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At least 307 records · Page 17Linked to original sources

Therapeutic use of cannabis by crack addicts in Brazil.

This study ensued from clinical observations based on spontaneous accounts by crack abusers undergoing their first psychiatric assessment, where they reported using cannabis in an attempt to ease their own withdrawal symptoms. Throughout a period of nine months, the researchers followed up on 25 male patients aged 16 to 28 who were strongly addicted to crack, as diagnosed through the Composite International Diagnostic Interview (CIDI), according to CID-10 and DSM-IV diagnostic criteria. Most of the subjects (68%, or 17 individuals) ceased to use crack and reported that the use of cannabis had reduced their craving symptoms, and produced subjective and concrete changes in their behavior, helping them to overcome crack addiction. The authors discuss some psychological, pharmacological and cultural aspects of these findings.

Adolescent↗

The Gerasim model of caregiving: reflections on Tolstoy's novella, The Death of Ivan Ilyich.

Count Leo Tolstoy's classic novella The Death of Ivan Ilyich (1886/1981) is examined from the perspective of a health care professional for its portrayal of a helping relationship between the central character and his servant Gerasim. The purpose of the article is to extrapolate helping behaviors depicted in the story and construct a caregiving model. Tolstoy's work, literary critiques of the novel, biographies of Tolstoy, and principles from feminist ethics are used as sources. The model will be of assistance to those who care for the terminally ill.

Caregivers↗

Evolutionary theory and the human family.

Emlen's (1995) paper "An evolutionary theory of the family" reviewed existing ideas about the nature of family systems and the reasons why they have evolved in certain animal species. His theorizing led him to propose 15 predictions about how family systems function, based on favorable evidence from various species, mostly birds. While he suggested that these predictions can be applied to the human case, he himself did not attempt to do so. We consider the applicability of Emlen's 15 predictions to the study of human family systems, and find that several aspects of the life history and ecology of Homo sapiens require that they be modified. These considerations include: (1) the importance of intragroup solidarity in the context of intergroup competition: unlike in many other species where dispersal constraints arise from food or breeding site shortages, the primary pressure driving human sociality seems to be competition from other human groups; (2) the complex nature of exchange and reciprocity in human society: reciprocal altruism in particular is integral to human social interaction and leads to a particularly high degree of non-nepotistic helping behavior; and (3) the implications of menopause and the existence of potentially dominant, postreproductive helpers: helpers of this sort have little incentive to disperse or to encourage offspring to disperse, thus greatly increasing family stability.

Animals↗

Selection of children to provide care: the effect of earlier parental transfers.

We use the first wave of data from the Asset and Health Dynamics Among the Oldest Old (AHEAD) study to examine the effects of past parent-to-child financial transfers on selection of a child to provide assistance with basic personal care for unmarried parents. We estimate a fixed-effects conditional logit model and find a positive and significant association between past financial transfers and a child's current helping behavior. The coefficient of past financial transfers is in the direction hypothesized, and its magnitude is 80% as large as that of gender, a well-documented powerful predictor of parental caregiving. There appears to be substantial evidence that earlier parent-to-child financial gifts play a role in determining which child in the family will provide assistance.

Aged↗

Measurement theory.

The usefulness and truthfulness of assessments, whether performed in the clinic on one patient or in the research laboratory on many subjects, depends on valid measurements. Measurement theory is the thought process and interrelated body of knowledge that form the basis of valid measurements. Translation of measurement theory to behaviors helps to ensure the integrity and relevancy of tests and the data that result from them. In the final analysis, useful and truthful data depend for their existence on scalable and detectable events being translated into pertinent, valid, and reliable measurements. The rules by which numbers are assigned to events form the basis of measurements theory.

Humans↗

Social supports, social networks, and schizophrenia.

