Determinanten der Lebensqualität psychisch kranker Personen

Not only chronic mental disease, but also psycho-social factors limit the quality of life (QoL) of mentally ill persons. From three theoretical explanation models of QoL — the medical model, labeling theory, and stress process model — we deduced three hypotheses. To test our hypotheses, we re-analysed data from the study “Social integration and quality of life of mentally ill people”. Data were derived from structured interviews with 305 in-patients in psychiatric institutions in the Canton of Zurich (Switzerland), and completed with few informations from their doctors’ files. Various QoL dimensions entered the statistical analyses as dependent variables. Results indicate varied explanation power of the models under investigation depending on the dimension of QoL: psychic symptoms highly influence the health-related QoL, but have only small effects on social and material QoL. Social as well as material QoL are strongly influenced by social support as well as, though to a lesser extent, by life stress events. Chronification of mental illness and perceived discrimination because of the mental disease indirectly affect QoL through reduced social support and increased psychic symptoms. From our results we conclude that social integration and rehabilitation of mentally ill people require a bio-psycho-social treatment approach.     

The role of individual and organizational characteristics in feedback seeking behaviour in the initial career stage

The present study investigates whether the frequency by which employees seek informal feedback and the quality of the self-initiated feedback influences perceived career development. Furthermore, we investigated goal orientation and perceived learning culture, as antecedents of feedback seeking behaviour. Data were collected from 116 financial experts from various multinational corporations worldwide. Results show that particularly the quality of self-initiated feedback from supervisors positively affects perceived career development. The quality of self-initiated feedback from supervisors mediates the relation between the perceived learning culture and perceived career development. Furthermore, learning goal orientation directly relates to perceived career development. Last, our results highlight the significance of creating a learning culture in which informal feedback is stimulated. Implications of these findings are discussed.     

The medicalization of women's sexual pain

The medicalization of women's sexual problems under the overall rubric of female sexual dysfunction (FSD) has been thoroughly critiqued by feminist scholars, health practitioners, and sex therapists. However, there has been much less commentary on the medicalization of women's sexual pain-currently, a subset of an official FSD diagnosis. This article critically examines interdisciplinary understandings and ways of addressing sexual pain. It analyzes these frameworks in relation to feminist theories on medicalization, heteronormativity, and the reciprocal relationship between these two processes. We argue that many women who experience sexual pain have been eager for medicalization as a path to minimizing pain during sexual activity and reinstating normative heterosexual practices and identities. These goals have been lobbied for by patient advocacy groups and noted by professionals in the field. Although there are some clear benefits to this case for medicalization, there are also theoretical, personal, and political costs. Guided by a growing body of feminist theoretical and qualitative, empirical research on this topic, as well as the first author's personal experience of sexual pain, this article highlights some alternatives to medicalization and makes suggestions for change.     

Abating Stereotypical Attitudes: Views on Career Paths of an Asian American Comedian

An Asian American comedian, William Mar, provides an insightful commentary about his career choice. He believes that the comedy stage is a useful position to comment on stereotypes inherent to the American culture. Comedians must challenge the audience to think about the joke not only as amusement, but to examine the other implications involved.     

Political Culture,Public Opinion,and Policy (Non)Diffusion: The Case of Gay‐ and Lesbian‐Related Issues in Arkansas*

Objectives. Just after three in four Arkansas voters endorsed a state constitutional amendment barring state recognition of same‐sex marriages, a comprehensive state‐level survey allowed a closer look into the attitudes of Arkansans on a variety of gay‐ and lesbian‐related issues. When placed in the context of Arkansas's political culture and ideological patters, this serves as a case study of the relationship between public opinion, specific policy issues, and the diffusion (or nondiffusion) of policies in an individual state. Methods. The 2005 Arkansas Poll included a battery of questions gauging citizens' attitudes on gay/lesbian individuals and the morality of same‐sex relations, same‐sex partner recognition, bans on gay adoption and foster parenting, bans on gays openly serving in the U.S. military, and expansion of civil rights laws to bar discrimination on the basis of sexual orientation, among other policies. This article reports those survey results and employs regression/logistic analysis in analyzing them. Results. The results reveal that while Arkansans are uncomfortable with homosexuality, they are surprisingly hesitant to prescribe state‐sanctioned discrimination. Conclusions. This tightrope between libertarianism and angst about homosexuality that resulted in policy nondiffusion until three years after the data reported here is reflective of the state's political culture, which combines traditionalistic and individualistic elements.     

Care for place: The contributions older people make to their communities

Older people are often positioned as passive recipients of care and dependent on resources or as overly productive and active. In this paper, we seek a more nuanced, middle ground between such stereotypes, by exploring the question: what contributions do older people make to the places they live in? Drawing on qualitative research from Aotearoa New Zealand, involving focus groups and interviews, we examine the varied and active ways many older people are involved in and contribute to their neighbourhoods and communities, or what we term ‘care for place’. In particular, we identify the different forms of older people's care for place, including volunteering, activism, advocacy, and nurturing, and consider how these efforts positively impact on older people and the communities in which they live. Whilst we caution against assumptions that all older people should be productively involved, we argue that greater understanding of older people's care for place is central to challenging stereotypes of older people as either passive and dependent, or highly active.     

A Case Study Approach to Reducing the Risks of Child Sexual Exploitation (CSE)

ABSTRACT

The risk of child sexual exploitation is a growing concern, both within community and child care settings. Within community services working with vulnerable young people, the risks of exploitation are pervasive and present a constant management problem for professionals. This makes the need for focused educational interventions within such settings all the more vital. This case study aims to describe the assessment, formulation, intervention, and outcomes of a young female considered to be at risk of sexual exploitation. It was hypothesised that, after completion of a psychoeducational group designed to enhance knowledge and skills around child sexual exploitation, positive outcomes would be seen in psychometric assessment, risk-taking behavior, and risk awareness. Results demonstrated no clinically significant change for measures of impulsivity, resourcefulness, or self-reported difficulties. A significant increase was seen for self-reported self-esteem, and all outcomes revealed a positive direction of change. Observational accounts of behavioral and attitudinal change produced more positive results, revealing an increase in prosocial behaviors and a reduction in risk-taking behaviors. Outcomes are discussed in relation to the individual’s history and the residential care environment. Implications for future research and practice are outlined, and the study limitations are considered.     

Befriending Services for Culturally Diverse Older People

Befriending services may address loneliness and social isolation amongst older people. However social diversity is rarely reported in investigations of befriending services. The views of non-users are also rarely explored. In this research, we explored older adults’ experiences of, and attitudes towards, a befriending service, among service users and non-service users, drawing on interviews and focus groups with 76 older adults, 10 volunteer visitors, and 20 service providers. Participants agreed that the befriending service helped alleviate social isolation and loneliness and that supportive services to foster connection are needed. Barriers to engagement included lack of knowledge, appropriateness of services and feeling undeserving. The befriending service was most successful when a match went beyond a transactional ‘professional-client’ relationship to resemble genuine friendship, underpinned by mutual interests and norms of reciprocity and reliability. We also identified five clear ideas about what characterizes an ideal supportive service; supported opportunities for getting out, genuine and reciprocal relationships, reliability, visitor characteristics, and connecting people to their culture. Befriending adds to social networks, and enhances connectedness to the community. Loneliness is alleviated when mutually beneficial and genuinely reciprocal relationships develop. However, group interventions or connections to community groups may be more appropriate for some.