Health needs and concerns of male adolescents

Lifestyle factors established within the family help determine health-care functioning. Adolescents first may be challenged to meet their own health needs as freshmen in college. A 153-item questionnaire was utilized to examine concerns in the areas of alcohol and other drug use, auto safety, weight and dieting, smoking, sexuality, coping and stress, and selection and utilization of health-care services. One hundred fifty-nine male college students responded. Major problems with alcohol use, auto safety, weight control, stress and sexuality were identified. Positive lifestyle factors that were strongly supported included regular exercise, nonsmoking, regular medical and dental checkups, and the development of some support systems to cope with stress. Health-care services designated by respondents to meet their own needs were significantly different from those services they pointed out as needed for their peers.     

Unpacking the debate: A qualitative investigation of first-time experiences with interval exercise

ObjectiveThere has been compelling debate about whether interval exercise should be promoted in public health strategies as a means of eliciting the health and fitness adaptations associated with physical activity behavior, particularly among individuals who are inactive. Despite a rapidly growing body of quantitative research, there is a notable absence of qualitative research on the topic. This study used a series of interviews conducted over time to develop a richer understanding of inactive adults’ experiences and perceptions of moderate-intensity continuous training (MICT), high-intensity interval training (HIIT), and sprint interval training (SIT) over time and factors that may influence their participation in these types of exercise.MethodsThirty inactive young adults (18 women, 12 men) completed three lab-based trials of cycling exercise in a random order on separate days: MICT, HIIT, and SIT, and subsequently logged their free-living exercise over four weeks. Interviews were conducted at five timepoints and subjected to a reflexive thematic analysis.ResultsThree overarching themes were constructed: (1) interval exercise sounds appealing, but is it for me? (2) exercise trade-offs – the value of interval vs. traditional exercise, and (3) real-world exercise adaptations to make it on your own.ConclusionsThe findings emphasize that people respond differently to different forms of exercise and the factors that influence participation in interval or continuous exercise are far more complex than can be captured by quantitative methodologies alone. Results suggest there is indeed a place for interval exercise in exercise plans and programs for the general population and interval exercise can be used concurrently with continuous exercise.     

Parents’ Communication with Siblings of Children Affected by an Inherited Genetic Condition

The objective of this study was to explore parents’ communication about risk with siblings of children affected by an inherited genetic condition, and to ascertain what level of support, if any, is required from health professionals. Semi-structured interviews were conducted with affected and unaffected children and their parents. Families were affected by one of six genetic conditions representing different patterns of inheritance and variations in age of onset, life expectancy and impact on families. Interviews were analysed using constructivist grounded theory and informed by models which focused on three different aspects of family communication. Interviews with 33 families showed that siblings’ information and support needs go largely unrecognized by health professionals and sometimes by parents. Some siblings were actively informed about the genetic condition by parents, others were left to find out and assimilate information by themselves. Siblings were given information about the current symptoms and management of the genetic condition but were less likely to know about its hereditary nature and their own potential risk. When siblings were fully informed about the condition and included in family discussion, they had a better understanding of their role within their family, and family relationships were reported to be more harmonious. The information and support needs of siblings can be overlooked. Parents with the responsibility for caring for a child affected by a genetic condition may require support from health professionals to understand and respond to their unaffected children’s need for more information about the genetic condition and its implications for the children’s own future health and reproductive decision-making.     

Beyond you and I: role play and reflection-in-action in communication training

This article will explore the development of communication training within nurse training. Beginning by outlining current thinking around this practice, it then discusses Schön’s notion of reflective practice and its frequently cited relevance to nursing before pointing out some of its limitations. In particular, it looks at the limitations of the individual being able to critically reflect on their self within a broader social context. Drawing on the theories of Habermas and Bourdieu, it suggests that encouraging a greater awareness of one’s own social context, and hence of one’s own subject position, would develop a deeper awareness of other potential perspectives and a better ability to listen to patients. Finally, it argues for the use of role play in assisting nurses to gain such awareness, particularly in difficult clinical situations such as end-of-life care.     

Exposure to Violence, Support Needs, Adjustment, and Motivators Among Guatemalan Humanitarian Aid Workers

Indigenous aid workers carry out the majority of humanitarian aid work, yet there is little empirical information available on their support needs in different contexts. Focus groups (N = 26: Study 1) and a survey (N = 137; Study 2) were conducted with Guatemalan aid workers to explore their exposure to violence, posttraumatic stress symptoms, burnout, support needs, and motivators. Participants reported experiencing an average of 13 events of community violence and 17% reported symptoms consistent with posttraumatic stress disorder (PTSD). Direct community violence exposure and levels of emotional exhaustion were positively related to PTSD symptoms, while levels of personal accomplishment were inversely related to PTSD symptoms. Expressed support needs, motivators and rewards for aid work in the face of adversity are also reported as potential protective factors for further exploration. Implications for training and support of aid workers in similar contexts are also suggested.     

