Teaching Violence Prevention

Summary

This paper defines violence from a Public Health perspective. It offers recommendations for creating a curriculum to teach health professionals about the critical issues involved in establishing a more peaceful society. Specific learning objectives, teaching methods, and examples of group discussion activities are presented, as well as an extensive bibliography. The intention is to make available to health professionals information that promotes an understanding of the overall impact of violence in our society, and specific skills in the recognition and management of victims of violence. Because of the importance of domestic violence as the center of the web of violence in our culture, emphasis is placed on understanding the dynamics and effects of this specific form of violent behavior. Teaching violence prevention occupies a critical role for medical education.     

Influence of Religiosity and Alcohol Use on Personal Well-Being

ABSTRACT

A study of some correlates of life satisfaction among residents of two retirement communities. One community represents retired secular professionals, and the other is made up of retired religious professionals. Based on 156 interviews, data were examined dealing with life satisfaction, religiosity, social interaction extent of alcohol use, death anxiety, and perceived health. A comparison between the two communities shows that residents or the religious community score higher on measures of life satisfaction, social activity, and religiosity, lower on death anxiety, and alcohol consumption. Another statistical analysis shows that religiosity plays a direct role in feelings of personal well-being.     

Exercise attitudes and behaviours among retired female collegiate athletes

ObjectivesThe present study explored exercise attitudes and behaviours among retired female collegiate athletes.DesignA survey design incorporating both closed and open-ended questions was adopted.MethodA total of 218 former NCAA Division I female athletes (n = 144 gymnastics; n = 74 swimming/diving) provided details on their current exercise behaviours and their thoughts regarding exercise since retiring from collegiate sport.ResultsNo relations were found between years since retirement and athletes’ current exercise frequency, types of exercise activities, and reasons for exercising. Despite reporting activity levels consistent with recommendations (5 days/week, 1 h per session), retired athletes remained dissatisfied with their activity levels and struggled to integrate exercise alongside occupational, academic and social demands.ConclusionsAthletes may require support in adapting to an independent and less intense exercise regime on retirement. Future research may look to explore exercise attitudes and behaviours among retired athletes from a longitudinal perspective.     

Social Responsibility and the Mental Health Professions

Summary

While mental health professionals tend to primarily focus on their professional responsibilities toward the specific members of the public whom they serve, many are also concerned about positively impacting the broader society or culture in which they live and work. This notion of social responsibility is addressed in the ethics codes of both psychologists and social workers. This article reviews how this notion is addressed for these two mental health professions and also examines the changes that have occurred for psychologists between the 1992 and 2002 ethics codes. Finally, some general issues regarding the role of mental health professionals in changing society are considered.     

Suicide and the Law

SUMMARY

The purpose of this chapter is to delineate how mental health professionals can prevent their clients from acting in a suicidal manner while protecting themselves against potential liability when a client attempts or completes suicide. In our increasingly litigious society mental health professionals can apply their understanding about the elements of legal liability in cases involving client suicidal behaviors to structure their services in a manner to meet their responsibility in treating potentially suicidal clients.     

Surviving the Health Care Revolution

SUMMARY

The ongoing turmoil in the health care system exacts a significant toll on consumers, providers and society. New paradigms tor service and employment relationships pose a threat to professional and personal security. Understanding the dynamic phenomena in the system, as well as our own responses to these changes, can assist practitioners in overcoming barriers that undermine our future. Managing our feelings, developing perspective on the issues, adjusting expectations, acquiring skills that transcend medical necessity, and promoting the social contract in health care are recommended strategies for dealing with the crisis in confidence affecting health care professionals.     

The Occupational Therapy Elder Abuse Checklist

ABSTRACT

Occupational therapists encounter elder abuse in society and in clinical practice; however, the occupational therapy literature is void of information and tools for assessing and treating individuals at risk. Occupational therapists are in a unique position to identify elder abuse. Definitions of elder abuse, signs and symptoms of elder abuse, and reporting practices required of professionals coming in contact with individuals who may have been abused are presented. The Occupational Therapy Elder Abuse Checklist was developed to assist the occupational therapist as well as other health care professionals in uncovering abusive situations of elders who are either living alone or living with others. Guidelines are provided for use with the tool. A case study illustrates use of the tool for reporting suspected abuse, and the assessment and treatment of an individual who is a victim of elder abuse.     

