The nursing home crisis: a consumer study of Texas nursing home care

This article discusses the findings of a consumer-oriented survey to ascertain the perceptions of Texas nursing home residents, their families, and nursing home administrators about what factors they believe contribute to quality of care. The findings from previous studies and established practice standards are then used to further delineate the practice roles and functions of social workers in nursing facilities (NFs) and to inform social work curriculum.     

Determinants of outcome in the pathways through care for children hearing voices

Auditory hallucination, or hearing voices, is generally associated with psychopathology. In psychiatry it is inter-preted as a symptom of an illness, with no connection to the individual's life history. Voice hallucinations in childhood occur in a variety of contexts and have variable long-term outcomes. Little is known about the course of the experience. In this study, 80 children and youngsters hearing voices were interviewed on four occasions over a period of three years about the content of the voices and their overall experience of voices, focusing on the determinants for a promising outcome in the pathways through care. The results indicate that the need for care in the context of the experience of voices is associated not only with high levels of problem behaviour and associated negative symptoms of psychosis, but also, independently, with an appraisal of the voices in terms of anxiety, depression, dissociation and frequency of occurrence. In 60 per cent of the participants the voices disappeared during the three-year research period. The relationship between the disappearance of voices and the course of mental health treatment is, however, ambiguous.     

Medical and Scientific Conferences as Sites of Sociological Interest: A Review of the Field

Conferences play a pivotal role in the production and circulation of knowledge and in shaping and establishing academic and professional disciplines. As collective events, they facilitate intense moments of interaction where scientific and medical knowledge can be observed in the making. This paper calls attention to conferences as fascinating sites for sociologists of science, technology and medicine. By bringing together authors who look at conferences from different areas within the social sciences and using a variety of data gathering methods, this paper provides a comprehensive introduction to the field of conference studies and hopes to inspire greater reflection about the nature of conferences and their potential within research.     

Dignity,Wisdom, and Tomorrow's Ethical Business Leader

This article examines the role wisdom and dignity play in developing ethical business leaders, or what we call shamanic leaders, for the twenty‐first century. We define wisdom as the integration of moral imagination (the good), systems understanding (the true), and aesthetic sensibility (the beautiful) into decisions, actions, and practices in the service of a better world. Dignity is our inherent value, worth, and vulnerability, a core aspect of humanity that each of us is born with. The challenges of developing shamanic leaders, i.e., individuals who evidence the shamanic attributes of healing, connecting, and sensemaking, are discussed, including how to think about and embody wisdom, and the learning that is required to understand and lead with dignity. We argue that dignity and wisdom can be learned and provide the reader with insights into what is required to promote an inclusive and integrated culture where human flourishing and well‐being are at the core of ethical leadership.     

Regional migration governance – building block of global initiatives?

ABSTRACT

Regional institutions addressing mobility, asylum, migrant rights or migration control have proliferated all over the world and occupy an important space in recent UN initiatives to boost global cooperation on migration and refugees. Unlike Europe, where these different aspects of migration policy have come under the ambit of one institution, the European Union, regional initiatives in other parts of the world tend to emerge in different fora, with overlapping but incongruent memberships. Introducing a taxonomy of regional migration institutions, this article assesses regionalism's contribution to multilevel migration governance in two dimensions: the vertical interplay between regional and multilateral institutions on the one hand and the horizontal relationship between regional institutions on the other hand. The article concludes that regional (economic) integration frameworks like ASEAN, ECOWAS or MERCOSUR may prove fruitful anchors for more substantial regional migration governance.     

The Well-Being of 12 - to 16-Year-Old Adolescents and their Parents: Results from 1999 to 2003 Spanish Samples

This study adopts satisfaction with life as a whole and satisfaction with specific life domains as indicators to analyse the relationships between the well-being of 12 to 16-year-old adolescents and some related constructs such as self-esteem, perceived control and perceived social support. Well-being indicators from a 2003 Spanish sample using an 11-point scale (N = 1,634) are compared with an equivalent 1999 Spanish sample using a 5-point scale (N = 1,618). The different results obtained from the 2003 sample with a Principal Component Analysis (PCA) using a shorter and a longer list of life domains are also discussed. A sub-sample of the adolescents’ results from the 2003 sample are compared with their parents’ answers, using the same well-being indicators. Using a list of 8 life domains, and despite the change of scale used, overall results show no relevant changes in adolescents’ satisfaction with life domains between 1999 and 2003 in Spain and are in agreement with normative data expected from western societies [Cummins: 1998, Social Indicators Research 43, pp. 307–334; Cummins et al.: 2001, Australian Unity Well-being Index (Australian Centre on Quality of Life, Deakin University, Melbourne)]. Adolescents’ overall life satisfaction has been shown to correlate consistently with the other well-being related constructs. However, it clearly decreases with age over the period studied. The results also show that increasing the list of life domains has a major impact on the structure of the results obtained. When we compare results from parents with those from their own child, outstanding differences in well-being appear between generations: few domain satisfaction dimensions show significant correlation between parents and children and more than 20% of the population studied shows high discrepancies in the answers in four domains.     

Migration aspirations and the perceptions of the political,economic and social environment in Africa

While much research has investigated how objective pull factors in the destination countries affect migration movements, and how subjective push factors affect migration aspirations, we know little about the interrelationship between subjective and objective factors. This paper therefore examines how people's perceptions of their political, economic and social structural environment affect their migration aspirations and to what extent these perceptions are determined by the objective situation in a country. Accounting for individual perceptions is important because individuals may be affected by structural factors to different degrees, and their knowledge of the objective situation may vary. Perceptions may also be affected by individuals' norms and values as well as people's different expectations. This study is based on data from Round 7 of the Afrobarometer survey, fielded between 2016 and 2018 in 34 African countries. Our findings show that positive perceptions of the structural environment are related to lower migration aspirations and that this relationship is only partly dependent on the objective situation in a country.     

Bayesian modelling of effects of prenatal alcohol exposure on child cognition based on data from multiple cohorts

High levels of prenatal alcohol exposure (PAE) result in significant cognitive deficits in children, but the exact nature of the dose-response relationship is less well understood. To investigate this relationship, data were assembled from six longitudinal birth cohort studies examining the effects of PAE on cognitive outcomes from early school age through adolescence. Structural equation models (SEMs) are a natural approach to consider, because of the way they conceptualise multiple observed outcomes as relating to an underlying latent variable of interest, which can then be modelled as a function of exposure and other predictors of interest. However, conventional SEMs could not be fitted in this context because slightly different outcome measures were used in the six studies. In this paper we propose a multi-group Bayesian SEM that maps the unobserved cognition variable to a broad range of observed outcomes. The relation between these variables and PAE is then examined while controlling for potential confounders via propensity score adjustment. By examining different possible dose-response functions, the proposed framework is used to investigate whether there is a threshold PAE level that results in minimal cognitive deficit.