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71.
Expanding longevity among the elderly and fertility decline are contributing to an aging US population. The number of persons 65 years or older is projected to double from about 32 million in 1990 to 66 million by 2030; the elderly proportion is expected to increase from 13 to 22 percent over the same period. Chronic illness and functional disability afflicts a significant proportion of older persons. An estimated 80–85 percent of people over age 65 have at least one chronic illness, and nearly one-half of older people report that chronic illness limits their activity to some degree. Altogether, about one-third of the population over 65 may need some kind of medical or social assistance. This paper discusses the three primary modes of care available to older persons: (1) the informal network of the family, (2) the more formal arrangements of home and community care, and (3) the institutionalized care of nursing homes. Of particular policy interest are the questions: Who provides the care? What type of care is available? Who receives the care? How much does each type of care cost? and Who pays? The current patterns and costs especially of long-term care provide a framework for planning future options. A discussion of research and policy recommendations concludes the paper.  相似文献   
72.
Blank NM  Werner-Lin A 《Omega》2011,63(3):271-290
In the era of managed care, evidence-based practice, and short term, solution focused interventions, clinicians in agency based settings generally do not have the luxury of long-term contact with bereaved children. Although a substantial, yet controversial, literature argues that children cannot fully resolve early loss until adulthood, limited attention is given to how children's understandings of early loss shift as their cognitive capacities mature. This article argues the emotional experience of grief shifts: 1) as children grapple with both normative life changes and the tasks of mourning, and 2) as their cognitive and emotional development allow them to understand and question aspects of their deceased parent's life and death in new ways. This article will present an overview of longitudinal and cross-sectional research on the long-term impact of childhood grief. We then suggest the ways bereaved children and adolescents revisit and reintegrate the loss of a parent as their emotional, moral, and cognitive capacities mature and as normative ego-centrism and magical thinking decline. To demonstrate these ideas, we draw on the case of a parentally bereaved boy and his family presenting across agency-based and private-practice work over the course of 14 years. This case suggests the need for coordinated care for children who are moving beyond the initial trauma of parental loss into various stages of grief and reintegration. While the loss of a parent is permanent and unchanging, the process is not: it is part of the child's ongoing experience. (Worden, 1996, p. 16).  相似文献   
73.
Previous literature on the assessment of multicultural counseling competence has been concerned only with counselors' abilities when working with individual clients. We expanded this line of research by investigating trainees' multicultural case conceptualization ability in the context of working with couples. Despite the fact that trainees self-reported a high level of multicultural competency, trainees were largely inattentive to racial factors in their case conceptualization responses to vignettes involving both African American and European American clients presenting for couples therapy. On the whole, despite didactic, clinical, and extracurricular training in multiculturalism, marriage and family therapy trainees did not sufficiently incorporate cultural factors into their clinical case conceptualizations. We discuss implications for teaching, practice, and future research.  相似文献   
74.
This study investigates interracial dating preferences between black and white daters over the age of 45. Using data from one of the largest matchmaking website (N = 1335), logistic regression is used to examine the odds of one's willingness to date someone of a different race or ethnicity. The findings suggest that older s in the present sample are more likely to cross the color line when seeking a potential mate compared to their white counterparts. The results also reveal that higher education increases the willingness among whites to date a person of color; however, this was not the case for older educated blacks who were more resistant to cross racial boundaries. Finally, the results indicate significant differences in dating preferences based on various socio-demographic characteristics. The variation in mate selection between older whites and blacks may be explained in part by both the historical and present socio-cultural racial climate.  相似文献   
75.
76.
OBJECTIVE: To preliminarily evaluate telephone-delivered motivational enhancement therapy (MET) in motivating unadjudicated and nontreatment seeking intimate partner violence (IPV) perpetrators, who also use substances, to self-refer into treatment. METHOD: 124 adult men were recruited via a multimedia marketing campaign and were randomly assigned to the intervention (MET) or comparison group following a baseline assessment. Participants in the MET condition received a personalized feedback report on their IPV and substance-use behaviors, consequences, and social norms beliefs. RESULTS: Results supported the likely effectiveness of MET in short-term reduction of IPV behavior, increasing motivation for treatment seeking, and changing perceived norms for IPV and substance abuse (SA). CONCLUSIONS: Applications for brief MET interventions to facilitate voluntary treatment entry among substance-using IPV perpetrators are discussed.  相似文献   
77.
Numerous theories have been put forward for the high and continuing levels of gender segregation in science, technology, engineering, and mathematics (STEM) fields, but research has not systematically examined the extent to which these theories for the gender gap are consistent with actual trends. Using both administrative data and four separate longitudinal studies sponsored by the U.S. Department of Education’s National Center for Education Statistics (NCES), we evaluate several prominent explanations for the persisting gender gap in STEM fields related to mathematics performance and background and general life goals, and find that none of them are empirically satisfactory. Instead, we suggest that the structure of majors and their linkages to professional training and careers may combine with gender differences in educational goals to influence the persisting gender gap in STEM fields. An analysis of gendered career aspirations, course-taking patterns, and pathways to medical and law school supports this explanation.  相似文献   
78.
The relationship between mother and daughter is unlike other family dyads and important to both parties over a lifespan. One underexplored area of this relationship is how adult daughters construct and perform the daughtering role. The present study explores how daughters talk about the ways they enact daughtering and evaluate their role in a social world. The findings reveal how daughters position themselves within a family system and, more broadly, in society. This paper includes interview data with 33 adult daughters about their mothers. We illuminate more about how daughters, as role players, conceive of the expectations for their roles and evaluate their role performance in light of role expectations. Analysis revealed four role expectations tied to good daughtering: showing respect, providing protection, eliciting mothering, and making time for connection. Our analysis supports that daughters assess themselves based on their understanding of these role expectations. We present a matrix to illustrate these findings.  相似文献   
79.
Abstract

Between 2018 and 2019, two librarians at the College of Charleston Libraries incorporated cloud-based technologies into their collection management workflows. The following paper was derived from a presentation they prepared for the 2020 North Carolina Serials Conference, which was to be held on March 27, 2020 in Chapel Hill, North Carolina but was canceled due to the COVID-19 pandemic. The paper highlights which cloud technologies they use and provides an overview of the literature that has been published on project management and cloud-based technologies in libraries. It includes an explanation of how they use each tool, and provides examples for setting up each tool in different scenarios so that other collection management librarians may implement them into their own routines. The paper ends with an exploration of the advantages and disadvantages of integrating these tools into collection management workflows. Although the librarians had not prepared to discuss the role these technologies may play when working remotely, they have both found them invaluable during this unprecedented time when many librarians are working from home.  相似文献   
80.
U.S. and Indonesian 9‐ to 11‐year‐old children (N=147) reported on multiple occasions conflicts that they experienced with peers. The precursors of conflict, behavior during conflict episodes, and resolutions were coded. Teacher ratings of aggression and social preference were obtained. The conflicts of children in both countries most often occurred between friends, were short, amicably settled, and solved without aggression. Indonesian children reported disengaging from conflict more often than did U.S. children, whereas U.S. children more frequently reported using negotiation. Reports of aggression during conflict were associated with U.S. and Indonesian children's teacher‐rated aggression, whereas reports of disengagement were associated with Indonesian children's teacher‐rated social preference and aggression.  相似文献   
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