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There is growing concern in the Caribbean about the escalating levels of youth crime and violence. My thesis is that we must stop adopting simplistic or palliative solutions which relate merely to the symptoms of the problem and instead devise solutions which are relevant to root causes. The analysis is based on the reality that every young person has a basic need for a nurturing loving environment which will foster emotional security, self‐confidence and feelings of self‐worth. It is also based on the premise that every young human being is inherently quite lovable, intelligent and well‐disposed to every other human being, but the experience of early emotional hurt and distress which remains unresolved leaves a residue of emotional pain which often manifests itself as anti‐social and violent behaviour. Both the home and the school are pivotal in the socialization of every child. Unfortunately many parents and teachers are themselves carrying around much emotional baggage based on their own unresolved issues of early emotional distress. In the more dysfunctional homes the young child, subject to constant invalidation and other emotional battering, becomes seriously at risk if his school environment is also non‐nurturing. This intervention, initiated by the author, which is being implemented in the Caribbean under the aegis of UNESCO, aims at changing the culture of the classroom by having teachers experientially examine some of their unresolved emotional issues to enable them to function in a validating, nurturing role in the classroom.

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Managed care is cultivating a variety of new work careers within the medical profession, and it is worth asking whether they will function as long- or shorter-term career options for the individuals who participate in them. This paper uses the specific case of hospitalist physicians to explore how the surrounding social and economic work contexts contribute to two individual-level outcomes that inform the issue of career longevity: the concepts of burnout and intent to stay in the career. The findings of a national survey of hospitalists reveal that job burnout and intent to remain in the career are more meaningfully associated with favorable social relations involving colleagues, co-workers, and patients than with negative experiences related to the economically induced pressures of the job, such as reduced autonomy and the use of financial incentives. In addition, career longevity is enhanced by the extent to which individual physicians pursue intrinsic and extrinsic rewards through their choices to become hospitalists. These findings demonstrate that sociologists should pay greater attention to the career trajectories of contemporary doctors in order to understand larger scale professional stratification within medicine. They also offer empirical support for redirecting our focus towards the relational dynamics that shape these trajectories.  相似文献   
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