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This paper takes a critical look at simulation exercises. Little evidence exists that these exercises have a positive effect on either attitudes or behaviour but, despite this, they are used extensively in disability awareness training, both for children and adults. It is argued in this paper that by individualising and medicalising disability, and by focusing excessively on problems and difficulties, simulation exercises provide false and misleading information, and inculcate negative, rather than positive, attitudes towards disabled people. It is suggested that simulation exercises fail to simulate impairment correctly, and address neither the coping strategies and skills disabled people develop in living with impairment, nor the cumulative social and psychological effect of encountering social and physical barriers over a lifetime. Rather than using simulation as a means of attempting to understand the experience of disability, the paper concludes by advocating the use of disability equality training, which is devised and run by disabled people themselves.  相似文献   
464.
The government's community care proposals give importance to the role of voluntary and not-for-profit organisations in meeting the needs of elderly and disabled people, and underline the need for local authorities to foster their development. To do this, they must ensure their financial security. This paper reports the decline of the specialist clothing workshops which, because of changes in government funding, have dwindled from more than 20 in 1988 to five at present. The importance of this service to disabled people is discussed. Although many value skilled advice and sympathetic personal attention, for a few there is no other alternative than specially made or adapted clothing. It enhances self-esteem, independence and participation, as well as practical benefits. However it is an expensive service, so that subsidy is essential. Recommendations for the future of the service are outlined.  相似文献   
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Currently, there is widespread controversy regarding the risks and benefits of hormone therapy for women over 50. The history of hormone therapy provides an excellent example of how different constituencies with competing objectives can produce health practices and policies of questionable benefit. We examine this history from the perspectives of women who now live longer, expecting higher quality of life throughout their later years, healthcare providers who are influenced by the real and perceived needs of their patients as well as information provided by drug manufacturers, the pharmaceutical industry which seeks to identify and promote drugs that offer the most promise for both patients and shareholders, and medical researchers —including the National Institutes of Health and the Federal Drug Administration .  相似文献   
467.
This paper develops and estimates an interactive contextual model of migration in Ilocos Norte, the Philippines. It focuses on how contextual features alter the effects of family class status and community development level on the family's migration decisions. The model estimates show a curvilinear relation between class status and migration, but the pattern differs in accordance with the prevalence of migration from the community in the past. In addition, the effects of socioeconomic development and agricultural commercialization patterns vary with context. These results demonstrate the importance of using interactive models for analyzing the contextual influences on migration.  相似文献   
468.
This paper provides limited evidence on the effectiveness of a simple classroom experiment. In different courses in environmental economics or public finance, a brief take-some game was performed. Students who took part in this classroom experiment, as well as those who just watched it, were more successful in answering a multiple-choice test on the "tragedy of the commons" than control groups from the same courses.  相似文献   
469.
Kari Polanyi Levitt has commented that her father's writing was met with a 'deafening silence' in England, a silence which she suggests is 'yet to be explained'. Given The Great Transformation was purpose fully , situated in England Polanyi Levitt's point is an interesting one, and one which still deserves attention. But the last two decades have witnessed an intensification of interest in Karl Polanyi's methodological approach and theoretical insights, from England as well as elsewhere, and representing a range of disciplines. This raises a string of associated questions: interest from who? Why now? And how? Further we could ask: Does this new interest have the potential to redress the Polanyi Levitt charge without falling prey to an opposite one of misusing or abusing the Polanyi legacy? This paper contributes to the much larger agenda of examining in a serious way the usefulness and applicability of Polanyi's key ideas and methods, particularly as they apply to the burgeoning interest in markets and exchange within New Economic Sociology (NES) . A sub-set of this agenda is to explore whether Polanyian insights provide a more nuanced and critical understanding of competitive processes and innovation than is currently available within Economics, Sociology or indeed Economic Sociology.  相似文献   
470.
With an aim toward encouraging more precise identification and treatment of familial dysfunction, the authors suggest combining the principles of first and second order change (Watzlawick, Weakland, and Fisch, 1974) with the concept of the family life cycle (Duvall, 1971). A theoretical discussion is followed by clinical case examples.  相似文献   
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