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91.
Joseph Walsh Ph.D. 《Clinical Social Work Journal》1995,23(1):71-85
The practive of psychotherapy with persons having schizophrenia has been increasingly abandoned by clinical social workers, even as an adjunct to broad psychosocial interventions, due to the rise in prominence of case management and biological interventions. The author opposes this trend and presents a rationale for including long-term relationship-based clinical treatment with the client population as a major portion of a comprehensive treatment milieu. This article focuses on the difficult process of developing the treatment relationship and is based on a conceptual framework of symbolic interactionism. The process, including seven practive guidelines, is illustrated with a case example. 相似文献
92.
Andrew Walsh 《全球网;跨国事务杂志》2004,4(3):259-270
In this article I explore the links between the form and content of narratives collected from a young Malagasy/French woman, named Soa, who has recently moved from Madagascar to France. Soa's self‐account is riddled with stories that point out the ambiguities inherent in her experience of life as a woman with feet, and obligations, in two worlds at once. Rather than indicating her confusion or uncertainty, it is argued here that these stories, and the form in which they are presented, indicate the sort of ironic stance that may well be the prerogative of transnational, millionétisse narrators like Soa. 相似文献
93.
94.
ABSTRACTEvidence-based models have demonstrated significant potential for improving outcome. However, it has been proposed that single-issue interventions cannot adequately address the multiple needs that some families experiences. This paper outlines a novel approach in which three evidence-based practices (Multisystemic Therapy, Incredible Years, and Cognitive-Behavioural Therapy) were concurrently implemented within the same programme. The objectives are to explore the experience and perceptions of practitioners who implemented the blended model, to explore the novelty of blended approaches, to examine the extent to which families were engaged in and were retained in this programme, and compare the outcomes for families who received blended and nonblended approaches. Method: Data was collected for 158 families between March 2014 and March 2016. Thirty-one families engaged in the blended approach. to explore the feasibility, semistructured interviews were undertaken with 14 staff. Results: Not all families are in need of a blended approach, but families who experience multiple complexities may benefit more from this type of approach. From the perspective of practitioners, blended models provide an opportunity to address multiple needs within the family. However, there are implementation challenges that could be explored further. 相似文献
95.
Joseph Walsh 《Journal Of Human Behavior In The Social Environment》2013,23(2):149-153
ABSTRACTThe Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference text used by social workers for diagnosing mental disorders. The social work profession has always had an uneasy relationship with the DSM, but for 33 years there was an opportunity to note a client’s psychosocial stressors on Axis IV. With the publication of the DSM-5, however, the multiaxial diagnostic system was abandoned, and many social workers are concerned that this change limits their ability to provide comprehensive diagnoses. The purpose of this article is to consider an expanded use of Z-codes as one way to continue including social work’s psychosocial perspective on human functioning in the diagnostic process. 相似文献
96.
Rose Wesche Jennifer L. Walsh Robyn L. Shepardson Kate B. Carey Michael P. Carey 《Journal of sex research》2013,50(8):1058-1069
Sexual behavior is associated with increased positive affect and decreased negative affect. However, contextual variables such as partner type, behavior type, and condom use may moderate these associations. The goal of the present research was to examine these contextual moderators using monthly longitudinal data from a sample of young women. Female first-year college students (N = 477) completed monthly assessments of their sexual behaviors and positive and negative affect. Participants reported more negative affect in months in which they engaged in sexual behavior compared to months in which they did not. This association was moderated by partner type, such that only sexual behavior with casual partners was associated with increased negative affect. Participants reported more positive affect during months with kissing/touching only compared to months without sexual behavior; however, this association did not differ significantly from the association between oral/vaginal sex and positive affect. Condom use did not moderate the association between vaginal sex and positive or negative affect. In this sample of young women transitioning to college, engaging in sexual behavior was generally associated with negative affect; however, changes in affect depended on partner type and sexual behaviors. Findings have implications for sexual health education. 相似文献
97.
The recent influx of immigrants aged 65 and older in the United States triggers an increasing need to understand older immigrants' dental services use. This paper uses data (n = 9,617) from the 2004 and 2006 waves of the Health and Retirement Study to examine the dental services use of older Americans. In particular, this study focuses on differences in dental services use between immigrants and natives and potential contributing factors. Multivariate logistic regression analyses showed, contrary to expectation, that older immigrants were more likely to use dental services than older natives despite numerous barriers (odds ratio = 1.30 in 2004). The results in 2006 confirmed these findings. The results from 2004 and 2006 analyses showed dental insurance coverage, sex, and marital status were associated differently with dental services use for immigrants and natives. Implications for current oral health policies and future research of older Americans are discussed, as well as methods for meeting older immigrants' growing dental services needs. 相似文献
98.
Jenny Ploeg RN PhD Lynne Lohfeld MS MPH PhD Christine A. Walsh RSW PhD 《Journal of elder abuse & neglect》2013,25(5):396-424
We know relatively little about the definitions and perceptions of elder abuse held by marginalized groups of older adults in Canada. The current study used focus group methodology to explore perceptions of elder abuse among marginalized groups such as Aboriginal persons, immigrants, refugees, and lesbians. We found both similarities and differences in perceptions of elder abuse across groups. Groups identified traditional forms of elder abuse (i.e., physical, sexual, psychological/emotional, financial abuse, and neglect) as well as less frequently identified types of abuse such as disrespect and government or systemic abuse. Groups also discussed issues related to immigrant sponsorship arrangements and abuse in nursing homes. 相似文献
99.
Jessie L. Krienert PhD Jeffrey A. Walsh PhD Moriah Turner 《Journal of elder abuse & neglect》2013,25(4):325-345
Elder abuse is the newest form of intrafamilial violence to garner the attention of the public, policy makers, health officials, researchers, and the criminal justice system. Despite evidence that elder abuse is a growing problem, there is little known about the phenomenon because of persistent limitations in the extant empirical work. The present study examined a large cross-national sample of reported incidents (n = 87,422) collected as part of the National Incident-Based Reporting System (NIBRS), 2000–2005. Addressing limitations in prior works, this research employed a criminal justice oriented definition of elder abuse examining victim, offender, and incident characteristics using chi-square tests and logistic regression to establish baseline findings from a more comprehensive sample of data than previously existed. Results render a baseline profile of victims and abusers and suggest that gender differences prevail throughout elder abuse. This work both corroborates and contrasts past findings of elder abuse research, providing new insights and much needed baseline data. 相似文献
100.
Janet Walsh 《Gender, Work and Organization》2013,20(4):439-453
Long and unsociable hours and intensive work pressure have been dominant features of the medical profession, especially in hospital work. The increased presence of women in medical occupations, however, has stimulated debate about the nature and consequences of such work practices on doctors' wellbeing. Against the backdrop of this debate the article explores how factors relating to the work–lfe interface affect the wellbeing of a sample of hospital doctors. A key aim is to assess whether gender differences are discernible in the pattern of factors associated with perceptions of job burnout and intentions to quit. The research suggests that female doctors were more likely to experience job burnout than male doctors. It also shows that aspects of the work–life interface affect the wellbeing of all doctors but women tend to rely on different forms of social support from men to alleviate burnout and reduce the likelihood of leaving their job. 相似文献