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PubMed1993

[Developing social medicine competence in medical education--goals in social medicine education for the practicing physician from the viewpoint of mandatory public insurance].

The social obligation of medicine is not limited to the application of technical-curative methods. It rather also encompasses prevention, rehabilitation as well as cooperation with other health professions. Furthermore, medicine is tied into a social, economical and legal framework which has a direct impact on medical practice. Training in social medicine within the medical curriculum has to address these relationships. Moreover, the interaction between the ecological, occupational and social environment and the causes of diseases and disabilities should be a central focus of the subject.

Clinical Competence↗
PubMed2005

The course of life of survivors of childhood cancer.

The developmental consequences in adulthood of growing up with childhood cancer are not well understood. The Course of life questionnaire was developed to assess the attainment of developmental milestones retrospectively and socio-demographic outcomes in young adulthood. The aim of this study was to assess the course of life and socio-demographic outcomes in young adult survivors of childhood cancer. Knowledge about possible gaps in the course of life could enable health care providers to aim for the most favourable course of life. A total of 353 Dutch survivors and a comparison group of 508 peers without a history of cancer, all aged between 18 and 30, filled in the Course of life questionnaire. The course of life of the survivors was found to be hampered. The young adult survivors of childhood cancer in the Netherlands turned out to have achieved fewer milestones than their peers with respect to autonomy development, social development, and psycho-sexual development, or to have achieved the milestones when they were older than their peers. In addition, survivors displayed less risk behaviour than the comparison group. The survivors and the comparison group also differed on some socio-demographic issues. A considerably lower percentage of survivors than peers in the comparison group were married or living together, and/or employed. Their educational level, on the other hand, was as high as that of their peers.

Adolescent↗
PubMed2005

A retrospective journal-based case study of an infant with autism and his twin.

This report describes the development of an infant who was later diagnosed with autism, and a direct comparison of his development to that of his twin, from a prenatal period through the age of 4 years, through the examination of personal journals and medical records kept by the mother of the twins. Examination of these journals revealed several differences in development between the twins, some as early as 6 months of age. In the first year of life, the infants already differed in language development, social development, sleep patterns, and sensitivity to pain. This rare opportunity to view early autistic development gives direction to developmental theories of autism and clinically useful cues to early signs of autism.

Autistic Disorder↗
PubMedDate not supplied

Returning to roots: on social information processing and moral development.

Social information processing theory has been posited as a description of how mental operations affect behavioral responding in social situations. Arsenio and Lemerise (this issue) proposed that consideration of concepts and methods from moral domain models could enhance this description. This paper agrees with their proposition, although it suggests that numerous additional concepts about the nature of latent mental structures (e.g., working models, schemas, scripts, object relations, classical conditioning) provide equally compelling refinements to processing theory. Furthermore, theoretical and methodological challenges in integrating latent mental structures into processing theory remain.

Affect↗
PubMed2004

Family, friend or foe? Critical reflections on the relevance and role of social capital in health promotion and community development.

Social capital has been the focus of considerable academic and policy interest in recent years. Despite this interest, the concept remains undertheorized: there is an urgent need for a critical engagement with this literature that goes beyond summary. This paper lays a foundation for a critical dialogue between social capital and health promotion, by examining problematics in the conceptualization and practice of social capital building and linking these to models of community development, a cornerstone health promotion strategy. In so doing, the paper contributes to the existing literature by providing a theoretical exposition and critique of various threads in social capital discourse, and linking these threads explicitly to community development practice. Distinctions between communitarian, institutional and critical approaches to social capital are elaborated, and the relationships between these three approaches and three models of community development-social planning, locality development, and social action-are discussed. The existing social capital literature is then critically examined in relation to three key themes common to both literatures: community integration, public participation, and power relations. This examination suggests that social capital cannot be conceived in isolation from economic and political structures, since social connections are contingent on, and structured by, access to material resources. This runs counter to many current policy discourses, which focus on the importance of connection and cohesion without addressing fundamental inequities in access to resources. This paper posits that approaches to community development and social capital should emphasise the importance of a conscious concern with social justice. A construction of social capital which explicitly endorses the importance of transformative social engagement, while at the same time recognising the potential negative consequences of social capital development, could help community organizers build communities in ways that truly promote health.

