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Personal Issues (personal + issues)
Selected AbstractsApplicant Considerations Associated with Selection of an Emergency Medicine Residency ProgramACADEMIC EMERGENCY MEDICINE, Issue 4 2009Sara Laskey MD Abstract Objectives:, The primary objective of this study was to assess variables that residency applicants ranked as influential in making residency choices. The secondary objective was to determine if residents were satisfied with their residency choices. Methods:, A secondary analysis was performed on a cohort database from a stratified, random sampling of 322 emergency medicine (EM) residents collected in 1996,1998 and 2001,2004 from the American Board of Emergency Medicine Longitudinal Study on Emergency Medicine Residents (ABEM LSEMR). Residents rated the importance of 18 items in response to the question, "How much did each of the following factors influence your choice of residency program location?" The degree to which residents' programs met prior expectations and the levels of satisfaction with residency programs were also assessed. All analyses were conducted using descriptive statistics. Results:, Three-hundred twenty-two residents participated in the survey. Residents considered the following to be the most important variables: institutional reputation, hospital facilities, program director reputation, and spousal influence. Several geographic and gender differences were noted. Ninety percent (95% confidence interval [CI] = 86% to 93%) of residents surveyed in their final year answered that the residency program met or exceeded expectations. Seventy-nine percent (95% CI = 76% to 82%) of residents identified themselves as "highly satisfied" with their residency choice. Conclusions:, The most influential factors in residency choice are institutional and residency director reputation and hospital facilities. Personal issues, such as recreational opportunities and spousal opinion, are also important, but are less influential. Significant geographic differences affecting residency choices exist, as do minor gender differences. A majority of residents were highly satisfied overall with their residency choices. [source] Mothers who were severely abused during childhood and their children talk about emotions: Co-construction of narratives in light of maternal traumaINFANT MENTAL HEALTH JOURNAL, Issue 4 2004Nina Koren-Karie The article focuses on detailed examination of the co-construction of emotion dialogues between mothers and their 6-year-old children in light of mothers' experiences of being sexually, physically, and emotionally abused during childhood. We present examples from dialogues between 3 mothers and their children about emotional events experienced by the children and illustrate emotionally mismatched co-construction processes. To better understand these difficulties, the article also provides vignettes from interviews with mothers about children's inner worlds and show how examining the interviews may help explain the unfolding of the dialogues and particularly points of difficulty. The dialogues between the mothers and their children were assessed using the Autobiographical Emotional Events Dialogue procedure (Koren-Karie, Oppenheim, Chaimovich, & Etzion-Carasso, 2000). The maternal interviews were obtained using the Insightfulness Assessment procedure (Oppenheim & Koren-Karie, 2002). The discussion focuses on the significance of mother,child dialogues in shaping children's inner world, and points to the importance of providing intervention for adults who experienced childhood traumas that address not only their own personal issues but also their functioning as parents. [source] The self-efficacy model of medication adherence in chronic mental illnessJOURNAL OF CLINICAL NURSING, Issue 11c 2008Terence V McCann BA Aim., In this position paper, the self-efficacy model of medication adherence in chronic mental illness is presented, and its application to antipsychotic medication adherence is considered. Background., Poor adherence to antipsychotic medications is common in chronic mental illness. Major implications of this are relapse and re-hospitalisation. Several conceptual frameworks have been developed about adherence and, in some instances, have been incorporated in medication taking studies, but have resulted in inconsistent outcomes. Method., This paper draws on a review of literature from databases to inform the development of the self-efficacy model of medication adherence. Inclusion and exclusion criteria were developed from primary and secondary research questions. Results., The model places the person with chronic mental illness as an active participant central to the process of medication taking. It has three components: core factors, contextual influences and a continuum. The factors comprise a central factor, self-efficacy and four interrelated supporting influences: perceived medication efficacy; access to, and relationships with, health professionals; significant other support and supported living circumstances. The factors are affected by three broad contextual influences , personal issues, medication side-effects and complexity, and social stigma , which affect the way individuals take their medications. A continuum exists between adherence and non-adherence. Conclusion., The model positions service users at the