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Competitive allies: rural nurses' and social workers' perceptions of the social work role in the hospital setting.

The domain of social work in healthcare has not been clear, nor exclusive. Recently the social worker's role in hospital, particularly in rural hospitals, has been impacted by economic imperatives and legislative mandates. This article discusses the results of a study of rural hospital nurses' and social workers' perceptions of the domain of the medical social worker. Analyses of the profession identified as being best qualified to perform 15 generic hospital social service tasks revealed areas of clarity and collaboration. Implications include expanding the role and skills of medical social workers to include multi-systemic interventions and multi-disciplinary collaboration.

Adult↗

[Social intelligence deficits in autistic children and adolescents--subjective theories of psychosocial health care professionals].

The paper is concerned with personal theories of health care professionals about deficiencies in social intelligence of autistic persons. In the component-model of social intelligence means the ability of individuals or groups, to interact with each other in social situations. This contains social perception, social behavior as well as social conceptions and refers to emotional, cognitive and normative aspects. 33 interviewees, working as psychologists or teachers in kindergartens, schools or therapy institutions, are questioned by a half-standardized single interview concerning their beliefs about nonverbal social abilities, social perspective taking, and construction of a theory of mind in autistic persons. The major finding is: The impairments can be found in all aspects of social intelligence. Especially emotional handicaps, which are quoted by more than 80% of the interviewees, and low cognitive preconditions of mastering social stimuli, which are quoted by nearly all interviewees, are relevant. The subjective theories of the interviewees are in accordance to the models of parents as well as the models of the leading experts. The professional relationship to autistic persons and the practical experiences of the health care professionals lead to their specific personal theories of deficiencies in social intelligence of autistic people with wide consequences in respect to the professional contact with the autistic children and young adults.

Adolescent↗

Poor perception of nonverbal social-emotional cues in relatives of schizophrenic patients.

The present study compared nonverbal social perception in relatives of schizophrenic patients (n = 21) with that of normal controls (n= 19). We hypothesized that relatives would display deficits in social perception and we sought to determine the skills that are associated with this deficit. Relatives performed significantly worse than controls on the Profile of Nonverbal Sensitivity Test (PONS), despite comparable performance on skills hypothesized to be related to nonverbal social perception: visual perception, nonverbal problem solving, facial recognition, facial affect recognition, naming, social judgment, and vigilance. To further explore the relationships among these skills, we calculated correlations between the PONS score and associated skills separately within both the relative and control groups and assessed whether the values of these correlations differed between groups. Correlations that differed significantly indicated a greater association, within relatives, between slower reaction times on vigilance tasks and poor PONS performance. Further research is needed to clarify the nature of this relationship, to better characterize social perception deficits in relatives, and to determine whether these perceptual deficits are part of the genetic diathesis to schizophrenia.

Adult↗

[Cognitive remediation. A new chance in rehabilitation of schizophrenic disorders?].

A critical review of current approaches and principles of cognitive remediation strategies in rehabilitation of schizophrenia is given. Selection of cognitive functions targeted in compensatory training programs could be based on results of neuropsychological predictor research on social and vocational functioning in community and neuropsychological rate limiting factors in rehabilitation. Methodological flaws in data base, missing of task analysis of more complex skills like social perception, social skills and interpersonal problem solving and the lack of evaluation of training generalization on work performance are discussed. Finally the cognitive remediation program developed in the Department of General Psychiatry and Psychotherapy/University of Freiburg, Germany is proposed. The components focused on training in attention, memory, and executive function (decision making, planning). Compensatory strategy building, and computer-mediated automatization are integrated in a group setting.

Cognition Disorders↗

Social anxiety and interpersonal perception: a social relations model analysis.

Cognitive models of social phobia posit that an individual's negative beliefs about the way he or she is perceived by others (metaperceptions) are a core feature of the disorder. The social relations model () was used to analyze interpersonal perception data collected following unstructured social interactions in 62 socially anxious (SA) and 62 not socially anxious (NSA) individuals. Using this model, the interpersonal perceptions were analyzed to evaluate whether pathological levels of social anxiety are associated with self-perceptions, metaperceptions, and perceptions from others. SA participants saw themselves negatively and believed others saw them negatively. Although seen as more nervous by others, SA participants were not seen as less likeable. A mediational model demonstrated that the negative metaperceptions of SA individuals were more a function of their own self-perceptions than the negative perceptions of others. These findings were not attributable to depressive symptoms. Implications for theory and treatment of social phobia are discussed.

