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141.
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Traditional sources of sociohistorical data capture only a narrow sense of past lifeworlds. Ethnographic accounts often preserve greater details of social practice but have less clear guidelines for use as data. We evaluate the use of hermeneutical theory as providing guidelines for a method by which ethnographies may be used as sociohistorical data. Hermeneutical analysis of ethnographic "texts" is used to reconstruct patterns of daily life in early-twentieth-century rural Appalachia. This method involves: (1) concept-critique to separate observations from the theoretical framework of the ethnographic account, and (2) validation through a logic of internal consistency and comparison. Through hermeneutical analysis, ethnographics can be made to yield observations of social relations not otherwise available. Our analysis suggests benefits and drawbacks of hermeneutical analysis of ethnographic texts.  相似文献   
144.
The diagnosis of attention-deficit/hyperactivity disorder (ADHD) has become a household term with many inaccurate conceptions and expectations. The label is being applied to children with a broad range of mental health problems and developmental disorders. This study looks at the impact of preconceived diagnosis on assessment and treatment of children and adolescents. Alarming trends of overidentification of ADHD, which lead to inappropriate treatment and management, are identified. Other causes of the target symptoms are discussed. The impact of preconceived diagnosis on treatment outcome, patient functioning, and other areas are addressed. The need for greater community awareness of the broad spectrum of disorders of childhood and adolescence is identified.  相似文献   
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This article addresses early intervention services for children, birth to kindergarten age, who experience developmental deficits and delays that may later be identified as learning disabilities. P.L. 99-457 is briefly reviewed with a focus on elements that emphasize family-centered practice. Vignettes are presented to illustrate interventive strategies that promote parent empowerment, and parent-professional and interagency collaboration.  相似文献   
147.
Repeat abortion     
A reanalysis of the repeat abortion experience of New York City residents during July 1, 1970 to June 30, 1972 is undertaken on the basis of a probability model that generates repeat abortion ratios as a function of assumptions about fecundity, contraceptive efficiency, and exposure lengths. Tested are three hypotheses put forward by Daily et al. in a 1973 analysis: (i) the low repeat abortion ratio of .0245 is attributable in part to underreporting of registered induced abortions as repeat ones; (ii) a major part of the rise in repeat abortion ratios, from virtually zero to six percent over four consecutive six-month intervals, is explainable in terms of the rising volume of exposure time to risk of repeat abortion relative to the stream of initial abortions; and (iii) the higher abortion ratios of women in their twenties compared to those of older or younger women is ascribable to “differences in fecundity and intercourse frequency.” Support is found for the first two hypotheses, and a mixed outcome for the third.  相似文献   
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Abstract

Both the literature review and the results of a behavioral change project conducted at the University of Oregon indicate that health courses can bring about positive lifestyle changes when behavior is made a focus of the class. A multi-faceted behavioral intervention strategy was developed and used with 433 students enrolled in personal health classes during the fall term, 1983. At the end of the term, 23% of the students reported they were 100% successful in obtaining their desired behavioral changes. Another 40% reported they had just missed their goal. Overall, it appears the intervention was highly successful. More research is needed to validate the approach.  相似文献   
150.
ABSTRACT

Method: Child welfare professionals completing training to work in foster care were asked about reasons for taking their child welfare position, commitment to their agencies, and commitment to child welfare. Analyses compared responses from new public agency foster care workers (N = 100), public agency workers making lateral transfers to foster care (N = 64), and new private foster care workers (N = 105).

Results: Private agency foster care workers were less committed to their agencies and to child welfare and more likely to have taken the position because it was the only one available.

Conclusions: The practice by public child welfare of outsourcing foster care services to private agencies needs to be evaluated. This practice may not benefit children in care and may create organizational problems for agencies.  相似文献   
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