To Join or Not to Join: Gay-Straight Student Alliances and the High School Experiences of Lesbian,Gay, Bisexual,and Transgender Youths

This retrospective study investigates 79 lesbian, gay, bisexual, and transgender (LGBT) college students’ experiences attending high schools with gay-straight student alliances (GSAs). Responses to two, open-ended survey questions were analyzed thematically to identify reasons that underlie GSA non-membership and to model facets of GSAs that may impact the GSA-related experiences of LGBT youths. Three frames of reference for understanding GSA non-membership and perceptions of GSAs emerged. Implications for predicting GSA membership and identifying protective mechanisms of GSAs are outlined. Suggestions to help GSA leaders and advisors enhance specific aspects of GSAs that appear to be associated with positive perceptions of GSAs are also provided.     

A Descriptive Study of Home Modifications for People with Dementia and Barriers to Implementation

This study describes home environmental features, safety issues, and health-related modifications in a community dwelling sample of 82 elderly people with dementia. Main barriers to the accessibility of the homes were steps both inside and outside the home. The majority of the caregivers had made home modifications that pertained mainly to physical limitations. Home modifications to support cognitive deficits were made to a lesser extent. The main barrier to the implementation of home modifications to accommodate the care recipient's memory loss was skepticism about their usefulness. Regarding the removal of physical barriers, financial constraints were most frequently mentioned.     

Mental Health Difficulties and the Support Needs of Social Work Students: Dilemmas,Tensions and Contradictions

There are a growing number of students in higher education who experience mental health difficulties and have support needs. The behaviour of small numbers of students on social work programmes indicates also a need to examine the mental health difficulties and needs of social work students. There is only limited factual information on this topic. It is rarely discussed or written about. There is a danger of discriminating against those experiencing such difficulties, especially black or female students. Yet, at the same time, undertaking a social work programme is a demanding experience, as is doing social work itself. Furthermore, on courses leading to a professional qualification, such as social work, there is an obligation to protect the rights of, and assess possible risks to users, as well as to support students. Programmes should give particular attention both to the mental health difficulties and support needs of social work students at selection, during the programme itself and upon conclusion of the programme at a wide range of levels, both within the higher education system and outside that system.     

Adding to the controversy: Pitfalls in the diagnosis of testosterone deficiency syndromes with questionnaires and biochemistry

Purpose. To determine the value of available questionnaires used for the diagnosis of testosterone deficiency syndromes (TDS) by correlating their ratings with a panel of hormonal determinations in a male population.

Materials and methods. Participants completed the ADAM questionnaire and underwent biochemical evaluation at the local site. Assessments determined entry into Group A (symptomatic) or Group B (non-symptomatic). After stratification, subjects provided a morning sample of blood, completed the Aging Male Survey (AMS) and the newly developed Canadian Society for the Study of the Aging Male (CSAM-Q) questionnaires. Serum aliquots were analysed at a central lab for 8 putative markers commonly associated with symptomatic testosterone deficiency associated with aging: total testosterone (T); bioavailable T (BT); dehydroepiandrosterone sulphate (DHEA-S); sex-hormone binding globulin (SHBG); luteinizing hormone (LH), prolactin (PRL); thyroid-stimulating hormone (TSH) and insulin-like growth factor-1 (IGF-1).

Results. 92 men were screened; of these 59 (mean age of 58 ± 11 years) completed the study, 30 (51%) scored positively (mean 61.5 years) to the ADAM while 29 (49%) did not (mean 54.1 years). For the AMS the weight of the three domains (psychological, somato-vegetative and sexual) was significantly greater in Group A (p < 0.001) than in Group B. Equally, for the CAS questionnaire, the scores for the variables energy, global performance, frequency of intercourse, mood and quality of sleep were lower in Group A than in their asymptomatic counterparts (p < 0.001). The domain of memory assessment within the CSSAM-Q was not discriminatory. ADAM and AMS are self-administered and completed within 10 minutes. CSSAM-Q is more time consuming, requires an investigator to administer, and memory domain is biased in favour of specific professional training.

No difference was found between the two groups in 6 of 8 biochemical tests. However, significant lower values (p < 0.001) were found for DHEA-S and IGF-1 in the symptomatic group as compared with the non-symptomatic cohort.

