Suicide Prevention Training Program for Gatekeepers Working in Community Hospice Settings

Gatekeepers in community hospice settings encounter patients and caregivers struggling with suicidal thoughts. Limited guidance is available for training staff on the prevention of suicide in hospice care. This study evaluated one promising, evidence-based, suicide prevention program with a behavioral rehearsal practice session. A pre- and post-, one group design, was utilized to measure the training impact and educational needs of staff working in community hospice settings (N =39). Training increased awareness of the risk factors for suicide, as reported by nearly 80% of participants. Self-efficacy scores showed a statistically significant Increase, t(df = 35), ?9.59, p= .00 (two-tailed), from pretraining (n=36, M=2.21, SD= .65) to posttraining (n=36, M=3.03, SD=.56). Satisfaction and the need for additional devoted time for suicide prevention training were highly rated. Suicide prevention training programs can enhance self-efficacy, knowledge, and skills for gatekeepers working in community hospice settings.     

Reconciling Work, Family and Child Outcomes: What Implications for Family Support Policies?

This paper discusses the potential of family policies to reconcile the multiple objectives that they are expected to serve, over and above their role in offsetting the economic cost of children. We start by emphasizing the need to consider the multiple challenges that family policies in European Union??and/or OECD??countries have to address through a broadening of the standard economic approach to the cost of children. Policies indeed aim to reduce the ??direct?? monetary cost of raising children, but they also aim to minimise the indirect cost arising from the incidence of children on the parents?? work-life balance and on the aggregate level of employment. Moreover, motives for policy intervention such as concerns about child development, gender equity or aggregate fertility levels are not fully captured by cost measurements. We thus analyse how, and to what extent, family policies can successfully reconcile these multidimensional objectives. We offer a holistic approach, pointing out that a coherent family policy mix supporting working parents with preschool children is the only way to reconcile or limit the conflicts between work, family and child outcomes. Three main dichotomies are identified to explain cross-country differences in family policy packages: the emphasis on poverty alleviation; the supposed antagonism between fertility and female employment; and the potential conflict between this latter and child development. Ways to reconcile these objectives and to improve the effectiveness and efficiency of family policies are further discussed.     

Computer experiment designs for accurate prediction

Computer experiments using deterministic simulators are sometimes used to replace or supplement physical system experiments. This paper compares designs for an initial computer simulator experiment based on empirical prediction accuracy; it recommends designs for producing accurate predictions. The basis for the majority of the designs compared is the integrated mean squared prediction error (IMSPE) that is computed assuming a Gaussian process model with a Gaussian correlation function. Designs that minimize the IMSPE with respect to a fixed set of correlation parameters as well as designs that minimize a weighted IMSPE over the correlation parameters are studied. These IMSPE-based designs are compared with three widely-used space-filling designs. The designs are used to predict test surfaces representing a range of stationary and non-stationary functions. For the test conditions examined in this paper, the designs constructed under IMSPE-based criteria are shown to outperform space-filling Latin hypercube designs and maximum projection designs when predicting smooth functions of stationary appearance, while space-filling and maximum projection designs are superior for test functions that exhibit strong non-stationarity.     

A Response to Susie Orbach: On Generation and Femininity

This article provides a response to the article by Susie Orbach proposing that a more intensively regulated framework of femininity is now directed to young women in the guise of freedoms won and choice exercised. Orbach is right to argue that among its various performances femininity has recently lost many of its subservient dimensions. However, this is replaced by a regime of cultural values associated with body image that both appropriates from feminism and disavows it as having any new place in young women's worlds.     

Relational Factors Associated With Depressive Symptoms Among Stroke Survivor-Spouse Dyads

Depression following stroke is a major problem for survivors and spouses, but few studies have focused on the experiences of couples. This study investigates associations between perceived relationship quality, communication and coping patterns, interpersonal misunderstandings and expectations, and survivors’ and spouses’ depressive symptoms after controlling for sociodemographic and proximal factors. It also compares the relative strength of these associations between partners to identify shared versus unique correlates of depressive symptoms. This study adds to a thus far underdeveloped literature about the range of factors that affect partners’ psychosocial adjustment to stroke. Implications for practice, research, and theory are discussed.     

The Relationship Between Divorce and Children with AD/HD of Different Subtypes and Comorbidity: Results from a Clinically Referred Sample

This study investigated the relationship between divorce and the symptom profile of children with attention deficit/hyperactivity disorder (AD/HD). The files of 1,201 children from a pediatric practice in Sydney, Australia were used in this study. Children were aged 6 to 18 years, and were diagnosed with either the inattentive or combined type of AD/HD. Results show that 213 children had parents who were divorced. Children with the combined type, and especially boys with comorbid conduct disorder/oppositional defiant disorder (CD/ODD) were more common in the divorced group, and children of the inattentive type with comorbid learning disabilities were overrepresented in nondivorced families. Results suggest that divorce is associated with disruptive behavior patterns in children with AD/HD. The importance of including marital status as an important correlate in AD/HD treatment outcomes is discussed.     

Anxiety and Depression: Implications for Older Adults

By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far thefastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of laterlife is essential. In particular, anxiety anddepression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.     

Training Mental Health Professionals in Child Sexual Abuse: Curricular Guidelines

This study explored whether counseling practices with women survivors of child sexual abuse reflect the belief that women do not sexually abuse children. Canadian therapists (n?=?164) who work with women survivors of child sexual abuse were surveyed about their beliefs about what constitutes child sexual abuse, who commits child sexual abuse, and their practices regarding inquiries about abusive behavior. A majority self-reported that they ask women and think it is important to ask but most believe that clients will not spontaneously self-disclose inappropriate sexual thoughts or behaviors. How broadly or narrowly therapists defined child sexual abuse was not related to self-reported therapeutic discussion. Therapists demonstrated differential gender beliefs about child sexual abuse perpetration, but this did not relate to self-reported counseling practices. Implications for therapist education are discussed.     

The Relationship Between Self and Activity in the Context of Artists Making Art

Art is an activity that has historically invited self-reflection, self-immersion, and self-exploration—for example, in self-portraits, exhibitions, experimentation with media—and that as such may open a window onto the relationship between self and activity. In this article, we describe two cases studies involving observation of and interviews with two artists to explore what it feels like to invest oneself in an activity emotionally, cognitively, sensuously, and reciprocally to “make oneself” through this activity. These case studies highlight the importance of authenticity in both the activity of making art and the making of self through making art. The implications for agency, emotion, and ethical activity are analysed and some of the implications for a sociocultural approach to activity discussed.     

Relationships between work–life balance and job-related factors among child welfare workers

This study examined the relationships between work–life balance and several job-related factors among 573 public child welfare workers in a northeastern state in the United States of America. It explored job-related correlates of work–life balance and the possible mediating role of work–life balance between these factors and job satisfaction. Multiple regression analysis demonstrated that the job-related factors organizational support, job value, work time, and income were significantly associated with work–life balance among child welfare workers. It also confirmed that work–life balance partially mediated the associations of organizational support and job value with job satisfaction. Implications for child welfare research, policy, and practice are proposed based on the empirical findings.