[Low number of abortions depends on values and social pressure].
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Abortion, Legal↗
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Similarity of comparison group, opinions about facts and values and social projection.
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Adolescent↗
Conflicting professional values in social work and medicine.
The professional relationship between social workers and physicians historically has been somewhat strained. Social workers have been quick to blame the medical model for problems in health care and consequently have overlooked useful lessons from this model that could improve social work practice. To work effectively with physicians, social workers must be aware of physicians' professional values and be able to identify conflicts with social work values. Conflicting values in social work and medicine are identified in five areas: (1) saving life versus quality of life, (2) patient autonomy in setting treatment goals, (3) attitudes toward objective versus subjective data, (4) responses to patients with emotional problems, and (5) differing perspectives on interdisciplinary team roles. Case illustrations based on the author's experiences as director of behavioral science training for resident family practice physicians are included. Although different value orientations may produce conflict, the differences also can catalyze successful collaboration between the two professions, which ultimately will benefit patients who receive care.
Attitude of Health Personnel↗
Values and antisocial behavior among Spanish adolescents.
A number of studies have indicated that delinquent adolescents have characteristic value systems. However, most of these studies have adopted a "known-groups" design--that is, they have compared institutionalized delinquents and non-institutionalized adolescents, assuming those adolescents to be non-delinquent. Designs of this type do not distinguish effectively between the statistical effects of delinquency and of institutionalization. In this study, the authors investigated relationships between values and self-reported antisocial behavior in three adolescent groups: 435 school-attending boys, 529 school-attending girls, and 95 delinquent boys in juvenile rehabilitation centers or prisons. The results indicate that antisocial behavior is associated with hedonistic values and a lack of interest in conventional values and social values. These relationships cannot be explained by the institutionalization effects.
Adolescent↗
Enabling or disabling? Students' attitudes toward persons with disabilities.
Persons with disabilities are devalued by society. Occupational therapists may be contributing to this devaluation through their attitudes. This study focused on the attitudes of undergraduate students. From a sample of 223 occupational therapy students and 326 business students at an Australian university, it was found, with the use of the Attitudes Toward Disabled Persons Scale-Form A (Yuker, Block, & Young, 1966), that the attitudes of freshman occupational therapy students did not differ significantly from those of their business-major peers. Furthermore, the occupational therapy students' attitudes did not vary with the years of undergraduate education completed. However, those students who had had contact with persons with disabilities beyond the context of a caregiver-care receiver relationship (i.e., those students who had assumed roles that emphasized valued attributes of the person with a disability) had significantly more positive attitudes than did those students without such contact. Educational curricula must address the issue of students' attitudes and, in particular, the facilitation of valued social role contact with persons with disabilities.
Attitude of Health Personnel↗
Advocacy and argumentation in the public arena: a guide for social workers.
Whether translating research findings for public consumption, or arguing for a policy position that reflects social work values, social workers engaged in cause advocacy need rhetorical skills. The author draws from the disciplines of linguistics, logic, and communications and provides a framework for making arguments in the public arena. The structure and components of arguments are analyzed, and strategies for choosing persuasive empirical evidence and using values to support an argument are described. The use and misuses of language are discussed. Excerpts from published op-ed pieces are used for illustration.
Consumer Advocacy↗
[The differences between individualists and cooperators: interpersonal cognition of resource allocation].
The purpose of this article is to study interpersonal cognition of resource allocation and individual differences in the cognition. Sixty subjects participated in an experimental game, and 18 individualists and 16 cooperators were selected according to their tendency in resource allocation, which is called social values. Then, they rated resource allocating behavior. Major findings were as follows: (1) Both groups rated "allocating more resource to the partner" as more socially desirable and friendly. (2) Individualists rated "allocating more resource to self," which was consistent with their social values, as more socially desirable. They also rated "equal allocation with own resource adjusted" as more socially desirable but less dynamic. (3) Cooperators rated "equal allocation with own resource adjusted," which was consistent with their social values, as more socially desirable and friendly. (4) Both groups rated "more resource to self" and "less resource to the partner" as dynamic (active and assertive). The relation between interpersonal cognition and social values is discussed.
Adult↗
Social class and substance use disorders: the value of social class as distinct from socioeconomic status.
