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Dealing with embarrassing events: socially anxious and non-socially anxious groups compared.

This study examined potential differences between a clinically socially anxious group and a non-socially anxious control group in dealing with embarrassing events. Six scenarios of embarrassing events each paired with a method of coping with that event were presented to the two groups of subjects. Both groups evaluated their confidence in their ability to deal with each situation, described how they might actually deal with them (prior to reading the given method) and rated how well others might deal with each episode. There was little difference between the two groups in self-reported techniques for dealing with each episode, but clinically socially anxious patients, when compared to non-socially anxious controls, underestimated parameters of their own performance and overestimated the ability of others to deal with embarrassment. The implications of these results for clinical intervention are discussed.

Adaptation, Psychological↗

Social and psychological factors in the distribution of STD in male clinic attenders. I Demographic and social factors.

We describe three related studies of possible aetiological risk factors for sexually transmitted diseases (STDs) in men attending an STD clinic. In this paper we present the results for a variety of social and demographic variables traditionally associated with STD. In contrast to the results in the next two papers, these were largely negative. Occurrence rates of overall STD or of hepatitis, syphilis, gonorrhoea, or non-specific urethritis (NSU) had no aetiologically relevant association with age, nationality, marital status, social class, occupation, non-sexual social contact, drug abuse, or aggressive attitudes and behaviour. Gonorrhoea, however, was the only STD which correlated with alcohol abuse and with eating out rather than at home. We conclude that, with the possible exception of gonorrhoea, social factors contribute little to the distribution of STD risk within the study population.

Age Factors↗

Overcoming social amnesia: the role for a social perspective in psychiatric research and practice.

Psychiatry's reliance on biological models has resulted increasingly in the social realm's being dismissed or trivialized. The author examines the adverse consequences of this situation for psychiatric research and practice and suggests methods for addressing the problem. He describes how the social perspective has been extruded from discussions about the definition, future, and accomplishments of psychiatry, and he reviews four areas in which the biological model has produced unvalidated assumptions about the etiology, course, and prevention of mental disorders. The author shows how the social realm is intrinsic to concepts of mind and mental illness, and he describes seven ways in which a social perspective can provide a complement or a corrective to the prevailing assumptions of biological models, indicate new points of departure, and suggest methods for psychiatry's expansion.

Attitude to Health↗

The social functioning of persons with chronic mental illness: an empirical typology of consumers and correlates of social functioning.

This study examined the typology of consumers and correlates of their social functioning using the Social Functioning Scale (SFS). Data were obtained from 244 outpatients of two psychiatric hospitals and psychiatric ward inpatients in two general hospitals through a structured in-person interview. The typology was generated using Cluster Analysis, and the profile of each group was further examined. The results indicated that there were four distinct groups of consumers. Multiple regression analysis revealed that consumers' sex, age, education, diagnosis, behavioral problems, family caregivers' age, employment status, and overall social support were significantly associated with consumers' social functioning. The implications for previous research findings and psychiatric rehabilitation service are discussed.

Adolescent↗

Social network, social support, and loneliness in older persons with different chronic diseases.

OBJECTIVES: This study examines whether patterns of social network size, functional social support, and loneliness are different for older persons with different types of chronic diseases. METHODS: In a community-based sample of 2,788 men and women age 55 to 85 years participating in the Longitudinal Aging Study Amsterdam, chronic diseases status, social network size, support exchanges, and loneliness were assessed. RESULTS: Social network size and emotional support exchanges were not associated with disease status. The only differences between healthy and chronically ill people were found for receipt of instrumental support and loneliness. Disease characteristics played a differential role: greater feelings of loneliness were mainly found for persons with lung disease or arthritis, and receiving more instrumental support was mainly found for persons with arthritis or stroke. DISCUSSION: The specifics of a disease appear to play a (small) role in the receipt of instrumental support and feelings of loneliness of chronically ill older persons.

Aged↗

Social relationships and physiological function: the effects of recalling social relationships on cardiovascular reactivity.

