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Grief and loss in the workplace.

Throughout history, death and loss have given rise to social ceremonies and commemorative activities that note the death, recognize the place the person occupied in society, and assist the bereaved through the process of grief. Each culture faces death with its own definition of "appropriate" social-emotional reactions, and when death occurs, it provides the occasion for socially conditioned grief reactions and mourning practices. Historically, such practices have incorporated a set of interrelated people, the majority of whom were very knowledgeable of the customs and their purposes. In such a setting, it was possible for close kin, friends, distant kin, and acquaintances to come together to share their loss and grief. However, people may experience a loss that does not fit a socially recognized and sanctioned role. Grief for these people may have to remain private. Although they may have experienced an intense loss, personally or professionally, they may not be given time off from work or have the opportunity to talk about the meaning of their loss. In our modern, compartmentalized society, social ceremonies and commemorative activities tend to be limited primarily to a small circle of the "proper" bereaved individuals. This separation has helped to create a subset of grievers whose legitimacy may not be recognized by society as a whole and whose needs are often not addressed.

Attitude to Death↗

Peer led HIV/AIDS prevention for women in South African informal settlements.

South African women who live in informal settlement communities are at high risk of HIV/AIDS infection due to their poor economic and social status. Prevention programs must include methods for improving their social conditions as well as their sexual risk behaviors. Members of Partners trained 24 women from informal settlements to lead HIV/AIDS education workshops for 480 residents. When these participants reached out to their neighbors, this participatory community-based approach resulted in providing HIV/AIDS prevention messages to more than 1,440 residents. Program leaders from three settlements said in focus group discussions that results from this social influences peer led approach demonstrated that women residents are a valuable resource in providing effective HIV/AIDS prevention programs to South Africa's most vulnerable residents.

Adult↗

[The affective-behavioral orientations of teenagers with an unequal social status].

The study aims at establishing the affective-behavioral orientation in adolescents from the Homes for Children and Adolescents by examining their anxiety and readiness for aggression. In the investigation are included 227 children from 15 to 18 years old. The study is realized by using the questionnaire of Buss Durky for assessing the aggression, questionnaire for anxiety after Ch. Spilburgur and inquiry card for studying the problem of communication, directness of the personality etc. It is presumed that the unequivalant social conditions of life of adolescents from the Homes for Children and Adolescents have negative influence on the affective-behavioral orientation of the latter. We expect the raised aggressiveness to be with dominating hostile affective-cognitive orientation and in compliance with the high levels of uneasyness. The studying of predictors for emotional and behavioral derangements give us a possibility to reveal some subjective and social prerequisites, affecting the behavioral orientation and effective adaptation of juveniles from the Homes for Children and Adolescents.

Adolescent↗

Effects of social factors on adrenal weight and related physiology of Macaca fascicularis.

Increased adrenal cortical activity and hypertrophy of adrenal glands associated with defeat and social subordination have been reported frequently in small mammals; these adrenal changes have been linked to impairments in immune response, glucose metabolism and reproductive performance. Similar studies in primates have produced variable results. The current study was undertaken to illuminate the effects of social status on the adrenal gland and to examine concurrent effects of social variables on other physiological systems in Macaca fascicularis, in an initial exploration of the hypothesis that high and low social status have different physiological consequences. Sixty adult male M. fascicularis were housed in social groups of n = 5, under either stable or unstable social conditions. It was found that subordinate animals had heavier adrenal glands and somewhat higher plasma glucose concentrations than dominants. In contrast, dominants had higher blood pressure and worsened atherosclerosis, under some conditions, than subordinates. These data appear to offer preliminary support for Henry and Stephen's hypothesis of differential arousal of dominant and subordinate animals.

Adrenal Glands↗

Photoperiod and social cues influence the medial amygdala but not the bed nucleus of the stria terminalis in the Siberian hamster.

We investigated whether the posterodorsal nucleus of the medial amygdala (MePD) and the posteromedial nucleus of the bed nucleus of the stria terminalis (BSTpm) undergo structural changes in response to photoperiod or social environment in the Siberian hamster, a seasonally breeding rodent. Adult male hamsters were either kept in long days (LD; 15:9 h light:dark) from birth or were transferred at 12-16 weeks of age to short days (SD; 8:16) and housed with a male conspecific for 11 weeks. Other males were transferred to SD but were housed with an unrelated female conspecific from LD. Males transferred to SD without a female cagemate displayed testicular regression, but males transferred to SD with a female cagemate did not. The regional volume and average soma size of the BSTpm and the MePD were estimated using Nissl-stained brain sections. Neither photoperiod nor social condition modified either of the BSTpm measures. Among males housed in same-sex groups, the average soma size in the MePD was significantly smaller in SD males than in LD males. Cohabitation with a female resulted in MePD volumes indistinguishable from LD males. These results indicate that the MePD, a nucleus implicated in socio-sexual behavior, can respond to photoperiodic as well as to social cues.

