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PubMed1987

The discharged psychiatric patient: a review of social, social-psychological, and psychiatric correlates of outcome.

The authors review research over the past decade on the social, social-psychological, and psychiatric correlates of community adaptation among discharged psychiatric patients. A review of 33 studies suggests that little theoretical or methodological progress has been made in identifying the factors that are conductive to the adjustment of discharged patients on their return to the community. To stimulate subsequent efforts in this area, the authors suggest applying new approaches, such as the stress process perspective that has been used to study mental health in the general population.

Adaptation, Psychological↗

PubMed1976

The role of the certified social worker in England's social services.

With the reorganization of England's social services into a single unified system, the professional called the certified qualified social worker is playing a key role in the administration and delivery of community services. The author describes some of the worker's activities and also presents an overview of hospital, day treatment, and outpatient services for adult psychiatric patients in the county of Warwickshire. One of the most effective programs is a system of voluntary group homes, operated by an area council of churches, for former psychiatric inpatients.

Aftercare↗

PubMed1995

Social skills differences in aggressive and non-aggressive male young offenders within an unfamiliar social situation.

Forty male young offenders categorized as 'aggressive' or 'non-aggressive' according to criminal records, were filmed in conversation with an unknown prison officer on two occasions. Independent observers, blind to the offender's category, rated the aggressive subjects as having significantly poorer social skills than non-aggressive subjects, but only during subject's first conversation with the officer, i.e. within a novel, unfamiliar social situation. This finding has implications for the treatment of 'aggressive' individuals as it may be interpreted as evidence of their responding inappropriately (e.g. becoming withdrawn or verbally abusive) because they perceive ambiguous situations as threatening. It also might explain the recent finding from prison violence literature that inexperienced prison officers are more likely to become involved in violent incidents, because they are perceived by aggressive prisoners as 'ambiguous'.

Aggression↗

PubMed2004

In search of information that confirms a desired self-perception: motivated processing of social feedback and choice of social interactions.

The present studies examined how the motivation to see oneself as characterized by desirable attributes may influence feedback seeking and social preferences. In Study 1, participants were first led to believe that extraversion or introversion is conducive of success. Next, they received false feedback about themselves, related to extraversion and to introversion. In a surprise recall, extraversion-success participants remembered extraversion feedback more accurately and introversion feedback less, compared to introversion-success participants. Study 2 examined preferences for others as potential sources of feedback. The findings revealed that extraversion-success participants preferred others who perceived them as extraverted, whereas introversion-success participants preferred others who perceived them as introverted. Thus, people appear to rely on how others regard them to realize a desired self-perception. These processes, oriented more toward social and interpersonal aspects of the self, complement the more intrapersonal processes of motivated self-perception studied in the past.

Adult↗

PubMed1979

The teaching social worker in family medicine: a prototype for the hospital social worker?

The need for physicians to receive training in interpersonal skills as well as in preventive medicine to aid them in recognizing and addressing the psychosocial aspects of illness and to facilitate the delivery of more comprehensive care to patients, has been addressed in the Department of Family Medicine and several other specialties. In January, 1978 the author surveyed social work members of the Society of Teachers of Family Medicine to determine their activities and responsibilities and to identify the experiences which have proven most helpful as a preparation for their positions on medical school faculties. Results of the survey are reviewed in light of possible implications for the future hospital social worker as a medical educator.

Adult↗

PubMedDate not supplied

[Social network and social support measures from the Pró-Saúde Study: pre-tests and pilot study].

We describe methodological steps in the selection of questions on social networks and support for a cohort study of 4,030 employees from a public university in Rio de Janeiro. First, group discussions with volunteers were conducted to explore the adequacy of related concepts. Next, questions in the Medical Outcomes Study questionnaire were submitted to standard "forward-" and "back-translation" procedures. The questions were subsequently evaluated through five stages of pre-tests and a pilot study. No question had a proportion of non-response greater than 5%. Pearson correlation coefficients between questions were distant from both zero and unity; correlation between all items and their dimension score was higher than 0.80 in most cases. Finally, Cronbach Alpha coefficients were above 0.70 within each dimension. Results suggest that social networks and support will be adequately measured and will allow for the investigation of their associations with health outcomes in a Brazilian population.

Brazil↗

PubMed2005

Economic efficiency versus social equality? The U.S. liberal model versus the European social model.

