suicide, there is a concern that older people will be left exposed to any legislation, subject to either faint suggestion or outright coercion from familial or professional carers. Whilst it is critical to take account of older people's potential vulnerability to any current or proposed assisted suicide legislation, there is a parallel strand of research exploring another relationship which older people can have with this debate: one of activism. Sociological research has shown that older people make up the “rank and file” of those active within the right‐to‐die movement. One of the stated motivations of some older people requesting hastened death has been that, in spite of an absence of life‐threatening disease, they feel “tired of life” or that they have lived a “completed life” and feel ready to die. The notion of suicide for reasons of longevity and being tired of life are becoming increasingly significant given the fact of global ageing. This article brings together empirical and theoretical research on the phenomenon of old age rational suicide in order to develop an underexplored area in both the sociology of death and the sociology of ageing.  相似文献   
13.
A dialectical behaviour therapy (DBT) group has been conducted for a number of years at a public outpatient clinic for adolescents suffering with emotional regulation difficulties and their families. A detailed account of the rationale, design, and content of both the adolescent and parent groups are provided. Data from these groups adds to the limited evidence regarding the efficacy of such groups. A retrospective analysis of changes in the adolescent participants’ emotional dysregulation, depression, anxiety and stress, following their participation in the group (N?=?12) was conducted. Several substantial improvements were noted across the measures of psychopathology, following the completion of the group. These findings support the teaching of DBT skills to adolescents and their families, with some modifications being appropriate for their application to this population. Future avenues for research stemming from the group program are also discussed.  相似文献   
14.
This article assesses the effects of children on parents' involvement in caregiving. On the basis of interviews with 273 respondents, we address the effects of having children on care given to kin and nonkin; assess the effects of children's characteristics, especially age and gender, on the help mothers and fathers provide; and examine how these vary with mothers' employment. Overall, we find that the presence of children connects parents into networks of care more than it constrains them. The effects vary depending on the characteristics of the child (including age and gender) as well as characteristics of the parent (like gender and employment).  相似文献   
15.
Although previous research has examined the micropractices of therapeutic interaction, few studies have focused on the expression of power in group therapy. This ethnographic study examines a therapeutic program for teen mothers to explore how self‐disclosure occurs, focusing on the therapist's techniques for soliciting disclosure and subsequent responses. These techniques include the therapist's own disclosures, presentation of commands, and revelation of information, which then evoke the disclosure. Individuals respond with immediate compliance, delayed compliance, or sustained resistance. Although the therapist attempts to mask this imbalance, her strategies reinforce the power differences between herself and the teen mothers. The interactions observed here illustrate how clients may find therapeutic environments less about psychological unburdening and healing and more about the negotiation of power in an institutional setting. A more effective therapy might focus on disclosure of clients' successes rather than primarily on the revelation of discrediting information.  相似文献   
16.
The ability to effectively regulate emotions is a critical component of early socio‐emotional development. This longitudinal study examined the developmental trajectories of emotion regulation in a sample of 3‐, 5‐, and 7‐month‐olds during an interaction with mothers and fathers. Infants' negative affect and use of behavioral strategies, including distraction, self‐soothing, and high intensity motor behaviors were rated during the still‐face episode of the Still‐Face Paradigm. Longitudinal mixed‐effects models were tested to determine whether strategies were followed by an increase or decrease in negative affect. Results from mother‐infant and father‐infant dyads indicated that focusing attention away from the unresponsive parent and engaging in self‐soothing behaviors were associated with a subsequent decline in negative affect and the strength of these temporal associations were stable across infancy. In contrast, high‐intensity motor behaviors were followed by an increase in negative affect and this effect declined over time. No significant effects were found for the behavioral strategy of looking at the parent. Results underscore the importance of considering infant age and the social partner when studying the effectiveness of emotion regulatory strategies in early infancy.  相似文献   
17.
This paper is a critique of recent service-intensive shelter programs for homeless mothers and the policies that underlie these shelters. We first document the process by which mental health problems and family homelessness became so closely but mistakenly linked. We then demonstrate empirically that shelter programs for homeless families nonetheless presume that mental health problems are part of the causal nexus of family homelessness and indiscriminately deliver mental health services to homeless mothers. Simultaneously, shelter programs encourage the isolation of their residents from what they presume to be their "problematic" social networks. We show that, while mental health services had little impact on depression levels among homeless mothers, isolation from social networks did increase depression among homeless mothers. Our findings suggest that policy should put more emphasis on rapid reintegration into the community through providing housing, and it should put less emphasis on providing services.  相似文献   
18.
For the past two years, the Department of Occupational Therapy at the University of Haifa has offered an online course to third year occupational therapists on the topic of Ergonomics for Health Care Professionals. The development and implementation of this course was funded by the Israeli Ministry of Education. Unique teaching materials, developed and uploaded to the University's server via "High Learn", included interactive and self-directed documents containing graphics, animations, and video clips. Extensive use was made of the discussion forum and survey tools, and students submitted all assignments online. For the final topic, an expert in ergonomics from Boston University delivered a lecture via two-way videoconferencing. The course site included comprehensive library listings in which all bibliographic materials were made available online. Students accessed course materials at the University in a computer classroom and at home via modem. In an accompanying research study, the frequency of student usage of the various online tools was tracked and extensive data were collected via questionnaires documenting students' demographic background, preferred learning style, prior usage of technology, satisfaction with the course and academic achievement. This paper focuses on the results of the research study that examined how the students responded to and coped with teaching material presented and accessed in this format.  相似文献   
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20.
Analysis reported here examined youth in residential group home placements in order to better understand how sexual behaviors, drug use, and environmental experiences differ by race and gender subgroups. Data were collected from 336 youth aged 14–21 residing in one of 41 group homes in Maryland. Chi square and logistic regression analyses were done to determine differences on study variables among the race-gender groupings. Results demonstrate not only significant health concerns overall but notable differences were also found between race-gender subgroups. Findings suggest that found race-gender subgroup differences might be informative for tailoring programming for youth of residential group home settings.  相似文献   
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