Canada↗
PubMed1999

Individual differences in social comparison: development of a scale of social comparison orientation.

Development and validation of a measure of individual differences in social comparison orientation (the Iowa-Netherlands Comparison Orientation Measure [INCOM]) are described. Assuming that the tendency toward social comparison is universal, the scale was constructed so as to be appropriate to and comparable in 2 cultures: American and Dutch. It was then administered to several thousand people in each country. Analyses of these data are presented indicating that the scale has good psychometric properties. In addition, a laboratory study and several field studies are described that demonstrated the INCOM's ability to predict comparison behavior effectively. Possible uses of the scale in basic and applied settings are discussed.

Adolescent↗
PubMed1988

The development of social referencing.

The development of social referencing in 40 infants aged 6-9, 10-13, and 14-22 months was investigated in this study. Social referencing was defined broadly to include children's looks toward parents, their instrumental toy behaviors, affective expressions, and other behaviors toward parents. Children's looks at parents were more selective with increasing age, with older infants preferring to look directly at their parents' faces and younger infants showing no preference for looks to faces over looks elsewhere at the parent. Younger infants looked most often when their parents expressed positive affect, whereas older infants looked most often when parents displayed fearful reactions toward a stimulus. Evidence of a behavioral regulatory effect on instrumental toy behaviors was found only among infants 10-13 months of age. However, only infants older than 14 months of age inhibited touching the toy until after referencing the parent. On some measures these older infants showed a preference for toys associated with fearful messages. Affective expressions were in line with positive and negative behavior toward toys. No support for mood modification or simple imitation as explanations for the effects was found. Results indicated that the looking behavior of younger children may function differently than that of older children, and that social referencing involves a number of component skills that develop during the end of the first year and throughout the second year of life.

Affect↗
PubMed2001

Social play development in pre-weaning olfactory deprived or stimulated rats.

The effect of neonatal unilateral restriction or increased olfactory stimulation upon the development of social play behavior in Wistar strain rats was investigated. Pups were unilaterally thermocauterized in one of the nares on postnatal day 3 (experiment 1), or exposed to amyl acetate from 3 to 19 days of age (experiment 2). Unilateral odor deprivation significantly increased the frequency of boxing, wrestling and pinning in rats of both sexes. However, amyl acetate exposure significantly decreased the frequency of wrestling and pinning in females with no effects in males. The alterations in the development of social play behavior are concurrent with gross physical olfactory bulb modifications that may reflect a significant interference with the integration and transmission of olfactory stimuli to central structures such as septal, entorhinal, cingulate and midline frontal cortices subserving social play behavior. Data suggest that early in life brain mechanisms underlying social play behavior are sensitive to manipulation of neonatal olfactory cues and may participate in the modulation of this behavior.

Aging↗
PubMed2002

[The SGB IX, book 9 of the German social code, in the development of social security law].

The SGB IX is the legal basis of rehabilitation in Germany since 2001. It is embedded in the codification of the German social code, the Sozialgesetzbuch (SGB). There it has an intermediate function between the general social law and the special laws of the social insurance and social security institutions. Rehabilitation in Germany is working in a system of several different institutions with different legal roots. In special these are compensation of damages caused by employment accident and war and the avoidance of disability benefits by rehabilitation and activation. Inequality of treatment of disabled people according to the cause of their disability and to their employment status are accepted less; common principles of rehabilitation are being searched. Important reforms of rehabilitation law have taken place in 1974 and 1975. Since then problems have become visible in implementation and in the coordination of the complex system. SGB IX is a new effort for a general rehabilitation law. Open questions remain in handling the relations between rehabilitation and sickness treatment, long term care and prevention. Important are the newly defined terms for participation (Teilhabe) and disability (Behinderung), which build the linkage of SGB IX with constitutional law and with the health sciences. A weak point is still the relation of disability and age. Political attempts for unequal benefits in health insurance endanger the now reached level of rehabilitation law.

Disability Evaluation↗
PubMed1990

Development, microevolution, and social behavior.