This article begins by challenging the widely held view in neoliberal discourse that there is a necessary trade-off between higher efficiency and lower reduction of inequalities: the article empirically shows that the liberal, U.S. model has been less efficient economically (slower economic growth, higher unemployment) than the social model in existence in the European Union and in the majority of its member states. Based on the data presented, the authors criticize the adoption of features of the liberal model (such as deregulation of their labor markets, reduction of public social expenditures) by some European governments. The second section analyzes the causes for the slowdown of economic growth and the increase of unemployment in the European Union--that is, the application of monetarist and neoliberal policies in the institutional frame of the European Union, including the Stability Pact, the objectives and modus operandi of the European Central Bank, and the very limited resources available to the European Commission for stimulating and distributive functions. The third section details the reasons for these developments, including (besides historical considerations) the enormous influence of financial capital in the E.U. institutions and the very limited democracy. Proposals for change are included.

Economics↗

PubMed1992

Widowhood in elderly women: exploring its relationship to community integration, hassles, stress, social support, and social support seeking.

This study examined the degree to which widows were integrated in their community, the daily hassles and stress they may have experienced, and their social networks and support-seeking behavior. A sample of 160 women, sixty years of age or older, eighty widows and eighty non-widows were interviewed. Half the sample participated in senior centers in Kansas City, Missouri, while the other half belonged to other organizations or were obtained through a truncated snowball technique. The findings indicated that widowhood in and of itself does not appear to be a predictor either of community integration or the lack of it or the experience of stress and hassles. Those who experienced hassles were not the same persons as those who experienced stress. It was surprising to find that those who sought social support did not seem most in need of it. Age and education, along with community integration, were better predictors of the variables studied than was widowhood.

Age Factors↗

PubMed1991

Welfare and poverty in the Europe of the 1990s: social progress or social dumping?

Social policy in Europe is changing fundamentally from a system of public (government) support to a welfare pluralism, or a "welfare mix" supported by the private and public sectors and by voluntary agencies. The overall tendencies are privatization, decentralization, and debureaucratization. With the prospect of a single-market economy within the European Communities in 1993, the fight against poverty in member nations may lead to "social dumping." Two major problems are identified: the lack of guaranteed minimum income schemes in the so-called "Latin Rim" countries, and the effect on workers' and citizens' rights in an integrated Europe. The fight against poverty is--despite some efforts from the Commission of the European Communities--basically left to the individual member states. This portends a gloomy scenario for the poorer populations of Europe in the 1990s. The author examines welfare state types within clusters of countries: the modern (Scandinavia), the corporatist (Federal Republic of Germany), the residual (Britain), and the rudimentary (Latin Rim). The conclusion, unfortunately, is that future overall development of European welfare systems in the 1990s will probably be toward "Americanization," with a move away from the modern, or Scandinavian, model toward a corporatist model for welfare policy.

Europe↗

PubMed2001

Roles of social support and social skills in the intercultural adjustment of Japanese adolescent sojourners in the USA.

Intercultural adjustment of Japanese high school students who sojourned in the United States for one year is the focus of the study. Building relationships with host nationals using limited English competency is the challenge that seems basic to successful adjustment to life in the USA. A path model was constructed in which English competence leads to better social skills, which in turn affects the amount of social support gained from host nationals. This model was tested through structural equation modeling, and the model's fit to the data was satisfactory. The predictive roles of English proficiency and personality were suggested in a supplementary analysis.

Acculturation↗

PubMed2005

[Social support offered by members of the social network: the point of view of mothers in situation of vulnerability].

The present study focuses on informal social networks and the people who give parental support to at-risk mothers (i.e., mothers who display at least two of the following risk factors : low SES, low education, and under 21 years at the birth of their first child). A sample of 49 such mothers, who had children between the ages of 2 and 6 years, participated in semi structured interviews. The group was then matched with a group of low risk mothers (n = 43). Results present mothers' perspectives on the people in their social network they see as being most helpful or most stressful, as far as parenting is concerned. They also describe the roles played by key members of their immediate environment (maternal grandmothers, spouse or ex-spouse). Practical guidelines towards a network-oriented approach in parental support are outlined.

Adult↗

PubMed1998

Social Security Ruling, SSR 98-1p; Title XVI: determining medical equivalence in childhood disability claims when a child has marked limitations in cognition and speech--SSA. Notice of Social Security Ruling.

In accordance with 20 CFR 402.35(b)(1), the Commissioner of Social Security gives notice of Social Security Ruling, SSR 98-1p. This Ruling results from the "top-to-bottom" review of the implementation of changes to the Supplemental Security Income childhood disability program necessitated by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Pub. L. 104-193). It provides a policy interpretation that children who have a "marked" limitation in cognitive functioning and a "marked" limitation in speech have an impairment or combination of impairments that medically equals Listing 2.09. It also provides guidance for determining when a child has a "marked" or an "extreme" limitation in each of these areas.

Child↗

PubMed1983

Revised federal allotments to states for social services expenditures pursuant to Title XX--Social Services Block Grant Act; promulgation for fiscal year 1984--HHS. Notification.

