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Coping Mechanisms (coping + mechanism)
Selected AbstractsStreet-Level Bureaucracy, Interprofessional Relations, and Coping Mechanisms: A Study of Criminal Justice Social Workers in the Sentencing ProcessLAW & POLICY, Issue 4 2009SIMON HALLIDAY This article builds on the work of Michael Lipsky and develops an argument about the significance of interprofessional working for street-level bureaucracy. It presents an ethnographic analysis of criminal justice social workers writing presentence reports for the Scottish courts. Social workers' report writing for judges brought into relief issues of relative professional status. Social workers were uncertain of their place within the legal domain and concerned about their credibility as criminal justice professionals. Reports were written, in part at least, as a way of seeking esteem and credibility in the eyes of judges,a motivation that undermined the policy objectives of social enquiry in sentencing. Applying the conceptual tools of Bourdieu to our findings, we argue that street-level bureaucrats who have to work across bureaucratic "fields" may find, or fear, that the cultural and symbolic "capital" they retained within their own field is undervalued in the symbolic economy of new fields, putting them in a position of relative inferiority. This issue of relative professional status, and how officials respond to it, is significant for our understanding of street-level bureaucracy. [source] Strengthening Public Safety Nets from the Bottom UpDEVELOPMENT POLICY REVIEW, Issue 5 2002Jonathan Morduch Helping to reduce vulnerability poses a new set of challenges for public policy. A starting point is understanding the ways in which communities and extended families try to cope with difficulties in the absence of public interventions. Coping mechanisms range from the informal exchange of transfers and loans to more structured institutions that enable an entire community to provide protection to its neediest members. This article describes ways of building public safety nets to complement and extend informal and private institutions. The most effective policies will combine transfer systems that are sensitive to existing mechanisms with new institutions for providing insurance and credit and for generating savings. [source] Intimate partner violence and cardiovascular risk: is there a link?JOURNAL OF ADVANCED NURSING, Issue 10 2009Kelly Scott-Storey Abstract Title.,Intimate partner violence and cardiovascular risk: is there a link? Aim., This paper is a report of a study of the relationship between stress associated with intimate partner violence and smoking and cardiovascular risk. Background., Stress related to intimate partner violence persists after a woman leaves an abusive relationship. Persistent stress is associated with cardiovascular disease, the leading single cause of death among women. Smoking, an established risk factor for cardiovascular disease, is a coping mechanism commonly used to decrease the anxiety and stress of intimate partner violence. However, cardiovascular health is poorly understood in abused women. Method., Secondary analysis of data collected between 2004 and 2005 with a community sample of 309 women who had separated from an abusive partner 3 months to 3 years previously was conducted to create a descriptive profile of cardiovascular risk. Bivariate tests of association and logistic regression analysis were used to test relationships among variables. Results., Of the women, 44·1% were smokers; 53·2% had body mass indices classified as overweight or obese; 54·7% had blood pressures above normal range; and 50·8% reported cardiovascular symptoms. Neither severity of intimate partner violence nor smoking behaviours were statistically significant in explaining the presence of cardiovascular symptoms. Conclusion., The prevalence of hypertension, obesity and smoking suggests that survivors of intimate partner violence may be at heightened risk for cardiovascular disease and warrant clinical attention. Because cardiac symptoms develop as women get older, the mean age of 39 years in this sample may explain why intimate partner violence severity and smoking did not sufficiently explain the presence of cardiac symptoms. [source] Biopsychosocial Approach to Treating Self-Injurious Behaviors: An Adolescent Case StudyJOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING, Issue 3 2009Mary Askew DNP TOPIC:, Self-injurious behaviors (SIBs) are a common coping mechanism in the adolescent population. A marked increase in SIB has been seen in recent years, yet effective treatment remains elusive. PURPOSE:, This study aims to review current theoretical perspectives and treatment options that reflect a biopsychosocial framework. SOURCES:, Selected multidisciplinary literature related to SIB. CONCLUSIONS:, A 6-month multidisciplinary approach targeting the unique physical, emotional, and social needs of a 14-year-old girl in residential treatment led to the complete cessation of SIB. [source] Trauma and Dissociation: Treatment PerspectivesPERSPECTIVES IN PSYCHIATRIC CARE, Issue 3 2000Maryhelen C. Kreidler