Amygdala↗

Gender differences in depression in an employment setting.

This study extends the literature on sex differences in depression to an employment setting, using Minnesota Multiphasic Personality Inventory (MMPI; T and raw scores) and Depression (D) 30 measures. In contrast to previous findings, no gender differences remained on any of the measures after the effects of salary, age, education, and job classification had been taken into account. Findings replicated earlier results showing depressed males to have greater difficulty with concentration and motivation than depressed females. Data suggest that MMPI sex-based T-scores may overcorrect for sex differences in raw scores. Possible explanations for the findings are discussed, including a general improvement in women's well-being associated with changes in social conditions such as employment, or the possibility of a self-selection bias in our sample.

Achievement↗

Dark Winter and the spring of 1972: deflecting the social lessons of smallpox.

This article examines how the master status of bioterrorism has distracted professional and political attention from the social lessons of smallpox. I illustrate this by comparing an influential bioterrorism simulation known as Dark Winter with the social history surrounding the Yugoslavian smallpox epidemic of 1972. Dark Winter's epidemiological premises were largely based upon what was learned from the Yugoslavian outbreak. Yet, although this epidemic was non-deliberate, the exercise did not attend to the social conditions within which it developed. Most notably, it did not consider that this epidemic was mainly borne by marginalized communities of Kosovan Albanians and that difficulties in controlling it were linked to the relative lack of pre-existing public health infrastructure among these people; instead, the Dark Winter exercise mainly focused upon the proximate determinants of violence and its immediate management. This distraction from the social dynamics of infectious diseases has major implications for the prevention and management of future outbreaks, regardless of whether or not they are deliberately initiated.

Bioterrorism↗

Crystal methamphetamine and sexual sociality in an urban gay subculture: an elective affinity.

This paper draws on 49 qualitative interviews to explore the contextual antecedents of methamphetamine use in a sample of gay and bisexual Manhattan men. The paper distinguishes itself from the public health literature on crystal methamphetamine use in this population by shifting the analytic focus from individual-level factors of drug use to the role of social context. While individual-level factors--including self esteem and social awkwardness--are related to methamphetamine use, we argue that these factors arise in and are exacerbated by interactional pressures attendant to Manhattan's gay sexual subculture, which revolve around the expectation of peak sexual performance. Because methamphetamine is associated with increased self-esteem, increased libido, greater sexual endurance, diminished sexual inhibition, and a higher threshold for pain, the drug is used strategically by gay and bisexual men to negotiate sexual sociality and increase sexual pleasure. Hence, we suggest that there exists an elective affinity between Manhattan's gay sexual subculture and the particular pharmacological effects of methamphetamine-whereby the former strongly favours the latter as a systematic pattern of response. In turn, this relationship is linked to unsafe sexual practices or the social conditions that put gay men 'at risk of risk' of HIV infection.

Adult↗

The rise and fall of pink disease.

This paper explores the social and medical history and context of pink disease (acrodynia), a serious disease of infants and young children that baffled the medical world during the first half of the twentieth century until it was shown to be caused by mercury poisoning. In the English-speaking world the commonest source of the mercury was teething powders, which were widely available and advertised with increasing sophistication. Efforts to control them (such as the BMJ's campaign against 'Secret Remedies') were as yet unsuccessful. The article discusses the social conditions that influenced the existence and recognition of pink disease, the delay in finding its cause, the way in which it was explained as a virus infection or nutritional deficiency and why it seldom occurred outside the teething period. It discusses both professional and lay attitudes to health and diseases during the early twentieth century and provides a model of how the disease developed in a specific social setting and how the medical profession attempted to deal with it within the limitations of contemporary professional thought. The resistance to the evidence of mercury poisoning is typical of resistance to new medical knowledge and declined only when the opponents and sceptics grew old and disappeared from the scene. Meanwhile, the cause having been identified and accepted, pink disease disappeared, but its consequences emerged much later, in an unexpected quarter, as a cause of male infertility.

Acrodynia↗

Health education: can the reformers be reformed?

