The Use of Hypnosis in the Treatment of Dissociative Patients

A frequent need of adult patients who were traumatized in childhood is to recall and work through those experiences which have been blocked out of awareness but continue to exert negative influences. Hypnosis is an effective resource with such patients. This article discusses the early developments of hypnosis. It describes components of the trance state which makes it a useful resource with trauma patients as well as an effective therapeutic process and technique. Two case studies are presented to demonstrate some applications of hypnosis with sexually traumatized patients.     

Senior Gambling: Risk or Reward?

For a growing number of older adults, a day outing to a local casino has become one of the more enjoyable and accessible opportunities for socialization and entertainment. Unfortunately, for some older adults this growing pastime increases their risk for developing a gambling problem or, worse yet, a gambling addiction. The consequences of problematic gambling behaviors for individuals living on a fixed income require greater attention by social work researchers, practitioners, and providers of senior services. The development and implementation of a Gambling Education Workshop for older adults attending senior centers in a large metropolitan area, along with qualitative interviews with a sample of workshop participants, are reported in this article. Among the findings from this project are the needs for greater awareness of the risk factors associated with problematic gambling, as well as greater awareness among older adults about the consequences associated with gambling.     

Anderson's classification statistic based on a post-stratified training sample

The performance of Anderson's classification statistic based on a post-stratified random sample is examined. It is assumed that the training sample is a random sample from a stratified population consisting of two strata with unknown stratum weights. The sample is first segregated into the two strata by post-stratification. The unknown parameters for each of the two populations are then estimated and used in the construction of the plug-in discriminant. Under this procedure, it is shown that additional estimation of the stratum weight will not seriously affect the performance of Anderson's classification statistic. Furthermore, our discriminant enjoys a much higher efficiency than the procedure based on an unclassified sample from a mixture of normals investigated by Ganesalingam and McLachlan (1978).     

Getting Out and About: The Relationship Between Urban Form and Senior Travel Patterns

As the overall U.S. population expands outward from the central city and core suburbs and as people age in place, more seniors will reside in suburban and exurban locations. This research seeks to determine whether older adults who live in areas with differing urban forms experience travel pattern variations under controls for other factors related to travel. We analyzed data from a telephone survey of a random sample of seniors aged 75 years and older and we employed a unique approach for establishing the urban form of their residential settings. The results show that urban form does influence travel patterns, including the number of trips and transportation mode, and suggest that the construction of compact, mixed-use communities where today's older adults can age in place may be part of the solution to addressing the mobility needs of our aging population.     

New balanced sampling plans excluding adjacent units

Hedayat et al. [1988a. Sampling plans excluding contiguous units. J. Statist. Plann. Inference 19, 159–170; 1988b. Designs in survey sampling avoiding contiguous units. In: Krishnaiah, P.R., Rao, C.R. (Eds.). Handbook of Statistics, vol. 6. Elsevier, Amsterdam, pp. 575–583] first introduced balanced sampling designs for the exclusion of contiguous units. Sampling plans that excluded the selection of contiguous units within a given sample, while maintaining a constant second-order inclusion probability for non-contiguous units, were investigated for finite populations of N units arranged in a circular, one-dimensional ordering. There remain many open questions about the existence of such plans and their extension to plans excluding adjacent units. We present new generation techniques and new balanced sampling plans for the exclusion of adjacent units under finite, one-dimensional, circularly and linearly ordered populations.     

Older Carers of Adults with a Learning Disability Confront the Future: Issues and Preferences in Planning

The Valuing People White Paper (Department of Health, 2001)requires services to secure a plan for all service-users withlearning disabilities living with older carers and promisesthem and their families more choice and control over how andwhere they live. This paper examines the views of the oldercarers (aged over seventy) of sixty-two adults with a learningdisability about planning for the future. Fifty-six took partin interviews in their own homes and six completed a questionnaire.All carers were white and recruited from one local authorityin response to the requirements of the White Paper. Findingsindicate that a significant proportion (thirty-four—55per cent) is either not ready or is unwilling to make futureplans. Barriers to planning include a perceived lack of needdue to the existence of two carers, a lack of awareness of timescalesinvolved in securing housing, difficulties in letting go, alack of confidence in available housing options, and the existenceof mutually supportive relationships. The findings show a needfor a proactive approach to information and support provisionto enable these families to work through a process of makingplans for the future. This is essential to prevent the needfor emergency placements in response to crisis and in turn toensure that adults with learning disabilities have genuine choiceand involvement in how and where they live.     

Comparison of the characteristics of homes for older people in Slovenia with Goffman's concept of the total institution

The past concepts of life and work in homes for older people in Slovenia are no longer adequate to meet the needs, wishes and requirements of their current users. One of the basic premises, relying on Goffman's concept of the total institution, is that the first and foremost characteristic of homes for older people is that they are institutions. The theoretical starting point, namely that Goffman's concept of the total institution is ideal-typical, was corroborated by an investigation of the presence of elements of the total institution in Slovenian homes for older people, proving that not all features of the total institution can be found in any chosen empirical selection of institutions, with the data showing that those characteristics which are present do not exist in the ideal, that is in the most pronounced form. The homes’ users are given consideration, their personnel are adapting to their needs and requirements, even though this occurs within the functioning of an institution whose aims, i.e. to care for a large number of people living in one place, make life in such an institution subordinated to rules, along with the bureaucratisation and routinisation of services.     

Remarriage,Unmarried Cohabitation,Living Apart Together: Partner Relationships Following Bereavement or Divorce

Substantial proportions of people enter into new partner relationships after bereavement or divorce. Nowadays in Europe, unmarried cohabitation and living‐apart‐together relationships are frequently opted for at repartnering. Drawing on the Netherlands’ Living Arrangements and Social Networks survey of men and women aged 55 to 89 years (N = 4,494), this article explicates the determinants that lead widowed or divorced people to enter into old and new types of partner relationships. Cox proportional hazard regression analyses revealed that age at most recent union dissolution, the number of partner dissolutions, working during and after the most recent union dissolution, and other demographic variables are important in weighing the pros and cons of different types of living arrangements.     

The Use of Humor With Older Adults Aging in Place

As more older adults seek ways to remain in their homes during their “golden years,” humor has proven to be a worthwhile intervention that reduces stress and provides a hopeful, playful, and optimistic environment. Development of creative and supportive housing situations for older adults combined with the use of modern technology (e.g., the Internet and computer devices used in the home), aid in bringing humor to the older adult. This article addresses some of the challenges that older adults face and the way that the use of humor can assist them to meet these challenges.