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The move towards community care as a humane alternative to institutional provision has brought complications in its wake. Integration, both into community living and into mainstream education, has generally entailed an elaborate process of the selection of those most easily assimilated. I am concerned to examine the opportunities available for those young people who are often rejected within the integration movement, yet who find themselves the recipients of training for independent living in the community. My hypothesis is that such a training can actually impoverish their quality of life.  相似文献   
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In this paper we share our collaborative experience of making a video in which disabled women present their lives as they wish to portray them. We undertook what we hope will be perceived as emancipatory research, in which disabled and non-disabled women work together to create audio-visual teaching materials. We include a preliminary discussion about the representation of disability on British television broadcasts between October 1991 and March 1992. We look at negative imagery, charity fund raising, and positive images. The paper uses comments by disabled broadcasters and disabled academics, and reflects on their work.  相似文献   
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Depression is the most commonly diagnosed mental illness in the United States with relapse rates as high as 80–90% in some circumstances (Chen et al. in Res Soc Work Pract 16(5): 500–510, 2006; Mintz et al. in Arch Gen Psychiatry 49: 761–768, 1992; Teasdale et al. in J Consult Clin Psychol 68(4): 615–623, 2000). Cognitive therapy (CT) and psychopharmacology have been the mainstays of treatment for depression and relapse prevention, yet relapse remains a significant risk of this mental illness (DeRubeis et al. in Arch Gen Psychiatry 62: 409–416, 2005; Meyer and Scott in Behav Cogn Psychother 36: 685–693 2008; Rush et al. in Cognit Ther Res 1: 17–37, 1977). The literature review, case illustration and analysis examines the rationale for integrating mindfulness practice, and demonstrates the application of this practice in conjunction with cognitive therapy to reduce the risk of relapse in Major Depression.  相似文献   
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The present study relies on the 2010 Canadian Internet Use Survey to investigate differences in people's access to the internet and level of online activity. The study not only revisits the digital divide in the Canadian context, but also expands current investigations by including an analysis of how demographic factors affect social networking site (SNS) adoption. The findings demonstrate that access to the internet reflects existing inequalities in society with income, education, rural/urban, immigration status, and age all affecting adoption patterns. Furthermore, the results show that inequality in access to the internet is now being mimicked in the level of online activity of internet users. More recent immigrants to Canada have lower rates of internet access; however, recent immigrants who are online have significantly higher levels of online activity than Canadian born residents and earlier immigrants. Additionally, women perform fewer activities online than men. People's use of SNSs differs in terms of education, gender, and age. Women were significantly more likely to use SNSs than men. Interestingly, high school graduates had the lowest percentage of adoption compared to all other education categories. Current students were by far the group that utilized SNSs the most. Canadian born, recent, and early immigrants all showed similar adoption rates of SNSs. Age is a strong predictor of SNS usage, with young people relying heavily on SNSs in comparison to those aged 55+. The findings demonstrate that the digital divide not only persists, but has expanded to include inequality in the level of online activity and SNS usage.  相似文献   
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Problem

Clinical practice guidelines indicate that over 80% of women with a previous caesarean should be offered a planned vaginal birth after caesarean (VBAC), however only one third of eligible women choose to plan a VBAC. To support informed choices for birth after caesarean, it is necessary to understand the factors that influence women’s decision-making.

Aim

The goal of this study was to explore attitudes towards and experiences with decision-making for mode of delivery after caesarean from the perspectives of Canadian women.

Methods

In-depth, semi-structured interviews were conducted with 23 women eligible for VBAC in three rural and two urban communities in British Columbia, Canada, during summer 2015. Constructivist grounded theory informed iterative data collection and analysis.

Findings

Women’s decision-making experiences were a process of “seeking control in the midst of uncertainty.” Women formed early preferences for mode of delivery after their primary caesareans and engaged in careful deliberation during their inter-pregnancy interval, consisting of: reflecting on their birth, clarifying their values, becoming informed, considering the feasibility of options, deliberating with the care team, and making an actual choice. Women struggled to make trade-offs between having a healthy baby and social attributes of delivery, such as uninterrupted bonding with their newborn.

Conclusions

Women begin decision-making for birth after caesarean earlier than previously reported and their choices are influenced by personal experience and psychosocial concerns. Future interventions to support choice of mode of delivery should begin early after the primary caesarean, to reflect when women begin to form preferences.  相似文献   
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This paper draws parallels between disability politics and the gay pride movement, in order to illustrate how different minority groups share experiences in common whilst retaining distinct qualities. Through exploring this relationship, issues such as normalisation, passing and challenging prejudice will be presented in a wider context. The social model of disability will be applied to experiences within the gay and lesbian community and the experience of dual oppressions will be addressed. The paper concludes with a focus upon the concept of the personal as political and the force of collective power.  相似文献   
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