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171.
Individuals with severe mental illnesses (SMI) are a vulnerable population, struggling to cope with fragmented and often unwelcoming community service systems. Research has examined Assertive Community Treatment (ACT) as an intervention for SMI individuals, but little research has explored ACT's potential as a community system change intervention. Using focus groups with ACT teams, we explored changes in community service systems as a result of ACT teams' presence. Changes identified included increased understanding of SMI; increased access to services; and increased collaboration across service systems. Processes by which these changes occurred included knowledge communication, negotiation, renaming by association, and ongoing relationships. 相似文献
172.
Brad Hagen Ruth Grant Kalishuk Cheryl Currie Jason Solowoniuk Gary Nixon 《International Gambling Studies》2013,13(3):356-370
Although studies have shown a link between social trauma and problem gambling (PG), there is little research involving Aboriginal women in this area, despite Aboriginal women being potentially at higher risk for both social trauma and problem gambling. This article describes the results of a qualitative phenomenology study asking seven Aboriginal women living in Western Canada to describe their experiences of social trauma and gambling problems. Results suggest four main themes, describing: (1) the Aboriginal women's experiences of social trauma (‘the three tigers’); (2) their use of gambling to cope with these experiences (‘a big hole with the wind blowing through it’); (3) their experience of problem gambling (‘I'm somebody today’); and (4) their process of healing from social trauma and gambling problems (‘a letter to John’). Participants described what they felt was a clear link between social trauma and problems with gambling, and how gambling helped to change their mood and block out the past. The results raise the possibility that Aboriginal women with gambling problems may need support to heal from social trauma – including racism and colonization – and that upstream initiatives to reduce the incidence of social traumas may be an important response to problem gambling among Aboriginal women. 相似文献
173.
Gary Coyne 《Globalizations》2013,10(5):713-724
It has been suggested that the increasing power and prominence of global organizations may be undermining the nation state as an organizational form. In an attempt to understand how these dynamics may play out at the individual level a sample of US social movement actors were surveyed to measure support for nationalism and support for the creation of a global state. Support for a global state is hypothesized to be negatively associated with support for national governments. Multivariate binary and ordinal logistic regressions show a number of demographic and attitudinal variables are positively associated with nationalism and, generally, are negatively associated with support for a global state. Se ha sugerido que el creciente poder y la importancia de las organizaciones globales pueden estar debilitando la nación estado como una forma organizacional. En un intento para entender la manera como estas dinámicas pueden interpretarse a un nivel individual, se realizó una encuesta a una muestra de actores del movimiento social estadounidense para medir el respaldo al nacionalismo y el apoyo a la creación de un estado global. El respaldo a un estado global de estar asociado negativamente con el apoyo a los gobiernos nacionales, es una hipótesis. Las regresiones logísticas ordinales, binares y multivariantes, que muestran un número de variables demográficas y de actitud, están asociadas positivamente con el nacionalismo y generalmente asociadas negativamente con el respaldo a un estado global. 有观点认为,全球性组织日益增长的权力和声望可能正在动摇作为一种组织形式的民族国家的地位。为求了解这种动势如何在个人层面上演变,本文选取了美国社会运动参与者作为样本进行调查,测量其对国家主义的支持程度和对建立全球性国家的支持程度。本文的假设是,对全球性国家的支持与对各国政府的支持负相关。多元二进制逻辑回归分析和有序逻辑回归分析结果显示,若干人口和态度变量与支持国家主义正相关,与支持全球性国家负相关。 ??? ???? ???? ??? ??? ?? ????? ?? ??? ????? ??? ?? ?????. ??? ??? ?? ???? ??? ?????? ???? ??? ??? ??????? ???? ????? ?? ??? ??? ?? ??? ?? ??? ???. ??? ??? ?? ??? ??? ?? ??? ?? ??? ?? ???? ?????. ?? ??? ?? ?? ??? ???? ???? ?? ???? ????? ???? ??? ?? ??, ??? ?? ???? ???? ??? ??? ?? ?? ??. 相似文献
174.
Jane M. Ussher Janette Perz Duncan Rose Andrew Kellett Gary Dowsett 《Journal of sex research》2013,50(7):854-869
The use of assistive aids in sexual rehabilitation after prostate cancer (PCa) was examined in 124 gay, bisexual, and other men who have sex with men (GBM) and 225 heterosexual men. GBM were significantly more likely to use assistive aids (79% versus 56%), to try multiple assistive aids (M = 1.65 versus M = 0.83) including medication, penile injection, penile implant, vacuum pump, and nonmedical sex aids, and to seek information about sexual rehabilitation on the Internet, through counseling, or in a support group. There were no differences between the groups in satisfaction with the use of assistive aids. However, use of aids was a significant negative predictor of sexual functioning for GBM and a significant positive predictor for heterosexual men. Interview accounts described satisfaction with assistive aids in terms of maintaining erectile functioning and relationships. The majority of men in the study also described hindrances, both physical and social, resulting in discontinuation of assistive aids, including perceived artificiality, loss of sexual spontaneity, side effects, failure to achieve erectile response, cost, and lack of access to information and support. It is concluded that the specific needs and concerns of GBM and heterosexual men regarding sexual rehabilitation after PCa need to be addressed by clinicians. 相似文献
175.