heart of adherence by giving prominence to self-efficacy, medication efficacy and to immediate social, psychological and environmental supports. Further work is needed to validate, refine and extend the model. Relevance to clinical practice., For practitioners involved in prescribing and medication management in people with chronic mental illness, the model provides a theoretical framework to strengthen adherence. It highlights the need to consider broader influences on medication taking. Moreover, it places the person with chronic mental illness as an active participant at the centre of strategies to enhance adherence. [source] Youth Voices as Change Agents: Moving Beyond the Medical Model in School-Based Health Center PracticeJOURNAL OF SCHOOL HEALTH, Issue 7 2005Leslie A. Mandel Freshmen were recruited to participate in a Youth Advisory Board Project that included weekly afterschool meetings. Adult supervision was provided by SBHC staff that included 2 clinical social workers and 1 youth empowerment specialist. Through this effort, students were (1) trained in nonprofit board development and governance structures; (2) urged to identify gaps in services; (3) taught to select, prioritize, and implement action projects; and (4) offered clinical support around personal issues. Students brought a wealth of life experiences, knowledge of teen attitudes, information regarding trends in risk-taking behaviors, and feedback about experiences in the SBHC. In addition, their increased awareness of the SBHC service elements led to identification of obstacles to youth participation in care, feedback regarding positive and negative health care experiences within the SBHC, as well as with external health care providers, and ideas about unrecognized needs leading to gaps in services. This experience demonstrated that young health care consumers, with support, can focus their attention and begin to utilize analytical thinking skills to shape health outcomes and inform service delivery. (J Sch Health. 2005;75(7):239,242) [source] Adolescents' and parents' changing conceptions of parental authorityNEW DIRECTIONS FOR CHILD & ADOLESCENT DEVELOPMENT, Issue 108 2005Judith Smetana Adolescents and parents view parents regulation of some aspects of adolescents lives as legitimate, but they disagree as to how much personal freedom adolescents should have. Too much parental control over personal issues in early adolescence leads to feelings of psychological control, but increasing autonomy over personal issues in later adolescence leads to better adjustment. [source] Jung and White and the God of terrible double aspectTHE JOURNAL OF ANALYTICAL PSYCHOLOGY, Issue 3 2007Ann C. Lammers Abstract:, This paper discusses theoretical, historical and personal issues in the ill-fated friendship and intellectual collaboration between C.G. Jung and the Dominican scholar Victor White, O.P., based on primary documents in their correspondence, 1945 to 1960. The collaboration of Jung and White began with high expectations but fell into painful disagreements about the nature of God, the problem of evil, and shadow aspects of the Self. They made a rapid commitment to their working alliance based on personal and professional hopes, but paying scant attention to their divergent underlying assumptions. White hoped to build theoretical and practical connections between Jungian psychology and Catholic theology for the sake of modern Catholics. Jung needed learned theological support as he explored the psychological meanings of Christian symbols, including the central symbol of Christ. At the grandest level, they both hoped to transform the Christian West, after the moral disaster of World War II. Their collaboration was risky for both men, especially for White in his career as a Dominican, and it led to considerable suffering. The Self is prominent in the relationship, symbolically present in the text of the correspondence and consciously forming their major topic of debate. From the start, the Self is an archetypal field, drawing the friends into their visionary task at the risk of unconscious inflation. Later the Self is revealed with its shadow as a burden, a puzzle, and a basis for estrangement. Finally, with the intervention of feminine wisdom, mortal suffering is transformed by an attitude of conscious sacrifice. Translations of Abstract À partir de documents fondamentaux issus de la correspondance de C.G.Jung et de l'érudit Dominicain Victor White, entre 1945 et 1960, l'article traite de questions théoriques, historiques et personnelles autour de leur amitié et de leur collaboration intellectuelle, à l'issue funeste. La collaboration de Jung et de White était fort prometteuse à ses débuts, mais elle versa dans de douloureux différends au sujet de la nature divine, du problème du mal et de la dimension d'ombre du Soi. Tous deux s'engagèrent, hâtivement en ne prêtant guère d'attention aux divergences de base sous-jacentes, dans une alliance de travail fondée sur des attentes personnelles et professionnelles. White espérait jeter des passerelles théoriques et pratiques entre la psychologie jungienne et la théologie catholique, à l'adresse des catholiques modernes. Jung, quant à lui, avait besoin d'un soutien théorique savant dans son exploration de la signification psychologique des symboles chrétiens et notamment du symbole central du Christ. A un