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Multiple Relationships (multiple + relationships)

Distribution by Scientific Domains
Medical Sciences33%
Humanities and Social Sciences33%

Selected Abstracts

Multiple Relationships in Nursing Consultation

NURSING FORUM, Issue 2 2008
Deborah W. Wilson DNS
In a consultation relationship, when boundaries are blurred or blended individuals become overinvested and overinvolved with each other. Therefore, nurse consultants must be wary of engaging in overinvolvement in consultation that leads to multiple relationships with their clients that can jeopardize the efficacy of their consultation practice. This article examines the nature of the consultation process, practice, and ethical standards that relate to nursing consultation and multiple relationships in consultation. Emphasis is placed on exploring the particularly problematic multiple relations that occur in nursing consultation and recommendation for dealing with them in practice. Clearly, engaging in multiple relationships in consultation is problematic because of the possibility of exploitation and harm. Nurse consultants must exercise caution before entering into a multiple relationship even when they feel that there is little potential for harm. They must learn how to effectively manage multiple relationships and be prepared to respond to the challenges that they present. [source]

Trust, commitment and team working: the paradox of virtual organizations

GLOBAL NETWORKS, Issue 4 2004
Alf Crossman
The findings of a case study in an international information technology consultancy indicate that multiple relationships arising from the alliance-based structure require clear commitment to enable the development of trust as a basis for longer-term partnership. Paradoxically, the perceived low level of commitment from the organization does not engender the high level of trust and commitment required from virtual teams to maximize their performance. However, over time and with extended exchanges, the commitment level and form may evolve, thus necessitating a realignment of existing psychological understanding and trust between the actors. If there is general agreement that an upward shift from short-term to long-term commitment is beneficial to all, then the virtual arrangement will continue to be effective. [source]

Therapeutic challenges of multi-being

JOURNAL OF FAMILY THERAPY, Issue 4 2008
Kenneth J. Gergen
This paper emerges from an attempt to shift the locus of understanding human action from the individual to relationship. In doing so we come to see persons as multi-beings, that is, as constituted within multiple relationships from which they emerge with multiple, incoherent, and often conflicting potentials. Therapy, in this context, becomes a collaborative relationship with the aim of transforming the client's broader relational network. In this view, schooling in a singular practice of therapy artificially limits the therapist's potential, and thus the possible outcomes of the client,therapist relationship. Invited, then, is a reflective eclecticism, in which the myriad potentials of both the therapist and client are considered in tandem. This view is illustrated by contrasting three relational conditions in which clients find themselves, each of which invites a different form of self-expression from the therapist. [source]

Multiple Relationships in Nursing Consultation

NURSING FORUM, Issue 2 2008
Deborah W. Wilson DNS
In a consultation relationship, when boundaries are blurred or blended individuals become overinvested and overinvolved with each other. Therefore, nurse consultants must be wary of engaging in overinvolvement in consultation that leads to multiple relationships with their clients that can jeopardize the efficacy of their consultation practice. This article examines the nature of the consultation process, practice, and ethical standards that relate to nursing consultation and multiple relationships in consultation. Emphasis is placed on exploring the particularly problematic multiple relations that occur in nursing consultation and recommendation for dealing with them in practice. Clearly, engaging in multiple relationships in consultation is problematic because of the possibility of exploitation and harm. Nurse consultants must exercise caution before entering into a multiple relationship even when they feel that there is little potential for harm. They must learn how to effectively manage multiple relationships and be prepared to respond to the challenges that they present. [source]

Sibling relationships and best friendships in young adulthood: Warmth, conflict, and well-being

PERSONAL RELATIONSHIPS, Issue 2 2006
AURORA M. SHERMAN
Although much work addresses the importance of siblings and friendships in separate investigations, few studies simultaneously examine both relationships. Young adults (N= 102, M age = 18.7) were surveyed about their friendships, their sibling relationships, and their psychological well-being (assessed by self-esteem and loneliness). Participants with harmonious (high warmth, low conflict) sibling relations and same-gender friends had the highest well-being. Participants with affect-intense (high warmth, high conflict) sibling relationships had low well-being. However, participants who had low-involved (low warmth, low conflict) and affect-intense same-gender friendships did not differ in well-being. When examining joint effects, having a harmonious same-gender friendship compensated for having a low-involved sibling relationship, but having harmonious sibling relations did not compensate for having low-involved friendships. Overall, the results underscore the importance of positive and negative relationship properties and the joint effects of multiple relationships. [source]

