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College-educated women's personality development in adulthood: perceptions and age differences.

Adulthood encompasses a large time span and includes a series of psychosocial challenges (E. H. Erikson, 1950). Five aspects of personality (identity certainty, confident power, concern with aging, generativity, and personal distress) were assessed in a cross-sectional study of college-educated women who at the time of data collection were young adults (age: M = 26 years), middle-aged adults (age: M = 46 years), or older adults (age: M = 66 years). Respondents rated each personality domain for how true it was of them at the time, and they then rated the other 2 ages either retrospectively or prospectively. Results are discussed with attention to the ways in which women's adult development may have been shaped by experiences particular to both gender and birth cohort, and to how these women fit with E. H. Erikson's theory of adult development.

Adult↗

A scale for evaluating emotional disorders in severely and profoundly mentally retarded persons. Development of the Diagnostic Assessment for the Severely Handicapped (DASH) scale.

The DASH scale was used to assess 506 profoundly and severely mentally retarded persons (247 females and 259 males). The scale, covering 13 major psychiatric disorders, consists of 83 items derived from DSM-III-R as well as previously published studies of this population. Data were collected on symptom frequency, duration and severity in individual interviews with direct-care staff. Elimination and pervasive developmental disorders were most frequent, self-injurious behaviour disorders most severe. Most symptoms had been evident for at least a year. Inter-rater reliability was generally good.

Adult↗

[Clinical characteristics of the depressive development of personality].

To study manifestations of the depressive personality development, the authors followed up 48 women (of the total number of 143 patients) exposed to long-term objectively unsolvable psychogenically traumatizing situation related to a child's disease. The symptomatology of depressive neurosis had undergone a typical course by the moment of examination: the acuteness, vividness and lability of the affect had disappeared, being replaced by its monotony; depression of the psychic activity in all spheres of life had deepened and strengthened, faith in a favourable resolution of the situation had been fully lost; new traits related to anxiety-dysthymic attitude toward people and events had formed; psychosomatic diseases had developed in the presence of marked vegetative manifestations. Clinical variants of depressive personality development are described. A conclusion is drawn about the typical eventuality of a depressive neurosis in the depressive development of the personality.

Adolescent↗

Developing personal and community learning in graduate nursing education through community engagement.

Community engagement through service-learning was introduced into a graduate program in nursing education to develop student leadership skills, interest in learning, and social responsibility. With faculty expertise and guidance, students worked in partnership with underserved community agencies. The goal of sustainability was accomplished by developing faculty expertise in service-learning as a method of instruction and integrating community engagement into academic assignments within existing courses. Opportunities to reflect on the benefits of the experiences were considered crucial to bridging service to learning in the community. Evaluation findings indicate that students gained insight into community needs and resources as they moved outside traditional health care settings. Graduates increased their understanding of their role as a resource to the community, and community agencies saw the value of a nurse educated at an advanced practice level.

Attitude of Health Personnel↗

Managed care personalities. Physician adjustment to the staff model HMO. The role of personality & development assessment.

Managed health care in HMOs represents an innovation for which many physicians have not had preparation to assist adjustment. Successful adjustment in the HMO draws from organizational and individual variables; the former to promote enculteration, the latter to foster a "good fit." Individual factors include the physician's personality and stage of life. This article delineates roles of individual and organizational factors and develops the former with the use of psychological methods to assist the transitioning physician during the orientation period.

Adaptation, Psychological↗