niveau plus ambitieux, tous deux espéraient transformer l'Occident chrétien après le désastre moral de la seconde guerre mondiale. La collaboration était risquée pour les deux hommes et plus particulièrement pour White dans sa carrière de Dominicain, et elle engendra des souffrances considérables. Le Soi est omniprésent dans cette relation, présent symboliquement dans le texte de la correspondance, et consciemment comme sujet majeur de leur débat. Dès le début, le Soi agit en toile de fond archétypique, poussant les amis vers leur tâche visionnaire au risque d'une inflation inconsciente. Plus tard, le Soi se révèle avec son ombre comme un fardeau, une énigme et le noyau de leur désunion. Finalement, l'intervention de la sagesse féminine transforme la souffrance mortelle en une attitude de sacrifice conscient. In der vorliegenden Arbeit werden die theoretischen, historischen und persönlichen Aspekte der unter einem schlechten Stern stehenden Freundschaft und intellektuellen Zusammenarbeit zwischen C.G. Jung und Victor White O.P., einem gelehrten Dominikaner, diskutiert. Die Arbeit basiert auf den Originaldokumenten ihrer Korrespondenz zwischen 1945 und 1960. Die gemeinsame Arbeit von Jung und White begann mit hohen Erwartungen, mündete aber in schmerzvolle Uneinigkeit über die Natur Gottes, das Problem des Bösen und Schattenaspekte des Selbst. Sie bekannten sich sehr schnell zu ihrer Zusammenarbeit aufgrund persönlicher und beruflicher Hoffnungen, schenkten ihren zugrunde liegenden unterschiedlichen Annahmen aber wenig Aufmerksamkeit. White hoffte, eine theoretische und praktische Verbindung zwischen Jungs Psychologie und der katholischen Theologie zum Nutzen der fortschrittlichen Katholiken herzustellen. Jung brauchte kenntnisreiche theologische Unterstützung zur Untersuchung der psychologischen Bedeutung der christlichen Symbole einschließlich des zentralen Symbols, Christus. Auf dem Höhepunkt ihrer Arbeit hofften beide, nach der moralischen Katastrophe des 2. Weltkrieges den christlichen Westen zu transformieren. Ihre Zusammenarbeit bedeutete für beide Männer ein Risiko, besonders für White in seiner Laufbahn als Dominikaner, und führte zu beträchtlichem Leiden. In ihrer Beziehung kam erhebliche Bedeutung dem Selbst zu, das symbolisch im Text ihrer Korrespondenz präsent ist und auf der bewussten Ebene den Hauptinhalt ihrer Debatte bildet. Von Anfang an ist das Selbst ein archetypisches Feld, das die Freunde in ihren visionären Absichten bestimmt - mit dem Risiko einer unbewussten Inflation. Später wird das Selbst mit seinem Schatten als Bürde, als Rätsel und als Grundlage der Entfremdung enthüllt. Schließlich wird das menschliche Leiden mithilfe weiblicher Weisheit durch eine Haltung bewussten Opferns transformiert. In questo lavoro vengono discussi i problemi teorici, storici e personali nella sfortunata amicizia e nella collaborazione intellettuale tra C.G.Jung e l'allievo domenicano Victor White, O.P., basati su documenti originali della loro corrispondenza dal 1945 al 1960. La collaborazione tra Jung e White iniziò con grandi aspettative ma finì in un doloroso disaccordo sulla natura di Dio, sul problema del male e sugli aspetti ombra del Sé. Essi misero subito un grande impegno nella loro alleanza basata su speranze personali e professionali, prestando però insufficiente attenzione alla divergenza dei loro assunti di base. White sperava di costruire connessioni teoriche e pratiche fra la psicologia junghiana e la teologia cattolica a vantaggio dei cattolici moderni. Jung aveva bisogno di apprendere supporti teologici mentre stava indagando sui significati psicologici dei simboli Cristiani, compreso il simbolo centrale di Cristo. Al livello massimo entrambi speravano di trasformare l'Occidente Cristiano dopo il disastro morale della Seconda Guerra Mondiale. La loro collaborazione risultò rischiosa per entrambi,soprattutto per White nella sua carriera di Domenicano e comportò notevoli sofferenze. Il Séè prominente nella relazione, presente simbolicamente nel teso della corrispondenza e informa consciamente il loro interesse principale nel dibattito. All'inizio il Séè un campo archetipico che trascina gli amici nel loro lavoro visionario, a rischio di una inflazione inconscia. Più avanti il Sé si rivela con la sua ombra come un peso, un puzzle e una base per l'alienazione. Infine, con l'intervento della saggezza femminile, la sofferenza mortale viene trasformata in un atteggiamento di consapevole sacrificio. En este trabajo se exploran problemas teóricos, históricos y personales surgidos de la infortunada relación y colaboración intelectual entre C.G. Jung y el estudiosos Dominico Victor White, O.P., basada en los primeros documentos y correspondencia, 1945 hasta 1960. La colaboración entre Jung y White comenzó con grandes expectativas pero calló en dolorosos desacuerdos sobre la naturaleza de Dios, el problema del mal, y los aspectos sombríos del Self. Se habían apresurado a comprometerse en su alianza laboral fundados en sus intereses profesionales y personales, sin embargo le dieron poca importancia a los prejuicios ocultos. White esperaba elaborar conexiones teóricas y pragmáticas entre la psicología Junguiana y la teología Católica para beneficio de los católicos modernos. Jung necesitaba adquirir soporte teológico en su investigación del significado de los símbolos Cristianos, incluyendo el