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Sociological aspects of cleft palate adults: IV. Social integration.

The patterns of social integration of adults with primary and secondary groups were evaluated for 196 adult cleft subjects, their 190 siblings and 209 random controls. Results indicated that cleft adults tended to rely on the extended family for mutual aid and social activities. They also participated less frequently in voluntary associations and relied on a few one-to-one friendships. Social activities tended to be that of informal visiting patterns. While it would be inaccurate to characterize the cleft adult family as grossly different from other American families, they are a definable population experiencing some degree of limitation associated with having a cleft.

Adult

[Attitudes of gainfully employed persons towards the vocational and social integration of the physically disabled (author's transl)].

Within the framework of a representative survey 1879 gainfully employed persons - trainees, workers, employees and supervisors - were asked about their attitudes towards the vocational and social integration of the physically disabled. The article describes the following results: 1) The majority of those who responded, particularly workers in subordinate positions, were of the opinion that firms, management and co-workers were rather unwilling to accept the physically disabled as competitive and equal employees and colleagues. 2) With regard to their personal attitudes there was a striking contrast: a high general support of the vocational resettlement on the one hand and a considerable resistance against the disabled's complete vocational and social integration on the other. 3) The degree of social distance was strongly dependent on the social situation and the type of the disability. 4) The rejection of the physically disabled seems to be mainly influenced by the following determinant psychological factors: a) the assumption that they are to blame for their disabilities b) the negative image of the disabled's personality traits, vocational performance abilities and their occupational behaviour.

Adolescent

[Organisational pre-requisites for the improvement of the social integration of disabled children by means of sport (author's transl)].

Physical education of physically handicapped and sensorily imparied children - with its general goals and, especially, its efforts to improve social integration - is understood as an essential part of rehabilitation. The pre-requisites, possibilities and limits of setting up sports teams are discussed on the basis of the types of disabilities suffered by the team members. In addition to homogenous and non-homogenous teams, sports teams should be developed in which the disabled are active alonside the non-disabled. More than ever, sports will be for those disabled who are able to participate - a means of enlarging social contacts. The personality of the sports teacher, who must have a broad knowledge of the methods applied in sports for the disabled, is considered a decisive factor on whom success or failure depends. The given examples are based on experiences gained by the author and his colleagues. The setting up of such sports teams should be followed by new approaches in the clubs and associations activities, as well as in the financing of sports for the disabled. Suggestions are made on how this can be realised.

Age Factors

[The social integration of disorded children and juveniles. Aspects of the medical, socialpsychiatric and therapeutic pedagogies (author's transl)].

The general principles in the treatment of the disordered, is the change from segregation to social integration. The allocation of financial resources is necessary for the needed conditions, that means, that instead of the traditional institutions but mostly the ambulatory institutions, an early apprehension therapy should be financed. The seriousness in the treatment next to the specific facilities for the disordered, is the individual psychic help needed in regard to the secondary psychic problems, as a result of his disorder, also the socialization of the disordered should be advanced. Social organizations for disordered, as well as the parents of disordered children have a very important task, but the organizations can only fullfill the work in cooperation with a municiple care system.

Adolescent

Social disconnection integrates genetic and proteomic risks in suicidal ideation and depression.

Suicidal ideation (SI) and major depressive disorder (MDD) are complex psychiatric conditions arising from the interplay of genetic liability, molecular processes, and psychosocial factors. While these dimensions have been extensively studied in isolation, their joint contribution to SI and MDD remains unclear. This study integrates multi-modal data to elucidate these synergistic effects and develop robust models for individual-level risk stratification. Leveraging longitudinal multi-modal data from 13,085 UK Biobank participants, we integrated genomic, proteomic, and social connection profiles. We developed interpretable risk scores using a rigorous supervised machine learning framework encompassing diverse linear and ensemble classifiers. Permutation importance was employed to quantify feature contributions and derive transparent, weighted risk metrics across diverse classifiers. These scores were validated through association, interaction, and mediation analyses. Social connection-based risk scores significantly differentiated cases and controls across the two suicidal ideation phenotypes at 2017 and 2023 with cross-sectional analyses (AUCs: 0.70 - 0.73), outperforming proteomic-only models. Functional dimensions of social connection emerged as the most informative predictors. Longitudinal analyses revealed that social risk scores at baseline predicted suicidal ideation onset six years later, independent of demographic covariates. Interaction analyses demonstrated that polygenic risk for suicide attempt significantly interacted with both social and proteomic risk features in relation to depression. Structural equation models further confirmed that social disconnection acts as a key mediator linking genetic predisposition to MDD and SI. Social disconnection is a critical risk factor mediating the impact of genetic vulnerability on psychiatric outcomes. Integrating social, genetic, and molecular data supports a multilevel framework for risk stratification and highlights the potential of socially oriented interventions to mitigate biological risk.

Humans

Does Timing Matter? Age of First Mobile Phone Acquisition and Psychological Outcomes in Middle and Late Adolescence.