Change and Management of Complex Services: The Ethno-narrative Form to Support Good Living and Working Together

Nowadays, managing change in complex services requires that middle management re-designs its objects and professional practices, in order to cope with new needs. It seems therefore crucial to activate training settings that allow managers to: (1) develop research and analytical skills on their own work practices and professional objects; (2) face and manage conflict, related to every change, that represents an opportunity to reflect and review one's own practices; and (3) build new and shared repertories of managerial practices, able to support a better form of living and working together within the management community. Moving from these hypotheses, inside the setting of a training intervention conducted in an educational service, the article discusses a specific tool used to generate opportunity of exchange, and reflection, within a challenging framework of change.     

Universal parental support for parents of adolescents: Who wants municipality‐based parental support and in what form?

Parenting a child through adolescence can be a challenge for many parents; adolescents go through notable developmental, physical, and psychological changes that affect the relationships around them. Most parents find parental support during these years important. These young people's relationships with their parents are important to their mental health, but although parental support is universally available to parents of younger children, it is still scarce for parents of adolescents. The aim of this study was to explore what factors are associated with interest in universal parental support through telephone interviews and questionnaires with 223 parents of 13‐ to 17‐year‐olds. Parents’ interest in parental support was linked to their own anxious mood, their lower perceived parental capacity, their perception of the child as having psychiatric problems, the parents’ perception of their adolescents’ openness about things and their perception of the adolescent's overall difficulties in daily life due to psychiatric symptoms. The results show that lighter forms of support such as lectures or seminars were more appealing to parents with higher social status. Offering community‐based individual counseling and leader‐led parent training groups therefore has the potential to reach parents with difficulties more equally, while offering support only through lectures and seminars could increase the inequality between parents in different social situations.     

Sourcing stereotypes: constructing and challenging simplified knowledge

The social media uproar in Fall 2017 over a nursing textbook chart that presented generalised characterisations of minority groups generated an assumption that medical training needs more Religious Studies expertise. Analysing the sources that the chart cited, we trace the authors’ assertions to studies of varying quality and identify several specific processes involved in simplifying knowledge for dissemination, as the authors disregarded the limits of each specific study and ignored counter-evidence or otherwise evaded critical scrutiny. Comparing this example to examples from world religions discourse illustrates both differences and similarities in the process of constructing simplified presentations. While both presumably developed out of good intentions, they generate significant problems in their effort to shape material to support larger arguments. Thus, scholars across disciplines should critique and complicate their own processes for generating simplified knowledge.     

The Negotiation of Values in Therapy

Values are integral to all social systemic operations and therefore to the heart of the therapeutic process. For the therapist, values are an essential component in defining and assessing a problem, determining goals, and selecting therapeutic strategy. Therapists do not have a choice about whether they need to deal with values in therapy, only about how well. The training of therapists about their values needs to be integrated with the training about their own emotional and family issues. This training should be carried out in the context of treating families and have as its primary focus the relationship of the therapists' personal issues to the conduct of their therapy with families. Personal insight and mastery over handling their own values and family issues will maximize therapeutic effectiveness.     

Parents’ experiences of family food routines in adolescent elite-level swimming

ObjectiveParents have an important role in their child’s food routines and eating behaviour and face additional demands when that child is an athlete. Yet little is known about how parents manage providing food for their athletic child, in addition to the wider family, within the context of elite-level youth sport.MethodsSemi-structured interviews were conducted with sixteen parents (mothers = 11; fathers = 5) of elite level adolescent swimmers (i.e., competing at UK national level or above; child mean age = 15.4 years) to explore their experiences of family food routines and eating behaviour. Reflexive Thematic Analysis was used to analyse the data.ResultsParents outlined the importance of ‘optimal’ fuelling for their athletic child. Parents had an active role in their child’s eating behaviour and shaping their food choices but expressed uncertainty regarding the volume of food their child should consume and concerns regarding their child’s future relationship with food. Meticulous organisational and logistical strategies were employed to meet the extensive food requirements of their adolescent elite swimmer in the face of intensive training schedules. Such schedules also impacted food routines for the wider family (i.e., fewer family mealtimes), and on the quality of parents’ own diets.ConclusionThe findings highlight that clearer guidance is needed for parents of elite adolescent swimmers in relation to quantities of food intake and how to support a positive future relationship with food (specifically during any periods of transition in their training or out of the sport). The findings also identify a novel organisational stressor for parents in elite youth sport, in managing and prioritising their own diet. Further research is needed to explore the extent to which parental diet may be impacted by supporting an adolescent athlete.     

