Do current consent and confidentiality requirements impede or enhance research with children with learning disabilities?

Recent changes in UK legislation on data protection and confidentiality have affected key aspects of the research process. They have led to much stricter approaches to research governance, leading in turn to more stringent scrutiny by medical ethics committees and National Health Service (NHS) Trusts. Almost all stages of research are affected, from participant recruitment to storage of data, eating into researcher time and consuming significant resources. The resulting constraints are examined in relation to a research programme on development in children with learning disabilities, highlighting the practical and ethical issues arising, with informed consent a particular challenge. Being multidisciplinary, learning disability research has to satisfy numerous regulatory bodies. For participants' rights to be fully respected and for projects to be completed within time and on budget, all contributors to the research process, including funders, need to be aware of the additional implications and demands imposed by the new regulations.     

The Effect of a Career Development Course on the Dysfunctional Career Thoughts of Racially and Ethnically Diverse College Freshmen

Pre‐ and posttests revealed that the dysfunctional career thoughts of 158 racially and ethnically diverse college freshmen were significantly reduced following a 6‐week, 1‐credit‐hour career development course. Freshmen with the highest level of dysfunctional career thinking indicated the most dramatic decrease. These reductions in dysfunctional career thinking occurred irrespective of students' gender or race/ethnicity.     

Mixed‐Gender Groups,Dating, and Romantic Relationships in Early Adolescence

This study examined dating‐stage and developmental‐contextual models of romantic relationships during early adolescence. Same‐gender friendships, affiliation with mixed‐gender groups, dating, and romantic relationships were investigated in a sample of 1,284 young adolescents of diverse ethnocultural backgrounds. Data were collected cross‐sectionally in Grades 5 through 8, as well as longitudinally in the fall and spring of an academic year. Consistent with a stage model, affiliation with mixed‐gender groups and dating were qualitatively distinct activities that were sequentially organized and facilitated the progression from same‐gender friendships to dyadic romantic relationships. The results also provide insights on how the developmental context may alter stage pathways: Dating activities were incorporated with mixed‐gender affiliations, group‐based romantic stages showed more stability than other stages, and the ethnocultural context influenced romantic timing. Finally, results indicated that participation in romantic activities heightened adolescents' future interest in having a romantic relationship.     

Is There a Place for Extended Assessments in Addressing Child Sexual Abuse Allegations? How Sensitivity and Specificity Impact Professional Perspectives

Using data from a survey of perceptions of 932 child welfare professionals about the utility of extended assessments, the researchers constructed a scale to measure respondents' views about sensitivity (ensuring sexually abused children are correctly identified) and specificity (ensuring nonabused children are correctly identified) in child sexual abuse evaluations. On average, respondents scored high (valuing sensitivity) on the sensitivity versus specificity scale. Next, the researchers undertook bivariate analyses to identify independent variables significantly associated with the sensitivity versus specificity scale. Then those variables were entered into a multiple regression. Four independent variables were significantly related to higher sensitivity scores: encountering cases requiring extended assessments, valuing extended assessments among scarce resources, less concern about proving cases in court, and viewing the goal of extended assessments as understanding needs of child and family (adjusted R2 = .34).     

TigerPlace,A State-Academic-Private Project to Revolutionize Traditional Long-Term Care

ABSTRACT

The Aging in Place Project at the University of Missouri (MU) required legislation in 1999 and 2001 to be fully realized. An innovative home health agency was initiated by the Sinclair School of Nursing specifically to help older adults age in place in the environment of their choice. In 2004, an innovative independent living environment was built and is operated by a private long term care company, as a special facility where residents can truly age in place and never fear being moved to a traditional nursing home unless they choose to do so. With care provided by the home care agency with registered nurse care coordination services, residents receive preventative and early illness recognition assistance that have markedly improved their lives. Evaluation of aging in place reveal registered nurse care coordination improves outcomes of cognition, depression, activities of daily living, incontinence, pain, and shortness of breath as well as delaying or preventing nursing home placement. Links with MU students, faculty, and nearly every school or college on campus enrich the lives of the students and residents of the housing environment. Research projects are encouraged and residents who choose to participate are enjoying helping with developing cutting technology to help other seniors age in place.     

INTIMATE JUSTICE II: FOSTERING MUTUALITY, RECIPROCITY, AND ACCOMMODATION IN THERAPY FOR PSYCHOLOGICAL ABUSE

This article presents part of the findings of a study of psychological abuse and physical violence in couples who voluntarily entered therapy. The study found that most of the men exhibited patterns of deception, devaluation, and dictatorial attitudes with their women partners and that these patterns were a considerable barrier to mutuality, reciprocity, and accommodation in the partnership. The researchers developed four interventions to challenge the men to change these patterns: true intentions, no free rides, the perception paradox, and the infallibility fallacy. The study was based on intimate justice theory, a developing clinical approach to therapy based on ethical theory.     

It's frustrating! Managing emotional dissonance in aged care work

Performing paid care work requires workers to simultaneously negotiate care and waged relationships. Mediating contradictions between the two often causes workers to experience frustration, a form of emotional dissonance. Drawing on semi‐structured interviews with 100 workers in Australian aged care organisations, this research identifies aspects of the work environment that enable care workers to successfully juggle or synthesise the emotional demands of their work. The research demonstrates that employers have an important role in alleviating frustration, and can do this by creating work environments which: give care workers relative autonomy; allow care workers to construct themselves as professional carers providing quality care; provide workers with support to manage their emotions and develop emotional resilience; and promote client recognition of workers' roles. Providing such work environments has the potential to not only alleviate workers' frustration, but also to increase job satisfaction and retain workers in aged care.     

Proportional hazards life table models: an illustrative analysis of socio-demographic influences on marriage dissolution in the United States

The proportional hazards life table is a recently developed approach to the analysis of survival data when mortality risks vary among individuals. It assumes that at a given age (or duration since the start of a life) the force of mortality is a constant (specific to that age) multiplied by a proportionality factor which is determined by the characteristics of the individual and does not change unless these covariates do. In this paper, the method is reviewed for the case where the covariates are fixed at the start of the lifetime and illustrated by an application to marital dissolution in the United States.     

Patriarchal Women: A Case Study of Newly Orthodox Jewish Women

Although it seems obvious why men might turn to a community steeped in patriarchal tradition, it is much more difficult to explain women's attraction. To explain their attraction the author conducted in-depth interviews with 75 newly orthodox Jewish women. Although many of these women began their journeys toward Jewish Orthodoxy partly as a backlash against feminism or any liberation movement they perceived as placing individual freedom above social responsibility, the data also suggest that almost all of them selectively incorporate and adapt some protofeminist values about the family and about men. This article explores the ways in which these women seem to make “feminist” sense out of patriarchal religion and social strucuture.