Nurses and the dying: Symbolic interaction as a precipitator of dying “stages”

The impact of nurses' attitudes upon their communication with dying patients is examined from the symbolic interaction perspective. Data were obtained from participant observation in the intensive care and postintensive care units of a hospital and from in-depth interviewes with additional nurses. Characteristics of the situation, nurses, and patients were examined in terms of an Interpersonal Reactions Model. The strength of this model is its emphasis upon the effect unintended judgments may have on a patient's self-image. A stage in the dying process may simply be a response to the nonverbally communicated expectations of interactors with dying persons. This research focuses on the first stage of this model—the differential reaction of nurses to the varying characteristics of patients within the constraints of extra-care situations.This is a revision of a paper presented at the annual meeting of the Mid-South Sociological Association in Little Rock, Arkansas, in November, 1980.     

Self-Stigma of seeking help and job burnout in mental health care providers: the comparative study of Lithuanian and the USA samples

This study aimed to explore the correlation between job burnout and self-stigma of seeking help among nonmedical mental health care providers (psychologists, social workers, and counselors) in two countries – Lithuania and the US. The study included 234 professionals (111 social workers and 123 psychologists) from Lithuania and 93 professionals (33 counselors, 23 social workers, and 37 psychologists) from the US on a voluntary basis (93% females, mean age – 39.81?years). They completed a self-reported questionnaire with the Self-Stigma of Seeking Help Scale (SSOSH) and the Maslach Burnout Inventory-General Survey (MBI-GS). The results revealed a statistically significant positive correlation between self-stigmatization and burnout in the Lithuanian sample, but only weak positive correlation between depersonalization and self-stigma of seeking help in the US sample. The relationship between the self-stigma of seeking help and burnout was stronger in the Lithuanian sample of professionals when compared to their colleagues in the US.     

Die Supervision von Kindertagesstättenleiterinnen in den neuen Bundesländern

Supervision of leaders of kindergartens in East Germany The collapse of the DDR brought up a big change first of all in the social welfare. In social welfare. In social work the traditional models of perception, interpretation and action became widely dysfunctional. The author describes an example of leaders of kindergartens how to work in the two systems, and describes how to try to support the women in the process of transfer by supervision.     

Family Structure Pathways and Academic Disadvantage among Adolescents in Stepfamilies*

Using National Longitudinal Study of Adolescent Health (Add Health) data, this research documents the prevalence of the different stepfamily forms in which American adolescents live, examines the family structure pathways through which adolescents traveled to arrive at their current family form, and explores the effects of these pathways on grades, school‐related behavior, and college expectations (N = 13,988). Compared to those who have always lived with both biological parents, youth in pathways including divorce/separation or a nonunion birth experience significantly lower academic outcomes, while those whose pathways include parental death do not. Specific effects vary, however, according to the outcome examined. For example, the combination of divorce/separation and movement into the least common of family forms is associated with particularly poor GPA outcomes. Divorce/separation is also more detrimental than nonunion birth for college expectations, particularly when coupled with a transition into a stepfamily based on cohabitation. Divorce/separation and nonunion birth have similar, negative effects on school behavior problems. Overall, results indicate that living in a stepfamily does not benefit youth, and can in some ways disadvantage them, even compared to their peers in single‐mother families. This is especially the case if youth transition into a stepfamily following a combination of stressful family experiences. These findings underscore the importance of examining family effects from a longitudinal perspective.     

Stifled Voices: Barriers to Help-Seeking Behavior for South African Childhood Sexual Assault Survivors

In South Africa, females under the age of 18 comprise approximately 40% of the rapes and other forms of sexual assault that occur. However, South African girls face multiple barriers to seeking help in the aftermath of sexual assault. This literature review provides an overview of childhood sexual assault in South African girls and addresses barriers to help-seeking behaviors. Risk factors as well as relevant sociocultural, economic, structural, and psychological perceptions regarding childhood sexual assault among South African girls are also discussed. Finally, clinical implications, culturally relevant psychotherapeutic techniques, and suggestions for future research are provided in an effort to reduce the negative mental health consequences for the victims.     

Another Way of Talking About Substance Abuse: Substance Abuse Screening and Brief Intervention in a Mental Health Clinic

This article provides experiential evidence on the transportability of the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) screening tool and brief intervention in a mental health clinic. There is very little published information on implementing screening and brief intervention (SBI) in a mental health setting. Moreover, few SBI projects have reported on clinicians' experiences using the ASSIST. The article documents a successful attempt at implementing the ASSIST and discusses the benefits and challenges of doing SBI in a mental health setting.     

Disclosure of sexual assault experiences among undergraduate women at historically black colleges and universities (HBCUs)

ABSTRACT

Objective: To document the sexual assault disclosure experiences of historically black college or university (HBCU) students. Participants: A total of 3,951 female, undergraduate students at 4 HBCUs. Methods: All women at the participating schools were recruited in November 2008 to participate in a Web-based survey including both closed- and open-ended questions. Survey data were weighted for nonresponse bias. Results: The majority of sexual assault survivors disclosed their experience to someone close to them, but disclosure to formal supports, particularly law enforcement agencies, was extremely rare. Nonreporters had concerns about the seriousness of the incident and their privacy. On the basis of qualitative data, strategies identified by students to increase reporting included more education and awareness about sexual assault, more survivor services and alternative mechanisms for reporting, and better strategies for protecting the confidentiality of survivors. Conclusions: Official sexual assault victimization data are of limited utility in conveying the extent of sexual assault among HBCU students, and efforts to increase reporting, such as peer education and enhanced confidentiality procedures, are needed.     

Work Values Similarities Among Students From Six Countries

This study examined high school students' selected work values in six countries. The data were analyzed for between-country correlation. Also, the data were analyzed with sex as a variable. The findings indicated selected work values were more similar than dissimilar across countries and cultures. Gender specific results suggested a higher degree of transnational agreement among girls than among their male peers.     

Nativity Status and Depressive Symptoms among Hispanic Young Adults: The Role of Stress Exposure

OBJECTIVE: This article documents nativity differentials in depressive symptoms among Hispanics during their initial years of adulthood and explores how ethnicity, socio-demographic characteristics, and exposure to stressful life events and changes in social roles help to explain those differentials. METHODS: Data is drawn from a large-scale two-wave community study of stress, psychiatric well-being, and substance use disorders among young adults. Our analytic sample includes 553 Hispanic respondents and we employ multivariate regression techniques. RESULTS: Regardless of age at immigration, foreign-born women experience greater declines in depressive symptoms than native-born women during early adulthood. This advantage is explained by differences in perceptions of discrimination, family-based stress, and social role changes. The association between nativity and depressive symptoms is not conditioned by ethnicity, but ethnicity does condition the association between stressful events and depressive symptoms. CONCLUSIONS: The findings suggest that mental health treatment and prevention efforts should focus more heavily on stress exposure.