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21.
Aims were: to compare burden experienced by affected family members (AFMs) attending a problem gambling treatment clinic in London, England with that of AFMs affected by substance problems; to examine socio-demographic correlates of AFM burden; to evaluate change following an intervention designed for AFMs; and to test the assumption of the stress-strain-coping-support (SSCS) model that change in AFM coping is important. AFMs (N = 215) completed a gambling version of the short questionnaire for family members affected by addiction (SQFM-AA) which assesses stressful impact, symptoms of ill health, ways of coping, social support and overall burden. All received a 5-Step Method workbook, based on the SSCS model. The SQFM-AA was repeated three to six months later (n = 96). T-test analyses showed that baseline burden and related variables were comparable to those of family members affected by substance problems, were greater for wives and those living in the same household as the gambling relative, and were significantly reduced at follow-up. Regression modelling indicated the importance, for AFMs’ health, of reduced levels of engaged-emotional coping. Family members affected by gambling, some subgroups especially, experience high levels of burden. They can benefit from a model-based intervention, and coping change may be an important process.  相似文献   
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Background

Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills.

Aim

To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period.

Method

A pre-post intervention design was used. Midwives and nurses (n = 154) attended a full day workshop. Of these, 149 completed pre-post workshop measures of knowledge and preparedness. Additional questions at post-training explored participants’ perceptions of organisational barriers to routine enquiry, as well as anticipated impact of training on their practice. Training occurred between July 2015 and October 2016.

Findings

Using the Wilcoxon signed-rank test, all post intervention scores were significantly higher than pre intervention scores. Knowledge scores increased from a pre-training mean of 21.5–25.6 (Z = ?9.56, p < 0.001) and level of preparedness increased from 40.8 to 53.2 (Z = ?10.12, p < 0.001). Most participants (93%) reported improved preparedness to undertake routine enquiry after training. Only a quarter (24.9%) felt their workplace allowed adequate time to respond to disclosures of DV.

Conclusions

Brief training can improve knowledge, preparedness, and confidence of midwives and nurses to conduct routine enquiry and support women during the perinatal period. Training can assist midwives and nurses to recognise signs of DV, ask women about what would be helpful to them, and address perceived organisational barriers to routine enquiry. Practice guidelines and clear referral pathways following DV disclosure need to be implemented to support gains made through training.  相似文献   
24.
Jim Jose 《Social Identities》2017,23(6):718-729
ABSTRACT

The objective of this paper is to rethink our understanding of ‘the political’ through an examination of two novels by José Saramago, Blindness and Seeing. Both novels tackle directly a central, if not the central, signature metaphor of Western political thought, namely that of ‘seeing the light’. This metaphor takes many forms and recurs throughout the tradition of Western political philosophy as a source, legitimiser, and validator of knowing, and perhaps even a guarantor of knowledge. In particular, this metaphor has served to make knowable whatever it is that is signified by ‘the political’. By extension, it also means that whatever might be outside of this epistemological frame is rendered unknowable, if not unthinkable. Both of Saramago’s novels provide a fruitful means to recalibrate how we might know ‘the political’. The novels call into question the epistemic signatures that frame our commonly accepted understandings of ‘the political’ and in so doing provoke us further to question how we might move towards unlearning the epistemology of the political.  相似文献   
25.
The purpose of this article is to recover Williams as a major theoretical inspiration for the social sciences, specifically, as the inaugurator of what might be regarded as a research paradigm, cultural materialism. In the first section, Williams's encounter with the discipline of sociology is traced and distinguished as a critical alternative to the presently ascendant – at least in the USA – neo‐Durkeimian school of ‘cultural sociology’. In the second section, his cultural‐materialist programme is proposed as a powerful analytical framework for the study of culture and society today. In the final section, a key concept of Williams's cultural materialism, mobile privatization, is selected illustratively and proposed as a powerful analytical tool for studying the production and technological mediation of typical modes of communicative sociality in the early twenty‐first century.  相似文献   
26.
The purpose of this study was to develop a regression equation that, incorporating the potential energy of the load in the hands, was capable of improved predictions of spinal compression forces. A stepwise polynomial equation was developed from EMG profiles of 15 muscles, and its spinal joint loading predictions at L4/L5 were compared to current methods of calculating spinal compression. Absolute muscle activation was shown to increase with increased loading height, indicating that the central nervous system responds to changes in spinal stability. The inclusion of potential energy into the calculation of spinal disc compression at L4/L5 improved estimates of the compressive forces acting on the spine. This is the first model to incorporate potential energy into a predictive model for lumbar spine compression without the use of electromyography. It was concluded that potential energy plays a vital role in dictating the recruitment patterns of the trunk.  相似文献   
27.
Abstract

The idea of a ‘love of humanity’, though largely absent from social work literature, is a potent concept for challenging the dominant discourses of individual material wealth, greed and power. It can be associated with the postmodern agenda of emancipation from oppressive discourses of professional ‘expertise’. Love, or a ‘love of humanity’, has the same intent as formulations of social work grounded in postmodern critical theory, but it uses a different language. It uses a language of lived experience and personal commitment - a language that appeals to our hearts -a language passionate about, and incorporating, human rights and social justice.  相似文献   
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This paper has several areas of focus. It chronicles the history of Aboriginal employment in Australia in two contrasting areas; it identifies the characteristics of that employment and traces the nature of its change over time; it outlines the attitude of Aborigines towards their work, and the impact of that work on Aboriginal society; it also considers the attitudes of white Australians towards Aborigines and their employment. Finally, it draws some conclusions concerning the responses of the Aborigines to pressures put on them by the economy and society of the white man.  相似文献   
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