The central questions of social development--from the roots of mother-infant attachment to the plasticity of aggressive behavior--pivot on the relations between genetic and ontogenetic sources of variance. It is proposed that (a) developmental, experiential, and microevolutionary processes typically collaborate, rather than compete, in achieving social adaptation; (b) social behavior patterns are mostly closed to modification in the course of development and across generations, but avenues of vulnerability exist in ontogeny and microevolution for dynamic, rapid, and reversible changes in key features; (c) a general avenue for change is delay or acceleration in the developmental onset of one or more features of the behavior pattern, which in turn modifies the functions and properties of the adaptive configuration; and (d) the features of social behavior that are open to rapid change in ontogeny should be open as well to rapid changes in microevolution, although different underlying processes may be involved. Empirical findings from the investigation of aggressive interactions are used to illustrate this proposal on the dual genesis and coincident adaptation of social behaviors.

Animals↗
PubMed2003

Ethnic identity, self-esteem, and ethnocentrism: a study of social identity versus multicultural theory of development.

Social identity theory (SIT) proposes that the more strongly individuals identify with their group, the less favorable attitudes they hold toward dissimilar groups. In contrast, multicultural theory proposes that affirmation toward one's group--particularly with respect to ethnicity--should correspond with higher levels of acceptance toward dissimilar groups. These competing theories were examined with 486 non-Hispanic White, African American, and Hispanic/Latino university students to determine if support would be found for either theory. Consistent with SIT, levels of ethnic identity correlated significantly with levels of ethnocentrism for Whites and Hispanics but not for African Americans. African Americans obtained significantly higher ethnic identity and self-esteem scores than the other 2 groups. Implications of the findings are discussed.

Adolescent↗
PubMed1989

Coordination of social signals and ovarian function during sexual development.

Social cues, often in the form of priming pheromones, can retard or enhance the rate of sexual development in a variety of mammals. The complex interactions between the social environment and reproduction have been explored most thoroughly in the house mouse. A urinary pheromone produced by females in a group inhibits sexual development, and a urinary pheromone from adult males accelerates onset of puberty in juvenile females. These priming pheromones apparently are detected by the vomeronasal organ and induce the changes in ovarian function via changes in the hypothalamic-pituitary system. Accelerated onset of puberty is not accompanied by deficits in reproductive performance. Puberty acceleration can have important management implications for domestic farm animals. It already is proving useful for manipulation in rearing swine and in synchronizing seasonal reproductive recrudescence in sheep. In cattle, the results are less clear that signals from the bull can hasten onset of puberty in heifers. The effect may be operable only under certain nutritional or other interacting conditions. Presumably, the postpartum anestrus period in the cow can be shortened by stimulation from the bull, although pheromones have not been implicated in this effect.

Animals↗
PubMed1986

Social network development and functioning during a life transition.

A 12-week longitudinal study of the development of social support networks among college freshmen is presented. Eighty-nine male and female students who lived either in university residence halls or at home with their parents completed a series of questionnaires in which they described their social networks while attending college and their adaptation to university life. In accord with an ecological view of social support, the structural and functional characteristics of the freshmen's networks were found to vary with the focal individual's gender, living situation, and the temporal stage of the network. Further, network characteristics were significantly associated with the freshmen's successful adaptation to college, though the relative adaptiveness of particular network characteristics varied over time.

Adaptation, Psychological↗
PubMed2005

The Risk Society and attention deficit hyperactivity disorder (ADHD): a critical social research analysis concerning the development and social impact of the ADHD diagnosis.

This article reports the findings of a research study that used a critical social research methodology to review the increase in use of the diagnosis of attention deficit hyperactivity disorder (ADHD) and conceptualized the phenomenon within a theoretical framework based upon Beck's (1992, 1999) periodization of social change, the Risk Society. The study was qualitative in nature. Data were drawn from a wide range of sources including legitimating hearings, reports and studies, texts and seminal documents, field observations in schools and classrooms, and electronic discussion/bulletin board, and in-depth interviews with parents and teachers. The analysis used a critical framework to locate specific instances of claim and counter-claim and to set the historical context for understanding the "modern biological" method of intervention with children considered by parents and teachers as having ADHD. The findings of the study are structured in the context of risks. Further research will inform whether the risks become threats. Through exposure of silences, myths, contradictions and power relationships that create risks surrounding the ADHD phenomenon, it is hoped that discourse concerning the hegemonic medical model of ADHD in research and in the wider community will be further critically examined.

Attention Deficit Disorder with Hyperactivity↗