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There has been relatively little previous research examining differences between subgroups of child sex offenders. In this study, we compared a group of familial and non-familial child sex offenders attending a community based treatment program on a number of relationship dimensions thought to be important in explaining offending. No statistically significant differences were found between these groups on measures of general empathy, intimacy and loneliness, although non-familial offenders were found to have higher levels of cognitive empathy and a more internal locus of control than familial offenders. These findings are discussed in terms of their possible implications for service delivery.  相似文献   
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IntroductionThis study seeks to explore midwives’ perceptions about childbirth and in particular their beliefs about normality and risk. In the current climate of increasing interventions during labour, it is important to understand the thought processes that impact on midwifery care in order to examine whether these beliefs influence midwifery clinical decision-making.Method12 Midwives who worked in a variety of metropolitan hospitals in Sydney, Australia were interviewed about how they care for women during labour. The study utilised an inductive qualitative design using photo elicitation during the interview process.ResultsSix themes emerged from the data that clearly indicated midwives felt challenged by working in a system dominated by an obstetric model of care that undermined midwifery autonomy in maintaining normal birth. These themes were: desiring normal, scanning the environment, constructing the context, navigating the way, relinquishing desire and reflecting on reality. Most midwives felt they were unable to practice in the manner they were philosophically aligned to, that is, promoting normal birth, as the medical model restricted their practice.DiscussionThe polarised views of childbirth held by midwives and obstetricians do little to enhance normal birth outcomes. Midwives in this study expressed frustration that they were unable to practice midwifery in a way that reflected their belief in normal birth. This, they cite is a result of the oppressive obstetric model prevalent in maternity care facilities in Sydney and the over use of technological interventions during childbirth.  相似文献   
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ABSTRACT

This paper illustrates the development of a secondment project designed to enhance practitioner-led social work education in a Higher Education Institution. The project was developed as part of a Teaching Partnership initiative to establish joint working and standardized approaches to social work education between Higher Education Institutes and Local Authorities across a UK region. Highlighted is how the project utilized a six-stage strategy designed to gather information to produce an evidence-base to support the implementation of a pilot practitioner secondment arrangement. The paper discusses strategies used to gather information from a range of stakeholders to inform the project, the project outcome and some considerations for future secondment arrangements. Contributing to a limited source of literature, challenges and limitations of developing formal secondment arrangements and delivering practitioner-led education in Higher Education Institutes are highlighted. This paper will assist Higher Education Institutes and Local Authorities in the design and implementation of formal secondment arrangements where these are identified as in need of development.  相似文献   
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Many Australians are requiring mental health care, including families, leading to long wait times in order to access support. Walk-in therapy reduces barriers to mental health support services by providing support at the time that families seek help. This paper presents a proof-of-concept study investigating the acceptability and short-term effectiveness of an online walk-in family therapy service, Walk-in Together (WIT). Part 1 of the paper describes the experiences of 44 family members from 22 families who presented to a public family therapy clinic for a virtual walk-in family therapy session. The session was conducted by a team of three experienced family therapists. Family members' experiences were sought pre-session, post-session, and at 6 weeks follow-up via survey and interview. Part 2 of the paper explores therapist perceptions (n = 7) of the WIT approach, through thematic analysis of semi-structured interview data. Post-session feedback showed 85% of family members found WIT to be helpful and 50% were optimistic about their future as a family after their WIT session. Six weeks post-session it was revealed that WIT supported planning for families in equipping them to move forward with 88% of family members reporting that they knew what to do after the session. All therapists uniformly experienced the model as offering a timely and beneficial service, suitable for diverse presentations and constellations of families. These preliminary results suggest the significant utility of this WIT intervention as a well-received and helpful service for families, who valued the easy access and rapid therapeutic response afforded by the online, walk-in delivery model. This proof-of-concept paper suggests the potential for further development and growth of WIT, as well as other mental health support services using a walk-in, telehealth model to meet the rising demand for therapeutic support for families in distress.  相似文献   