幼儿人际领域能力自我知觉特点的研究

运用结构性会谈,了解幼儿对自己的人际关系及增进人际关系的能力和手段的知觉,并采用提名法了解幼儿的实际人际地位作为与其主观知觉相对照的客观指标。结果显示：1)幼儿对自己的人际能方表现出非常积极的知觉倾向;2)幼儿对人际喜恶原因的认识与其采用什么手段增进他人喜欢的反应相对一致,且体现了个体的内在需要和成人的教育影响。     

Effects of exercise on anxiety: A review

Abstract

The focus of this review is physical exercise and its possible effectiveness as a means of reducing anxiety. This review is based on English language literature and covers the time period from 1958 to 1988. It provides an overview of the results of research studies carried out in the area of physical fitness and psychological health, more specifically anxiety. In doing so, it draws attention to methodological limitations associated with a number of these research studies. In addition, it describes the level of exercise considered necessary to achieve improved cardio-respiratory fitness (training effect). Conclusions are made which suggest mild support for the positive effect of exercise with some individuals for reducing anxiety. Some speculative explanations as to why exercise may be effective in reducing levels of state anxiety are discussed.     

The significance of reflective supervision for infant mental health work

Parent–infant work is inherently relational and occurs in the intersubjective space between parent, infant, and worker. This space can be charged with primitive, unmet needs of both parent and infant, and this in turn can trigger these same states in the worker. The challenge for workers is to remain open to being affected by and responsive to these feeling states when their own early and possibly preconscious responses and coping strategies are being stirred. If these remain out of awareness, they can manifest as avoidance and denial, and this can be reflected in the system and result in limited service delivery. This article emphasizes the significance of reflective supervision for parent–infant work and suggests that it needs to be an integral part of the system of service delivery. I am grateful to the infant mental health workers who allowed me to use examples of their work in this article, and thank Dr Jon Jureidini for his encouragement and support.     

The affirmation of the scientist-practitioner. A look back at Boulder

In the aftermath of World War II, several influences were paramount in forcing academic psychology to recognize, albeit reluctantly, the coming professionalization of psychology. The federal government, wishing to avoid a repeat of blunders following World War I that led to significant dissatisfaction among veterans, took proactive steps to ensure that mental health needs of the new veterans would be met. The USPHS and the VA were mandated to expand significantly the pool of mental health practitioners, a direction that led not only to the funding of the Boulder conference but also to the development of APA's accreditation program, funded practical and internship arrangements with the VA, and the USPHS grants to academic departments for clinical training. The GI Bill, amended to include payment for graduate education, created tremendous interest in graduate programs in psychology. As a result, psychology programs were inundated with funded applicants, most of whom were interested in the application of psychology to clinical and other applied fields. Graduate psychology departments were mixed in their views of this "blessing." The reality of a separate curriculum for professional training in psychology was a bitter pill for some academic psychologists to swallow. Graduate departments feared that control of their programs would be taken over by external forces and that they would lose their right to determine their own curriculum. Further, they feared the domination of clinical training within their own departments and the effects of such educational emphasis on their traditional experimental programs. The Boulder conference brought together these disparate needs and concerns, although one can argue about how well some points of view were represented with respect to others. It was a time of high anticipation and fear. The conference could easily have ended in failure, with such diverse interests being unable to reach any consensus. There are many letters in the correspondence of committee members that suggest disagreements serious enough to prevent the development of any single model of training. Instead, by most yardsticks that one could apply, the conference succeeded, perhaps beyond the dreams of many of those in attendance who were most invested in a model for professional training. In evaluating the legacy of Boulder, several points are apparent. First, the conference succeeded because 73 individuals were able to agree to some 70 resolutions in 15 days, creating the scientist-practitioner model of professional training. Such consensus was arguably a remarkable achievement. The endorsement of the model by academic units followed with little evident resistance, although it is clear that some Boulder-model programs were developed that bore little resemblance to the model's insistence on significant training in both research and practice. Second, as a response to social and political needs, the conference was clearly a success. The cooperation of the APA, the USPHS, and the VA benefited all three entities. Clinical psychology was given the financial support and backing to advance it as a profession, and the federal government was able to begin the process of securing the personnel needed to address the mental health needs of the nation. The architects of Boulder were clear that their vision of training for professional psychology should be viewed as dynamic and experimental rather than fixed and prescribed. Certainly there are several variants of professional training extant today, yet the overwhelming majority of currently accredited programs in psychology label themselves as "Boulder-model" programs or "scientist-practitioner" programs. Still, new national conferences on professional training in psychology occur with some regularity as participants seek to resolve many of the same concerns debated by those at Boulder. The grand experiment goes on.     