Health educators have created a new professional role that emphasizes the changing of individuals rather than their social conditions. The article shows how historical roots, ideological perspectives, and structural constraints have combined to create an ambiguous, generally conservative role for the health education profession. Epidemiological evidence is presented that contradicts many implicit notions of disease etiology that underlie health education approaches. Finally, the authors suggest an "ecological" model of health education that takes account of the multiple causes of disease and is committed to progressive social change.

Community Participation↗

Variation in ancient Egyptian stature and body proportions.

Stature and the pattern of body proportions were investigated in a series of six time-successive Egyptian populations in order to investigate the biological effects on human growth of the development and intensification of agriculture, and the formation of state-level social organization. Univariate analyses of variance were performed to assess differences between the sexes and among various time periods. Significant differences were found both in stature and in raw long bone length measurements between the early semipastoral population and the later intensive agricultural population. The size differences were greater in males than in females. This disparity is suggested to be due to greater male response to poor nutrition in the earlier populations, and with the increasing development of social hierarchy, males were being provisioned preferentially over females. Little change in body shape was found through time, suggesting that all body segments were varying in size in response to environmental and social conditions. The change found in body plan is suggested to be the result of the later groups having a more tropical (Nilotic) form than the preceding populations.

Adult↗

Eating attitudes and behaviors of pre- and postpubertal females: clues to the etiology of eating disorders.

Eating disorders are most likely to occur in females in early adolescence. In the hope of identifying the nature of the changes occurring across puberty which may predispose adolescents to eating disorders three groups, 30 prepubertal girls, 28 postpubertal girls, and 28 adult women matched on height and weight to the postpubertal group were compared for meal pattern characteristics and food intake regulation, as well as changes in eating attitudes and behaviors. They completed a set of psychometrics measuring their eating attitudes, body image, and disposition and also maintained 7-day diaries of everything they ingested, time of ingestion, and subjective and social conditions. Neither the overall intakes nor the meal sizes significantly differed between age groups. The prepubertal females ate the most relative to body weight, ate with more other people present and earlier in the day. They were relatively happy, calm, slightly hungry, unrestrained, satisfied with their bodies and depression was associated with lower intake. The postpubertal group, on the other hand, were relatively restrained, ate faster, and ate only 76.5% of the recommended amount. They had a more negative body image, greater dissatisfaction with their bodies, and greater restraint of eating than the prepubertal group, and depression was associated with higher intake. These changes may leave the young woman extremely vulnerable and under the appropriate conditions or with the appropriate personality type may lead to the development of an eating disorder.

Adolescent↗

[Basic theoretical approach to the long-term preparations for an active old age (author's transl)].

The authors single out the following principles as being especially important for the long-term preparations for an active old age: --Given our social conditions, the early and long-term preparation of young people for old age is a task facing the whole of society and one that can only be accomplished through an interdisciplinary approach. --Necessary changes in the attitude of young people towards old age and of older people towards the young can only be achieved through close contacts between young and old people. --In contacts between young and old people the emphasis should not be on help and care, but on mutual understanding and respect and the promotion of self-confidence. --In organizing their living and working conditions young and old people must cooperate in order to stimulate activity-promoting behavior at every stage of life.

Adaptation, Psychological↗

Multiple mechanisms of phenotype development in the bluehead wrasse.

Despite having detailed information on mechanisms mediating sex-typical behavior in many species, we have little understanding of whether the same mechanisms regulate these behaviors when they are performed in the same species under different social contexts. In the five field experiments of this study of bluehead wrasses (Thalassoma bifasciatum), a sex-changing fish, we examined the roles of arginine vasotocin (AVT) and the potent teleost androgen 11-ketotestosterone (11KT) in mediating sexual and aggressive behaviors typical of dominant males. We demonstrated that AVT appears necessary for the assumption of dominant territorial status in males and females, but is sufficient only in the socially dominant terminal phase (TP) male phenotype. Specifically, an AVP V(1) receptor antagonist prevented both TP males and females from gaining dominance over recently vacated territories. However, unlike TP males in a previous study, neither females nor initial phase males responded to AVT treatment with increases in display of TP male typical behaviors when under social conditions that inhibit sex change. Treating females with 11KT did not alter responsiveness to AVT, but did induce male coloration and courtship behavior that was not observed in oil-treated females. Combined with the results of a previous study, these results indicate that the ability of AVT to induce male-typical behavior differs among sexual phenotypes and that this differential responsiveness appears to be dependent on social context and not directly on exposure to 11KT. Furthermore, since 11KT can induce courtship behavior in females that is not affected by AVT, there may be different hormonal mechanisms mediating courtship behavior under different social contexts.