“The ripples are big”: Storying the impact of doping in sport beyond the sanctioned athlete

ObjectiveThe purpose of this paper was to extend current doping research efforts by shifting the focus away from a doping-user perspective to examine the experiences of elite athletes that have been personally affected by other athletes' doping behaviours.DesignThis research works within the interpretive paradigm, adopting relativist ontology and transactional/subjectivist epistemology.MethodConversational interviews were conducted with ‘competitive’ (N = 2) and ‘retired’ (N = 2) elite Track and Field athletes from multiple countries. In order to communicate the findings in a way that captures the complexity of the issue, whilst also appealing to the athletes this issue affects, creative non-fiction stories were used to present the findings.ResultsTwo stories were created; one incorporating the ‘competitive’ athletes' experiences and one presenting the ‘retired’ athletes' accounts. The stories detail financial, emotional, and relational implications stemming from others' use of performance enhancing drugs. Critically, the impact is not ephemeral; the retired athletes detailed the long-term implications of their experiences. Meanwhile, the competitive athletes suggest that given the current state of sport, they regularly have to defend their status as ‘clean athletes’. Thus, the ripples of doping in sport appear to be far reaching and enduring.ConclusionsIncorporating a novel mode of knowledge production within the doping literature, the stories presented here demonstrate elite athletes' candid accounts of being impacted by others’ doping behaviours in sport. This study also emphasises the value of adopting novel and creative approaches to data collection and representation within the field of doping research.     

From Pastor to Pensioner: A Study of Retired Canadian Protestant Clergy from the Continuity Perspective

ABSTRACT

By using the Continuity Perspective, this study investigates how clergy adjust to retirement. Four sets of factors were examined; Situational factors, activities, occupational subculture, and psychological continuity. Methods of data collection include mailed questionnaires and personal interviews. The sample consists of 185 Anglican, Baptist, and United Church retired clergy. It was found that (1) the clergy maintain continuity of their1 lifestyles except when some situational factors force them to alter their way of life; (2) retired ministers tend not to develop new activities, but continue to participate in existing ones; (3) the occupational subculture of Protestant clergy has the function of facilitating their retirement; and (4) clergy appear to maintain a stability in the type of responses they have to changes and crises.     

Implementation of a mindfulness-based stress reduction (MBSR) program to reduce stress,anxiety, and depression and to improve psychological well-being among retired Iranian football players

ObjectivesTo test whether a mindfulness-based stress reduction (MBSR) program could reduce symptoms of anxiety, stress, and depression, and increase psychological well-being among retired Iranian football players compared to an active control group.DesignRandomized controlled trial, with an 8-week MBSR intervention (16 group sessions, 90 min each) and an active control group. Three data assessments were performed at baseline, eight weeks later after completion of the intervention, and again twelve weeks later at follow-up.MethodsForty male retired football players (M_age = 34.05, SD = 1.72) were randomly assigned either to the MBSR intervention or the active control condition. All participants completed questionnaires on perceived stress, anxiety, depression, and psychological well-being. Repeated measures analyses of variance were used to assess time by group interactions.ResultsSignificant time by group interaction effects were found for all outcomes. In the MBSR group, psychological well-being improved and symptoms of stress, anxiety, and depression decreased over time from baseline to intervention completion and to follow-up. In the active control group, the outcomes remained relatively stable across time.ConclusionsThe present findings suggest that among male retired Iranian football players, a MBSR intervention has the potential to reduce symptoms of stress, anxiety, and depression, and to increase their psychological well-being. Potential (underlying) mechanisms were not assessed in the present study. In future investigations, researchers should try to gain a deeper understanding of the mechanisms which may explain the observed effects.     

Unto the Third Generation

Abstract

It is possible to significantly reduce, even eliminate child abuse if we address five obstacles: (1) many mandated reporters fail to comply with the law; (2) most child abuse reports are not investigated; (3) frontline child protection professionals are inadequately trained; (4) we do not address child abuse at the youngest ages; and (5) maltreated children receive an inadequate share of financial resources. Accordingly, we must reform our higher education system to ensure that all child protection professionals have the skills necessary to recognize and respond to abuse. We must provide ongoing training to professionals in the field, have at least one forensic interview-training program in each state, develop prevention programs at the local level, and teach frontline professionals to advocate for children. Finally, we must recruit a second generation that will build on these successes and continue to improve our response until child abuse no longer exists.     