BACKGROUND: The mechanisms by which social relationships exert their influence on mental and physical health outcomes deserve greater attention. PURPOSE: Although many studies assess the influence of actual social interactions on cardiovascular reactivity, we hypothesized that cognitive and behavioral processes (e.g., recalling and discussing relationships) may be important factors responsible for the health effects of social relationships. METHODS: We had men and women recall and speak about specific relationships that differed in their underlying positive and negative substrates. RESULTS: Results revealed that gender moderated the hypothesized pattern of responses, with women showing consistently greater cardiovascular reactivity to the speaking task, particularly when speaking about negative relationships, compared to men. CONCLUSIONS: This study is discussed in light of recent research on gender differences in relationship outcomes as well as the potential importance of delineating the cognitive representations and processes that influence reactions to one's social environment.

Adult↗

Social science, social work and pharmacy.

In an effort to make pharmacy a more patient oriented health profession, pharmacy students at the University of Pittsburgh are required to take a course entitled, Social Sciences in Pharmacy. Besides drawing from the diverse social and behavioral sciences this course also includes material from the field of social work. This article describes the course and the students' reactions to it. It also provides an overview of some of the recent trends in the field and suggests areas where consultation between pharmacist and social worker may be indicated.

Curriculum↗

Social work practice in the donation of human tissue for transplantation: utilising social work values and competencies to achieve effective outcomes for transplant patients and donor families.

In Queensland, Australia, senior social workers have pioneered the coordination of tissue donation at coronial autopsies, seeking consent for the donation of heart valve, bone and eye tissue after sudden deaths which have been reported to the coroner. The urgent need for tissue for transplantation is balanced with the counselling, information and practical needs of potential donor families in their shock and grief. Social work assessment, advocacy, liaison, counselling, crisis intervention and particularly communication skills have been utilised, both as an integral component of obtaining informed consent and in working with families' experience of grief and loss in sudden, traumatic bereavement. This tissue donation program, over a period of eight years, has maximised the availability of tissue with its high donation rates, while upholding the rights and needs of potential donor families through provision of an effective social work service. The paper will reflect upon key social work knowledge and processes which have respected the subjective experience of client and worker while working within a medical model.

Autopsy↗

The impact of organizational change on social work staffing in a hospital setting: a national, longitudinal study of social work in hospitals.

Market forces continue to shape the health care environment, producing radical changes within the hospital. These changes are affecting social work structure, staffing, and processes within the hospital setting, particularly in the area of social work staffing. This paper examines the changes impacting hospital settings over three fiscal years. A primary question is whether or not social work staffing is being negatively impacted by these hospital changes, and what factors predict the downsizing of social work staff.

Health Services Research↗

Who do we think we are? The effects of social context and social identification on in-group stereotyping.

In this study, in-group stereotyping was examined as a function of variations in social context and perceiver factors. The social context consisted of different comparison groups and different domains of comparison. Comparison group and comparative domain were expected to interact in determining the content of the in-group stereotype. This prediction was confirmed with in-group stereotyping being strongest in conditions where the combination of comparison group and comparative domain made the in-group seem most similar to an out-group. The perceiver's level of in-group identification was also positively related to the level of in-group stereotyping. Moreover, the level of identification was shown to be dependent on the immediate social context and mediated the relationship between social context and in-group stereotyping. This pattern is explained in terms of a search for in-group distinctiveness.

Female↗

Using positive peer reporting to improve the social interactions and acceptance of socially isolated adolescents in residential care: a systematic replication.

We studied how rewarding youth in residential care for publicly reporting positive social behavior influenced the social interactions and acceptance of their most socially isolated peers. Results showed that the intervention resulted in substantial improvements in social interactions by the previously isolated peers. Peer acceptance ratings also improved for 2 of the target youths.

Adolescent↗

Introduction to the theme--state intervention and the social wage: the politics of social services expansion.

State intervention in the consumption process has become increasingly critical to economic growth on the one hand and to real family income on the other. The social wage thus tends to become a conflictual political issue. As a result, the articulation of state intervention with the changing requirements of economic growth is subject to continuous political challenge. This special issue examines the problematic relationship between state intervention in social services and the organization of the capitalist economy. Some contributors study the ways in which state inter ventions are structured so as to be consonant with the requirements of economic growth and profitability, as well as the difficulties such structures pose. Feshbach's analysis of the Hill-Burton Hospital Construction Program and Mollenkopf's study of San Francisco's public transit system both reflect this concern. Other contributors study the ways in which the organization of the economy constrains the development of democratically responsive social services. Sbragia's study of the capital market and public housing in Italy and Taylor's study of free medical clinics in the U.S. both reflect this concern. Finally, contributors study macroscopic transformations in the relationship between state intervention and the organization of the capitalist economy. Esping-Andersen's study of the political logic of increasing state intervention in production and Hirschhorn's analysis of the defunctionalization of social services attendent upon the disaccumulative tendencies in capitalism both reflect this concern. This introductory paper reviews four theories which attempt to explain how state intervention is insulated from democratic controls. For each theory, the mechanisms specified to perform this function are subject to weaknesses. An attempt is made to position the contributions to this volume with respect to these theoretical traditions.