This article considers the meaning of "social support" and its relationship to social networks, and discusses a structural approach to analysis of social connections in the study of schizophrenia. The concept of social supports is seen as methodologically more problematic and less strategic than the more structurally oriented concepts of social networks and social connections. It is argued that in terms of research strategy, if social connections are studied structurally as they change and develop over time, the impact of the specifically social processes can be better separated from that of the personal characteristics of the focal individual than seems possible with other approaches. Analysis of the properties of the networks around the focal individual, independently of that individual's own social behavior, can help to disentangle the interwoven complex of causes, characteristics, and consequences of schizophrenia.

Dependency, Psychological↗

The spiritual aspects of dying at home.

Paterson and Zderad's humanistic nursing theory can be used to meet the spiritual needs of terminally ill persons in the home setting. The spiritual needs, as identified by Highfield and Cason, are applied to the hospice patient. The comforts of the home environment and humanistic nursing practice are integrated in the "meetings" between dying persons, their families, and hospice nurses. These meetings contribute to fulfilling the spiritual needs of terminally ill persons. Hospice nurses practicing holistic nursing and using caring behaviors help dying persons develop a "more-being" in themselves as the triad of person, family, and nurse share the lived experiences.

Attitude to Death↗

Pathways to dementia diagnosis: evidence for cross-ethnic differences.

UNLABELLED: The diagnosis of dementia often occurs well after the onset of the disease. Studies of help-seeking behavior may help illuminate why delays occur. SPECIFIC AIMS: (1) To describe pathways to diagnosis from the perspective of family caregivers and (2) to compare help-seeking patterns and experiences across three ethnic groups. METHODS: Semi-structured qualitative interviews were conducted with 39 ethnically diverse family dementia caregivers. Interviews were coded for help-seeking events (initial help-seeking, referrals to secondary helpers, and site of final diagnosis), pathway types, and adverse experiences within the healthcare system along pathways to diagnosis. RESULTS: Help-seeking was most often initiated by family members or formal care providers (ie, healthcare providers or social workers), usually in outpatient primary care settings but also elsewhere (eg, social service agencies, hospitals). "Secondary" formal helpers were often involved, usually through self-referral by families rather than by healthcare providers. While most families reported receiving a "final" diagnosis, a small minority of predominantly Chinese-American families did not. Four distinct pathways to diagnosis were identified and found to vary significantly (p < 0.03) across the three ethnic groups, which we label as smooth pathways, crisis events pathways, fragmented pathways, and dead-end pathways. Adverse experiences in the healthcare system were common and included unsatisfactory diagnosis disclosure and explanation, inadequate workup, uncaring or insensitive attitude, language barriers, and discrimination. CONCLUSIONS: Cross-ethnic differences were found in both pathway types and in adverse experiences.

Adult↗

The relations of dispositional regulation and emotionally to elder's empathy-related responding and affect while volunteering.

Researchers recently have proposed that various empathy-related reactions are differentially related to individual differences in emotional intensity and regulation. This idea was tested with a sample of elderly hospital volunteers. As predicted, dispositional sympathy was associated with high levels of both dispositional regulation and negative emotional intensity. Personal distress was linked with low regulation and high negative emotional intensity, and cognitive perspective taking was associated with high regulation. Perspective taking moderated the relation of emotional intensity to sympathy and personal distress. In addition, elders' negative affect when volunteering at a hospital was correlated with low regulation and high levels of regulation and dispositional sympathy. The results demonstrate the findings pertaining to vicarious emotional responding are generalizable to nonstudent populations engaged in planned, sustained helping behavior.

Affect↗

Geriatric rigidity and its psychotherapeutic implications.

The elderly tend to be more rigid than younger adults in their attitudes and personalities, and such rigidity is correlated with poor adjustment. However, the rigidity is not the cause of the poor adjustment; rather, it is an attempted solution. One of the patterns of rigidity is an outgrowth of the lifestyle of pessimism, suspicion, self-reliance, self-discipline, determination, and endurance. Two case studies are presented illustrating how rigidity can channel thoughts and prevent the brooding which works itself into depression or anxiety, while simultaneously reinforcing self-help behavior. Geriatric psychotherapy should be problem-centered and should not launch a frontal assault on rigidity or attempt to reconstruct the patient's personality. Behavioral modification, authority, and motivation slogans can be used in conjunction with the rigidity to improve the patient's coping ability.

