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121.
The field of couple and family therapy has benefitted from evidence generated from qualitative approaches. Evidence developed from approaches relying on language and social interaction using naturally occurring recordings of real‐world practice has the benefit of facilitating practice‐based recommendations and informing practice. The aim of this article is to provide an overview of one approach to discourse analysis, Discursive Psychology (DP), demonstrating how a social constructionist framework and focus on discourse can provide an important contribution to the field of therapy. To illustrate the methodological decision‐making process for researchers and/or practitioners who utilize DP, we draw upon a video‐recorded therapeutic session involving Tom Andersen. To conclude, we make recommendations for practitioners using DP to explore and examine therapeutic practice.  相似文献   
122.
Parenting is a critical factor in substance abuse prevention. Positive parenting behaviors are identified as a protective factor for substance abuse among youth. Limited research exists that investigates the role of parenting practices on minority youth substance use. The present study seeks to examine correlates between parenting and recent alcohol use among African American youth. Specifically, to what extent do African American students report experiencing specific parenting behaviors that are measured by the National Household Survey on Drug Use and Health?, do specific parenting behaviors increase the risk of recent alcohol use among African American youth?, does the impact of parenting behaviors on recent alcohol use among African American youth differ based on sex (males and females) and age category (12–13, 14–15, and 16–17 years old) were examined in this study? Logistic regression analysis of the National Household Survey on Drug Use and Health was conducted to examine the research questions. Findings indicated that parenting behaviors was associated with recent alcohol among youth. Significant differences were found for males, females, 12–13, 14–15, and 16–17 years olds. Study findings demonstrate the importance of positive parenting behaviors in youth alcohol prevention. Program specialists may target parenting as a means of preventing and reducing youth alcohol use among African American youth.  相似文献   
123.
As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.  相似文献   
124.
Australian mental health services continue to use involuntary measures in response to consumers' mental distress. Regardless of the intent behind these practices, the experience of being forced to receive treatment, be secluded or restrained is traumatic and can cause further distress and harm. Other parts of the health or social service system have shifted to approaches that emphasise agency, social context, prevention, and rights. Three frameworks currently used in mental health services – human rights, personal recovery, and trauma‐informed – are consistent with a shift away from the use of force. We applied these frameworks to the text of the National Standards for Mental Health Services 2010 to analyse the degree to which it reflects a shift. We also analysed the public text of speakers' notes from the Care Without Coercion Conference 2012 concerning lived experiences of force in mental health services. The analysis highlights force in many aspects of policy. The findings have implications for directions of change, including freedom from violence; support for decision making; access and choice about community and inpatient options; safety and risk management; and greater understanding of current policy frameworks through engagement with people with lived experience about the options and impact of support processes that exclude the use of force.  相似文献   
125.
The aim of the study was to examine the moderating role of positive affect on the relation between approach behaviors and adjustment outcomes. One hundred eleven toddlers participated in a laboratory assessment of approach and positive affect at 24 months. Behavior problems were reported by a parent in the fall of the child's kindergarten year. Results supported our hypotheses that children who displayed high approach and high positive affect in both non‐threat and low‐threat contexts were rated as higher in externalizing behavior problems. On the other hand, for children showing low positive affect, increases in approach in a moderate‐threat context lowered the risk of developing internalizing behavior problems. Implications for these findings are discussed, including methodological considerations of differences among eliciting contexts and advantages of separating positive affect and approach.  相似文献   
126.
In the interest of developing a more holistic and integrated understanding of young children's experience of stories, this study describes preschoolers' emotional attachments to stories and the cultural beliefs and practices which surround such attachments. Thirty-two European-American, middle-class families, participated in an interview study of their children's story attachments, and five of these mothers also participated in a short-term, longitudinal diary study. Every child experienced at least two emotional attachments to stories. Children were captivated by stories presented in different media, with many attachments occurring around video stories in addition to books. They expressed their attachments by repeatedly requesting the story, expressing strong feelings, and enacting the story in pretend play. Story attachments were social in two fundamental ways: children created relationships with the characters in their favorite stories, and story attachments emerged in the context of relationships with caregivers whose beliefs and practices supported such attachments.  相似文献   
127.
128.
The public sector, in its policy statements and in the design of programmes of intervention, appears to be subscribing to a rhetoric of “grassroots participation”. At the same time, however, pressures are increasing for bureaucracies to adopt a managerialist modus operandi. This article considers the tensions that arise when participative service provision and programmes are subjected to evaluation scrutiny by managerialist bodies. The discussion takes place in the context of an EU-sponsored endogenous socio-economic development initiative. This prepares the ground for an exploration of participative evaluation.  相似文献   
129.
Weblogs, or personal websites updated in time-based fashions, are common media used for expressing thoughts and networking socially online (Lenhart et al. in Teens and social media, Pew Internet and American Life Project, Washington, DC, 2007). This qualitative study describes the content of 100 adolescent weblog users’ communications through a risk and resilience framework. These users primarily utilized weblogs for community building, as most of their postings involved communications designed to foster and nurture relationships with peers via the weblog. The majority of the content posted involved the discussion of common prosocial behaviors, such as doing homework, hanging out with friends, or planning for events such as dances. A surprisingly small amount of weblog content included text about risk factors and related problem behaviors. Findings are described in relation to adolescent use of the Internet. Specific implications are drawn for social workers and other professionals involved in youth work.  相似文献   
130.
Using data from the 1998 National Congregations Study, I present empirical evidence that shows that the gender of a congregation's leadership makes a difference in the likelihood that a congregation will participate in a social service programme. The results from binary logistic regression indicate that the odds of congregations with women head clergy participating in a social service programme are four times greater than those with men head clergy. In addition, as the percentage of women on a congregation's governing board increases the probability that a congregation will participate in a service project also increases. The specific types of social service programmes a congregation pursues also differ by gender of leadership, with women‐led congregations significantly more likely to pursue service projects that could be labelled feminine while avoiding programmes that are clearly feminist. To explain this gendered behaviour I incorporate Acker's (1990 ) theory of gendered organizations.  相似文献   
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