Mental health in retired professional football players: 12-month incidence,adverse life events and support

ObjectivesThe primary aim was to explore the incidence of symptoms of common mental disorders (CMD; distress, sleep disturbance, anxiety/depression, adverse alcohol use) in retired professional football players and to explore the association between adverse life events and the onset of symptoms of CMD. The secondary aim was to get an insight into the views and needs of retired professional football players on medical support related to symptoms of CMD.DesignAn observational prospective cohort study with three measurements over a follow-up period of twelve months was conducted among retired professional football players.MethodThe data for symptoms of CMD and adverse life events was collected by using validated questionnaires. The views and needs were explored by means of five questions.ResultsThe 12-month incidence of symptoms of CMD (self-reported and not clinically diagnosed) ranged from 11 to 29%. Retired professional football players with one or two life events were 1.7 times more likely to report distress than retired football players with no life events. The risk with three or more recent life events on sleep disturbance was more than 4.5 times higher than with no recent life events.ConclusionsThe 12-months incidence of symptoms of CMD in retired professional football players seems high compared to the general population. More life events showed a higher risk of experiencing distress and sleep disturbance in retired professional football players. The views and needs showed that there is a need for support for current and former professional football players.     

Travail cognitivo-émotionnel chez des patients en soins palliatifs : étude du vécu,de la réminiscence et du silence

IntroductionFacing one's own mortality allows one to be more aware of one's life history, to make the link between one's different personal experiences and to open up to introspection, be it in exchange or in silence.ObjectiveTo collect the cognitive-emotional work taking place in palliative care patients and to appreciate the use and contribution of reminiscence as well as the place of silence in the discourse.MethodOur study is cross-sectional, exploratory and qualitative. The interviews were conducted by the psychologist using an interview guide previously defined for this study. Non-verbal elements were taken into account following the interview. Nine patients, exclusively women, with an average age of 71 years, suffering from cancer, hospitalized and who were told that their curative treatments were over, were included.FindingsAfter a thematic analysis, it appears that the patients’ concerns are mainly focused on their relationship with their end of life and death. We observe a majority of negative reminiscences as well as a diversity in their contributions. The main function of silence is emotional when the themes of the end of life and illness are discussed.ConclusionIt seems necessary to support questions about the end of life and the reminiscences that may be activated following the proximity of death. Recognition of the different types of silence must also be part of the listening skills of professionals.     

Measuring and Understanding Diversity Is Not So Simple: How Characteristics of Personal Identity Can Improve Museum Audience Studies

ABSTRACT

For decades, museums have been seeking diversity in their audiences, for reasons including equity, vitality, community relations, and audience development. The initial emphasis on diversity was about race, and although museum initiatives and programming forged ahead with evolving definitions of diversity, the visitor studies field has a mixed record of participating in that evolution. The usefulness of visitor demographics in representing diversity has been debated and, although the field has exploded simple conceptions such as “the typical visitor,” visitor research professionals have not thoroughly applied our skills to help museums understand how to define, encourage, and monitor diversity, or to document its benefits. This article suggests that more thoughtful measures of audience diversity can be created by expanding demographics with characteristics of personal identity. Pragmatic examples of such measures in visitor research are presented.     

A Child With Autism Spectrum Disorder Teaches Siblings to Skateboard: Effects on Sibling Skills and Family Social Behavior

Abstract

Children with autism spectrum disorder (ASD) may have few common activities with their siblings who do not have ASD, and this can limit their opportunities for social play. In this study, we used a multiple-baseline across skills design to assess the effects of a boy with ASD following an activity schedule to teach his favorite activity of skateboarding to his two siblings who do not have ASD. Family social behavior was also measured before and after sibling training. After training by the boy with ASD, both of the siblings’ skateboarding skills improved, and measures of family social behavior also increased. Results suggest that sibling relationships may benefit when a child with ASD teaches siblings to play.     

‘So many women suffer in silence’: a thematic analysis of women’s written accounts of coping with endometriosis

Abstract

Objective: To understand women’s experiences of coping with endometriosis, and impact on their lives.

Design: Women accessed an online questionnaire through a U.K.-based endometriosis charity website.

Methods: Thirty-four women, aged 22–56 years, with self-reported medically-diagnosed endometriosis, 30 of whom were White, responded to open-ended questions, analysed using inductive thematic analysis.

