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101.
This article explores the dynamics which can occur in abused children by focusing on the long term treatment of a young woman who was physically, sexually, and emotionally abused as a child. Particular emphasis is placed on the understanding and management of the highly charged transference and countertransference which ensued.  相似文献   
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Background

The Mother-Generated Index (MGI) assesses postnatal quality of life (QoL) without providing a predefined checklist, thus offering mothers the opportunity to identify areas of life affected by having a baby.

Aim

To identify: (a) details and particularities of areas of life affected after childbirth and thus specific domains defining postnatal quality of life; (b) changes in the importance of domains specifying QoL within the first weeks postpartum; and (c) the potential role of cultural differences with regard to the nature of QoL definitions.

Methods

Prospective, cross-cultural, longitudinal survey. We applied a qualitative content analysis to Mother-Generated Index data collected in Switzerland and Germany using combined deductively and inductively category building.

Results

Women participated at three days (n = 124) and six and a half weeks (n = 82) postpartum. Eleven domains were identified, each with several subdomains: ‘physical well-being’ (e.g. fatigue), ‘psychological well-being’ (e.g. happiness, emotional confusion), ‘general well-being’, ‘motherhood’ (e.g. bonding with the baby), ‘family and partnership’ (e.g. time for partner and children), ‘social life’ (e.g. friends, being isolated), ‘everyday life’ (e.g. organisation daily routine), ‘leisure’ (e.g. less time), ‘work life’ (e.g. worries about job), ‘financial issues’ (e.g. less money), and further aspects. The most frequently indicated domains were ‘motherhood’ and ‘family and partnership’. Differences between the stages of assessment and countries were identified.

Discussion

Mothers faced challenges in defining their new role but welcomed the slowdown in the rhythm of life and experienced overwhelming maternal feelings.

Conclusion

Our findings suggest that postnatal quality of life is a concept that changes over time and differs between countries.  相似文献   
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Because they often set out with a guarantee of only short-term funding, many community partnerships will face a threat to their sustainability almost as soon as the first money runs out. Research into the factors that enable some coalitions and partnerships to meet the challenge when others fail is limited. This study begins to fill this gap in our understanding by examining influences on the process of sustainability planning in the context of a collaborative partnership focused on youth development. We report on a longitudinal examination of the quality of planning and attitudes underpinning the sustainability of PROSPER community prevention teams whose members implement evidence-based programs designed to support positive youth development and reduce early substance use and other problem behaviors. The current research concentrates on a particular dimension of partnership effectiveness to establish whether perceptions about team functioning in play at 6 and 18 months predict the quality of sustainability planning at 36 and 48 months. How well teams functioned in the early stages was found to be strongly related to the quality of their later preparations for sustainability. Recruitment and integration of new team members, and the encouragement they subsequently received were also found to be key factors. The results strengthen the argument for providing technical assistance to meet the needs of those who promote prevention partnerships, and they provide longitudinal empirical data to support the hypotheses of other researchers who have similarly found a correlation between effective sustainability and early planning and support.  相似文献   
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Social policies are described as active on the basis of formal legal provisions, or on the grounds of expenditure data. Using the notion, set forth by Lipsky, M. [(1980). Street-level bureaucracy: Dilemnas of the individual in public services (2010 ed.). New York, NY: Russell Sage Foundation] as well as by several subsequent authors, that social workers who implement policies actually play a role in (re)defining them, the present article intends to explore the way in which active social policies are implemented in a Swiss canton. On the basis of an original study, we show that, on the one hand, social workers tend to view activation as a distant perspective – which means they often do no put it into practice right away. And activation, when social workers do deem it to be necessary, takes on different meanings depending on whether they are dealing with young people or with mothers. As a result, the actual meaning of the word activation varies – a fact that scholars who focused solely on formal/legal activation policies were not in a position to observe.  相似文献   
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The automobile is essential for many older adults to fulfill their daily needs, especially since many live where they lack access to public transit or other acceptable modes of transportation. Increased self-regulation is one way older drivers continue to drive safely and maintain mobility. This research considers whether self-regulation attitudes and patterns differ by gender. Results indicate that women and men report distinct patterns of self-regulation behaviors. Age, health status, and household status also interact with gender, influencing the extent of self-regulation. The results also show that women report lower levels of confidence in their driving skills than men, although the difference varies based on whether or not a woman lives alone. Implications of these results are considered for an aging population--particularly women--that over the coming decades will be more reliant on the automobile for transportation than ever before.  相似文献   
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Institutional conditions for diffusion   总被引:4,自引:0,他引:4  
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