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351.
352.
Successful social interaction depends on the ability to decode emotion in the nonverbal behaviors of others. Because relationship difficulties are paramount in adolescents with schizotypal personality disorder (SPD), we predicted that adolescents with SPD would (1) make more emotion decoding errors than adolescents with other personality disorders (OPD) or non-psychiatric controls (NPC); and (2) exhibit more social and thought problems than OPD or NPC adolescents. Further, we predicted greater emotion decoding errors for all adolescents would relate to concurrent and future social problems, thought problems, and social reasoning deficits. SPD adolescents made more errors than OPD and NPC adolescents in decoding voices but not faces (except in specific emotion categories). For all adolescents, vocal errors correlated with greater social problems, and facial and vocal errors correlated with greater thought difficulties concurrently and a year later.  相似文献   
353.
This research concerns itself with the experiences of couple and family therapists (CFTs) learning about and using an evidence‐based practice (EBP). The engagement with EBP is growing across many aspects of the mental health and health care systems. The EBP model is now being applied in a broad range of health and human service systems, including mental and behavioural health care, social work, education, and criminal justice (Hunsley, 2007). The dialogue about the role of evidence‐based approaches in the practice of CFT and research literature is also evolving (Sexton et al., 2011; Sprenkle 2012 ). Interestingly, while the research delves into what are the best approaches with different populations and presenting issues, little research has explored the experience of CFTs themselves, particularly while learning an EBP. Using a phenomenological approach called interpretive phenomenological analysis (Smith, Flowers & Larkin, 2009), this research explores the experiences of CFTs learning and using an EBP. The paper reports on key issues, challenges, and areas for CFTs, educators, and supervisors. As researchers, educators, administrators, policy makers, and CFTs struggle with what works best with which populations and how best to allocate resources, this research contributes to dialogues about how best to educate and support CFTs, and the complexity of doing research in real‐life settings.  相似文献   
354.
The Individualized Education Program (IEP) was developed as a part of US Public Law 94-142 related to educating students with disabilities. The aim of the IEP process was to ensure that educators and parents are involved in collaboratively creating a formalized plan for instruction that will address unique students’ needs. However, the IEP process has created unintended consequences such as depersonalized meetings, and a focus on paperwork and compliance rather than collaboration with parents. The parents interviewed in this study offered a number of recommendations on how to make both the process and the product of IEP meetings more meaningful.  相似文献   
355.
We employ unconditional quantile-decomposition methods to analyze the gender wage gap (gwg) in the urban region of twelve Latin American countries. Using data from harmonized household surveys we decompose the gwg into an explained component (differences in human capital) and an unexplained component (different rates of return to human capital). We find evidence of sticky floors (larger gwg at the tenth percentile than at the median) and glass ceilings (larger gwg at the ninetieth percentile than at the median). The former are more frequent and their magnitude is generally larger. Working women are more educated than working men all along the wage distribution, which partially hides the ‘unexplained’ pay difference. Finally, we find that poorer countries and countries with more income inequality have higher gwg at the tenth percentile of the wage distribution. Richer countries and countries with lower inequality present larger gwg at the ninetieth percent of the wage distribution.  相似文献   
356.
357.

Background

Interpreters (lam in Thai) have been employed in maternity services in Thailand due to increasing numbers of Burmese women migrating to Thailand. Access to healthcare interpreters is crucial for health professionals and Burmese migrant women using Thai maternity services but no studies have examined the role of the lam.

Aim

This paper explores the role and experiences of healthcare interpreters (lam) working in Thailand. The perspectives of nurse-midwives and migrant Burmese women regarding the role of the lam are also included.

Methods

Ethnographic methods including observation of interactions between women, nurse-midwives, other health professionals and the lam were used. Individual interviews were conducted with four Burmese lam, nine health professionals, and 10 Burmese women. The data were analysed using thematic analysis.

Findings

Three major themes captured the role and experiences of the Burmese lam; ‘more than an interpreter’, ‘challenges in sustaining the role of the lam’, and ‘benefits for me and my community’. The Burmese lam had two key components to their role: interpreter and, healthcare worker. Key challenges included lack of clarity around role boundaries, limited training, and, low remuneration.

Discussion and conclusions

Despite the challenges, the lam believed their presence encouraged Burmese women to attend antenatal care. They described benefits for themselves, including ‘on-the-job’ training. Community trust in the lam meant that Burmese women and families sought their advice within the community. This study demonstrates the important role that migrant workers play in collaborating with nurse-midwives to ensure access to maternity services in middle-income countries.  相似文献   
358.

Problem

Providing skin-to-skin contact in the operating theatre and recovery is challenging.

Background

Barriers are reported in the provision of uninterrupted skin-to-skin contact following a caesarean section.

Aim

To explore how health professionals’ practice impacts the facilitation of skin-to-skin contact within the first 2 h following a caesarean section.

Methods

Video ethnographic research was conducted utilising video recordings, observations, field notes, focus groups and interviews.

Findings

The maternal body was divided in the operating theatre and mothers were perceived as ‘separate’ from their baby in the operating theatre and recovery. Obstetricians’ were viewed to ‘own’ the lower half of women; anaesthetists were viewed to ‘own’ the top half and midwives were viewed to ‘own’ the baby after birth. Midwives’ responsibility for the baby either negatively or positively affected the mother's ability to ‘own’ her baby, because midwives controlled what maternal-infant contact occurred. Mothers desired closeness with their baby, including skin-to-skin contact, however they realised that ‘owning’ their baby in the surgical environment could be challenging.

Discussion

Health professionals’ actions are influenced by their environment and institutional regulations. Further education can improve the provision of skin-to-skin contact after caesarean sections. Skin-to-skin contact can help women remain with their baby and obtain a sense of control after their caesarean section.

Conclusion

Providing skin-to-skin contact in the first 2 h after caesarean sections has challenges. Despite this, health professionals can meet the mother's desire to ‘own’ her baby by realising they are one entity, encouraging skin-to-skin contact and avoiding maternal and infant separation.  相似文献   
359.
360.
The social construction of gender dictates the masculine and feminine roles deemed appropriate within a society. Society has traditionally socially constructed women to be mothers and the primary parent, leaving fathers much too often on the sidelines of parenthood. For example, if a parent is a man, they have fewer rights than a parent who is a woman. Gender biases in society are insidious problems. Such biases can lead to the development of adverse attitudes, beliefs and unfair treatment of members of these groups by both individuals and social institutions. This paper will demonstrate the need to investigate the possibility of a systemic male gender bias in CWS. The paper will include the statement of the problem, the rationale and the framework of how gender is socially constructed to help in the understanding of how it negatively impacts fathers. Next will be a discussion of avoiding fathers at all six principle phases of CWS, the lack of parent programs specific to fathers, direction for future research and potential research implications for fathers, children and child welfare workers.  相似文献   
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