EdD topic. How advanced practice nurses can work with trauma survivors to decrease dissociation as a needed coping mechanism. purpose. To review the literature on trauma and dissociation as well as current treatment perspectives. sources. Review of the literature and authors'clinical experience. conclusions. Advanced practice nurses can use knowledge of selected psychopharmacological medications and Erikson's stages of psychosocial development to plan treatment for posttrauma clients. [source] Stigma and treatment delay in first-episode psychosis: a grounded theory studyEARLY INTERVENTION IN PSYCHIATRY, Issue 1 2010Lauren Franz Abstract Aim: A longer duration of untreated psychosis (DUP) is associated with greater morbidity in the early course of schizophrenia. This formative, hypothesis-generating study explored the effects of stigma, as perceived by family members, on DUP. Methods: Qualitative interviews were conducted with 12 African American family members directly involved in treatment initiation for a relative with first-episode psychosis. Data analysis relied on a grounded theory approach. A testable model informed by constructs of Link's modified labelling theory was developed. Results: Four main themes were identified, including: (i) society's beliefs about mental illnesses; (ii) families' beliefs about mental illnesses; (iii) fear of the label of a mental illness; and (iv) a raised threshold for the initiation of treatment. A grounded theory model was developed as a schematic representation of the themes and subthemes uncovered in the family members' narratives. Conclusions: The findings suggest that due to fear of the official label of a mental illness, certain coping mechanisms may be adopted by families, which may result in a raised threshold for treatment initiation, and ultimately treatment delay. If the relationships within the grounded theory model are confirmed by further qualitative and quantitative research, public educational programs could be developed with the aim of reducing this threshold, ultimately decreasing DUP. [source] Relating information-needs to the cancer experience.EUROPEAN JOURNAL OF CANCER CARE, Issue 1 2000This paper is based on a phenomenological study that used narratives to explore lived cancer experiences. The aim of the study was to determine the important issues for people with cancer that arose out of their cancer experience, and to place their information-needs within the stages of the cancer trajectory. The literature highlights the importance of information-giving; however, many problems are encountered with its provision. People with cancer frequently express dissatisfaction with the information given to them and experience difficulty in retaining and processing information. Six individuals were invited to tell the story of their cancer experience through in-depth interviews and narrative analysis uncovered thematic aspects of the lived experience. One interview in particular stood out as capturing the essence of a lived experience. Jenny's narrative had a beginning, a middle and an end, features that are traditionally associated with stories. This paper focuses on her story in depth, and illustrates the extent to which cancer can impinge on normal coping mechanisms. A diagnosis of cancer cannot be isolated from the other events in an individual's life, and themes emerged which showed that cancer impacts on different aspects of an individual's self-identity, including body image, family, social and work relationships. The cancer experience invariably begins before the point of diagnosis and information-needs clearly change over time. [source] Reconstructing Weak and Failed States: Foreign Intervention and the Nirvana FallacyFOREIGN POLICY ANALYSIS, Issue 4 2006CHRISTOPHER J. COYNE Attempts to reconstruct weak and failed countries suffer from a nirvana fallacy. Where central governments are absent or dysfunctional, it is assumed that reconstruction efforts by foreign governments generate a preferable outcome. This assumption overlooks (1) the possibility that foreign government interventions can fail, (2) the possibility that reconstruction efforts can do more harm than good, and (3) the possibility that indigenous governance mechanisms may evolve that are more effective than those imposed by military occupiers. It is argued that reconstruction efforts focus on resolving the meta-level game of creating self-sustaining liberal democratic institutions while neglecting the nested games embedded within the general meta-game. An analysis of Somalia, a prototypical failed state, is provided to illuminate these claims. While Somalia lacks a central government, the private sector has developed coping mechanisms to fill the void. These mechanisms have proven to be more effective in generating widespread order than attempts by foreign occupiers to impose a self-sustaining liberal state. [source] South Asian patients' lived experience of acute care in an English hospital: a phenomenological studyJOURNAL OF ADVANCED NURSING, Issue 1 2000Vasso Vydelingum PhD BSc(Hons) PG DipEd RN RHV DN South Asian patients' lived experience of acute care in an English hospital: a phenomenological study Studies on utilization of hospital services by South Asian patients in the United Kingdom have consistently demonstrated levels of dissatisfaction with care in relation to meeting religious and cultural needs, although there are few studies on minority ethnic patients' utilization of acute hospital services. This study aimed to describe and interpret from the consumer's view the ,lived experience' of acute hospital care from the perspectives of South Asian patients and their family carers. The purposive sample of 10 patients and six carers consisted of 13 females and three males (five Hindus, six Muslims and five Sikhs) who were interviewed at home 2 to 3 weeks after discharge from hospital. Data were gathered through semi-structured interviews that were tape recorded and transcribed. A phenomenological approach was used, and data were analysed using the principles of Heideggerian hermeneutics. Five themes were identified, ranging from feelings of satisfaction with care, unhappy about the service, fitting-in strategies and post-discharge coping mechanisms. Patients seemed to want to cause as little disruption as possible to the ward environment and tried to fit in to what they refer to as an ,English place'. The findings, although not generalizable, offer important insights into how South Asian patients survive their journey through their hospital stay and have implications for the provision of nursing care for minority ethnic patients. [source] Livelihood diversification and implications on dryland resources of central TanzaniaAFRICAN JOURNAL OF ECOLOGY, Issue 2009Emma T. Liwenga Abstract The concern over sustainable livelihoods in African drylands is an issue that has received considerable attention from researchers and policy makers alike. Over the past two decades African rural areas have undergone rapid changes, whereby, rural income diversification has become the most salient feature. With a particular focus on dryland ecosystems, among the major challenges facing communities in these areas is recurrent drought leading to conditions of food insecurity. This paper draws on experience on coping mechanisms for food insecurity from an agro-pastoral community in Mvumi, located in the semiarid areas of central Tanzania. An understanding of livelihoods of people in this area has involved examining how communities have managed to adjust their livelihood in the midst of challenges resulting not only from drought but also from various forces such as socio,economic, political and ecological factors. It has been found out that, despite profound food crisis in this area, people are not always desperate and that there are possibilities for realizing some hidden potentials of dryland resources for livelihood diversification. The issue of sustainable natural resource management in such areas is, however, questionable because of some adverse environmental effects associated with some of the coping mechanisms. [source] Stress and coping among families of patients with traumatic brain injury: a review of the literatureJOURNAL OF CLINICAL NURSING, Issue 8 2005Sofie Verhaeghe MSc Aims and objectives., This literature review aims to structure the available information on the psychological reactions of family members confronted with traumatic brain injury. The stress,coping theory and the systems theory provide the theoretical framework for this review. Method., Literature review. Results., The level of stress experienced by the family members of patients who have traumatic brain injury is such that professional intervention is appropriate, even after 10,15 years. Not the severity of the injury but the nature of the injuries determines the level of stress. Partners experience more stress than parents. Children have specific difficulties. Young families with little social support, financial, psychiatric and/or medical problems are the most vulnerable. Coping with traumatic brain injury can be described in phases. The better family members can cope with the situation, the better the patient's recovery. There are functional and non-functional coping mechanisms and coping is influenced by such factors as gender, social and professional support and the possibility to have reciprocal communication or an affective relation with the patient. Relevance to clinical practice., Support from professionals reduces the stress being experienced and encourages people to cope effectively. Conflicts with professional carers should be avoided. Every attempt should be made to develop models of long-term support and care that alleviate sources of burden on relatives. Further research is necessary to develop such models. [source] Gender, class, work-related stress and health: toward a power-centred approachJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 2 2001Ann-Sylvia Brooker Abstract The purpose of this paper is to consider how gender, class and power have been addressed in the work stress literature and to propose an alternative approach that highlights the role of power in the development of work-related stress. We begin with a discussion and critique of prominent work-related stress models. The