Conflict, Psychological↗

[Characteristics of the social support for pregnant women in Japan--according to concept of four kinds of social support].

The qualities of the social support and social network for pregnant women influence their mental and physical states during pregnancy and childcare period. We adopted Cronenwett's conceptual framework and the four kinds of the social support (emotional, material, information and comparison support) based on House's definition to examine the qualities of them. As for support resources, pregnant women's family, friend and husband's family provided most of the social support for pregnant women. Among of them, husband, mother, sisters, and husband's mother were especially important members, providing satisfactory support for pregnant women. The pregnant woman's and her husband's families were the main resources of emotional and material support. Friend was the that of information and comparison support. The pregnant women most perceived emotional support with the largest supportive members. Material support was perceived the most clear and independent kind from other three ones of supports.

Emotions↗

[The Goldthorpe Social Class Classification: reference framework for a proposal for the measurement of social class by the Working Group of the Spanish Society of Epidemiology].

Two of the most important theory-based social class classifications are that of the neo-Weberian Goldthorpe and that of the neo-Marxist Wright. The social class classification proposal of the SES Working Group employed the Goldthorpe schema as a reference due to the empirical and mainly pragmatic aspects involved. In this article, these aspects are discussed and it is also discussed the problem of the validation of the measurements of social class and the problem of the use of the social class as an independent variable.

Epidemiology↗

Social and geographical boundaries around senior nurse and physician leaders: an application of social network analysis.

The purpose of this study was to describe the social and geographical boundaries around the networks of senior nurse executives and physician leaders and managers in acute-care hospitals in the United Kingdom. A telephone survey was conducted using standard social network methods. A random sample was drawn from a national list and repeatedly sampled until 100 respondents were interviewed. The response rate was 49.5%. Both groups tended to discuss "important professional matters" with others who were similar to themselves in terms of profession, gender, age, and seniority, with physicians being more extreme in this regard. The implication is that gaps in the network of informal ties will impede the dissemination of information and the spread of social influence between these 2 important groups. Managers (non-clinically qualified) appear to occupy a powerful "brokerage" role. Informal networks are mainly composed of local ties. The authors argue that dissemination and influence strategies that take features of the social structure into account are more likely to be successful.

Geography↗

Organisational factors, individual characteristics and social support: what determines the level of social support?

A large body of research has linked social support to health, but there are fewer studies that have focused on factors that influence the level of social support available and/or perceived by employees in different organisations. This cross-sectional study therefore investigated the relationship between on the one hand, organisational, individual and socio-demographic factors and on the other, the level of social support at the workplace, i.e., the degree of supervisor support and a supportive work atmosphere. Organisational variables (job demands, job control, job content), individual (self-esteem, mistrust) and socio-demographic variables (type of employer, occupational position, age, gender and educational level) were used as independent variables in the analyses. The sample consisted of 16,144 individuals at a variety of different organisations in Sweden, who had responded to a questionnaire covering different psychosocial and psychological stress factors ("the Stress Profile"). Multiple hierarchical regression analyses were performed separately for each of the two dependent variables, which yielded almost identical results, and indicated that organisational determinants, particularly perceived job control, had the largest impact on the degree of social support.

Adult↗

Communication and social growth: a developmental model of social behavior in deaf children.

A cognitive developmental model for the social interaction and behavior of deaf children is proposed. This model takes into account reports of high-frequency behavioral and social problems manifested by deaf children. Emphasis is placed on the role of language in the development of social perceptions and interactions. Problems of social interaction are attributed to the delayed language development of some deaf children. Implications for intervention strategies are discussed.

Adolescent↗