Imperial Japan at its Zenith

Teil A. Herausgegeben von Martin Broszat and Elke Fröhlich, Bayern in der NS‐Zeit II. Herrschaft und Gesellschaft im Konflikt (1979), xxv+515 (Oldenbourg, München, DM 38). (Bavaria in the Time of National Socialism. Power and Society in conflict).

Bernd Burkhardt, Eine Stadt wird braun. Die nationalsozialistische Machtergreifung in der Provinz. Eine Fallstudie. Mit einem Geleitwort von Heinrich August Winkler (1980), 160 (Hoffmann und Campe, Hamburg). (A City Turns Brown. The National Socialist Seizure of Power in the Province. A Case Study.)     

Healthcare and Listening: A Relationship for Caring

The optimal relationship between healthcare provider and patient is one of trust. This therapeutic relationship is dependent on the ability of the healthcare provider to communicate effectively with the patient. Research indicates that when healthcare providers listen to patients, there is more compliance with medical regimens, patient satisfaction is increased, and physicians are less vulnerable to malpractice lawsuits. Within the last few decades, the relationship between physician and patient has been reconceptualized from a paternalistic relationship to a partnership between provider and patient. This change is demanding a shift in how healthcare providers communicate and, in particular, listen to patients. To address this need, medical organizations such as the Accreditation Council for Graduate Medical Education has emphasized improved training and competence in communication skills of physicians. Effective communication and listening also is critical to the ethical treatment of patients and their families. This paper will discuss the critical component of listening within the healthcare context.     

Women's Experience of the Workers Compensation System

A phenomenological study was undertaken to understand women's experience of the workers compensation system. Eleven women were interviewed. They ranged in age from twenty‐five to sixty‐five years and represented diverse socio‐economic and educational backgrounds. All women were from a non‐indigenous background. The initial question to women was “Can you tell me what it is like to be involved in the workers' compensation system?” The narratives were analysed and interpreted using Hycner's (1985) phenomenological guidelines. The knowledge embedded in the interviews, expressed through core stories and themes, was essential to making women's voices visible and provide insight into service delivery based on women's experiences and needs. Four core themes were found: negative versus positive experiences, the workplace response and role in the process, women's experiences of payouts, and reasons why women may not claim workers' compensation. The women indicated that the workers compensation process was a disincentive to making a claim. WorkCover was viewed as siding with the employer, bureaucratic in nature and lacking values associated with empathy, sympathy and caring. Recommendations for improvements to the workers compensation system included to establish legal obligations and enforcement of occupational health and safety responsibilities to injured and to ill workers; adoption of occupational health and safety values by employers; change the attitudes of employers (recognising women as breadwinners and that workers are not disposable); a single case manager to advocate for injured or ill workers; recognition of mental and emotional consequences of an injury or illness; provision of rehabilitation that recognises mental and emotional factors as well as the importance of family participation; greater involvement of employers and employees in the rehabilitation process; and finally, improved service delivery that involves consistency, ethics, clarity (regarding the WorkCover process for injured workers and employers), accountability and involvement of all parties.     

Acknowledgement

We gratefully acknowledge the partial support of the National Institute of Environmental Health Sciences through Training Grant #T32 ESO 7018 and Research Grant #ROI ESO 2286, also the partial support of Special Projects funded by COllncil for Tobacco Research - U.S.A., Inc.     

Assessing Statewide Need for Older Adult Health Promotion Services: The Oklahoma Experience

ABSTRACT

The growing senior population and persistent poor health status of seniors in Oklahoma compels a fresh look at what health promotion services would be well received. Surveys were distributed to a list of registered voters aged 65 and older in Oklahoma with a total of 1,248 surveys returned (19.8%). Survey items asked about interests in services, classes, and activities, plus current barriers to accessing and/or engaging in such programs. To account for survey weighting, Rao-Scott Chi-Square Tests were performed to determine differences by demographic characteristics. We identified services, classes, and activities that were (and were not) of interest to seniors in Oklahoma with legal assistance (52.1%), exercise classes (46.6%), internet classes (40.7%), and indoor exercise activities (45.5%) receiving the highest level of interest. Barriers to interest in participating in programs included not wanting to go and not knowing availability of such services. The results of this survey provide useful data on health promotion gaps for seniors, interests and barriers to engaging in such activities, and guidance for statewide program development. Future program development needs to be focused on areas of interest for older adults, including legal assistance, exercise classes, and internet classes.     

Environmental Inequity: An Analysis of Large‐Scale Hog Operations in 17 States, 1982–1997*

Abstract This study extends ideas of environmental equity to large‐scale hog operations. We investigate counties in 17 hog producing states to determine whether large‐scale hog operations are more likely to be sited and expanded in areas that have a disproportionate number of Black, Hispanic, and/or economically disadvantaged residents. The data for this work come from the U.S. Department of Agriculture and the U.S. Bureau of Census. We discover evidence of racial inequity, but only in those states where large‐scale operations are being rapidly sited and expanded (i.e., Iowa, North Carolina, and Minnesota). There is no evidence of ethnic or economic inequality. We conclude that reductions in community quality of life attributable to large‐scale hog operations are more likely to be found in counties that are disproportionately Black than White if located in states that are expanding the number of large‐scale hog operations.     

The exchange of nonverbal intimacy: A critical review of dyadic models

This article examines six different theoretical approaches that attempt to explain the exchange of dyadic immediacy, intimacy, or involvement cues. Affiliative conflict or equilibrium theory, two expectancy norm models, an arousal-labeling model, an arousal valence model, a discrepancy-arousal model, and a sequential functional model are summarized. Advantages and limitations of each of these approaches are discussed, and empirical support for each of these approaches is summarized.     

Maternal childhood parental abuse history and current intimate partner violence: data from the Pacific Islands Families Study

Pacific peoples are a rapidly growing but socially disadvantaged segment of New Zealand society. Within this context, individuals may be particularly vulnerable to the experience of intimate partner violence (IPV). The aim of the study was to establish the association between the experience of maternal and/or paternal emotional or physical abuse and current severe physical partner violence perpetration or victimization among a cohort of Pacific women. Paternal physical abuse was the only statistically significant risk factor from childhood parenting history that was independently associated with severe physical perpetration and victimization within the mother's current intimate partner relationship (RR 2.6). These findings highlight the deleterious effect of paternal physical violence on subsequent IPV and contribute to the development of empirically based and considered ways to approach these complex phenomena.