The relationship between social class and substance use disorders (SUDs) is explored and compared to the relationship between SES and SUDs. Social class and SES are two different conceptualizations of socioeconomic inequality (SEI) which emanate from two different theoretical orientations in sociology. SES is commonly used in epidemiological research and is usually measured in terms of education, income or occupational prestige. Social class is less known and less used. Here, following the work of Wright et al. (Wright, E. O., Hachen, D. and Costello, C. et al. (1982) The American class structure. American Sociological Review 47, 709-726) it is measured in terms of four types of control people have in their work place: ownership, control over budget decisions, control over other workers, and control over one's own work. Data are derived from an epidemiological survey, conducted in Israel, using a two stage sampling procedure for the identification of cases. In the first stage 4914 respondents were screened with the Psychiatric Epidemiological Research Interview (PERI). In the second stage (n = 2741), those who screened positive (and a sample of the negatives) were diagnosed by psychiatrists using a structured interview that yielded diagnoses according to the Research Diagnostic Criteria (RDC). The results indicate that those who are advantaged in terms of ownership, i.e. self-employed, have higher rates of SUDs compared to employees. Furthermore, it appears that most disorders have an onset subsequent to entry into the current job, indicating that ownership plays a causal role in the onset of SUDs rather than the other way around. These results are contrasted with those of a previous report from the same study by Dohrenwend et al. (Dohrenwend, B. P., Levav, I. and Shrout, P. E. et al. (1992) Socioeconomic status and psychiatric disorders: the causation selection issue. Science 255, 946-952) which showed just the opposite association between SES and SUDs, i.e. those who are advantaged in terms of SES have lower rates of SUDs. As an explanation of these apparently conflicting results, the possibility is entertained that social class and SES represent independent causal pathways to the onset of SUDs with social class mainly related to primary SUDs and SES mainly to secondary SUDs.
Adult↗
Catholic scaled values according to the Allport, Vernon and Lindzey Study of Values in relation to the 1970 national high school norms: grades 10-12.
Utilizing the Allport, Vernon and Lindzey Scale of Values, six scale values: Theoretical, Economical, Aesthetic, Social Political and Religious were measured. The subjects were in grades 10-12 of seven Greater Cincinnati Catholic High Schools (N = 205) and one public high school (N = 43), tested as a potential control. The scores were compared to 1970 national norms (N = 12,616) with added intra-comparisons between male and female scores. It was shown that local Catholic subjects scored significantly higher than the national general norms on the Aesthetic and Social values and significantly lower on the Theoretical, Economic and Religious values. This pattern was identical for both the Catholic males and females. In addition, the local males scored significantly higher than the local females on the Theoretical value and significantly lower on the Aesthetic and Social values. And, the local public control high school scored significantly higher on the Aesthetic value and significantly lower on the Theoretical value.
Adolescent↗
The social risk hypothesis of depressed mood: evolutionary, psychosocial, and neurobiological perspectives.
The authors hypothesize that depressed states evolved to minimize risk in social interactions in which individuals perceive that the ratio of their social value to others, and their social burden on others, is at a critically low level. When this ratio reaches a point where social value and social burden are approaching equivalence, the individual is in danger of exclusion from social contexts that, over the course of evolution, have been critical to fitness. Many features of depressed states can be understood in relation to mechanisms that reduce social risk in such circumstances, including (a) hyper-sensitivity to signals of social threat from others, (b) sending signals to others that reduce social risks, and (c) inhibiting risk-seeking (e.g., confident, acquisitive) behaviors. These features are discussed in terms of psychosocial and neurobiological research on depressive phenomena.
Affect↗
Salient value similarity, social trust, and risk/benefit perception
It was postulated that shared values determine social trust in institutions and persons related to a technology: One has trust in people holding similar salient values. Furthermore, it was hypothesized that social trust has a positive influence on perceived benefits and a negative impact on perceived risks. Results of a survey of University of Zurich students indicated that the proposed causal model explained perception of pesticides, nuclear power, and artificial sweetener very well. When social trust was controlled, the relation between risks and benefits perceived diminished. Results indicate that social trust is a key predictive factor of the perceived risks and benefits of a technology, and provide support for the salient values similarity theory of social trust.
Journal Article↗
Position paper on social work values: practice with individuals who have developmental disabilities.
This position paper was developed in response to a discussion led by Iris Gordon, president of the Social Work Division of the American Association on Mental Retardation (AAMR) at the 1991 annual meeting on the importance of social work values and the need for clarification in other divisions of the AAMR. The role of social workers and the importance of social work values in the field of developmental disabilities were discussed.
Adolescent↗
Are patients and the general public like-minded about the effect of erectile dysfunction on quality of life?
OBJECTIVES: To substantiate claims for treatment, patients may overestimate treatment effects. Consequently, in funding debates, the question becomes whether the general public agrees on the value of a treatment. Unfortunately, little is known about the social values for treatments of erectile dysfunction (ED). To solve this problem, we compared the values of patients and the general population for ED. METHODS: One hundred six ED patients and a representative sample of 169 individuals of the general population valued 28 health states of ED using time tradeoff. A hesitation to reveal preferences for this taboo subject or unawareness of the quality-of-life effects of ED may bias the social values. To explore the validity, we compared the factor structure of the valuation space of patients' and social values using a multivariate analysis of variance repeated measure analysis. Furthermore, we analyzed whether social values were related to demographic or sexual variables. RESULTS: Patients valued ED lower than the general public, but the factor structure was the same. This evidence suggests that patients and the general public valued the health states of ED in the same way, although the overall level of appreciation differed slightly. Values were not systematically related to any other background variable. CONCLUSIONS: Both patients and the general population consider erectile function an important aspect of quality of life. Therefore, funding for ED treatment might be considered. Moreover, because the value for erectile function was equivalent in different age groups, there is no convincing argument to limit funding to young patients.