Using Participant Choice to Enhance Memory Performance

When patients are involved in deciding the course of treatment for their ailment and are given a chance to choose between different treatment options, the success of the intervention typically increases. In our study we transferred this approach to a cognitive psychology task and investigated whether treatment choice can enhance participants' memory performance. Participants who were free to choose one out of a selection of alleged cognitive enhancers showed better performance than those who were assigned an enhancer. We also found that performance‐expectations have a stronger impact when triggered prior to the encoding as opposed to the retrieval stage and thus appear to be more effective at a point when participants exercise a greater degree of cognitive control. The findings are of relevance in contexts where it can be assumed that participants have knowledge about their own needs and can in turn capitalize on this knowledge when given the opportunity. Copyright © 2014 John Wiley & Sons, Ltd.     

Projection of responsiveness to needs and the construction of satisfying communal relationships

This research tested a social projection model of perceived partner responsiveness to needs. According to this model, people project their own care and supportiveness for a partner onto their perceptions of their partner's caring and supportiveness. In 2 dyadic marriage studies, participants' self-reported responsiveness to the needs of a spouse predicted perceptions of the spouse's responsiveness to the self more strongly than did the spouse's self-reported responsiveness. These projected perceptions of responsiveness, in turn, appeared to promote perceivers' relationship satisfaction. These effects were independent of individual differences in attachment, self-esteem, depression, and communal orientation. A daily-diary component suggested that people projected their own chronic responsiveness as well as their daily enacted support onto perceptions of the specific benefits received from their spouses. A 3rd study found that experimentally manipulated feelings of difficulty in recalling examples of own support provision reduced perceptions of partner responsiveness. Results suggest that projection of own responsiveness is an important determinant of perceived social support and is a means by which caring perceivers maintain satisfying and subjectively communal relationships.     

Move2Love and Vibrancy: Community Dance/Fitness

The Move2Love program demonstrates the feasibility of establishing community-based programs involving dance and exercise to support physical and social well-being in older women. The social fitness program has been running continuously for 23 years. It currently involves 125 to 175 women between the ages of 54 and 94 in weekly rhythmic training sessions. In addition to meeting the initial goals of addiction avoidance in an at-risk population, this program has contributed to the well-being of participants, both by lowering disease burden, and by increasing physical, social, and psychological fitness. This article describes the program and explores the reasons that it has continued to work for over two decades. It also demonstrates the value experienced by participants in their own words. The Move2Love program could serve as a feasibility pilot for other communities wishing to create sustainable, salutary activity programming to enhance the well-being of senior women.     

Traumatic stress at work: A public health model

The emergence of the 'New Public Health' movement provides a framework for an integrated and co-ordinated policy for responding to traumatic stress in the workplace. A review of the clinical literature on post-traumatic stress reveals that the components of this framework are available: the challenge is to put in place all the various elements. An organisational response is described which tries to use primary, secondary and tertiary prevention strategies to reduce the impact of traumatic incidents-in this case, armed robberies-on employees of a financial services company. Inter-departmental working, appropriate use of management and social support, pre-trauma training and cognitive-behavioural counselling techniques are all used in an attempt to tailor support to the individual's own needs. Binding the process together is a simple psychological health screening process, offering as a by-product information to improve the responsiveness of the service.     

Marriage Guidance Training and the Trainee's Own Marriage: A Prospective Study

Twenty trainees and 18 partners took part in a study of the effects of a marriage guidance training programme on their own marriage. Changes were assessed in two ways: retrospectively ('perceived' changes as assessed following training) and prospectively (changes calculated by comparing scores obtained before training and those obtained after training). For most dimensions there was little correspondence between 'perceived' change and 'calculated' change. This has important methodological implications, which are discussed. The 'calculated' change indicated poorer marital adjustment following training. The trainees' scores suggested that they had become less 'abasing' and less 'nurturant' towards their partners; also that they had more disagreements about 'philosophy of life' and 'dealing with in-laws'. Their comments suggested that a number of the trainees had become more analytical of their own marriages, and that training had heightened their awareness of their own needs and individuality.     

Mobile technologies in use by those participating in Lutheran confirmation training in Finland

Abstract

This article focuses on the study of where mobile devices and social media tools are taken into consideration in the Finnish confirmation training entity as a new opportunity to work together. The research is based on the ethnographical method. The data was collected by observation in two confirmation training camp periods and interviewing confirmation training participants. The aim was to find out ways mobile devices were exploited in confirmation training pedagogy, how adolescents reacted to such mobile device use and how adolescents described their personal mobile device use. The research material is analysed by inductive content analysis. The findings are discussed in the theoretical context of the communities of practice (CoPs), originally formed by Lave and Wenger . According to the results, mobile device use, in the confirmation training programme did not seem to be that special for adolescents. At the same time, the youth considered it important to have the possibility to use mobile devices according to their own preferences. Using mobile devices in confirmation training challenged the traditional CoP setting, as adolescents used mobile technology more in their own way, being familiar with it in their earlier virtual communities of practice (VCoPs), instead of the plans of the workers of confirmation training.