Being central to decision making means I am still here!: The essence of decision making for people with dementia

The ability to make choices and decisions, and to have those decisions upheld, is central to self-determination. For people living with a diagnosis of dementia, however, it can be difficult to remain involved in decision making. While many studies show that people with mild or moderate dementia have the ability to participate in decision making, there are also indications that the attitudes of those around them, including health professionals and family carers, can sometimes be a barrier, and there is generally little understanding about the nature of decision making for this population. This small pilot study draws on van Manen's approach to phenomenology to explore the essence of decision making for people living with dementia. The findings highlight the importance of remaining central to decision making, and the key role that subtle support from carers plays in enabling this.     

Doctoral studies in social work: exploring European developments

Recent discussion in the UK about the place of doctoral work in social work education and research has been paralleled by some comparative research in Europe. This paper relates some of the findings to other literature and experience of comparative developments in social work education. While debates in some countries echo UK concerns, social work educators in other countries are struggling with more fundamental questions about the relationship between social work and other social sciences or with organisational arrangements which ‘disadvantage’ professional education. Unlike experience in the US, it seems that in Europe the extent to which social work is seen as a discipline that contributes research based knowledge to professional practice is variable.     

Patterns of Racial Socialization and Psychological Adjustment: Can Parental Communications About Race Reduce the Impact of Racial Discrimination?

This study uses two waves of data to examine the relations among racial discrimination experiences, patterns of racial socialization practices, and psychological adjustment in a sample of 361 African American adolescents. Using latent class analyses, we identified four patterns of child‐reported racial socialization experiences: Moderate Positive, High Positive, Low Frequency, and Moderate Negative. Experiencing racial discrimination was associated with higher levels of depressive symptoms, more perceived stress, and lower levels of well‐being. On average, adolescents who experienced High Positive patterns of racial socialization reported the most positive psychological adjustment outcomes, while adolescents in the Low Frequency and Moderate Negative clusters reported the least favorable outcomes. Results suggest that High Positive racial socialization buffers the negative effects of racial discrimination on adolescents' perceived stress and problem behaviors. Together, the findings suggest that various patterns of racial socialization practices serve as risk, compensatory, and protective factors in African American adolescent psychological adjustment.     

Comments on estimators based on error in the predicted distribution function

In estimation of percentiles in the exponential distribution, the distribution function evaluated at the estimated percentile is often evaluated for purposes of warranty considerations. Optimal estimators are discussed and compared on their error in the predicted distribution function. Inconsistency is shown to exist between measures of closeness and measures of risk in the predicted distribution function. An optimal estimator based on absolute loss in the predicted distribution function is obtained and shown to be superior in measures of closeness to the optimal estimator, which minimizes squared error loss in the predicted distribution function.     

About the authors

This article examines the historical development of formally and informally segregated churches within the Diocese of Lafayette, Louisiana, the role segregated churches continue to have, and the attitudes of religious leaders within these churches towards the issue of racial integration. Data were obtained from surveys, interviews, and historical research. Interview and survey data used for this project were gleaned from Parish Council Presidents, Directors of Religious Education, the Diocesan Pastoral Council, and the Advisory Board for the Office of Black Catholic Ministries within the Diocese of Lafayette. One hundred fifty-five surveys were completed and returned. Thirty-four individuals were interviewed. In addition, the Diocese of Lafayette made their archives available to the researchers.     

Genital perceptions and sexual activity in a college population

Anecdotal evidence suggests that perceptions of the genitals—one's own and one's partner's—may be related to enjoyment of sexual activity. The purpose of this study was to examine the relationships among genital perceptions and performing and receiving oral sex, penile‐vaginal intercourse, and masturbation. Participants were 160 male and 160 female students at a large Midwestern university. Participants completed a questionnaire in which they indicated how well self‐statements describing genital perceptions and reasons for engaging in and not engaging in sexual activity applied to themselves. The results showed significant correlations between genital perceptions and sexual activity, such that higher levels of participation in and enjoyment of sexual activity, especially oral‐genital behavior, were associated with more positive and fewer negative genital perceptions. Men had more positive genital perceptions than did women for both their own and their sexual partner's genitals. These results are consistent with cultural sexual stereotypes and have implications for sex education and clinical work.     

Childhood Sexual Abuse Profiles and Psychological Functioning in Adult Males

ABSTRACT

This study used a person-centered approach to generate profiles of males’ sexual abuse characteristics and then link profiles to other types of childhood maltreatment and adversity, and adult outcomes. Data were drawn from 215 North American males (86% Caucasian) aged 17–61 years recruited from websites offering support for sexual abuse. Latent profile analysis identified three profiles, ranging from 1–2 instances of fondling by an unfamiliar extrafamilial perpetrator to chronic, penetrative abuse by individuals within and outside the family. Profiles were labeled Severe (26%), More Severe (33%), and Most Severe (41%). Chi-squares and analysis of variance showed that men in the Most Severe profile were more likely to experience childhood emotional and physical abuse, and a greater number of non-victimization adversities, than men in the other two profiles. After controlling for multiple victimization and adversity, men in the More Severe and Most Severe profiles reported significantly greater internalizing problems than men in the Severe profile, and men in the Most Severe profile reported significantly more trauma symptoms than men in the Severe profile. While these results require replication, they suggest that treatment should be tailored to the individual needs of male survivors.     

An Indicator Framework for Linking Historic Preservation and Community Economic Development

This paper contributes to the immigration literature by generating two unique non-economic quality of life (QOL) indices and testing their role on recent migration patterns. Applying the generated QOL indices in conjunction with four independent welfare measures to an augmented gravity model of immigration, this paper finds an insignificant relationship between the six non-economic QOL measures and immigration flows for a panel of 16 OECD countries from 1991 to 2000. However, the results suggest that other factors such as the stock of immigrants from the source country already living in the OECD destination country, population size, relative incomes, and geographic factors all significantly drive the flow of immigration for the sample tested.     

Developing an understanding of lean thinking in process industries

The research described in this article has set out to determine the extent to which lean thinking is being adopted as a manufacturing philosophy by process industries. It concerns the application and examination of key lean manufacturing principles, namely, the alignment of production with demand, the elimination of waste, the integration of suppliers (IS) and the creative involvement of the workforce in improvement activities, to a range of process industry types based on Dennis and Meredith's taxonomy of process industry transformation systems [Dennis, D. and Meredith, J., 2000a. An empirical analysis of process industry transformation systems. Management Science, 46 (8), 1085–1099]. Seventy-nine process industry product streams across 62 sites were studied. In addition, a five-site investigative field study was also undertaken. The findings demonstrate that lean practices associated with the elimination of waste are consistently used for improving manufacturing performance throughout the taxonomy of process industries but practices associated with other lean principles are inconsistently applied. In addition, explanations are provided on the appropriateness of lean thinking as a manufacturing philosophy and a strategy for improving manufacturing performance in different process industry types, and on the extent to which lean principles and practices are dependent on the characteristics of process industry transformation systems.