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Appraisal, coping, motivational factors and gender in vocational rehabilitation.

The applicability of a model of appraisal and coping was studied in vocational rehabilitation patients (n = 31:16 men, 15 women); the selection of patients aimed at obtaining a representative patient group for studying coordinated rehabilitation within various health care districts in southern Sweden. There were four phases of data collection and model adjustment. An initial, semi-structured interview concerned various key topics (program evaluation; causal attribution regarding the problem or disease; life-crises, threats, mobbing and unjust treatment; feeling of control; current situation; future; how the interview was experienced). The second phase involved a questionnaire study of hypochondriacal and depressive symptomatology, the third the analysis of patient records, and the fourth outcome data on sickness allowances and disability pensions at a 2-year follow-up. The results indicate the importance for rehabilitation of attending to motivational factors that influence the patients' coping strategies and appraisal, and to cultural (immigrant) and gender perspectives.

Adaptation, Psychological↗

Using a reflective diary to develop bracketing skills during a phenomenological investigation.

In this article, I have attempted to show how a reflective diary can be an effective tool for developing bracketing skills. A framework is necessary to guide reflective thought and encourage deep and critical thinking. My framework was influenced by the work of Schön (1987) and Johns (1984), and related to the concepts of reflecting 'on' and 'in' action, and identified specific learning that had taken place. Bracketing is an important part of the Husserlian approach to descriptive phenomenology. It is a continuous process that can be used in a number of ways. Within my study I used bracketing 'pre', 'in', and 'on' actions. In addition to using bracketing to facilitate the clear emergence of the phenomenon under investigation, it can also be used to help review the methodology of a study. Examples have been given within the article to highlight different situations where bracketing took place.

Attitude of Health Personnel↗

Quicker and sicker: real or imagined?

In spite of continued public statements regarding the premature discharge of patients from America's hospitals, the study presented here indicates that Vanderbilt Medical Center patients do not have this problem. It is projected that similar results would be found in hospitals across the country.

Adult↗

The variability of practice in interviews used by professionals to investigate child sexual abuse.

OBJECTIVE: The study aimed to examine: (1) the variability of interview practice among professionals who interview children to investigate suspected sexual abuse; (2) the relationship between interview practice and respondent characteristics; (3) the characteristics of interviewers who used the anatomically correct dolls in the course of their interviews. METHOD: Sixty investigatory interviewers completed questionnaires focusing on professional background, training, and interview practice. RESULTS: Interview practice varied considerably and some practices were at odds with the recommendations of the literature. Most of this variability was not accounted for by the respondent variables examined. Where there was evidence for an association, the interviewers' professional background, number of interviews conducted in the previous year, and whether or not they used the anatomically correct dolls appeared to influence practice, whereas general training and specific training in child sexual abuse had no significant effect. Only a minority (36%) used the anatomically correct dolls and none of the interviewer characteristics evaluated differentiated them from non doll-users. CONCLUSIONS: In this sample interview practices varied considerably and did not appear to be influenced by the interviewer's specific or general training. Further research is needed to focus on the comparative effectiveness of different interview techniques and the comparative effectiveness of different training programs in influencing interviewing practice.

Child↗

On the quality of reinterview data with application to the Current Population Survey.

"The [U.S.] Current Population Survey (CPS) reinterview sample consists of two subsamples: (a) a sample of CPS households is reinterviewed and the discrepancies between the reinterview responses and the original interview responses are reconciled for the purpose of obtaining more accurate responses..., and (b) a sample of CPS households, nonoverlapping with sample (a), is reinterviewed 'independently' of the original interview for the purpose of estimating simple response variance (SRV). In this article a model and estimation procedure are proposed for obtaining estimates of SRV from subsample (a) as well as the customary estimates of SRV from subsample (b).... Data from the CPS reinterview program for both subsamples (a) and (b) are analyzed both (1) to illustrate the methodology and (2) to check the validity of the CPS reinterview data. Our results indicate that data from subsample (a) are not consistent with the data from subsample (b) and provide convincing evidence that errors in subsample (a) are the source of the inconsistency."

Americas↗

Residential attitudes and knowledge, use, and future use of home support agencies.

Critical review of the health and social service use literature reveals a need to elaborate on the dynamics of factors identified in the behavioral models applied to this field. In particular, research has tended to omit direct measures of attitudes and awareness of social services, including their interrelationships. This study examines determinants of knowledge, use, and future use of local home support agencies among a sample of community-dwelling elderly over the age of 74 living in Kitchener-Waterloo, Ontario. Measures of domestic self-reliance, independent living and perceptions of futurity are incorporated into the analysis. Logistic regression is used to test the models. The results show that attitudes regarding domestic self-reliance and independent living influence use of home support agencies largely through their impact on service awareness. Interestingly, these relationships are opposite to those hypothesized. Education is also found to be a predictor of knowledge of home support, and living arrangement, health status measures, and knowledge arise as important predictors of use and future use. The findings are discussed in terms of their implications for the underlying behavioral models, and for service providers and policymakers.

Activities of Daily Living↗

Topic variability and linguistic convergence in marital couples' speech as related to specific attachment style.

Links between mental working models, attachment style, and linguistic strategies were analyzed in the present research, which focused on linguistic choices made by marital couples. Eight couples (16 Italian subjects, M age=49.1, SD=0.4) with drug-addicted sons and undergoing systemic therapeutic treatment were recruited. Conversational transcripts were coded by two judges. The research analyzed (a) the definition of a topics map derived from the Adult Attachment Interview, using the discursive level of the topic; (b) the systemic-functional analysis of the topics, through both the micro- and macro-unit levels and the lexical/semantic indexes of the discourse; (c) the within-couple convergence in terms of linguistic moves, and, more generally, of their cognitive strategies. Specifically, a hierarchical model of the topic organization was used to explain the recursivity of the thematic choices made by the participants. Secondly, the characterization of the topics in terms of their cognitive/emotive values (high/low "critical" topics) was explained, especially through some "linguistic markers" as disfluency or lexical/semantic indexes (i.e., linguistic variety and completeness indexes). Third, it was found that different and specific linguistic strategies were adopted by the couples in order to reiterate their internal working models. The high convergence of linguistic patterns inside the marital couple was discussed as representative of "dysfunctional" working models, from both the communicative and relational points of view.

Adolescent↗