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521.
The literature on lesbian, gay, bisexual, and transgender (LGBT) virginity is almost nonexistent. Thus this exploratory study was completed to understand virginity in the LGBT community. The research questions asked members of two LGBT student groups to define virginity, discuss its meaning, and share experiences. Data were collected from two focus groups and six individual follow-up interviews and were analyzed. Results indicate that there is a range of virginity definitions, there is little discussion of the topic, and that “coming out” is a more important rite of passage than virginity among these LGBT community members. Future research needs are discussed.  相似文献   
522.
Alcohol use and the resulting problems associated with high-risk drinking in the American Indian/Native Alaskan (AI/NA) population are well-documented, as alcohol misuse has taken an incredible toll on many AI/NA communities. Presently, both overall health issues and alcohol use occur disproportionately within this population. This article provides an updated overview of the impact of alcohol use in the United States and within AI/NA communities specifically. It also provides recommendations for an alcohol-related screening and brief intervention instrument that social workers can begin using in their practice and can be utilized within the AI/NA community.  相似文献   
523.
Over the past 60 years, image-based methodologies such as photo elicitation, photolanguage, auto-photography, hermeneutic photography, digital storytelling, photovoice and participant authored audio-visual stories have been used by qualitative researchers to better cognise humanity. Each of these methodologies are deeply rooted in visual imagery and while they may share different levels of similarities, each was coined because no existing method fully met the needs of the researchers or participants. For this same reason, a new image-based methodology, the Fotofeedback Method? (FFM) has emerged. FFM is defined as a qualitative image-based methodology that combines participant-initiated photography with written narrative in response to a research/evaluation inquiry. This article presents an overview of FFM’s formation along with examples of its use and subsequent outcomes. The aforementioned image-based methodologies are reviewed including their definition, founder, year conceptualised, discipline and location of origin, brief history, impact of use, key point and their similarities/differences to the FFM. Also presented is a comparison chart of the methodologies covered in this paper as well as a timeline of photo-based research techniques in relation to the historical development of photography, computers and social media. Current statistics regarding the power of the visual to engage others are also incorporated.  相似文献   
524.
Photographs of trophy animals in 14 popular hunting magazines were analysed to explore the visual representations of dead animal bodies. We found multifaceted messages about the relationships between humans and other animals grounded in narratives of gender, race and embodiment. The visual representations of dead animal bodies are embedded in the taken-for-granted stories of love and affection for nature and wildlife that frame the contemporary hunting agenda, including the assumption that trophy displays memorialize the beauty of nature and natural animals. Disentangling ourselves from that dominant notion of what it means to display dead trophy animals was revelatory. Instead of love and respect for nature and wildlife, we found extreme objectification and marginalization of animal bodies. While we observed some elaborate displays of reassembled and carefully positioned dead bodies to appear as if still alive, a number of trophy exhibits hid the animal body behind or beneath weapons and other hunting equipment. The vast majority of the hunters in the images were white males, and when women or men of colour were included in the photographs their representations were usually consistent with gender and race stereotypes. Of these race/gender stereotypes the most interesting (and most symbolic of the patriarchal nature of the hunting discourse) was that neither women nor men of colour ever held a weapon when they appeared in photographs with white men.

Hunting was not about getting enough vitamin B 12. (Donna Haraway, Primate Visions 1989:217)  相似文献   
525.
Youth transitioning from foster care to adulthood are at higher risk for alcohol and substance abuse disorders than general population youth. At the same time, these youths are often recipients of strong clinical intervention, often at levels considered unnecessary, for other mental health or behavioural challenges. Because of this, there is sometimes resistance from providers to offer services such as substance abuse prevention programming as it may be seen as contributing to youths' overclinicalization, stigmatization, or retraumatization. Using thematic content analysis, this qualitative study analysed focus groups with community stakeholders providing recommendations on support services for youth transitioning from foster care to adulthood to derive strategies for delivering substance abuse prevention programming in a way that enhances youth self‐determination. Findings were organized by self‐determination theory's 3 key psychological needs: autonomy, competence, and relatedness. All three needs were represented in stakeholder recommendations, which were translated into strategies for bolstering youths' achievement of each need. Strategies include a mix of those already present in motivational interviewing‐based brief substance abuse prevention interventions as well as more unique strategies that are much less frequently employed but that may better meet the needs of youth with foster care experience.  相似文献   
526.
Within the social work profession, supervision is highly valued. Yet it is not clear how supervision supports good practice or how supervision makes a difference for children and families. In this study, using paired observations of group supervision and family meetings alongside interviews with parents, we explored the link between supervision, practice, and engagement. Considering each data set separately, we found a range of skill levels within the supervision discussions and in the meetings with families. Parents reported generally high levels of satisfaction with the service and in relation to their individual worker. But more importantly, we found a “golden thread” between certain elements of supervision, more skilful practice, and improved parental engagement. We discuss these key elements in detail and consider what these findings tell us about good supervision and what difference it can make for families and children.  相似文献   
527.
A number of scholars have proposed the common factors perspective as the future direction of marriage and family therapy (MFT). Although intuitively appealing, the case for the common factors perspective is not as clear-cut as proponents portray. In its current form, the common factors perspective overlooks the multilevel nature of practice, the diversity of clients and settings, and the complexity of therapeutic change. In contrast, comprehensive process-based change models are an alternative to the limitations of common factors. In this article, we consider the limitations of the common factors perspective and propose the necessary and sufficient components and processes that might comprise comprehensive, multilevel, process-based therapeutic change models in MFT.  相似文献   
528.
A PubMed search for the term "oxidative stress" yields over 29,000 articles published on the subject over the past 10 years; more than 2000 of these articles also include the term "aging" in their title or abstract. Many theories of aging predict causal roles for oxidative stress in the myriad of pathological changes that occur as a function of age, including an increasing propensity to develop cancer. A possible link between aging and cancer is the induction and accumulation of somatic mutations caused by oxidative stress. This Review focuses on small mutational events that are induced by oxidative stress and the role of mismatch repair (MMR) in preventing their formation. It also discusses a possible inhibitory effect of oxidative stress on MMR. We speculate that a synergistic interaction between oxidative damage to DNA and reduced MMR levels will, in part, account for an accumulation of small mutational events, and hence cancer, with aging.  相似文献   
529.
Although Cox proportional hazards regression is the default analysis for time to event data, there is typically uncertainty about whether the effects of a predictor are more appropriately characterized by a multiplicative or additive model. To accommodate this uncertainty, we place a model selection prior on the coefficients in an additive-multiplicative hazards model. This prior assigns positive probability, not only to the model that has both additive and multiplicative effects for each predictor, but also to sub-models corresponding to no association, to only additive effects, and to only proportional effects. The additive component of the model is constrained to ensure non-negative hazards, a condition often violated by current methods. After augmenting the data with Poisson latent variables, the prior is conditionally conjugate, and posterior computation can proceed via an efficient Gibbs sampling algorithm. Simulation study results are presented, and the methodology is illustrated using data from the Framingham heart study.  相似文献   
530.
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