Adult↗

Emotion recognition, 'theory of mind,' and social behavior in schizophrenia.

Several studies have demonstrated that patients with schizophrenia are impaired in recognizing emotions from facial expressions and in appreciating other people's mental states--the latter commonly referred to as 'theory of mind.' The question as to how social cognitive skills relate to patients' actual social behavior is, however, largely unanswered. This study examined emotion recognition, 'theory of mind,' and social behavior in schizophrenia. Emotion recognition, 'theory of mind,' executive functioning, 'crystallized' verbal intelligence, psychopathology, and social behavior were assessed in patients with schizophrenia compared with a healthy control group. Patients were significantly impaired on all tasks involving executive functioning, emotion recognition, and 'theory of mind.' Impaired executive functioning did, however, only partially account for the deficits in social perception and social cognition. Social perception and cognition in schizophrenia predicted the odds of being a patient significantly better than nonsocial cognition. Severe social behavioral abnormalities were linked to the duration of the illness, and even more so to 'theory of mind' deficits. Considering impaired social perception and social cognition significantly contributes to the understanding of social behavioral problems in schizophrenia.

Adolescent↗

Perceptions of social work intervention with bereaved clients: some implications for hospital social work practice.

The study focussed on social work bereavement intervention in a large Australian teaching hospital comparing client and social work perceptions of the service provided. The study involved the completion of a series of questionnaires and client interviews over a three month period. A combination of content and statistical analysis was used to interpret the findings. Eighty-eight percent of clients contacted indicated satisfaction with the social work service received. The results indicated a positive match between clients' and social workers' perceptions of the intervention, and affirmed the role of social work in bereavement care. Seventy percent of clients made recommendations regarding potential improvements to social work services. These recommendations contained four specific suggestions: that social workers be present when the doctor breaks bad news; that additional support be provided in how to talk to doctors; that social workers be involved from the point of admission of the patient; and that a primary social worker remain with the family throughout the hospital stay.

Australia↗

Perceptions of social responsibilities in India and in the United States: moral imperatives or personal decisions?

Indian and American adults' and children's (N = 400) moral reasoning about hypothetical situations in which an agent failed to help someone experiencing either life-threatening, moderately serious, or minor need was compared. For 1/3 of Ss, the agent's relationship to the needy other was portrayed as that of parent; for another 1/3, as that of best friend; for the rest, as that of stranger. Indians tended to regard the failure to aid another in moral terms in all conditions. In contrast, Americans tended to view it in moral terms only in life-threatening cases or in cases of parents responding to the moderately serious needs of their children. The results imply that Indian culture forwards a broader and more stringent view of social responsibilities than does American culture. Discussion centers on theoretical implications of the various cultural, need, role, and developmental effects observed.

Adult↗

Illness-specific and general perceptions of social relationships in adjustment to rheumatoid arthritis: the role of interpersonal expectations.

BACKGROUND: Adjustment to rheumatoid arthritis (RA) may be made more difficult when patients are unable to meet the expectations of family and friends about how well they are coping. PURPOSE: This study investigated the influence of illness-specific interpersonal expectations and general indices of social interactions on depressive symptoms among 39 women with RA (M age = 46.9 years; M disease duration = 11.2 years). METHODS: Female patients with RA and their spouses were recruited from an outpatient rheumatology clinic at an urban university hospital. Participants completed questionnaires at home and returned them to the research staff in prepaid, stamped envelopes. RESULTS: Results showed a significant correlation between spousal expectations and patients' perceived inability to meet them. Further, hierarchical regression analyses indicated that even when controlling for disease severity and traditional measures of social interactions (e.g., social support, perceived criticism, and general quality of the dyadic relationship), patient's perceived inability to meet spousal expectations contributed unique variance in depressive symptoms. CONCLUSIONS: These results suggest that adjustment to RA is not due entirely to the general features of social relationships, but additionally reflect specific aspects of the chronic illness milieu where spousal expectations and the patient's perceived inability to meet them are also related to adjustment.

Arthritis, Rheumatoid↗

The relationship between the perception of social support and post-stroke depression in hospitalized patients.

In our study we examined the relationship between the perceived adequacy of social support and post-stroke depression in 76 hospitalized Australian patients. Social support or the perception of its lack, particularly from a spouse care-giver, was associated significantly with both the presence and severity of depressive disorder. Furthermore, depressed patients who perceived their support to be inadequate had a longer duration of depressive illness than depressed patients who perceived their support in a more favorable light. We conclude that following stroke, perception of social support from key relationships may mediate the emotional response to this life crisis. The implications of these findings are discussed.