Aged↗
A comparison of patient and social tariff values derived from the time trade-off method.
A social tariff of EuroQol time trade-off (TTO) values was recently presented. We compared the social tariff and patient TTO values among 104 women with mild and severe menopausal symptoms. The social tariff and patient TTO values were elicited both after and before hormone replacement therapy (HRT). There was a close correspondence between social-tariff values and patient TTO values for relatively good health states, whereas the social tariff TTO values were lower than the patient TTO values for severe health states.
Cost-Benefit Analysis↗
Achievement and social relations values as conditions of the importance of work aspects and job satisfaction.
One hundred and sixty-nine bank employees were investigated with the Orientation to Work Values Inventory by Seifert and Bergmann (values; Seifert & Bergmann, 1983), and the Work Description Inventory by Neuberger and Allerbeck (importance and satisfaction with work aspects, overall job satisfaction; Neuberger & Allerbeck, 1978). The data show complex connections between values and the perceived importance of work aspects and job satisfaction. The results indicate that (a) the importance of achievement and social relations values influences the importance of aspects of work, (b) overall job satisfaction depends on social relations value and satisfaction with some aspects depends on this value or on interactions of both of the values, (c) predicting overall job satisfaction from satisfaction with aspects of work is modified by the interaction of the values. However, the hypothesis that overall job satisfaction can be predicted from satisfaction with most important aspects of work is not confirmed by the data.
Adult↗
Social convergence of disturbed eating attitudes in young adult women.
It has been suggested that a broad range of social factors influence disturbed eating attitudes, but there has been relatively little investigation of the role of peer influence. Drawing from social identity theory, this longitudinal study of a nonclinical group of women examined whether social proximity results in a convergence of eating psychopathology over time. Forty-one nonclinical women (living in 11 communal apartments) completed the Eating Disorders Inventory (EDI) at three time points (1 week after moving in, 10 weeks later, and a further 14 weeks later). The women's eating and related attitudes were compared across the three time points. Then divergence scores were calculated (showing the spread of EDI scores within each apartment) and compared across the three time points. The spread of scores within the apartments changed significantly, indicating some convergence in those attitudes that are socially valued (restrictive attitudes; body concerns) and divergence in those attitudes that are not socially valued (bulimia). There was also an increase in convergence of levels of perfectionism. The findings support the suggestion that social proximity promotes convergence of socially valued eating characteristics but divergence of socially stigmatised characteristics. Further research is suggested to establish the generalizability of these findings and to identify those who are most at risk of such social effects on eating disturbance.
Adult↗
Serving the emperor without asking: critical care ethics in Japan.
This article is an attempt by Japanese physicians to introduce the practice patterns and moral justification of Japanese critical care to the world. Japanese health care is characterized by the fact that the fee schedule does not reward high technology medicine, such as surgery and critical care. In spite of the low reimbursement, our critical care practice pattern is characterized by continuing futile treatment for terminal patients in the intensive care unit (ICU). This apparently wasteful practice can be explained by fundamental Japanese cultural values, social factors in Japan, the availability of extensive insurance coverage, physicians' psychological factors, lack of cost-benefit considerations and the pragmatic approach the Japanese take to situations. We attempt to make some brief suggestions regarding the improvement of our critical care practices. Although we can not fully present quantitative data to support our argument, this article represents our real-world approaches to the ethical issues in the ICU in Japan.
Attitude of Health Personnel↗
[Public health and behavior modification: a contemporary issue].
Most cardiovascular disease risk factors can be modified through life-style changes. Choices of habits and behavior are in fact heavily influenced by concepts of normality and social values. However, social influences fail to fully explain these choices, insofar as health-related habits are also shaped by personal experience. The main limitations of public health practice can probably be found at this subjective level. This article emphasizes the need to consider determinants of human behavior at different levels, increasingly important for strategies to promote health and prevent disease, or at least delay its onset. The primary focus is to influence rules and laws aimed at protecting life. The article also discusses possible strategies for translating scientific knowledge into public health action, avoiding the restriction to the "healthy life" regulatory role. Finally, participation by public health professionals is suggested in places where population groups share life experiences, such as workplaces, schools, and churches, developing approaches which include those experiences as well as fears and hopes related to health. Scientific facts might thus be transformed into more familiar elements of everyday life.
Cardiovascular Diseases↗