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Long-term effects of a structured life review process.

This study examined the long-term effects of a structured life review process in a group of 52 homebound elderly clients. Subjects in three groups were tested three times on four dependent variables. At 8 weeks the experimental group, after receiving the life review process, showed significant gains on two dependent variables, life satisfaction and psychological well-being, with analyses of covariance of F = 11.52, p less than .0001 and F = 9.90, p less than .003, respectively. Two other dependent variables, depression and activities of daily living, demonstrated no significant change at the 8 weeks posttest. Retesting 35 survivors at 1 year revealed little significant change for any group. There was, however, an upward trend in the experimental group on the outcome measure of life satisfaction and a downward trend in all groups on measures of activities of daily living and depression.

Activities of Daily Living↗

A health assessment of older Americans: some multidimensional measures.

This study examined the relationships among self-reported health practices and self-reported health status variables for 126 older adults drawn from a population of senior center participants, homebound elderly, and nursing home residents. Canonical correlation was used to determine significant relationships among linear combinations of the health variable set and the health practices-demographic data variable set. One significant canonical variate indicated that older adults who were more satisfied socially, free of or low in depression, had fewer or no physical disabilities, an internal locus of control, higher self-esteem, and fewer or no symptoms of aging, also tended to report engaging in current and lifelong exercise, sleeping 7 or 8 hr per day, having a higher educational attainment, and being in the younger age group of elderly. Current health practices of older adults were related to important health status variables. This finding contradicts some earlier investigations and suggests that older adults are indeed appropriate targets for health education and health promotion activities.

Activities of Daily Living↗

Teenage depression: a cultural-interpersonal-intrapsychic perspective.

The "crossroads families" are caught between old value systems and American mainstream goals. Traditional family and sex-related roles and orientations conflict with those of the new social system. In turn, neither of the teenager's orientations--toward home or toward peer activity--is validated. In the clinical case presented, Anna, at adolescence, wants to relinquish many of her household chores and enter her social world more fully. She needs unconflictual support for such a move. If this does not take place, her autonomous movement represents an unconscious betrayal of her depleted and controlling mother as well as an abandonment of the parental coalition. This leaves her feeling resentful, guilty, and ultimately unlovable. Attitudes marked by helplessness and confusion are thus significant to the depressed affect that brings this teenager into family therapy. Teenagers of non-Hispanic background who enter family therapy reveal gross overlap with teenagers of the Hispanic "crossroads" family model. Here, the family gives mixed messages for homebound and intimate closeness as well as accomplishment in the societal mainstream. A primary difference between ethnic groups involves the freer expressions of anger and pain between husband and wife in the non-Hispanic families. This is not similar to the backgrounds of the more individuated Hispanic teenagers. While more open expressions of anger within the family do indicate higher levels of autonomy, the hostility that is expressed by the parents presents serious complications when this includes "triangulating" the child into the family tension. Here, as cited, the mother often uses her daughter as a confidant and ally at times of severe parental discord. This places additional strain on the child's conflict with separation. Importantly, the daughter experiences renewed rejection and betrayal when the mother "submits" to her spouse. These are significant family processes that heighten mixed messages around autonomy. Milagros, a depressed (more individuated) adolescent, is consistently entangled into her parent's abrasive relationship. Her interpersonal family struggles have become intrapsychic and, ultimately, transferential.

Acculturation↗