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This study investigates the therapeutic effects of narratives and linguistic expression in people who have suffered trauma. The kind of trauma considered is that which took place as a result of politically related violence in the South African liberation struggle, and the narratives and language discussed are selected from testimonies given during the Truth and Reconciliation Commission (TRC). Certain linguistic criteria identified by Pennebaker as predictors of successful therapeutic outcomes in the narratives of individuals suffering from post-traumatic stress disorder are applied to excerpts from the TRC testimonies. Linguistic analysis validates Pennebaker’s findings to some extent, but the investigation concludes that while linguistic expression may demonstrate cognitive processing and facilitate coherence, it is not enough to enable healing. Many factors, not only articulation, interact to determine the extent to which individuals can be healed. Some trauma is so intense that it cannot be verbalised at all.  相似文献   
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Abstract

While many operations management journals are now publishing interpretive studies, there is still a need for more material on how to carry out such work under the interpretive gestalt. By offering a research account of a longitudinal interpretive multi-case study, this paper seeks to contribute to the literary gap in ‘how to do it [interpretive research]’. The purpose of this paper is to document a longitudinal operations management study in three micro-firms, where the catalyst for this study is the implementation of an electronic operations management system in each case. The paper chronicles the authors’ experience in a four-year multi-case study, and as such provides insight into design, development and execution of longitudinal interpretive operations management research, and the building of a theoretical model. While blueprints are not the purpose of such reflections, they can provide insight and advice to researchers, which is the underlying goal of this paper.  相似文献   
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Objective: College students may be at heightened risk for suicide and suicidal behavior due to maladaptive cognitive-emotional factors and failure to practice basic health behaviors. However, self-compassion and wellness behaviors may protect against risk. The relation between self-compassion and suicidal behavior and the contributing roles of depressive symptoms and wellness behaviors was examined. Participants: Participants were 365 undergraduate students. Data were collected in April 2015. Methods: A cross-sectional, survey design was employed. Participants completed measures assessing self-compassion, depressive symptoms, wellness behaviors, and suicidal behavior. Serial mediation analyses were conducted covarying age, sex, and ethnicity. Results: Self-compassion was inversely related to suicidal behavior, and this relationship was serially mediated by depressive symptoms and wellness behaviors. Conclusions: Self-compassion may protect against suicidal behavior, in part, due to reduced depressive symptoms and heightened engagement in wellness behaviors. Individual and campus-wide strategies promoting self-compassion and wellness behaviors may reduce suicide risk on college campuses.  相似文献   
9.
Functional flexibility has been advocated as a mechanism for improving efficiency and service quality and is, it is argued, especially appropriate to service environments. In recent years the UK public health service has been subject to an ongoing programme of reform, designed to modernize the way in which health services are provided. A central feature of the reform involves breaking down traditional boundaries and the re‐organization of work roles. This article is concerned with examining the implementation of functional flexibility in three health‐care settings. Case‐study data are presented, focusing on the responses of employees and managers to initiatives to work more flexibly. For managers the implementation achieved efficiency gains and improvements to service quality, in spite of some resistance from employees. For employees the outcomes were more mixed. There was evidence of ‘humanization’ through greater job variety, challenge and access to training, but there were also costs in terms of intensification, role confusion and stress. The implications of these findings both for understanding the issues raised by the use of functional flexibility and for the implementation of policies in the NHS involving job redesign are discussed.  相似文献   
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The aim of this study was to examine the association between gender and problem electronic gaming machine (EGM) gambling. One hundred and twenty-three males and 209 females (N=335; three participants did not identify their gender) with a mean age of 44.9 years were surveyed in gaming venues within Metropolitan Melbourne. The results showed a greater representation of Australian-born (74%) among the female group, compared to the male group (64%). The women were also older (47% were aged 41–60 years) than the men (48% of males were aged 19–40 years). Significant relationships were found between gender, age, marital status and religion and pathological EGM gambling. The results of this study showed the pathological EGM gambler was likely to be male, under the age of 45 years, single and possibly of the Greek Orthodox faith. Implications of this study suggest that different forms of gambling may suit different cultures and that other issues pertaining to cultural aspects of gambling need to be explored in greater depth.  相似文献   
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