models' conceptualizations of work-related stress and their relationships to issues of class and gender are used as focal points for discussion. We show that explanations for gender or class differences in stress vary markedly by disciplinary perspective. Some models emphasize individual coping mechanisms, while other models focus on individual-level exposures or the work environment, in the production of work-related stress. Notions of power or control are often invoked in these models, but they tend to be narrowly conceptualized. Often the research presents a series of empirical findings rather than an integrated conceptual model which clearly specifies the pathways by which individual work experiences are linked to health and to the broader social context. Drawing on empirical findings and theoretical insights from a broad range of disciplinary perspectives, we build a conceptual framework relating power to work-related stress. This model can provide us with a deeper understanding of the determinants of stress, the relationships between stress and the broader social context, and the relationships between stress and social factors such as class and gender. Specifically, we suggest that power can influence work-related stress through the distribution of stressors in the workplace and via meaning. Copyright © 2001 John Wiley & Sons, Ltd. [source] Catching life: the contribution of arts initiatives to recovery approaches in mental healthJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 8 2007H. SPANDLER phd ma ba This paper draws on a qualitative study that was undertaken as part of a national research study to assess the impact of participatory arts provision for people with mental health needs. It explores how arts and mental health projects may facilitate some of the key elements of what has been termed a ,recovery approach' in mental health. It is argued that it is precisely these elements , the fostering of hope, creating a sense of meaning and purpose, developing new coping mechanisms and rebuilding identities , which are hard to standardize and measure, yet may be the most profound and significant outcomes of participation in such projects. Therefore, in the context of a growing emphasis on recovery-orientated mental health services, while not necessarily being appropriate for all service users, arts and mental health initiatives could make an essential contribution to the future of mental health and social care provision. [source] A Comparison of Correlates of DSM-IV Alcohol Abuse or Dependence Among More Than 400 Sons of Alcoholics and ControlsALCOHOLISM, Issue 1 2001M. A. Schuckit Background: Alcohol dependence and abuse are defined as separate disorders. However, relatively few data are available about whether the same characteristics predict both syndromes. Methods: Complete data were available from the 15 year follow-up of 411 men who originally had been evaluated from a university population at about age 20. Both baseline data gathered prospectively and the retrospective ratings in six domains of life functioning were analyzed for their relationship to the development of alcohol abuse or dependence during the follow-up. Results: Baseline characteristics of a family history of substance use disorders, the quantity and frequency of drinking, the history of alcohol-related problems, and the level of response to alcohol all predicted future alcohol abuse or dependence, but only an alcoholic second-degree relative or a first-degree drug-dependent family member differentially predicted dependence. Logistic regression analyses revealed that similar baseline characteristics combined to predict dependence and, separately, abuse. When the domains of functioning during the 15 years were included, positive alcohol expectancies, poor coping mechanisms, low level of social support, and drinking in the environment contributed to both dependence and abuse, although the relationship was stronger for dependence. Conclusions: The predictors and correlates of alcohol abuse and dependence in this group of men were similar. Further research in additional populations and on other drugs is needed to determine if the two syndromes overlap sufficiently to be combined. [source] School physical activity interventions: do not forget about obesity biasOBESITY REVIEWS, Issue 1 2008P. B. Rukavina Summary Obesity bias is the tendency to negatively judge an overweight or obese individual based on assumed and/or false character traits, such as being physically unattractive, incompetent, lazy and lacking self-discipline. Obesity biases, such as teasing or weight criticism during physical activity (PA), can be psychologically or emotionally damaging for overweight children and adolescents. Ultimately, the effects students experience over time may create a psychological barrier and students can become resistant to schools' health and PA interventions that promote lifestyle changes. Fortunately, the psychological effects of obesity bias are mediated by social buffers and coping mechanisms. Several PA-related researchers have proposed strategic intervention components, but no studies have been completed in PA settings. The purpose