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81.
Summary Emphasis throughout this paper has been placed on the importance of viewing black patients in their current social context. The positive impact of the Black Power movement has been observed in black patients who are involved in issues of black separatism and activism. Bennett's four stages of black process provide a means of identifying the position of individual blacks in terms of racial identity. Since relationships with whites are highly determined by the black patient's stage of black process, use of this conceptual frame work will assist the therapist in determining the indirect way in which black patients express racial issues.The author's experience has confirmed the existence and importance of two problem areas: the longer time needed to establish a therapeutic alliance in interracial work and the lack of knowledge of the black experience and culture in the white professional. The knowledge that additional time must be expended by both therapy partners must raise questions about the ethics of interracial practice and the need for more black mental health professionals. The second area of concern, the white professional's lack of knowledge, could be remedied. The fact that whites have not attempted to learn more about the black culture suggests the problem is a philosophical one. Liberal professionals are generally committed to the ideal of a truly integrated society where there are no differences among people. Black people appear to be telling us that they are different from whites here and now, and they like the difference.Supported by U.S.P.H.S. Grant # MH 15650 and MH 17728 from the National Institute of Mental Health, U.S. Department of Health, Education and Welfare  相似文献   
82.
Rainwater's assertion that blacks have low self-evaluations because they receive more negative evaluations from other blacks than whites receive from other whites is challenged here by reference to Heiss and Owens evidence that negative self evaluation among blacks is limited to work-related traits. Substantial support was found for our major hypotheses that, compared to whites, (1) blacks would report more negative evaluation of “most men” but not of “most women” (since the provider role is traditionally ascribed primarily to men), and (2) the more negative evaluation of “most men” by blacks would be limited to work-related traits.  相似文献   
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Where strength training has been used in conjunction with functional-task training in older people, not only have there been improvements in leg strength but also improved function has been measured (e.g., Skelton & McLaughlin, 1996). Many studies use participants from care homes rather than community dwellers. We investigated changes in leg power, balance, and functional mobility in community-dwelling sedentary men and women over 70 years of age (n = 6 for training group [TR]; n = 10 for control group [CN]). Progressive training took place over 24 weeks using seated and nonseated exercise. For TR, leg power increased 40%, from 108 +/- 40 to 141 +/- 53 W (p < .01); dynamic balance increased 48%, from 22.3 +/- 7.9 to 33.1 +/- 6.1 cm (p < .01; functional reach); and functional mobility increased 12%, from 7.46 +/- 1.32 to 6.54 +/- 1.41 s (p < .05; timed walk). CN showed no significant change. In conclusion, a community-based exercise program led to large improvements in leg-extensor power, dynamic balance, and functional mobility.  相似文献   
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In January 2004, the National Collaboration for Youth approved a list of core competencies needed by entry-level youth development workers for effective youth development practice. This chapter provides an overview of these competencies, explaining why and how the list was created, outcomes, and recommendations for next steps.  相似文献   
87.
Adolescent suicide is increasing in the United States and the incidence of suicide gestures and attempts in juvenile correctional facilities is high. The attitudes of correctional staff toward adolescents and toward suicidal behavior may contribute to the increase. Suicide is often the outcome of a progression of problems that have isolated the adolescent from meaningful social relationships. Correctional staff must be aware of the phenomenon of adolescent suicide and be given training to deal with it effectively within the institution. Institutional staff have commonly seen suicide gestures or attempts as acting out behavior rather than a symptom of low self-esteem or inability to cope with institutional placement. This discussion examines the phenomenon of adolescent suicide and the impact the juvenile justice system has on its occurrence. It will also include an examination of interdisciplinary interventive strategies which can be used in an institutional setting.  相似文献   
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American Indian adults are thought to experience significant depressive symptoms at rates several times higher than adults in the general population, yet we know very little about factors associated with depressive symptoms among this under studied group. Many researchers have argued that depressive symptoms are associated with conflicts between American Indian traditional cultural values, practices, and beliefs and those of the majority culture. This report, based on a sample 287 American Indian adults from the upper Midwest, takes into account two measures of cultural effects: perceived discrimination, as one indicator of culture conflict, and traditional practices, as a measure of cultural identification. The results indicate that discrimination is strongly associated with depressive symptoms among American Indian adults and that engaging in traditional practices is negatively related to depressive symptoms. Moreover, interaction effects between perceived discrimination and traditional practices indicate that engaging in traditional practices buffers the negative effects of discrimination among those who regularly participate in them.  相似文献   
89.
Millions of workers suffer from upper extremity (musculoskeletal) disorders. Many of these workers are predisposed to upper extremity musculoskeletal disorders because of early exposure to ergonomic risks as students. Computer usage for four or more hours remains the greatest risk for upper extremity musculoskeletal disorders for workers and students alike. Developing preventative methods to reduce student exposure, and thus protect future workers from upper extremity musculoskeletal disorders later in life, requires an appropriate measure for upper extremity musculoskeletal disorder prevalence and related limitations for student functioning. Item response theory analysis was used to evaluate and further develop a upper extremity functioning scale for the student role.  相似文献   
90.
Leadership — an underestimated profession. From a greenhorn of leadership to a qualified manager The author presents an empirical inquiery, basing on interviews with 10 recently appointed managers. She demontrates, that managers hardly ever are prepared for her job in advance. This may lead to several problems, up to a demotivation of all persons envolved. The author proposes a procedure of personal development with three elements: seminars to impart knowledge, employment of internal mentors and of external coaches.  相似文献   
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