Movement patterns of persons with HIV receiving treatment in public clinics in the Southern Health Region,Puerto Rico

A survey conducted among 187 HIV-infected patients from publicly supported HIV clinics in the Puerto Rican Southern Health Region (SHR) failed to substantiate health planners' concern that this group travels frequently to the US to receive medical services. Respondents were questioned about all places of residence and all sites of HIV treatment in the past 12 months. Movement was defined as being anywhere outside of the SHR for 2 weeks or longer. 7% of the sample had moved at least once in the past year; 4% had moved outside the SHR but within Puerto Rico, while 3% had been in the continental US. Compared to the heterosexual risk group, intravenous drug users and men who have sex with men were 7-8 times more likely to have moved. The attainment of at least a high school education was also significantly and independently associated with increased probability of movement. Medical care was not identified by any of these respondents as the primary reason for travel. 58% indicated they were in their current place of residence to be near family, friends, and relatives. Both the small sample size and the low socioeconomic status of respondents may have limited the ability of this study to identify the so-called "air bridge," however.     

The Correlation Between Depression and Headache: The Role Played by Generational Changes in Female Achievement

The relationship between depression and somatic symptoms such as headache has never been explained. Both depression and headache appear to become more prevalent among women than among men only for cohorts that reach adolescence during periods of great change in opportunities for a female's academic achievement. In Studies 1a and 1b, the same pattern was found to apply to the correlation between depression and headache. In Studies 2a and 2b, self-report measures of depression and headache were found to share significant variance only among female adolescents who reported concerns regarding the limited achievements of their mothers. These females may view the roles of adult women as being limited and may experience stress and low self-esteem associated with depressive and somatic symptomatology.     

Otto’s idea of the ‘numinous’- A crosscultural reappraisal

Conclusion Rudolf Otto’s concept of the ‘numinous’ was developed through study, observation, personal experience and religious and philosophical influences. The main philosophical influences for Otto's thought came from Fries, Schleiermacher, and Kant—from whom Otto derived the concept of thea priori nature of the numinous. However, the numinous does not appear to be a universally applicable category of experience, much lessa priori, and in some cases may distort religious experience. The example of Hinduism demonstrated how easily the concept of the numinous may be applied to one     

Gender differences in depressive symptomatology: The role played by “anxious somatic depression” associated with gender-related achievement concerns

In the studies reported here, females were more likely than males to report high levels of depression accompanied by anxiety and somatic symptomatology such as disordered eating and headache, but not more likely to report depression unaccompanied by these symptoms. This gender difference in depression prevalence and the symptomatology associated with depression was due to a subgroup of females who scored high on scales comprised of items measuring concerns about the limitations placed on their achievement (sample item: “More people would pay attention to my ideas if I were male”) or on their mothers (sample: “When you were growing up, how much did your mother feel limited by being female?”) due to responses to their gender.     

Families and Deinstitutionalization: An Application of Bronfenbrenner's Social Ecology Model

Bronfenbrenner's social ecology model is applied to families that include a member with a developmental disability who are involved in the process of transition from institution to community. An overview of the model is presented as well as discussion of counselors' use of it in providing services to families in this situation. The social ecology perspective can be applied to enhance understanding of the families and to provide a framework for structuring family support during the community transition process.     

Policy controversies in the negotiatory state

In this article Schön and Rein’s views about policy controversies and their resolution are introduced and critically examined. The broader context of their argument can be found in the emergence of the “negotiatory state,” where public policy is made in coproduction between interdependent actors in shared-power settings. Policy controversies, conceived of as conflicts rooted in clashes between the action frames that actors employ when they define problems and propose solutions to public issues, constitute a challenge to this institutional logic of policy-making. Schön and Rein’s book is largely devoted to identifying ways to resolve them. This article revisits their conceptualization of controversies, reassesses their implications for the integrity of the policy-making process, and places their proposed philosophy of “design rationality” in a broader repertoire of ways to cope with frame multiplicity and frame conflict in public policy-making.     

The myth of a secular state: A study of religious politics with historical illustrations

Religion has continued to assert itself as a significant moral force in Nigeria's post‐independence politics; however, some recent studies of the country's political life tend to dismiss religion as a kind of mystical irrationality or an act of deluded trust. After conducting an audit of what I take to be the assets and the liabilities of the intellectual traditions underpinning this secularist preference, I propose a theory of political morality in which themes of legitimacy, identity and social justice are explained against the background of religious expectations. I argue that the rationale for political behaviour in Nigeria is not fully accounted for by the categories of class and ethnicity, but must be sought in a more inclusive and transcendent moral basis. I conclude that the recent high‐profile involvements of religious persons in politics should not be seen as flashes of political insanity; rather, they constitute genuine attempts to reformulate the modern language of public morality.     

Changing perspectives in the extended family system in nigeria: Implications for family dynamics and counselling

The extended family system in Nigeria had in time past provided support structures for the Nigerian people. Today, Nigeria as a society has witnessed severe changes in the extended family system. This paper addresses issues connected with the extended family system in the Nigerian cultural setting before the influx of the extraneous forces as well as changes within the broader Nigerian society.