of this review was to discuss the nature and different types of obesity bias in PA settings. Major theoretical frameworks of the aetiology and change mechanisms of obesity biases from the psychological literature were reviewed and direct applications for strategic component interventions were made for PA settings. Because of the pervasiveness and entrenchment of obesity bias, it is obvious that multiple theoretical frameworks need to be considered and even combined to create safe and caring school PA environments for students. [source] Do Suicide Survivors Suffer Social Stigma: A Review of the LiteraturePERSPECTIVES IN PSYCHIATRIC CARE, Issue 1 2005Jacqueline G. Cvinar One of the delineating elements found in suicide bereavement versus normal bereavement is the stigma experienced by survivors. This review of the literature will provide insight into stigma as an underlying element in suicide bereavement and point to the role of health professionals in dealing with this complex issue. Historical review and empirical studies are analyzed to provide a framework for how suicide relates to natural bereavement. The conclusion is that suicide bereavement is different from natural loss. The challenge to health care providers is to sort through the complex issues surrounding the individual and their social network to find mechanisms that lead to resolution. Suicide has a profound effect on the family, friends, and associates of the victim that transcends the immediate loss. As those close to the victim suffer through bereavement, a variety of reactions and coping mechanisms are engaged as each individual sorts through individual reactions to the difficult loss. Bereavement refers to "all the physiological, psychological, behavioral, and social response patterns displayed by an individual following the loss (usually through death) of a significant person or thing" (Dunne, Dunne-Maxim & McIntosh, 1987). Bereavement following suicide is complicated by the complex psychological impact of the act on those close to the victim. It is further complicated by the societal perception that the act of suicide is a failure by the victim and the family to deal with some emotional issue and ultimately society affixes blame for the loss on the survivors. This individual or societal stigma introduces a unique stress on the bereavement process that in some cases requires clinical intervention. [source] Religiosity, spirituality, and psychological distress in African-Americans at risk for having a hereditary cancer predisposing gene mutation,AMERICAN JOURNAL OF MEDICAL GENETICS, Issue 1 2009Anita Y. Kinney Abstract Elevated psychological distress has been observed among people at increased risk for familial cancer. Researchers consider religiosity and spirituality (RS) to be positive coping mechanisms associated with reduced psychological distress. Relatively little is known about the impact of RS on genomic health issues. The objectives of our study were: (1) describe the prevalence of RS and depressive symptoms and (2) explore how RS relates to psychological distress in a cohort of individuals with a ,25% prior probability of a genetic predisposition to cancer. Participants (n,=,99) were drawn from an African-American, Louisiana-based kindred with a mutation at the BRCA1 locus. This analysis reports findings from a survey assessing RS and the use of three types of religious coping styles: collaborative, self-directing, and deferring. Clinically significant depressive symptoms were relatively high (27%); with females (33%) more likely than males (17%) to report symptoms (P,<,0.01). The majority of participants reported being highly religious. The most commonly employed religious problem solving style used by participants was collaborative (; SD,=,5.8) versus self-directing (; SD,=,5.1) and deferring (; SD,=,6.3). We did not observe significant associations between RS indicators and psychological distress, nor did we observe appreciable differences related to gender or risk perception. Although RS beliefs and practices are important for many African-Americans, we did not find evidence that indicators of self-reported RS are associated with psychological distress prior to genetic counseling and testing. © 2009 Wiley-Liss, Inc. [source] The Role of Culture, Family Processes, and Anger Regulation in Korean American Adolescents' Adjustment ProblemsAMERICAN JOURNAL OF ORTHOPSYCHIATRY, Issue 2 2010Irene J. K. Park Using an ecologically informed, developmental psychopathology perspective, the present study examined contextual and intrapersonal predictors of depressive symptoms and externalizing problems among Korean American adolescents. Specifically, the role of cultural context (self-construals), family processes (family cohesion and conflict), and anger regulation (anger control, anger suppression, and outward anger expression) were examined. Study participants were N = 166 Korean American adolescents ranging from 11 to 15 years old (M = 13.0, SD = 1.2). Results showed that depressive symptoms were significantly associated with lower levels of perceived family cohesion, higher levels of perceived family conflict intensity, and higher