Aggression↗

Social class differences in mental retardation and subnormality.

Social class and regional differences in mental retardation were studied in a birth cohort of 12,000 children followed up until the age of 14. The incidence of severe mental retardation IQ less than 50 was significantly higher in farming families and in less developed areas, which is in agreement with the fact that a greater part of the population in these areas belong to social class IV and farmers. The obvious explanation for the higher incidence of severe mental retardation among farmers is an excess of older mothers in this group. In the group of severe mental retardation, paternal unemployment was also statistically, significantly more frequent than among the others. Mild mental retardation, IQ 50-70, was significantly higher in all classes other than I + II and mental subnormality, IQ 71-85 was higher in social classes III and IV. The other less favourable social conditions, which were statistically more frequent in the families of the mentally subnormal, were that: the father had died, was unemployed, on sick leave or receiving a pension and the mother was not living at home, was unemployed, or was on sick leave or receiving a pension. The incidence of mental subnormality was significantly higher in more developed areas, in spite of the fact that the members of social class IV were less and those of classes I + II more numerous than elsewhere.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Burma and Cambodia: Human Rights, Social Disruption, and the Spread of HIV/AIDS.

The debate around the issues raised by HIV/AIDS and human rights has largely focused on the protection from rights violations of individuals or groups affected by the disease. The relationship between political and social conditions where human rights abuses are frequent and the spread of HIV infection has been less studied. Two countries in Southeast Asia, Burma and Cambodia, are currently undergoing serious and uncontrolled epidemics of HIV; both are marked by political cultures of state violence and corruption, chronic civil war and insurgency, and widespread human rights violations. This article attempts to investigate associations between rapid HIV spread and political and social crises, using Burma and Cambodia as case studies. The climate and context of rights abuses are seen as significant factors of national vulnerability to the epidemic spread of HIV/AIDS.

Journal Article↗

[Development and evaluation of the multidimensional German pain questionnaire].

The German pain questionnaire (DSF) has been developed and validated by the Task force on "Standardization and Economy in Pain Management" of the German Chapter of the International Association for the Study of Pain (DGSS). The concept of the DSF is based on a bio (medical) - psycho - social pain model. The modular approach to pain assessment consists of:demographic data,pain variables (e. g. pain sites, temporal characteristics, duration, intensity),pain associated symptoms,affective and sensory qualities of pain (adjective list by Geissner, SESCopyright ),pain relieving and intensifying factors,previous pain treatment procedures,pain-related disability (Pain Disability Index by Tait et al.),depression test CES-D (Center for Epidemiological Studies Depression Test),comorbid conditions,social factors (educational level, occupation, retirement status, compensation and/or litigation status, disability for work),health related quality of life (SF-36Copyright ). Practicability and content validity were tested in some 3000 patients. Comparison with external criteria (e. g. medical and psychiatric-psychological diagnoses, physician-determined chronicity of pain) proved good content validity and excellent reliability of patients statements in the questionnaire. The great majority of patients stated that the DSF covered their pain history completely and in an orderly fashion. Difficulty to answer the questions was considered low. The German pain questionnaire is a reliable and valid instrument for recording the multidimensional experience of pain. Data from such questionnaires are indispensable for follow-up studies and internal and external quality assessments. The DSF can be ordered from the German Society for the Study of Pain (www.dgss.org) and is a core instrument of the computer program "quality assurance in pain management" (QUAST) of this society.

Chronic Disease↗

Measurement of dehabilitation in patients of leprosy--a scale.

Leprosy interferes with the psychological and social life of the patients leading to their 'dehabilitation'. Therefore, it is necessary to assess the extent and direction of dehabilitation in order to make the treatment plan comprehensive and effective. The objective of this work was to: (a) construct a scale for measuring dehabilitation and, (b) to standardize it. The methodology included preparation of 52 statements (in English) spread over four subareas of life, namely family relations, vocational condition, social interaction and self-esteem. It was administered to 122 randomly selected respondents. Scores were awarded by summing up the weights of each statement, a high score indicating low dehabilitation. Statistical tests were applied for standardizing the scale. To establish reliability, split-half reliability test and item discriminant analysis were used. Factor analysis was used to test the validity. The results show, that the split-half reliability coefficient ranged high (from 0.64 to 0.83) in all four subareas. The item discriminant analysis had a level of significance of 0.001 for 42 statements while the factor analysis explained variance covered over 70 percent. Hence the scale can be an useful intervention strategy for counselling, case work or rehabilitation.

Humans↗