Adaptation, Psychological↗

Prosocial behavior: multilevel perspectives.

Current research on prosocial behavior covers a broad and diverse range of phenomena. We argue that this large research literature can be best organized and understood from a multilevel perspective. We identify three levels of analysis of prosocial behavior: (a) the "meso" level--the study of helper-recipient dyads in the context of a specific situation; (b) the micro level--the study of the origins of prosocial tendencies and the sources of variation in these tendencies; and (c) the macro level--the study of prosocial actions that occur within the context of groups and large organizations. We present research at each level and discuss similarities and differences across levels. Finally, we consider ways in which theory and research at these three levels of analysis might be combined in future intra- and interdisciplinary research on prosocial behavior.

Altruism↗

Teams in organizations: from input-process-output models to IMOI models.

This review examines research and theory relevant to work groups and teams typically embedded in organizations and existing over time, although many studies reviewed were conducted in other settings, including the laboratory. Research was organized around a two-dimensional system based on time and the nature of explanatory mechanisms that mediated between team inputs and outcomes. These mechanisms were affective, behavioral, cognitive, or some combination of the three. Recent theoretical and methodological work is discussed that has advanced our understanding of teams as complex, multilevel systems that function over time, tasks, and contexts. The state of both the empirical and theoretical work is compared as to its impact on present knowledge and future directions.

Adaptation, Psychological↗

Response of patients to participation in psychiatry board examinations.

The patient who volunteers to be a subject for Part II of the certifying examination in psychiatry and neurology is an indispensable but surprisingly invisible participant in a highly controversial process. A survey of the attitudes of 78 patients toward this experience revealed that although they experienced a significant degree of stress, the overwhelming majority viewed their participation in strongly positive terms. The patient's loyalty to the host institution and the manner in which the patient is prepared for the experience appear to be the major factors in determining a positive outcome.

Adult↗

Facilitating diabetes self-management.

The purpose of this study was to enhance sensitivity to and understanding of the perceptions of persons with diabetes by analyzing these individuals' unsolicited comments on structured questionnaires. Twenty of 66 adults with non-insulin-dependent diabetes mellitus (NIDDM) who participated in a study to modify their eating habits wrote a total of 122 unsolicited comments on three different questionnaires. A systematic analysis of the content of these comments resulted in seven coding categories: personal philosophy; knowledge deficit; weight or blood sugar problems; diet, exercise, or medication problems; self-care activity; stress; and success. Further analysis resulted in a trilevel schema (survival, regulation, success) depicting how individuals learn to manage their diabetes. The problem-identification and seeking-help behaviors identified in the survival level gradually changed to learning to live with the regimen in the regulation level. Respondents whose activities were in the success level demonstrated more autonomy than persons in the other two levels. A health orientation rather than a problem orientation also was seen in the success level. Consequently, teaching strategies should be tailored to the client's level of self-care, with an emphasis on assisting them toward the success level.

Adult↗

It could have been me: vicarious victims and disaster-focused distress.

College students who had experienced no personal bereavement in the September 11 terrorist attacks completed questionnaires between 3 and 5 weeks after the attacks and 5 months later. Cross-sectional and longitudinal structural equation model (SEM) analyses revealed that general distress and disaster-focused distress are discernable reactions following a collective loss. Both types of distress were higher among women and by those reporting social strain. General distress was associated with previous stressful events and mental health issues. Perceived similarity to the victims predicted disaster-focused distress and mediated the relationship between attending to media accounts of victims and disaster-focused distress. Only the disaster-focused distress reactions of survivor guilt and grief were associated with collective helping behaviors after the attacks and, for women, these behaviors were associated with greater reductions in these distress reactions over time. Discussion focuses on the importance of examining disaster-focused distress reactions following collective loss.

Adolescent↗