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Biomedical subjects

J S Levin

Publications and source records attributed to J S Levin.

46 records · Page 3Linked to original sources
PubMed1986

The social identity of the chronic schizophrenic.

Using ethnographic research methods in a sample of institutionalized male schizophrenics, an emic typology of patient social identities was derived. Interview and observational data yielded three general status classes comprising thirteen associated identities: killer, fighter, assaultive person, fag, rapist, doper, drunk, victim, con, nut, weirdo, snitch, and disoriented. An individual's social identity varied depending upon his current setting within the hospital (official, private, patient-staff interaction, or outside). This emic-derived typology is contrasted with the etic typologies which dominate the literature (e.g. Goffman, Salisbury and Henry), and the importance of ethnographic study in social psychiatry is highlighted.

Adolescent↗
PubMed1985

Life style--an emergent concept in the sociomedical sciences.

The concept of life style recently has gained prominence in sociomedical research; yet the term remains poorly defined. This paper traces the evolution of the life style concept from its origins in sociological and personality studies to its current use in reference to behavioral risk factors for disease. Particular attention is given to the changes in meaning that have taken place over the past few decades. Similarities between the notion of life style and concepts of cultural integration are noted, and the various uses of life style are categorized along an idealist-materialist continuum. Finally, the authors fault medicalized notions of life style for failing to acknowledge the importance of the context and meaning of health-related behavior.

Attitude to Health↗
PubMed1985

Determinants of physician utilization among Mexican-Americans. A three-generations study.

Determinants of physician utilization were examined using a three-generational sample of Mexican-Americans in San Antonio. A typical version of Andersen's causal behavioral model was moderately successful in predicting physician utilization in the middle and older generations and less successful in the younger generation. Consistent with the literature, need factors (health indicators) tended to affect utilization most directly. The authors also examined whether acculturation into the larger society positively influenced utilization regardless of need, as the literature suggested. While three separate measures of acculturation had no independent effects on physician utilization, acculturation did affect utilization indirectly via the need variables in the middle generation, although these effects were not consistently in the direction of greater utilization. Generational differences in determinants of physician utilization are discussed particularly in relation to the model's greater relevance for the middle and older generations.

Acculturation↗
PubMed1984

The role of the black church in community medicine.

Historically, the black church has been the preserver and the perpetuator of the black ethos, the radix from which its defining values and norms have been generated, and the autonomous social institution that has provided order and meaning to the black experience in the United States. The traditional ethic of community-oriented service in the black ethos is highly compatible with the communitarian ethic of community medicine. Given this congruence and the much-documented fact that black Americans are an at-risk and under-served group regarding health status indicators and the provision of preventive health care, respectively, the black church is an extremely relevant locus for the practice of community medicine. A number of health programs based in or affiliated with the black church have operated throughout the United States, and these programs, along with the corpus of literature comprising conceptual articles favorable toward such a role for the black church, are reviewed within four areas of community medicine: primary care delivery, community mental health, health promotion and disease prevention, and health policy.

Black or African American↗
PubMed1983

Is self-care a social movement?

Historically, social movements in health have often exerted considerable influence over health policy, public expectation in regards to health services, the structure of health professions and institutions and personal health practices. Self-care has been widely assumed to be a social movement by authors writing in the health arena. The validity of this assumption is questioned by (1) positing criteria and characteristics of social movements and (2) comparing the self-care phenomenon to four examples in the area of health (Temperance, Christian Science, Psychedelia, and Feminist Health) which appear to fit the thoroughly reviewed. It is concluded that self-care does not presently warrant consideration as a social movement. Several factors which include the rapid pace of technological innovation in medical care, the erosion of the traditional doctor/patient relationship and the increasing degree of the medicalization of previously non-medical aspects of social life are seen as contributory to the forming of preconditions of a potential self-care social movement.

Christian Science↗
PubMedDate not supplied

Talar neck fractures and rates of avascular necrosis.

Talar neck fractures are unique and potentially debilitating injuries. Their successful treatment requires an understanding of talar anatomy and arterial blood supply, as well as knowledge of the sequelae of these injuries, particularly avascular necrosis of the talar body. Presented is an extensive literature review on talar neck fractures and Hawkins' classification, with special emphasis on the rates of avascular necrosis as determined by selected researchers on the topic.

Forecasting↗
PubMedDate not supplied

Attitudes toward hospital evangelism: a comparison of pastors and chaplains.

The attitudes toward hospital evangelism of a random sample of Baptist ministers from Texas are analyzed, with special reference to significant differences between pastors and chaplains. Findings reveal that these two groups hold divergent views on the central mission of hospital evangelism. In general, Baptist pastors tend toward a more idealized view focused on soul-winning than Baptist chaplains, who seem somewhat more attentive to the special circumstances of the hospital patient. The implications of these findings are discussed.

Attitude↗
PubMedDate not supplied

Symptom reporting in wanted and unwanted pregnancies.

This study examined the association between unwanted pregnancy and the reporting of pregnancy symptoms in a sample of 99 pregnant women drawn from an urban, medical school based family practice residency. Of these women, 51 had unwanted pregnancies, and 48 had wanted pregnancies. Women with wanted pregnancies were more likely than women with unwanted pregnancies to report three pregnancy symptoms (amenorrhea, breast tenderness, and morning sickness). This association of symptoms with a wanted pregnancy persisted after controlling for age, race, marital status, contraceptive use, menstrual irregularity, and days since last menses through multiple logistic regression. Findings suggest that symptoms may be underreported by women with unwanted pregnancies.

Amenorrhea↗