Imaging: A Tool for Data Reduction

This article illustrates the use of high-resolution color graphic images obtained from raster terminals to reduce an immense amount of data into a few meaningful time series. The steps that were taken to achieve this data reduction and their appropriate images are given. The time series were analyzed using Box and Jenkins time series methods (see also McCleary and Hay 1980), and the results are discussed.     

Emotions into Disorder: Anxiety Disorders and the Social Meaning of Fear

This article explores what we refer to as norm-stimuli-state discrepancies, which are disparities between people's physical-emotional responses to emotional cues and the normative meanings of those cues. Drawing on forty qualitative interviews and participant observation research at support groups, we show that people with anxiety disorders describe two forms of norm-stimuli-state discrepancies. The first form involves discrepancies of type, in which people label fearful emotional states as deviant for being caused by the “wrong” stimuli. The second involves discrepancies of intensity, in which people label fearful states as deviant for involving feelings or displays of “too much” anxiety in response to an “appropriate” stimuli. The article further addresses the role of stimuli in prompting treatment seeking. Unexpected and intense emotional distress in combination with the falling away of external cues—which we refer to as “stimuli-less fear”—serve as a critical juncture on the path to an anxiety disorder diagnosis.     

Storifying routines and routinising stories: A dualistic subject positioning analysis of controversies about constraints on patient autonomy

This paper uses subject positioning theory to explore how conflicts between autonomy and protection are managed in the justification of controversial care arrangements for patients with mental/neurological illness. Its basic argument is twofold: firstly, to justify or propose care arrangements at strategic or contentious moments, actors position illness as an actant and make it present in talk‐in‐interaction, exploiting alignments and misalignments between the there and then of reported events and the above and beyond of shared societal discourses to say what matters and what's to be done here and now; secondly, the introduction of authoritative voices from elsewhere involves imbricating narrative and routine sequences in order to prioritise different subjectivities. Dilemmas opposing autonomy and protection may seem less intractable if we adopt a corresponding perspective interplay between narrative and routine situational readings.     

Critical Components in Implementing Evidence‐based Practice: A Multiple Case Study of Individual Placement and Support for People with Psychiatric Disabilities

When developing Community Mental Health Services to support people with psychiatric disabilities, European countries are advocating evidence ‐based practice (EBP ). Individual Placement and Support (IPS ) is an evidence ‐based model designed to support people in acquiring and maintaining competitive employment. Implementation science is a growing research field, with a focus on components that impact the process of implementing EBP programmes. In this multiple case study, we have followed three IPS demonstration sites for two years, in order to describe and analyze barriers and facilitators for implementation, according to constructs described in the Consolidated Framework for Implementation Research (Damschroder et al. 2009 ). The results highlight the importance of strategic networking, as well as the need for planning and preparations carried out before the start of an EBP programme, since deficiencies related to these constructs are difficult to compensate for.      

住宅用户终端配电箱的设计

就住宅发展的现状,结合当前人民的消费水平和家用电器市场发展情况,根据住宅电气设计的最新动态,就其中住宅用户终端配电箱设计中的一些问题──负荷划分、配电方式、入户电流的计算、户终端配电箱的安装进行阐述。     

当代西方城市的病症：论《星期六》中的疾病隐喻

当代英国小说家伊恩·麦克尤恩的《星期六》从一名神经外科医生的视角进行了大量的疾病书写,进而对21世纪的英国城市现状做出诊断。从桑塔格的疾病隐喻理论入手,将小说的疾病书写置于当代西方的城市语境中,探讨疾病所影射的社会文化问题。小说中的欣快症和阿兹海默症的隐喻反映了当代城市文化的缺陷,而被污名化的亨廷顿舞蹈症成了城市对部分人群“他者化”的同谋,反映了城市主流人群对他者的恐惧和偏见。文章洞察出麦克尤恩对城市救赎之路的思考：他认为共情是治愈城市痼疾的可能途径,城市人应从疾病隐喻中抽离,不仅是为了减轻自身的焦虑,更是为了能和不同群体产生对话的可能,从而构建和谐健康的城市。     

论中国现代都市题材文学的批判姿态

现代文学中都市题材被作家从不同角度以批判的态度关注,着重表现了都市的负面特性:殖民性、腐朽性、封建性,这种批判态度表现出作家对于中国命运的思考和民族精神的探索。随着当代都市的发展,作家们对于都市的批判姿态应该调整,以开放的新眼光重新思考这一现代化命题。     

The “Socialization of Elderly Hospitalization” in China: Development,Problems, and Solutions

ABSTRACT

Objectives to analyze the development of the elderly patients with chronic diseases and to make some suggestions for the elderly social hospitalization. Methods By using yearbook data and theoretical analyses, the paper respectively presents the problems and furthermore solutions of China's elderly services. Results The elderly patients with chronic illnesses have formed a new group, and the phenomenon of “socialization of elderly hospitalization” has become a major social risk. Discussions China needs to promote the idea of “long-term care” in elderly social security, establishing long-term care insurance and fostering a private, professional elderly service system.     

‘Keeping families and children in mind’: an evaluation of a web‐based workforce resource

This study outlines pilot evaluation data of the web‐based training resource ‘Keeping Families and Children in Mind’, designed for clinicians who work with families where a parent has a mental illness. The resource was developed from scoping existing workforce packages and in consultation with consumers, carers, researchers and mental‐health clinicians. Preliminary evaluation data were collected from an urban and a rural site in Australia via focus group interviews and pre‐ and post‐training questionnaires to ascertain the experiences of those who participated in the training. Additionally, training facilitators were invited to maintain journals in order to identify planning and implementation issues when using the resource. Post‐training, participants emphasized the need to work collaboratively with others, as well as the importance of acknowledging and working with the family members of consumers, especially children. Also, participants reported positive changes in knowledge, skill and confidence when working with families affected by parental mental illness. Facilitators highlighted technology issues and the need to work interactively with participants when using the resource. Recommendations regarding policy and future research conclude this paper.     

The Social Work Role in Reducing 30-Day Readmissions: The Effectiveness of the Bridge Model of Transitional Care

The hospital experience is taxing and confusing for patients and their families, particularly those with limited economic and social resources. This complexity often leads to disengagement, poor adherence to the plan of care, and high readmission rates. Novel approaches to addressing the complexities of transitional care are emerging as possible solutions. The Bridge Model is a person-centered, social work-led, interdisciplinary transitional care intervention that helps older adults safely transition from the hospital back to their homes and communities. The Bridge Model combines 3 key components—care coordination, case management, and patient engagement—which provide a seamless transition during this stressful time and improve the overall quality of transitional care for older adults, including reducing hospital readmissions. The post Affordable Care Act (ACA) and managed care environment’s emphasis on value and quality support further development and expansion of transitional care strategies, such as the Bridge Model, which offer promising avenues to fulfil the triple aim by improving the quality of individual patient care while also impacting population health and controlling per capita costs.