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801.
An important consideration that needs adding to discussions of patient choice and whether or not men are reluctant to use primary care services is that many frequent attenders are male. The aim of this article is to explore how male frequent attenders construct decisions to use or not use health-care services. This is achieved through secondary analysis of baseline interviews with male frequent attenders from the Self Care in Primary Care study. As this was a complex study, a three-step analytic process was employed to incorporate the involvement of multiple researchers working together over a number of years. First, the interviewer summarised each interview and second, the summaries were read as a group to find themes across them. Subsequently, we returned to the interviews to add detail that would further illustrate or challenge the analysis. Participants talked of 'engaging health and avoiding ill-health', constructing themselves as embodied, health conscious and rational in a similar vein to constructions of feminine interactions with health. While participants talked of 'choosing health services' as if they were drawing upon a range of choices, the dominance of the image of the GP was such that seeing a GP was the only legitimate health choice. 相似文献
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Dunkley DM Schwartzman D Looper KJ Sigal JJ Pierre A Kotowycz MA 《Journal of clinical psychology in medical settings》2012,19(2):211-223
The present study sought to illuminate self-criticism and personal standards dimensions of perfectionism and dependency as
specific cognitive-personality vulnerability factors that might contribute to a better understanding of numerous psychosocial
problem areas that are relevant to coronary artery disease (CAD). One hundred and twenty-three patients diagnosed with clinically
significant CAD completed self-report questionnaires. Zero-order correlations and factor analysis results revealed that self-criticism
was primarily related to personality vulnerability (aggression/anger/hostility, Type D negative affectivity) and psychosocial
maladjustment (depressive symptoms, worry, avoidant coping, support dissatisfaction), whereas personal standards was primarily
related to adaptive coping (problem-focused coping, positive reinterpretation) and dependency was primarily related to worry.
Hierarchical regression results demonstrated the incremental utility of self-criticism, personal standards, and dependency
in relation to (mal)adjustment over and above aggression/anger/hostility, negative affectivity, and social inhibition. Continued
efforts to understand the role of perfectionism dimensions and dependency in CAD appear warranted. 相似文献
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Gert Scheerder PhD Alexandre Reynders MA Karl Andriessen MA Chantal Van Audenhove PhD 《Suicide & life-threatening behavior》2010,40(2):115-124
Health and community professionals have considerable exposure to suicidal people and need to be well skilled to deal with them. We assessed suicide intervention skills with a Dutch version of the SIRI in 980 health and community professionals and psychology students. Suicide intervention skills clearly differed among professional groups and were strongly related to experience, especially suicide‐specific experience. Some community professionals scored below acceptable levels on their ability to respond appropriately to suicidal people they encounter, and tended to overestimate their skills level. Training is therefore indicated for these groups, and may be useful to more highly experienced groups too. 相似文献
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