Conclusions. This study confirms that newer, more complex tools perform similarly to the simpler ADAM questionnaire. The lack of correlation between the clinical picture and the most commonly used biochemical confirmatory tests, again, clearly points to the paramount importance of the clinical evaluation. An emphasis and reliance on serum T alone hinders the clinician's ability to manage testosterone deficiency syndromes (TDS).     

The Changing Value of the Child – A Review of the Literature Regarding Social Perceptions of Sick and Dying Children

This article reviews the literature pertaining to the changing value of the child in England since the 19th century, highlighting the relative policy neglect of contemporary sick and dying children. The review discusses the relationship between the value of the child, social constructions of childhood and social policy. The review demonstrates how the value of the child has altered from one of utility to a contemporary position of sacralisation, illustrated by mortality statistics as a measure of associated policy impact. However, large reductions in mortality rates conceal the more complex picture of contemporary child health. Children die each year from life‐limiting and life‐threatening disorders. Moreover, technological developments increasingly allow children to live longer with such conditions, albeit with ever more complex ill health. Such children are therefore dying over protracted periods of time. However, they are largely absent from policy, which tends towards standardised outcome measures which may not reflect the needs of this minority group. Therefore, although contemporary constructions of childhood focus upon sacralisation, reflecting psychological value to parents and society, the most vulnerable child members of society remain neglected in policy and service provision.     

Failure Rates and Publication Status: Periodicals Reviewed in Library Journal (1980–2005) and Database Accuracy

Abstract

Life spans of periodicals are described for all titles reviewed in Library Journal's (LJ) “Magazines” column from 1980 through 2005 using data from WorldCat, EBSCO's Serials Directory and Ulrichsweb. Fifty-four percent of the periodicals reviewed in LJ have failed. The highest rate of failure is in the first few years of publication, but there remains a substantial failure rate thereafter. The many challenges of keeping accurate records on end dates for periodicals are discussed in the context of cooperative cataloging under CONSER's leadership. The relative strengths and weaknesses of data in WorldCat, Serials Directory and Ulrichsweb are discussed and quantified.     

Language Generativity,Response Generalization,and Derived Relational Responding

Language generativity can be described as the ability to produce sentences never before said, and to understand sentences never before heard. One process often cited as underlying language generativity is response generalization. However, though the latter seems to promise a technical understanding of the former at a process level, an investigation of definitions and approaches to the term “response generalization” that appear in the literature suggests that it does not do so. We argue that a more promising candidate for the role of key process underlying language generativity is derived relational responding. We introduce the latter concept and describe empirical research showing its connection with language. We subsequently present a relational frame theory (RFT) conceptualization of derived relations as contextually controlled generalized relational responding. We then review a series of recent studies on derived manding in developmentally delayed children and adults that arguably demonstrate the applied utility of a derived relations-based approach with respect to the phenomenon of generative language.     

Associations Between Friendship,Sympathy, and Prosocial Behavior Toward Friends

The current study examined the associations between multiple aspects of the friend relationship (connection, companionship, psychological control) and global prosocial behavior toward friends. Participants included 467 early adolescents (M age of child = 13.32, SD = 1.05, 49% female, 69% European American), and data were collected at two time points, roughly 1 year apart. Structural equation modeling suggested that friend psychological control was negatively associated with prosocial behavior toward friends, while friend connection was positively associated (via adolescent sympathy). Discussion focuses on the friend relationship as an important influence on adolescent sympathy and prosocial behavior toward friends.     

End-of-life care and social work education: what do students need to know?

Social workers are major service providers to people who are facing end-of-life issues including the terminally ill and their families. Yet, exemplary models for social work education and intervention methods are limited in rural states. A statewide survey conducted in Kentucky found only two social work courses dedicated to end-of-life care currently being offered by accredited undergraduate and graduate institutions. Another statewide survey found that many hospice social workers are relatively inexperienced and have a need and desire for more education on death, dying and loss. Also, unique cultural, economic and geographic areas, such as Appalachia are enigmas when it comes to the provision of end-of-life care. This partnership provides a varied perspective on delivery of end-of-life care services with an emphasis on social work interventions and education.