levels of anger suppression. Externalizing problems were associated with male gender, a weaker interdependent self-construal, higher levels of perceived family conflict, lower levels of anger control, and higher levels of outward anger expression. The distinction between specific versus common factors associated with depressive symptoms and externalizing problems was discussed with an eye toward prevention or intervention strategies targeting specific coping mechanisms (e.g., generating alternatives to anger suppression) or developing psychoeducational approaches to facilitate family processes. [source] Temperature's influence on the activity budget, terrestriality, and sun exposure of chimpanzees in the Budongo Forest, UgandaAMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY, Issue 2 2009Valerie P. Kosheleff Abstract Chimpanzee (Pan troglodytes schweinfurthii) activity budget, terrestriality, and sun exposure were found to be influenced by the immediate environmental temperature. Thirty adult chimpanzees in the Budongo Forest, Uganda, were observed for 247 h. Temperatures in the shade and sun, sky cover, sun exposure, activity, and terrestriality were recorded at 5-min intervals at <15 m from the center of the party. Terrestriality frequency was 26.5% for females and 41.5% for males. Terrestriality and resting both show a significant positive correlation with temperature in the sun. Controlling for seven potential confounding factors, temperature in the sun remained the strongest predictor of terrestriality. The difference between temperatures in the sun and shade had a significant effect on chimpanzee sun exposure frequency. Time spent continuously in the sun was negatively correlated with temperature, beginning to decrease around 30°C, and markedly decreasing around 40°C. A concurrent experiment determined that dark pelage (lacking physiological coping mechanisms) exposed to the same solar regime can easily reach 60°C within minutes. This study indicates that both temperature in the sun and sun exposure play a role in influencing chimpanzee activity behavior, and specifically suggests that chimpanzees thermoregulate behaviorally both by moving to the ground and by decreasing their activity level. These results, in the context of deforestation and increasing global temperatures, have physiological and conservation implications for wild chimpanzees. Am J Phys Anthropol, 2009. © 2008 Wiley-Liss, Inc. [source] What keeps pensioners at work in Russia?THE ECONOMICS OF TRANSITION, Issue 1 2002Evidence from Household Panel Data The proportion of working pensioners in Russia is high relative to what is usually observed in several Eastern and Western European countries. In this paper, we present an analysis of the determinants of pensioner employment, using panel data from the on-going Russian Longitudinal Monitoring Survey for the period 1994-99. Given the sharp deterioration in the safety net in recent years, a particular attempt is made to assess the role of inadequate pension benefits, along with other individual, household, and local labour market characteristics, in driving up the employment rate of older people during transition. Both the probability of holding a job and the number of hours worked are modeled. The microeconometric analysis confirms the role that family income and access to alternative coping mechanisms such as subsistence farming play in pensioner employment for women, but also stresses for both men and women the importance of age, education, and health status. Finally, the results show a low sensitivity of pensioner employment to pension arrears and pension benefits, indicating that even the full payment of benefits may be too low to significantly affect the decision to remain in employment. JEL classification: C33, H55, J14, J21, P36. [source] Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disordersTHE JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES, Issue 3 2004M. Elena Garralda Background:, Functional impairment is a key feature of chronic fatigue syndrome (CFS) of childhood. Aim:, To compare impairment, illness attitudes and coping mechanisms in childhood CFS and in other paediatric disorders. Method:, Participants were 28 children and adolescents with CFS, 30 with juvenile idiopathic arthritis (JIA) and 27 with emotional disorders (ED). The measures used were interviews with children and parents, with detailed enquiry on impairment, including the Functional Disability Inventory (FDI), Illness Attitudes Scales (IAS), and Kidcope to measure coping styles in relation to common problems, illness and disability. Results:, Children with CFS reported significantly more illness impairment, especially in school attendance, than those with JIA and ED. They had higher ,worry about illness' scores on the IAS. On the Kidcope they named school issues (work, expectations, attendance) as illness- or disability-related problems more than the other two groups. Fewer CFS participants reported using problem solving as a strategy to cope with illness and disability than with other problems in their lives. More in the CFS than in the JIA group used emotional regulation to cope with