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711.
ABSTRACT

Anne Enright’s The Green Road (2015a) centers on the mother, Rosaleen. When she leaves her children and her home in the West of Ireland to walk the Green Road, Rosaleen asks herself, “Where did it begin?,” which is “more a cadence than a question” (p. 259). Her journey echoes that described by Wilfred Bion, with reference to Samuel Taylor Coleridge: “like one that on a lonesome road, doth walk in fear and dread” (Bion, 1970, p. 46). Rosaleen is attempting to escape the feeling that she does not exist. As she travels, reality gives way to fantasy as time and space appear to merge. Eventually, she is frightened to turn back because “she had fallen into the gap” (Enright, 2015a, p. 266). This may be read as the emotional state of transformation in O. Bion (1970, p. 43) exhorts us to forget what we think we know: memory, desire, and understanding. Applying this to a consideration of Rosaleen, whose children know her by so many names (“Mammy,” “Mama,” “Ma,” “Rosaleen,” and “Dark Rosaleen”), provides for an exploration, alongside Rosaleen, not of who she was in the past or who we might wish her to be but beyond preconceived ideas of Irish motherhood to a place where new meaning may emerge.  相似文献   
712.
This article addresses the question of how creating an age-friendly city has come to be an important policy and planning issue in Portland, Oregon. In 2006, researchers from Portland State University's Institute on Aging examined the meanings of age friendliness among a broad range of participants in Portland, Oregon. The research was conducted in conjunction with the World Health Organization's (WHO) Age-Friendly Cities project and followed the completion of two earlier non–WHO-related projects. The city of Portland, through the Institute on Aging, was one of nine original members to apply for and be accepted into the WHO Global Network of Age-Friendly Cities and Communities. An Age-Friendly Portland Advisory Council was formed to guide the development of an action plan, monitor progress over time, and suggest additional research. To understand how Portland's age-friendly policy effort has developed over time, we use Kingdon's (1984) agenda-setting framework to explain how the policy problem was formulated, how solutions were developed, and the influence of local politics. The policy actors, including individuals and organizations working within and outside of government, are described. The Portland experience provides a case study that other cities, especially those with a strong commitment to community-engaged urban planning, may find useful as they develop age-friendly initiatives.  相似文献   
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The nexus of aging and disability, characterized by the phenomenon of aging with a disability, will become more visible as the population ages and the number of people with disabilities surviving to midlife increases. This article addresses 3 interrelated issues critical to the fields of aging and disability: increasing demand for community-based long-term services and supports, a paucity of evidence-based programs demonstrating effectiveness in facilitating independence for those aging with a disability, and lack of a federal infrastructure to support coordinated investments in research-to-practice for this population. Suggestions for federal interagency collaborations are given, along with roles for key stakeholders.  相似文献   
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The purpose of this study was to document health care providers' awareness of problem gambling and frequency of recognition and treatment. An exploratory survey was designed to collect data on awareness and knowledge of problem gambling. A structured questionnaire was completed anonymously by 180 health care providers (nurses, physicians, social workers, and other allied health professionals). Almost all respondents (96%) reported knowledge of problem gambling, and 30% reported asking clients about gambling problems when they presented with stress related symptoms. A third of the respondents reported identifying and treating clients for a gambling problem. The most frequently reported intervention was referral to counseling and other gambling resources. Respondents were generally interested in learning more about gambling problems, particularly those providers who have had a client discuss gambling related concerns. There were no significant differences in findings between provider groups.  相似文献   
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