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One topic rarely addressed in the literature on older adults and interpersonal violence is the violence that can be experienced by family carers in relationship with a person living with cognitive impairment. This violence tends to remain hidden and is rarely framed as intimate partner violence. We examine how situations of intimidation and violence invoked fear in family carers and how they interpreted and reacted to these circum- stances. Interview and diary data were collected from family members who had previously or were currently experiencing some form of aggression in caring for someone with cognitive impairment or dementia. Drawing on discussions of fear and applying the analytic lens of defensive strategies, we explore how these carers responded to situations of intimidation and violence.  相似文献   
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Cognitive-behavioural parenting programs provide caregivers with alternative strategies to harsh disciplining practices but the choice of programs that are evidence-based in Australia is limited. Australian community service workers suggest that having a choice of evidence-based programs is important when matching programs to client needs, and that 1-2-3 Magic is a program used widely in Australia despite its small Australian evidence base. The efficacy of the 1-2-3 Magic program has previously been shown in a controlled trial in an Australian university research setting but little is known about its effectiveness in a “real-world” setting. This study examined a three-session group-format of the Australian 1-2-3 Magic & Emotion Coaching program in a typical metropolitan community service setting. Thirty-eight caregivers with children aged 2–6 years reported a significant decrease in disruptive child behaviour (ECBI), permissive parenting (PS), and parental depression and stress (DASS) from pre- to post-intervention, with results maintained at 3-month follow-up. While these findings suggest that a brief 1-2-3 Magic program is beneficial, it is important to note that methodological limitations (intervention-group only study design and possible confounding variables) do not allow ruling out alternative causes for these improvements. Further research will be needed to confirm that this program can generalise to “real-world” settings.  相似文献   
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Homelessness among older people in Canada is both a growing concern, and an emerging field of study. This article reports thematic results of qualitative interviews with 40 people aged 46 to 75, carried out as part of a mixed-methods study of older people who are homeless in Montreal, Quebec, Canada. Our participants included people with histories of homelessness (= 14) and persons new to homelessness in later life (= 26). Interviews focused on experiences at the intersections of aging and homelessness including social relationships, the challenges of living on the streets and in shelters in later life, and the future. This article outlines the 5 main themes that capture the experience of homelessness for our participants: age exacerbates worries; exclusion and isolation; managing significant challenges; shifting needs and realities; and resilience, strength, and hope. Together, these findings underscore the need for specific programs geared to the unique needs of older people who are homeless.  相似文献   
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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   
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This study examines the strategies and impact of six activist groups concerned about British broadcasting policies and programming. Particular emphasis is placed on strategic relationship building, which played a central role in groups’ interactions with target publics, and on the activists’ perspective. The study is contextualized within the political culture of the United Kingdom and a changing broadcasting landscape. The data suggested that building strategic relationships is one of the major ways in which pressure groups have an impact on their targets. When assessing effectiveness, respondents looked beyond tangible gains by activists to long-term relationships with targets, which were contingent on critical dimensions. These included trust, mutual respect, openness and access. Groups bolstered their credibility by engaging in research and structuring educational events such as conferences and symposia, in which they enhanced the scope and quality of debate about broadcasting policy. Public relations has a role in facilitating both citizen debate within the public sphere of civil society and the relationships that make such debate possible. These groups may be a model for activists in other societies.  相似文献   
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As part of a broader sensory ethnographic exploration of place perception amongst international students who have recently arrived in Manchester (England), I conducted walking interviews with Abbie, who is from Barcelona and has a visual impairment. My work with Abbie and her dog-guide, Labrador Toni, offered me the opportunity to explore the development of emplaced knowledge as embodied, multi-sensory practice. As we walked as a three-in-one corporeal entity we operated as an inter-subjective being, challenging individualizing constructions of the self. During our interviews the importance of inter-corporeal space, the spaces between us, in facilitating our abilities to guide and follow each other was realized. For me as a researcher, this collaboration also afforded a re-prioritization of sensory awareness that feeds into a critique of ocular-centric approaches to research.  相似文献   
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