illness and disability. Fewer in the CFS than in the ED groups used social withdrawal to cope with illness and self-criticism for disability, but more used resignation to cope with disability. Conclusion:, Severe illness-related impairment, particularly through school non-attendance, and high levels of illness-related school concerns appear specific to CFS. CFS may also have characteristically high levels of generalised illness worry and particular styles of coping with illness and disability. [source] Research Note: The silenced assistant.ASIA PACIFIC VIEWPOINT, Issue 2 2010Reflections of invisible interpreters, research assistants Abstract Given the increased attention in anthropology and human geography to the positionality and reflexivity of researchers completing fieldwork in foreign countries, it is surprising that we still know relatively little about how research assistants and interpreters are positioned in the field and their own concerns, constraints and coping mechanisms. This article, based on in-depth interviews with local interpreters/research assistants in Vietnam and China, working alongside Western doctoral students researching upland ethnic minority populations, provides space for the assistants' voices. While reflecting upon their own time in the field, we see how the positionalities of these individuals can have rather unexpected consequences. Furthermore, the assistants' analyses of particular events, as well as their take on the best way to proceed in specific circumstances can be at odds with that of their employers, and negotiated coping strategies have to be found. The article concludes with advice from these assistants regarding how future assistants can make the best of their position, and what foreign researchers need to consider in fostering constructive working relationships. [source] Psychological well being and quality of life in ovarian cancer survivorsCANCER, Issue 5 2003Betty Ferrell Ph.D. Abstract BACKGROUND This report offers a unique analysis of the psychological distress associated with ovarian cancer in a review of natural correspondence between ovarian cancer survivors and an ovarian cancer newsletter. METHODS A review of 21,806 letters, cards, and e-mails reflecting correspondence from January 1994 to December 2000 between ovarian cancer survivors and the founding editor of Conversations!: The International Newsletter for those Fighting Ovarian Cancer was performed using ethnographic qualitative research methods. Statements related to the impact of disease were bracketed and coded within physical, psychological, social, and spiritual domains according to the City of Hope Quality of Life Ovarian Cancer instrument. Statements that reflected psychological well being were then evaluated with respect to the disease trajectory (i.e., diagnosis, treatment, remission, recurrence, and advanced disease/end of life). RESULTS A total of 1282 communications were identified that pertained to psychological well being. Findings based on major themes derived from the analysis included descriptions of stressors associated with disease status. Significant stressors were identified within all phases of diagnosis, treatment, remission, and recurrence. Women described both positive and negative effects of disease and frequently demonstrated resourcefulness and perseverance by sharing coping mechanisms and survival strategies. CONCLUSIONS The natural correspondence from women with ovarian cancer provided a rare opportunity to capture the psychological concerns of women throughout all stages of the cancer trajectory. Health care professionals' awareness of the common psychological stressors throughout the ovarian cancer trajectory may allow them to identify more readily the needs for support, leading to improvement in overall quality of life. Cancer 2003;98:1061,71. © 2003 American Cancer Society. DOI 10.1002/cncr.11291 [source] Exploring spirituality among youth in foster care: findings from the Casey Field Office Mental Health StudyCHILD & FAMILY SOCIAL WORK, Issue 1 2010Lovie J. Jackson ABSTRACT This study examined spiritual coping mechanisms, beliefs about spirituality and participation in spiritual activities and in other positive activities among adolescents in foster care. A multidimensional measure of spirituality was developed for face-to-face interviews with 188 youth (ages 14,17) from diverse racial/ethnic backgrounds in the United States. Findings revealed 95% of youth believe in God, over 70% believe God is ,creator' and God is ,love', and 79% considered prayer a spiritual practice. Most youth said love and forgiveness help them heal. Two-thirds (67%) reported responding to ,bad or tragic things happening' by spending time alone, and over half responded by praying (59%) or sharing the problem with someone else (56%). Youth's top three spiritual goals were to follow God's plan for them, become a better person, and know their purpose in life. Based on the value youth ascribed to spiritual coping mechanisms, recommendations for policy and practice focus on the integration of spirituality into practice and caregiving for youth in foster care. [source] | ||||||||||||||||||||||