Measuring the impact of informal caring

A factor-analysis of caregiving impact appraisals amongst a community-derived sample of informal carers of elderly people revealed two negative (care work strain and relationship dissatisfaction) and two positive (care work satisfaction and care lifestyle satisfaction) scales. Validity was assessed by means of concurrent correlations with levels of assistance with daily living tasks provided by carers and levels of behaviour problems exhibited by elderly dependents. Criterion validity was considered in relation to two important carer outcomes; willingness to care and a standardized measure of strain. Each of the four scales was significantly associated with concurrently assessed willingness to care. Care work strain and relationship dissatisfaction were associated with concurrently measured strain symptomology. Evidence of 6-month predictive validity was obtained for the care work strain scale.     

What's Stressful About Caring?1

Karasek's (1979) demand-discretion theory of job strain and satisfaction was tested in a cross-sectional survey of informal carers of elderly people (n= 108) identified from a preliminary screening survey. The theory was largely supported by the findings. Multivariate analysis of variance showed that carer well-being and satisfaction with caring work were predicted by high levels of demand arising from the needs of elderly dependents and the interaction of high demands with discretion over meeting demands. The results allow some clarification of previously inconsistent findings from caregiver well-being research and have implications for the design of services to relieve carers of the burden of care.     

The Future of Neuropsychology in Medical Specialties

Although neuropsychology continues to grow as a valued service in most medical specialties, because of its multiple uses with diverse populations, it is necessary to evaluate the specialty critically in order to ensure continued future success. This article reviews areas in which neuropsychology is most firmly established, potential growth areas, and likely obstacles to success in the future. Suggestions are provided for ways in which neuropsychology can be improved/adapted in clinical, business, research, and training areas. On sabattical at Bebek University, Instanbul, Turkey     

Clinical pragmatism: a method of moral problem solving

This paper presents a method of moral problem solving in clinical practice that is inspired by the philosophy of John Dewey. This method, called "clinical pragmatism," integrates clinical and ethical decision making. Clinical pragmatism focuses on the interpersonal processes of assessment and consensus formation as well as the ethical analysis of relevant moral considerations. The steps in this method are delineated and then illustrated through a detailed case study. The implications of clinical pragmatism for the use of principles in moral problem solving are discussed.     

The Unintended Negative Consequences of Sympathy for the Stigmatized1

Research on attitudes toward the stigmatized indicates that negative feelings and stereotypes toward the stigmatized are often mixed with positive feelings of sympathy and concern. Three studies investigate the hypothesis that positive outcomes for the stigmatized that are motivated by sympathy may have unintended negative consequences for self-esteem, affect, and motivation. Subjects were asked to imagine themselves in the position of a stigmatized person who received a job either because he or she was qualified, or out of sympathy for a stigmatizing condition. Results indicated that subjects reported lower state self-esteem, more negative affect, and lowered work motivation when the job was offered out of sympathy rather than on the basis of qualifications. Study 2 showed that the negative effects of sympathy occur whether the basis for the sympathy is prejudice and discrimination or mobility problems faced by the stigmatized individual. The third experiment showed that sympathy has negative effects when the sympathy is based either on individual or group-based problems imposed by the stigmatizing condition. The findings are discussed in terms of the attributional ambiguity surrounding positive outcomes faced by the stigmatized and applied to the effects of affirmative-action programs.     

Defiant spirituality: Care traditions in the black churches

Conclusion I have tried to demonstrate that black church defiant spirituality is a complex, multi-dimensional phenomenon. In essence it represents the quest of exiled African peoples to experience ontological harmony with God and all of creation. In the context of a racist society, it has adapted itself to the exigencies of survival and gradual liberation. Specifically, it has sought to reconstruct reality by religiously affirming God's sovereignty over the just and unjust. Also, it has negated black invisibility, subverted political anemia, and now struggles to resist and conquer an encroaching spiritual despair in post-industrial society.I have identified three basic treasures which the black church may offer to other cultures, namely, that care and discipline are the responsibility of every Christian, that authentic Christian worship nurtures commitments to individual and social transformation and it offers a full sensory experience. I close with words from one of America's greatest twentieth century poets, Langston Hughes (1974)—entitled Mother to Son: Well, son, I'll tell you: Life for me ain't been no crystal stair. It's had tacks in it, And splinters, And boards torn up, And places with no carpet on the floor—Bare. But all the time I'se been a-climbin' on, And reachra' landin's, And turnin' corners, And sometimes goin' in the dark Where there ain't been no light. So boy, don't you turn back. Don't you set down on the steps 'Cause you finds it's kinder hard. Don't you fall now —For I'se still goin', honey, I'se still climbin', And life for me ain't been no crystal stair. (p. 187)     

Gender and computer-mediated communication

A case study analyzed employees' attitudes toward, and experiences with, an intraorganizational electronic mail system. Results revealed that females perceived e-mail to be easier to use, more efficient, and more effective than males. They also gave higher ratings of appropriateness for using e-mail to transmit certain types of messages. Females (particularly managers) were more likely than their male counterparts to rely on co-workers to learn how to use e-mail. More females used the computer system for word processing, while more males and whites (who comprised 82.2% of the sample) had off-site connections to the computer system. No other distinctions were found regarding race—ethnicity. Implications for future research are discussed.The author is grateful to Karen Tracy, Robert Craig, and anonymous reviewers for their insights and suggestions.     

A DEVELOPMENTAL DEFICIT IN LOCALIZING OBJECTS FROM VISION

Abstract— We describe a college student, A. H., with a developmental deficit in determining the location of objects from vision. The deficit is selective in that (a) localization from auditory or tactile information is intact, (b) A H reports the identity of mislocalized objects accurately, (c) visual localization errors preserve certain parameters of the target location, and (d) visual localization is severely impaired under certain stimulus conditions, but nearly intact under other conditions. These results bear on the representation and processing of location information in the visual system, and also have implications for understanding developmental dyslexia.