símbolo central de Cristo. En el nivel mas elevado ambos esperaban transformar el Occidente Cristiano, después del desastre moral de la Segunda Guerra Mundial. El trabajo conjunto era riesgoso para ambos hombres, especialmente para White en su carrera como Dominico, y o condujo a un considerable sufrimiento. El Self es predominante en la relación. Está presente simbólicamente en el texto de su correspondencia y conscientemente siendo el mayor tópico para de debate. Desde el comienzo, el Self es un campo arquetipal, conduciendo a los amigos dentro de su meta visionaria, a riesgo de de una inflación inconsciente. Posteriormente se revela en la sombra como una carga, un embrollo, y el fundamento para el alejamiento. Finalmente, con la intervención de la sabiduría femenina, el mortal sufrimiento es transformado en una actitud de sacrificio consciente. [source] Disclosure and Secrecy in Adolescent,Parent RelationshipsCHILD DEVELOPMENT, Issue 1 2006Judith G. Smetana Beliefs about parents' legitimate authority and adolescents' obligations to disclose to parents and actual disclosure and secrecy in different domains were examined in 276 ethnically diverse, lower middle-class 9th and 12th graders (Ms=14.62 and 17.40 years) and their parents (n=249). Adolescents were seen as more obligated to disclose prudential issues and less obligated to disclose personal than moral, conventional, and multifaceted issues; parents viewed adolescents as more obligated to disclose to parents than adolescents perceived themselves to be. Adolescents disclosed more to mothers than to fathers, particularly regarding personal issues, but mothers overestimated girls' disclosure. Greater trust, perceived obligations to disclose, and, for personal issues, more parental acceptance and psychological control predicted more disclosure and less secrecy. [source] Domain-Specific Antecedents of Parental Psychological Control and Monitoring: The Role of Parenting Beliefs and PracticesCHILD DEVELOPMENT, Issue 2 2002Judith G. Smetana This research examined the effects of domain-differentiated beliefs about legitimate parental authority and ratings of restrictive parental control on adolescent- and mother-reported psychological and behavioral control. The influence of parenting beliefs and practices regarding socially regulated (moral and conventional) and ambiguously personal (multifaceted and personal) issues was examined in 93 middle-class African American early adolescents (M= 13.11 years, SD= 1.29) and their mothers, who were followed longitudinally for 2 years. Domain-specific parenting beliefs and ratings predicted adolescent-reported maternal psychological control and parental monitoring, but the nature and direction of the relations differed. Adolescents who rated parents as more restrictive in their control of personal issues and who believed that parents should have less legitimate authority over these issues rated their mothers as higher in psychological control. In contrast, more adolescent-reported parental monitoring was associated with gender (being female) and adolescents' beliefs that parents have more legitimate authority to regulate personal issues. As expected, adolescent age and gender influenced mother-reported monitoring and psychological control; in addition, the effects of mothers' ratings of restrictive control on both psychological control and monitoring were moderated by gender. The results indicate that psychological control and monitoring can be understood in terms of the particular behaviors that are controlled, as well as the style in which control is exercised. [source] Middle-Class African American Adolescents' and Parents' Conceptions of Parental Authority and Parenting Practices: A Longitudinal InvestigationCHILD DEVELOPMENT, Issue 6 2000Judith G. Smetana Conceptions of parental authority and ratings of parental rules and decision making were examined longitudinally among 82 middle-class African American adolescents and their parents (82 mothers and 52 fathers), who were divided into two groups according to family income. Adolescents were, on average, 13.14 years of age at Time 1 and 15.05 years of age at Time 2. Nearly all adolescents and parents affirmed parents' legitimate authority to regulate (and children's obligation to comply with) rules regarding moral, conventional, prudential, friendship, and multifaceted issues, but they were more equivocal in their judgments regarding personal issues. With age, adolescents increasingly judged personal issues to be beyond the bounds of legitimate parental authority, but judgments differed by family income. Adolescents from upper income families rejected parents' legitimate authority to regulate personal issues more at Time 1 than did adolescents from middle income families, but no differences were found at Time 2. Authority to regulate adolescents' behavior did not extend to other adults or to schools, churches, and the law. With adolescents' increasing age, African American families became less restrictive in regulating prudential, friendship, multifaceted, and personal issues. Adolescents', mothers', and fathers' judgments demonstrated significant continuity over time, but few cross- or within-generation associations in judgments were found. Conceptions of legitimate parental authority at Time 1 were found to predict family rules at Time 2. [source] | ||||||||||||||||