The Federal allotments of +2.5 billion to States for social services under Section 2003 of the Social Security Act (Act) which were published in the Federal Register November 26, 1982 (47 FR 53502) were based upon the authorization set forth in Section 2003 of the Act at that time and were contingent upon Congressional appropriations actions for the fiscal year. Public Law 98-135, enacted October 24, 1983, amended Section 2003 of the Act, by increasing the authorization to +2.7 billion for Fiscal Year 1984 and each succeeding fiscal year. The allocation of this authorized amount for Fiscal Year 1984 is shown in Column 1 of the table below, and it too is contingent upon Congressional appropriations actions. Public Law 98-139, enacted October 13, 1983 appropriates +2.675 billion for allocation to the States under Section 2003 of the Act for Fiscal Year 1984. The allocation of this appropriated amount is shown in Column 2 of the table below. Accordingly, the promulgation made in 47 FR 53502, November 26, 1982, is rescinded and the promulgation, as revised, is set forth in Column 2 of the table below.

Public Assistance↗

PubMed1999

[Problem orientation in social medicine--participation in social medicine].

Problem-oriented learning is gaining increasing importance in medical education. The current discussion on reforming medical education in the medical schools in Austria reflects this importance. At the medical school in Graz for many years teaching the core module "social medicine" has been problem-oriented. Small groups of students work on selected topics of public health. The topics are related to every day practice and their particular psychosocial ramifications and consequences are illucidated. This subject is required in the last year of medical school. The students are not familiar with problem-based learning and have difficulties in adapting. To be better prepared for the coming changes in the discipline of medicine, the social dimension should be integrated earlier into medical education. The most efficient way of doing so should be clarified in the discussion of the reform in medical education.

Austria↗

PubMed2002

Social anxiety disorder and the neurobiology of social relationships.

Social anxiety disorder (SAD) is a prevalent anxiety disorder with the potential for considerable impairment. A patient with SAD is presented and treatment options are discussed. Novel concepts guiding our understanding of the neurobiology of SAD are presented, including the concept of sensory maps of the body, which is used to speculate on the nature of internal representations of relationships and their potential role in triggering anxiety in SAD. Understanding the neural circuitry mediating social relationships and its role in the threat response in SAD may be important for the development of new treatments for this disorder.

Adult↗

PubMed2003

The application of social and adult learning theory to training in community pediatrics, social justice, and child advocacy.

Perhaps the greatest challenge we face today in medical education is how to establish a conceptual framework for conveying the context of community pediatrics and issues related to child health equity and social justice to practicing pediatricians and pediatricians in training. This will require a new infrastructure and approach to training to allow pediatricians to think and practice differently. The application of social and adult learning theory to the development and implementation of community pediatrics curricula will be necessary to succeed in these endeavors. In particular, we also will need to understand the educational processes required to motivate adult learners to acquire knowledge, attitudes, and skills outside the context and framework of their previous experiences and perceived professional needs.

Adult↗

PubMed1992

Vasopressin involvement in antipyresis, social communication, and social recognition: a synthesis.

This review concentrates on the sexually dimorphic neuronal cells and fibers that contain arginine-vasopressin (AVP) and are present in several extrahypothalamic brain areas besides the neurohypophyseal system. Of particular interest are the vasopressinergic neurons that project from the bed nucleus of the stria terminalis and the medial amygdala to the lateral septum because their content of vasopressin is a positive function of circulating levels of testosterone. Physiological and behavioral data suggest that androgen-dependent vasopressin plays an important role in antipyresis and social recognition. In addition, there is evidence that extrahypothalamic AVP-sensitive neurons and hypothalamic AVP-containing neurons control scent marking, a form of social communication in hamsters, in a sex-dependent manner. The interrelationships of these different functions of brain vasopressin are discussed.

Androgens↗

PubMed1992

Socialization to dying: social determinants of death acknowledgement and treatment among terminally ill geriatric patients.

Although the vast majority of deaths occur among terminally ill geriatric patients, little is known about the etiology of these patients' death acknowledgement and ultimate type of treatment. Based on interviews with 76 triads composed of physicians, terminally ill patients, and primary caregivers, this study uses the socialization perspective to identify the actors and actions that most strongly affect the patient's death acknowledgment and receipt of exclusively palliative care (i.e., socialization to the dying role). Whereas patient preferences and sociodemographic characteristics do not influence significantly the patient's odds of death acknowledgment, these odds are increased if their primary caregivers accept death, their physicians are not affiliated with a teaching hospital, and the terminal prognosis is disclosed to them and disclosed "matter-of-factly." Patients who acknowledge death, whose agents value pain alleviation over life-prolongation, and whose physicians are not affiliated with a teaching hospital, are substantially more likely to receive exclusively palliative rather than curative terminal treatment.

Adaptation, Psychological↗