The Effects of Strategic and Economic Interdependence on International Conflict Across Levels of Analysis

AMERICAN JOURNAL OF POLITICAL SCIENCE, Issue 1 2009
Zeev Maoz
This study develops a Social Network Analytic approach to conceptualize and measure interdependence across levels of analysis. This framework contains several innovations. First, it integrates "sensitivity interdependence",the effects of changes in one state on other states,with "vulnerability interdependence",the opportunity costs of breaking a relationship. Second, it measures interdependence at different levels of analysis and across multiple relationships. Third, it integrates multiple dimensions of interdependence into a single measure. I derive hypotheses from the realist and liberal paradigms regarding the effects of strategic and economic interdependence on monadic, dyadic, and systemic conflict. These hypotheses are tested via data on alliances, military capability, and trade. The findings provide robust support to the expectations of the liberal paradigm regarding the effects of strategic and economic interdependence on conflict. On the other hand, the expectations of the realist paradigm are not supported. I discuss the theoretical and empirical implications of this approach. [source]

Rural Bioethical Issues of the Elderly: How Do They Differ From Urban Ones?

THE JOURNAL OF RURAL HEALTH, Issue 4 2001
Jacqueline J. Glover Ph.D.
ABSTRACT: Typical ethical issues in health care for the elderly include decision making for elderly patients with and without capacity, advance directives, the use of life-sustaining technologies, and questions of access to services and justice. Obviously the same issues are relevant for elderly patients in rural settings. But the unique features of rural living add another dimension to ethical discourse and the care of patients, namely the primary importance of relationships. Rural bioethics is based on an ethic of familiarity, which alters our attention to such issues as confidentiality, multiple relationships, scope of practice, and access issues. The following article briefly outlines the unique features of rural bioethics and provides a case analysis. [source]

Refined Geographic Distribution of the Oriental ALDH2*504Lys (nee 487Lys) Variant

ANNALS OF HUMAN GENETICS, Issue 3 2009
Hui Li
Summary Mitochondrial aldehyde dehydrogenase (ALDH2) is one of the most important enzymes in human alcohol metabolism. The oriental ALDH2*504Lys variant functions as a dominant negative, greatly reducing activity in heterozygotes and abolishing activity in homozygotes. This allele is associated with serious disorders such as alcohol liver disease, late onset Alzheimer disease, colorectal cancer, and esophageal cancer, and is best known for protection against alcoholism. Many hundreds of papers in various languages have been published on this variant, providing allele frequency data for many different populations. To develop a highly refined global geographic distribution of ALDH2*504Lys, we have collected new data on 4,091 individuals from 86 population samples and assembled published data on a total of 80,691 individuals from 366 population samples. The allele is essentially absent in all parts of the world except East Asia. The ALDH2*504Lys allele has its highest frequency in Southeast China, and occurs in most areas of China, Japan, Korea, Mongolia, and Indochina with frequencies gradually declining radially from Southeast China. As the indigenous populations in South China have much lower frequencies than the southern Han migrants from Central China, we conclude that ALDH2*504Lys was carried by Han Chinese as they spread throughout East Asia. Esophageal cancer, with its highest incidence in East Asia, may be associated with ALDH2*504Lys because of a toxic effect of increased acetaldehyde in the tissue where ingested ethanol has its highest concentration. While the distributions of esophageal cancer and ALDH2*504Lys do not precisely correlate, that does not disprove the hypothesis. In general the study of fine scale geographic distributions of ALDH2*504Lys and diseases may help in understanding the multiple relationships among genes, diseases, environments, and cultures. [source]

Accountability and Joined-up Government

AUSTRALIAN JOURNAL OF PUBLIC ADMINISTRATION, Issue 1 2002
Peter Wilkins
The Coombs Royal Commission identified a range of issues relating to the coordination of services. While there has been renewed interest over the last five years in the UK, Canada and Australia in initiatives that support joined-up and cross-cutting government, there has been only limited work to address the potential recognised by the Commission for these initiatives to result in unclear accountabilities. This paper reviews accountability approaches to joined-up government and identifies that while the sharing of accountability for outcomes has emerged quietly over the past 25 years, joining-up initiatives are demanding a clearer articulation of causal relationships regarding the sharing of outcomes and a fuller consideration of the multiple relationships in the partnership arrangements involved. [source]