Mental illness,partial hospitalization,and the family

Summary When illness is socially defined, the task of therapy is to enable the patient to move from a sick role to one of maximal social functioning. In a day hospital setting, methods are explored to involve a patient with his family both directly and indirectly. Thus the patient is supported both in the treatment milieu and when he is at home. Not only the patient, but the family, is vulnerable at this time and each must be helped to make parallel and complementary shifts in interpersonal behavior. To view the family solely as a resource for the support of the ill member and his treatment is to fail to accept the need of the family as a whole for reorganization and strengthening.     

A Contradiction in the Health Care Delivery System: Problems of Access*

State-wide sample survey data regarding issues and problems frequently incurred in gaining access to health care delivery systems, as well as reports of illness, are utilized in an analysis covariance. The results indicate that the black population reports receiving more preventive health care services than the white population when controlling for all relevant independent variables. This surprising reversal of the most frequently found relationship between black and white populations, coupled with the reporting by the black population of experiencing more difficulty in gaining access to the system for needed help, presents evidence of a contradiction in the delivery of care.     

Paradigm Warriors: Regress and Progress in the Study of Contentious Politics

Paradigm warfare is a well-worn way of engaging in the polemics of research, but it frequently reduces paradigms to caricatures and turns complex reports of empirical research into cartoons. This is illustrated by two one-sided accounts of the Chiapas rebellion: one based on a simplistic political opportunity cartoon and the other on a foreshortened culturalist one. Reducing the many-sided (and in some ways ambiguous) approaches of the political process model to a supposedly hegemonic paradigm neglects many substantive contributions and cuts with too broad a stroke at social movements while ignoring the many-branched contributions of research and theory on contentious politics.     

Thailand’s urban population reconsidered

In lieu of any official definition of “urban population” in Thailand, researchers and policy makers have generally used a simple urban-rural dichotomy, relying upon the administratively designated municipal areas as urban and the remainder of the kingdom as rural. For administrative purposes, however, a more refined set of residence categories is available: the “urban” segment is subdivided into three categories of municipal areas; within the “rural” group, units of population concentration classified as sanitary districts are distinguished from the remainder of the rural population. Data from a 1970 census sample tape have been used to analyze a number of socioeconomic characteristics, as well as migration and fertility, for each of these five residence categories separately in an attempt to determine if the formerly used rural-urban dichotomy is valid. For each of the characteristics and for migration and fertility, a clear urban-rural continuum emerges, with the sanitary districts generally resembling the smaller urban places more than they do the rural areas under which they are usually subsumed. The evaluation thus suggests the importance to research and policy either of using an urban-rural continuum or of grouping sanitary districts with municipal areas when a dichotomy must be used. Doing so should facilitate evaluation of the interrelations between urbanization and demographic and development factors.     

Premarital pregnancies and out-of-wedlock births in denmark, 1950–65

Although comprehensive investigation of child spacing patterns requires consideration of those births that were conceived before marriage, detailed data on such births often are not available, especially in the United States. Danish statistics on first births by duration of marriage and on out-of-wedlock births permit evaluation of trends in premarital pregnancies. For the period 1950-65, they point to (1) a rise in the percentage of all brides who are pregnant at marriage; (2) an increase in the proportion of first births occurring within both six and nine months of marriage; and (3) a rise in out-of-wedlock births.The trend for the country as a whole also characterizes Copenhagen, but at a higher level, and this reflects the capital's more urban character, greater permissiveness, and attraction to young migrants. Age differentials indicate that as high as 90 percent of all first births among married women aged under 20 years and over 50 percent of those to women aged 20-24 years are premaritally conceived. The rise in the number of first births among young women largely accounts for the overall rise in the level of premarital conceptions. Compared to its suburbs, Copenhagen in 1965 had higher levels of premarital conceptions. The overall residential differential stems both from higher proportions of such births in all age groups in Copenhagen (but especially those aged 20 years and over) and from the fact that Copenhagen has proportionally more first births occurrinq to women aged under 20 years, the age group in which the rates of premarital conceptions are especially high.     

Associations between hope and trajectories of critical consciousness among U.S. youth of color

We examined associations between hope as an internal asset that supports positive youth development, and growth trajectories of three critical consciousness components. Using five waves of data collected over the course of high school (N = 618), we modeled growth trajectories of awareness of inequity (critical reflection), a sense of agency about taking sociopolitical action (critical agency), and behaviors targeting systems of oppression (critical action). Hope was highest among those with high trajectories of critical agency and critical action. Clear associations with hope emerged at the last time point for critical reflection, suggesting that sustained growth in critical reflection is associated with hope. When supporting the critical consciousness development of youth of color, concurrent support for hope may be instrumental.