Results: Participants spoke about their lives being a constant struggle, where they tried to maintain their personal and working lives whilst dealing with long-term pain. Women had to ‘battle’ for an accurate diagnosis, and had limited faith in health professionals. Coping strategies included avoidance of social events to conserve energy (self-pacing), and avoiding taking painkillers to retain alertness. Women did not feel able to be honest with family and friends about their symptoms, and felt socially isolated and misunderstood.

Conclusions: Implications for health professionals are discussed, including the need for earlier diagnosis and taking women’s symptoms more seriously at referral; understanding the need to conserve energy in the context of long-term pain; that not taking pain medication may be an active choice to retain alertness; and that avoiding being honest with friends and family and subsequent feelings of isolation may be common experiences relevant to designing treatment programmes.     

A School Psychologist's Self-Study Guide to Sport Psychology

SUMMARY

School psychologists may find the field of sport psychology beneficial to them in extending their skills and effectiveness. As trained psychologists, they are likely to already have some of the knowledge and skills necessary for working in the area of sport psychology. However, without additional training, this may not be sufficient for ethical and effective practice. This article enumerates the necessary knowledge and skills for working in sport psychology according to APA's recent proficiency standards. It then details a plethora of available resources and methods for entering into the domain of sport psychology. The article emphasizes self-study while continuing to practice ethically within the ‘boundaries of one's competence.’     

Exploring Adoption with Clients: The Need for Adoption Education Within the Genetic Counseling Profession

Genetic counselors and other health professionals may encounter adoption during any counseling session. They must be skilled in using appropriate language and understand how to approach and discuss this topic with clients. A thorough knowledge of adoption as an option for clients facing a prenatal or postnatal diagnosis is necessary when presenting individuals with non-biased information needed for informed decision-making. However, three preliminary studies have demonstrated an absence of graduate education and lack of a professional knowledge base regarding this option (Mates 2008; Oksala 2007; Perry 2003). We discuss the impact of medical professionals’ preconceptions on client decision-making, increasing early identification of fetal anomalies, deficiency of adoption knowledge and resources, and the resulting need for genetic counselors and other health professionals to develop their skills in discussing adoption with clients.     

Évaluation-Cognition-Polyhandicap (ECP) : apports d’une approche qualitative dans l’élaboration et la validation d’un outil

BackgroundSetting up a personalised project for any person with profound intellectual and multiple disabilities (PIMD) requires an evaluation of their cognitive skills. Nevertheless an international literature review highlights: a lack of adequate tools for evaluation of the cognitive skills of people with PIMD; the need to create standardised protocols. In 2009, Scelles et al. proposed the P2CJP–Profil de Compétences Cognitives du Jeune Polyhandicapé. This tool was designed for children up to 14 years of age. In 2017, this scale has been revised and extended to the adults, and called ECP (Evaluation-Cognition-PIMD).MethodTo elaborate and validate this tool, a statistical methodology has been combined with a qualitative process close to professionals and parents. The aim was to assess the relevance and the ergonomic of the ECP, the comprehension of items, the facility of use, the guideline and at least the effects regarding the practice.ResultsThe qualitative analyse of user backgrounds, at all validation stages, let adapt the ECP as well on the content as on the form. This work reveals the necessity to continue to adapt the ECP through interactions between users and searchers.     

Experimentation with Group Techniques with Ego-Disturbed Mothers

Abstract

Psycho–educational groups (PEGs) have been shown to be a particularly effective form of treatment for patients classified under the rubric of severely and persistently mentally ill (SPMI). However, recent surveys suggest that certain professionals, such as nurses and clinical psychologists, called on to conduct these groups may have limited to no training. This study tested three methods (self–instructional, workshop, and workshop plus clinical supervision) designed to provide on-the-job training to practicing clinicians. Specifically, training was based on two manuals; one that operationalized the basic knowledge and skills needed to run an effective PEG and the second being a commonly used PEG program for symptom management targeted at SPMI patients. Eight nurses from four adult units at a state psychiatric hospital initially received self–instructional or workshop training and then conducted a 12–session symptom management PEG composed of four to five SPMI patients (e.g., schizophrenia, schizoaffective or major depression disorders). In a second wave of additional training, nurses received workshop training or clinical supervision and then conducted a second PEG. Differences between training methods were assessed by nurse– and patient–completed measures that tapped the knowledge and skills emphasized in the symptom management and PEG (nurses only) manuals. Results indicated limited support for the superiority of the workshop method on the nurse measures alone. Implications for training working professionals in group treatments and assessing outcomes with chronic SPMI patients are discussed.