Sociocultural and social-psychological factors affecting personal responses to psychological disorder.
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Teaching patients practical skills in stoma care is a complex process and although, arguably, at the very heart of stoma care nursing practice, has been largely ignored in the literature. Teaching principles are based upon social learning theory and educationalists provide guidelines on the most effective way to teach a practical skill. These guidelines have been utilized by nurses when teaching patients with newly formed stomas how to change a pouch. The process of adapting to a stoma and its daily management takes time. Psychologically, however, some patients will adapt more easily than others and researchers have attempted to identify factors which may account for this. Studies have demonstrated that patients who are satisfied with the amount of preoperative information they receive are less likely to develop psychological problems. Psychological adjustment may be affected if patients feel that they have developed insufficient pouch changing skills or have problems with leakage from their pouch or sore skin around their stoma. Studies have also demonstrated that cognitive factors, such as patients feeling in control of their illness and stoma, have been found to play a role in psychological adaptation. Clinical nurse specialists in stoma care are in an ideal position to target these cognitive factors using a variety of strategies including effective practical teaching to empower patients, thus facilitating psychological adaptation following stoma surgery.
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Psychological distress, marital satisfaction, family adaptability, and cohesion are explored in 31 families with mentally retarded (MR) institutionalized offspring (late adolescence and young adulthood) and 38 comparison families. Multivariate analyses indicate no differences between the groups, although univariate analyses point to higher levels of cohesion in the families with MR offspring and the importance of the construct of adaptability in understanding family functioning. The results are discussed in terms of the adaptive coping mechanisms of the families with MR offspring and the implications of this for intervention, research, and policy.
Findings are presented of a study of families created through surrogacy arrangements. Forty-two surrogacy families were compared with 51 egg-donation families and 80 natural-conception families on standardized interview and questionnaire measures of the psychological well-being of the parents, the quality of parent-child relationships, and infant temperament. The differences that were identified between the surrogacy families and the other family types indicated greater psychological well-being and adaptation to parenthood by mothers and fathers of children born through surrogacy arrangements than by the natural-conception parents.
Research investigating how the recall of one's past functions in maintaining psychological well-being and/or adaptation to the aging process is widely scattered and generally inconclusive with regard to significant findings. One way to address the lack of a systematic research thrust is to replicate previous work. The purpose of the study reported herein was to replicate Costa and Kastenbaum's 1967 study of the relationship between past memories and future ambitions of centenarians using data from the Georgia Centenarian Study. Ninety-seven centenarians and 189 eighty- and sixty-year-olds were asked the same four questions as found in the Costa and Kastenbaum study. Contrary to Costa and Kastenbaum's results, no significant relationship was found between the ability to recall three types of past events and being able to conceive of the future in the Georgia study. Other similarities and differences in findings between the two studies are discussed.
The purpose of this paper is to review the methods and results of psychometric testings in temporomandibular disorders (TMD) during the past decade. Assessments of psychologic and behavioral factors have been performed for various reasons. The results are often ambiguous and comparisons troublesome. No encompassing psychologic TMD profile has been identified, but small elevations in anxiety, depression, somatization, and stress are often reported; they may be cause or effect. Subcategorization of the patients into diagnostic subgroups suggests that psychologic differences exist but may be small; myogenic patients may have more psychologic difficulties than 'joint' patients. More distinct, robust psychologic subsets of patients, unrelated to the structural diagnosis, have been identified by means of clustering techniques. Irrespective of clinical signs, a certain proportion of the patients are psychologically distressed, whereas others easily adapt to the pain and dysfunction. No single variable has been identified that can predict outcome or compliance. Several psychometric instruments are described.
After having tried to define the term "gifted children" the authors record the principal works devoted to this subject and the opinions, often controversial raised by the attitude in regard to exceptional children in different countries. Then, are given the means to detect gifted children as well as the characteristics in the recognition of the very young gifted children. In a third section are described the psychology and the difficulties of adaptation which these children sometimes encounter (scholastic problems, behavioral and personality problems, seldom psychotic). Finally, the orientation of gifted children can be undertaken in three ways, all of which present advantages and disadvantages: grouping in special classes, speeding up and enrichment of the programmes.
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