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At least 649 records · Page 36Linked to original sources
PubMedDate not supplied

Physician-patient interaction for smoking cessation medications: a dance of mutual accommodation?

OBJECTIVE: To study physician-smoker interactions around the receipt of smoking cessation medication prescriptions to better understand the low rates of reported assistance and follow-up. METHODS: A stratified random sample of smokers recently filling prescriptions for cessation medications was identified for a phone interview about the quitting experience. The transcriptions of those portions of 50 interviews that addressed cessation contacts with clinicians were reviewed by the co-authors and analyzed for quantifiable data, observations, and themes. RESULTS: Although there were low levels of reported physician adherence to the Assist and Arrange recommendations of the Public Health Service 5As clinical guideline for smoking cessation, 27 (55%) of these smokers were quit at 1 to 3 months after the medication fill. Smoker descriptions of the contacts with their physicians about smoking cessation suggested nonconfrontational, collaborative, and satisfying interactions that were flexibly dominated by either party. Physician assistance predominantly concerned use of the medication (66%). CONCLUSIONS: These physician-smoker interactions seemed to be mutually accommodative. Given the apparent high quit rates and limited evidence of smoker interest in other forms of assistance, perhaps a physician-dominant encounter is not as common or as necessary as has been thought.

Adult↗
PubMed1994

Dance of the dialectic? some reflections (polemic and otherwise) on the present state of nineteenth-century asylum studies.

The 1970s witnessed an intense, often acrimonious debate between revisionist and Whig/neo-Whig historians over the origins and nature of the nineteenth-century asylum experience. By the early 1980s, however, there had emerged no ""new synthesis" (as one might have expected given the dialectical nature of the historical enterprise) but rather a new counter-revisionist paradigm grounded in the precepts of the "new social history." This counter-revisionist paradigm has become, in turn, the "new orthodoxy" in asylum studies in the 1990s. This article argues that the counter-revisionist account is itself highly problematic, offering no convincing synthetic overview of the nineteenth-century asylum experience.

Historiography↗
PubMedDate not supplied

The orchestration of occupation: the dance of mothers.

OBJECTIVES: This article describes the relationship of mothers' orchestration of daily occupations, the specialized maternal work of parenting a child with a disability, and the mother's subjective well-being. METHOD: Mothers' daily occupations and subjective well-being were studied using multiple in-depth interviews, participant observation of a day's round of occupations, and scales of well-being. Data were treated to a recursive analysis, which included theoretical notes generated during transcriptions that identified important themes and additional points of inquiry, line-by-line coding of transcripts, and theoretical sorting of codes and regrouping, recoding. To account for patterns in the data, a relational analysis was conducted that included the generation of metaphors. RESULTS: Emergent findings of this analysis identified the mothers' guiding occupational motif and eight processes of orchestration in their daily routines. The occupational motif, the embrace of paradox, directed the mother's orchestration of daily occupations. The orchestration processes included planning, organizing, balancing, anticipating, interpreting, forecasting, perspective shifting, and meaning making. Examples illustrate the maternally driven and child-sensitive nature of these processes. CONCLUSION: In their daily rounds, the mothers studied were attentive to the manner and method with which they interacted with their children to produce child-contingent occupations commensurate with their values of being a good mother. Using these orchestration processes, mothers made sense of their past, designed their present, and planned for their future within their daily occupational rounds for themselves and family members.

Child↗
PubMedDate not supplied

Woman dancing dreaming: Psychosocial benefits of the aboriginal outstation movement.

The establishment of an Aboriginal outstation, or small autonomous community, is described. Some of the beneficial psychosocial changes observed during an eighteen-month period are described, and some possible reasons for them outlined. The outstation movement is presented as a viable, Aboriginal-initiated solution to some of the dilemmas facing present-day Australian Aborigines.

Aggression↗
PubMed1991

All singing, all dancing.

There is widespread dissatisfaction with IPR among private sector managers as well as in the NHS, and organisations need to develop a more holistic approach, say Michael Pounsford and Deborah Rowland.

Attitude of Health Personnel↗
PubMed1993

Shall we dance?

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Community Health Services↗