THE USE OF NON-VERBAL AND BODY MOVEMENT TECHNIQUES IN WORKING WITH FAMILIES WITH INFANTS

This article presents an experiential-educational approach to families with infants (under one year of age). This approach integrates dance and movement therapy with family therapy theories and techniques. Non-verbal techniques are the only possible methods of working directly with infants, who are present with their parents in these workshops. The focus is on harmonious and conflictual interactions and functional and dysfunctional communications, negotiations and exchanges of feelings in the child-parent dyads and family triads.     

Values, Sex Differences and Psychological Androgyny

The research literature on sex (male/female) andgender (masculine, feminine, psychological androgyny,undifferentiated) differences in value structures iscontradictory and has generally been limited tocivilian samples, with little research on militarymiddle-level managers. This study investigated thosedifferences in a stratified random sample of 200military middle-level managers (125 males, 75females). While ANCOVA with demographic variables asthe covariates was established as the standard testfor hypothesis significance, the research data wereexplored using a variety of statistical techniques forcomparison purposes (transformed and non-transformedprocedures using the t-test versus ANCOVA, ANOVAversus ANCOVA, and Pearson and Spearmans correlationanalysis). Both sex and gender differences existed inthe value structures of middle-level managers, for allthe different statistical techniques. Implications forresearchers, limitations of the study, and adiscussion of the findings were presented.     

Catholic perspectives on populations issues II

This Bulletin discusses the history and current status of the population problem from a Roman Catholic viewpoint. While upholding human rights and admitting the right of couples to control the size of their families, the Catholic Church continues to prohibit the use of artificial methods of contraception as sinful. This position hinders the Church, with its some 750 million adherents, from taking an effective lead in confronting the growing threat of global overpopulation. Rhythm has been permitted since 1930 but Pope Pius 12 in 1958 forbade contraceptive use of the pill. Despite the liberal spirit engendered by Vatican Council 2 and against the recommendation of a papal birth control commission, Pope Paul 6 in his 1968 Encyclical Humanae vitae reaffirmed the ban on artificial contraception, apparently convinced that this was necessary to combat growing sexual immorality, family breakdown, and materialism. This stance has been upheld by Pope John Paul 2 and the 1980 Synod of Bishops. The decision ignores the pleas of a number of responsible churchmen speaking for their people at the Synod and of a growing majority of Catholic theologians and laity, that Church teaching must be updated to take account of the facts of modern life. Surveys reveal that Catholic married couples increasingly find Church-approved natural family planning methods unsatisfactory and feel obliged to turn to artificial methods to regulate their family size. On the world scale, Pope John Paul 2 and the Vatican, while insisting on human rights and the need for a reordering of unjust economic, social, and political structures, seem to be neglecting the threat of civilizational breakdown that looms with the prospect of too many people in too little space with too few resources.     

Effects of vibration exercise on muscle performance and mobility in an older population

This study was designed to investigate the effects of vibration on muscle performance and mobility in a healthy, untrained, older population. Forty-three participants (23 men, 20 women, 66-85 y old) performed tests of sit-to-stand (STS), 5- and 10-m fast walk, timed up-and-go test, stair mobility, and strength. Participants were randomly assigned to a vibration group, an exercise-withoutvibration group, or a control group. Training consisted of 3 sessions/wk for 2 mo. After training, the vibration and exercise groups showed improved STS (12.4%, 10.2%), 5-m fast walk (3.0%, 3.7%), and knee-extension strength (8.1%, 7.2%) compared with the control (p < 0.05). Even though vibration training improved lower limb strength, it did not appear to have a facilitatory effect on functional-performance tasks compared with the exercise-without-vibration group. Comparable mobility and performance changes between the experimental groups suggest that improvements are linked with greater knee-extension strength and largely attributed to the unloaded squats performed by both exercise groups.     

The effects of respiratory-muscle training on exercise in older women

This research examined the effects of respiratory-muscle (RM) training on RM function and exercise performance in older women. Twenty-six women (60-69 yr of age) were assessed for spirometry, RM strength (maximal inspiratory and expiratory pressure), inspiratory-muscle endurance, and walking performance to a perceived exertion rating of "hard." They were randomly allocated to a threshold RM training group (RMT) or a nonexercising control group (CON) for 8 wk.After training, the 22% (inspiratory) and 30% (expiratory) improvements in RM strength in the RMT group were significantly higher than in the CON group (p < .05). The RMT group also displayed several significant performance improvements, including improved within-group treadmill performance time (12%) and reductions in submaximal heart rate (5%), percentage of maximum voluntary ventilation (16%), and perceived exertion for breathing (8%). RM training appears to improve RM function in older women. Furthermore, these improvements appear to be related to improved submaximal exercise performance.     

Discrete-Time Multilevel Hazard Analysis

Combining innovations in hazard modeling with those in multilevel modeling, we develop a method to estimate discrete-time multilevel hazard models. We derive the likelihood of and formulate assumptions for a discrete-time multilevel hazard model with time-varying covariates at two levels. We pay special attention to assumptions justifying the estimation method. Next, we demonstrate file construction and estimation of the models using two common software packages, HLM and MLN. We also illustrate the use of both packages by estimating a model of the hazard of contraceptive use in rural Nepal using time-varying covariates at both individual and neighborhood levels.     

A new role for imaging in the diagnosis of physical elder abuse: results of a qualitative study with radiologists and frontline providers

Pediatric radiologists play a key role in the detection of child abuse through the identification of characteristic injury patterns. Emergency radiologists have the potential to play an equally important role in the detection of elder physical abuse; however, they currently play little to no part in this effort. We examine the reasons behind this limited role, and potential strategies to expand it, by interviewing attending faculty from Emergency Radiology, Geriatrics, Emergency Medicine, Pediatric Radiology, and Pediatrics. Our interviews revealed that radiologists’ contribution to elder abuse detection is currently limited by gaps in training, gaps in knowledge about imaging correlates, and gaps in inter-team clinical communication. Specifically, radiographic interpretation of elder trauma is severely restricted by lack of communication between frontline providers and radiologists about patients’ injury mechanism and functional status. Improving this communication and re-conceptualizing ED workflow is critical to expanding and optimizing radiologists’ role in elder abuse detection.