Adaptation, Psychological↗

The dissection of selection in person perception: inhibitory processes in social stereotyping.

Although people simultaneously belong to multiple social categories, any one of these competing representations can dominate the categorization process. It is surprising therefore to learn that only a few studies have considered the question of how people are categorized when multiple categorizations are available. In addition, relatively little is known about the cognitive mechanisms through which these categorization effects are realized. In the reported research, we attempted to extend recent ideas from work on selective attention to shed some light on these fundamental issues in social perception. Our basic contention was that following the initial identification of a person's applicable categories, the categorization process is driven by the interplay of both excitatory and inhibitory mechanisms. The results of 3 studies supported this contention. We discuss our findings in the wider context of contemporary issues in social stereotyping.

Adult↗

Correlates of adult and child perceptions of social competency.

In this study, the relationship between two commonly used measures of social competency, peer ratings of perceived status and adult ratings of assertiveness, were examined. In Phase I, high and low sociometric status children were videotaped responding to a series of role-play scenes; performance on these scenes was then rated retrospectively by adults for overall assertiveness. In Phase II, a second group of children who were unfamiliar with the videotaped children observed the taped scenes and provided ratings of likability, intelligence, working together, and attractiveness. In general, results revealed that children and adults differed in their ratings of the videotaped children. Further, boys used different cues in their ratings than did girls. More specifically, the sociometric status of girls was related to perceived attractiveness, whereas the sociometric status of boys was more closely related to perceived intelligence. Such findings suggest that children and adults look for and use different cues in their judgments. Given these differences, it is concluded that child and adult ratings should not be used interchangeably in the assessment of, and evaluation of, social competency in children.

Assertiveness↗

Perception of socially relevant stimuli in schizophrenia.

To examine whether patients with schizophrenia have deficits in the appraisal of socially relevant stimuli, we tested 20 patients and 14 healthy volunteers equated for parental socioeconomic status on recognition of gender stimuli, emotional people stimuli, and emotional scenes. Patients with schizophrenia showed deficits in discrimination of subtle gender differences and in the identification of emotion from human shapes and body motion. Patients showed no impairment on measures of hedonic appraisal of emotional scenes and recognition of emotional expression in human face stimuli. Across tasks, subjects with schizophrenia showed poorer identification of happiness, anger, and fear. The findings point towards circumscribed domains of impaired social cognition in schizophrenia and suggest specific further hypotheses about the neural dysfunction that may underlie them.

Adult↗

Play signaling and the perception of social rules by juvenile chimpanzees (Pan troglodytes).

Prescriptive social rules are enforced statistical regularities. The authors investigated whether juvenile chimpanzees (Pan troglodytes) recognize and use enforced statistical regularities to guide dyadic play behavior. They hypothesized (a) that proximity of adults, especially mothers of younger play partners, to play bouts will increase the play signaling of older partners and (b) that when juvenile-juvenile play bouts occur in proximity to adults, older partners will play at a lower intensity than when no adults are present. They found that older and younger partners increase their play signaling in the presence of the mothers of younger partners, particularly as the intensity of play bouts increases. In contrast to their hypothesis, older partners played more roughly when the mothers of younger partners were in proximity. These results suggest that juvenile chimpanzees increase play signaling to prevent termination of the play bouts by mothers of younger partners.

Age Factors↗

The primacy of self-referent information in perceptions of social consensus.

People's own responses to a social stimulus (i.e. whether they endorse it or reject it) predict how they expect other people to respond (consensus estimates). This correlation has long been accepted as evidence for social projection. There has been little direct evidence, however, for the assumption that self-referent judgments shape judgments about others. Supporting the projection model, Expt 1 shows that self-referent information is more accessible than consensus estimates. Once they have been made, people's own endorsements and rejections of a stimulus facilitate consensus estimates. In turn, consensus estimates facilitate endorsements (but less so). Judgments about the physical properties of the stimulus facilitate neither type of social judgment. Supporting the view that projection is egocentric, Expt 2 shows that, when making consensus estimates, people rely more on their own endorsements than on the endorsements made by another individual. This self-other difference does not depend on whose endorsements are revealed first or on whether the other person is anonymous or individual.

Adolescent↗