The age at which adolescents acquire their first smartphone has decreased markedly in recent years; however, evidence on its long-term effects on psychosocial adjustment remains limited. This study investigated whether age at first mobile phone acquisition is associated with psychosocial functioning in middle and late adolescence, including social integration and competence, emotion regulation difficulties, disordered eating behaviors and problematic social media use (PSMU). The sample comprised 1179 adolescents aged 15-17 years (53.8% female). Linear regression and generalized additive mixed models were used to examine both linear and nonlinear associations, adjusting for age, gender and school clustering. Earlier smartphone acquisition was linearly but weakly associated with greater emotion regulation difficulties, disordered eating and PSMU, even after adjustment for covariates. In contrast, associations with social integration and competence were nonlinear: acquiring a first smartphone between ages 6 and 10 or after age 13 was associated with lower social integration in adolescence, whereas acquisition between ages 11 and 13 was linked to higher social functioning. These findings suggest that the developmental timing of first smartphone access shows a modest association with subsequent psychosocial functioning during middle and late adolescence. Focusing on the timing of access, alongside other demographic and contextual factors, may contribute to a better understanding of digital influences on adolescent well-being.

Humans

[Medical and social aspects of epilepsy (author's transl)].

A review of social aspects of epilepsy is given. Similar to the own experience the literature shows only little social prestige given to patients with epilepsy, an experience known from persons with psychiatric disorders. The prevalence rate for chronic epilepsy is 0.5%. So called genuine seizures decreased with diagnostic progress during the last years (about 50%). Lower social classes and negative social patterns are characteristic of employees with epileptic fits. Unemployed persons show normal social structure. A relation to social class and onset of epilepsy exists. Epileptics are socially immobile. Like other persons with chronic diseases epilepsy produces a special social attitude and often negative therapeutic motivation. In contrast to the literature non-hospitalized epileptics show normal intelligence. Neurotic symptoms are seen in many cases however (about 40%). Often social disturbances origin from broken home situations. There is no specific social and mental defect. According to the own experience social integration of epileptics depends upon the local economic structure. The common prejudice varies with the local area. Social drop-outs are not due to the seizures, but occur mainly in mentally retarded persons who are not able to follow therapeutic regimens. Delinquency is increased among the own patients (18%). The causes are psychoorganic syndromes, often in connection with negative therapeutic motivation and alcoholism. The tendency to specific crimes, known from the literature, could not be confirmed. Forensic problems in direct connection with epileptic fits are rare. Medical problems concerning ability to drive often occur. Many patients possess a driver licence (46.5%), gained after onset of epilepsy in 50%. But the accident rate is lower than in the general population. Special outpatient departments and therapeutic groups for epileptics--affiliated to neurological centers--can improve the exact diagnosis, therapeutic motivation and social integration.

Alcoholism

Social background, attitudes and personality in a three-year follow-up study of alcohol consumers.

Eight hundred and forty-one men from the Canton of Zürich selected from a complete survey of males born in 1952 answered a questionnaire at age 19 and again three years later about their consumption of alcohol, drugs and cigarettes, social status, and social integration. The Freiburger Personality Inventory was used for personality assessment. Abuse of alcohol was connected with the following risk factors: lack of social integration, negative relations with parents, frequent relations with the peer group, heavy cigarette and cannabis consumption and lower social status of the father. Less important were: level of education, personality traits (emotional lability, extraversion), low fitness activities and the parental drinking pattern. Emotional lability was not increased in the heavy consumption group, but was rather a personality trait already existing before regular alcohol consumption began.

Adult

The Imbrication Model for the integration of social services in a community.

An innovative model for organising social services in a community, the Imbrication Model, is contrasted with two traditional models, the Entrepreneurial and the Umbrella Agency. The structural characteristics and dynamics of the three models are illustrated with actual case histories. Imbrication Model calls for the interlocking of personnel from several agencies, with the purpose of redirecting the dysfunctional interagency rivalry prevalent in the traditional models. Imbrications at all organisational levels--Board of Directors, Administrators and Staff--facilitate adoption of the superordinate goal of providing clients with the best services available, regardless of which particular agency delivers the service. Few observers of the current social service scene would challenge the statement that needs for service are unlimited and resources limited. In the USA the imbalance between needs and resources persists despite a decade of massive governmental programmes intended to alleviate social ills. Recent substantial cutbacks in federal funds, moreover are not likely to improve the situation. The resource shortage involves more than a limitation of funds. Deliverers of service and competent programme administrators are also on critically short supply. These shortages are more often than not exacerbated by a chronic spirit of competition among agencies and programmes at the local level. Three organizational models for the delivery and administration of social services, two conventional and one of more recent date, are examined in this article. The innovative model, which has been named the Imbrication Model, explicitly calls for redirecting interagency rivalry and competition. Its ambitious goal is to integrate the efforts of those attempting to meet a community's social service needs.

Adolescent

Social deviance in a day hospital.

A search was made of records available for 65 nonpsychotic patients referred to a psychiatric day hospital. Assessments were made of whether they had shown various specified types of deviant social conduct, such detailed objective surveys of social conduct being regarded as superior to the use of concepts such as "psychopathic personality". The correlational structures of the areas of deviance produced four factors, i.e. deviant family roles, poor social integration, violence, and a more heterogeneous antisocial behaviour factor. The relationship was examined between areas of deviance and indices of the course and outcome of day hospital admission. The prognostic significance of social deviance was different for men and women; for example, only men showed a correlation between the number of areas of social deviance and the outcome of day hospital admissions. Violence and poor social integration showed no relation to outcome at all. It is suggested that there is no basis for excluding such patients from day hospitals on the assumption that they are less likely to be helped than other non-psychotic patients.

Antisocial Personality Disorder