Yan R. Xia Wenzhen Li Stephan Wilson Kevin R. Bush Gary Peterson 《Marriage & Family Review》2013,49(6):489-515
The present research examined the relationship between supportive and controlling dimensions of parenting behaviors and Chinese adolescent outcomes (school adjustment and problem behavior). Researchers collected self-report data from 589 adolescents in Hangzhou, China. Results showed the factor structure for the Parent Behavior Measure in the Chinese sample was different from the factor structure based on Western research. Specifically, paternal support did not emerge as a viable factor. Parental monitoring and involvement predicted positive adolescent outcomes, whereas punitiveness and permissiveness predicted negative outcomes. Surprisingly, maternal support predicted more adolescent problem behavior, especially for boys. Guilt induction, love withdrawal, and positive induction did not predict any significant adolescent outcomes when other parenting behaviors were controlled. School adjustment mediated and gender moderated the relationship between parenting and adolescent problem behavior. The importance of considering parenting behaviors, adolescent school adjustment, gender, and cultural norms when examining adolescent problem behavior was discussed. 相似文献
176.
177.
Gary L. Stein Nancy L. Beckerman Patricia A. Sherman 《Journal of gerontological social work》2013,56(5):421-435
This qualitative study of lesbian and gay elders seeks to identify the psychosocial challenges this community faces regarding long-term care. Two focus groups were conducted among 16 gay elders in community and long-term care settings. Participants reported fear of being rejected or neglected by healthcare providers, particularly personal care aides; fear of not being accepted and respected by other residents; fear of having to go back into the closet if placed in long-term care; and a preference for gay-friendly care. Participants suggested staff training to promote acceptance and respect for gay people, and favorably perceived gay-specific and gay-friendly living arrangements. 相似文献
178.
Jean K. Quam Gary S. Whitford Lake E. Dziengel Kelly Abel Knochel 《Journal of gerontological social work》2013,56(8):702-722
This study explored the relationship structure and experiences of 145 people in the United States, aged 50 and above, in long-term, same-sex relationships. A survey assessed relationship satisfaction and roles, caregiving, shared assets, and relationship protection and support. The ENRICH couple scales revealed high scores in communication, conflict resolution, and couple satisfaction. Most participants had taken steps to protect shared assets and assign legal authority to their partners. Participants expressed differing views regarding marriage. This study reveals distinctions based on gender and age that will inform practice with this population. 相似文献
179.
The effect of alternative staff time data collection methods on drug treatment service cost estimates 总被引:2,自引:0,他引:2
Although a limited number of service cost estimates exist, no study has evaluated how differences in the method used to collect the staff time allocation across treatment services contribute to differences in service cost estimates. Three alternative data collection methods for estimating service-level costs in methadone treatment programs were evaluated: key informants, staff surveys, and staff diaries. We analyzed data from 25 methadone clinics across the United States. Results indicate that for the three primary services offered at methadone clinics—individual counseling, group counseling, and methadone dosing—no statistically significant differences exist in the mean estimates of costs per session across programs. Of the other five services analyzed, we found no statistically significant differences in two of the mean costs per session and a small but statistically significant difference in another service. We found large and statistically significant differences in mean costs for two services, initial patient assessment and initial medical services. Although there is no gold standard available to judge which method is the best to use, we concluded that the key informant method yields more reliable cost estimates compared with the staff methods and is less burdensome to both the treatment programs and to researchers. Our findings suggest that the key informant method is the preferred method for costing substance abuse treatment services. 相似文献
180.
Sex for you, but not for me: discontinuity in undergraduate emerging adults' definitions of "having sex" 总被引:3,自引:2,他引:1
The purpose of this study was to determine if undergraduates (N = 839) apply the same standard to themselves when labeling a behavior "having sex" as they apply to their significant others if those persons engage in the same behaviors outside the relationship. Using a between-participants design, one form asked participants if each of 11 behaviors constituted having sex if they engaged in the activity; the other form asked participants if each of the same behaviors constituted having sex if their significant other engaged in the activity outside their relationship. Participants answering for themselves were less likely to indicate a behavior was having sex for all behaviors except penile-anal and penile-vaginal intercourse. Men were also more likely than women to indicate most behaviors were having sex. The authors discuss what they define as a definitional discontinuity in undergraduate emerging adults' definitions of having sex. Fundamental attribution error (FAE) and emerging adulthood literature are used to explain the findings. Health and relationship implications are identified. 相似文献