Child Wellness and Social Inclusion: Values for Action

Participatory Action Research (PAR) with children and youth is at the intersection of child wellness and social inclusion. Exclusion and marginalization detract from personal and collective health. Inclusion, on the contrary, contributes to wellness. Hence, we should study inclusion and exclusion in the overall context of child wellness. This special issue offers a wealth of methodologies and lessons for fostering inclusion of young people through PAR. In an effort to synthesize my concerns with child wellness, inclusion, and the scholarly work of this special issue, this paper will (a) articulate the values underpinning the philosophy of social inclusion and child wellness, (b) suggest roles and responsibilities for putting these values into action, and (c) integrate the contributions of this special issue into the emerging framework for social inclusion and child wellness.     

The Influence of Acculturation and Enculturation on Mexican American High School Students' Decision to Apply to College

This study examined the influence of acculturation, enculturation, parental education level, financial concerns, and gender on 106 Mexican American high school students' decisions to apply to college. Results indicated that acculturation and female gender were significant predictors. Implications for interventions with Latino high school students are discussed. Este estudio examinó la influencia de la aculturación, la enculturación, el nivel de educación de los padres, las preocupaciones financieras y el sexo del sujeto sobre la decisión de 106 estudiantes de secundaria mejicanos‐americanos de solicitar acceso a estudios universitarios. Los resultados indicaron que la aculturación y el sexo femenino mostraron una capacidad de predición significativa. Se discuten las implicaciones para intervenciones con estudiantes de secundaria latinos.     

Novice teachers’ experience of teaching: a dynamic aspect of burnout

This article addresses the question of how novice teachers perceive their work environment and how their perceptions affect burnout. Data were obtained from a questionnaire administered to novice teachers at the beginning and at the end of the school year. It was found that (1) novice teachers experienced high levels of burnout as early as the beginning of their first year of teaching; (2) novice teachers’ perception of their work environment at the beginning and at the end of their first year significantly and meaningfully explained their sense burnout; (3) three variables contribute to predicting burnout at the beginning and at the end of the first year of teaching: (a) lack of appreciation and professional recognition from students; (b) lack of appreciation and professional recognition from the public, and (c) lack of collaborative and supportive ambience.     

Severity and cost of unsafe abortion complications treated in Nigerian hospitals

CONTEXT: Each year, thousands of Nigerian women have unintended pregnancies that end in illegal abortion. Many such procedures occur under unsafe conditions, contributing to maternal morbidity and mortality. METHODS: In a 2002-2003 survey of women and their providers in 33 hospitals in eight states across Nigeria, 2,093 patients were identified as being treated for complications of abortion or miscarriage or seeking an abortion. Women's abortion experiences and the health consequences and associated costs were examined through bivariate analysis. Multivariate analysis was used to examine the characteristics of women by type of pregnancy loss and to compare characteristics among three groups of women who had induced abortions in differing circumstances. RESULTS: Among women admitted for abortion-related reasons, 36% had attempted to end the pregnancy before coming to the hospital (including 24% with and 12% without serious complications), 33% obtained an induced abortion at the facility (not withstanding the country's restrictive law) without having made a prior abortion attempt and 32% were treated for complications from a miscarriage. Of women with serious complications, 24% had sepsis, 21% pelvic infection and 11% instrumental injury; 22% required blood transfusion and 10% needed abdominal surgery. The women in this group were poorer and later in gestation than those who sought abortions directly from hospitals. They paid more for treatment (about 13,900 naira) than those who went directly to the hospital for an abortion (3,800 naira) or those treated for miscarriage (5,100 naira). CONCLUSIONS: Policy and program interventions are needed to improve access to contraceptive services and postabortion care in order to reduce abortion-related morbidity and mortality.     

Ambulante psychotherapeutische Versorgung depressiver Patienten

Background

The effectiveness of psychotherapeutic interventions in treating depressive disorders has been shown in manifold ways. However, information is missing from the point of view of psychotherapists concerning diagnostic and therapeutic procedures, their experienced difficulties and barriers, their self-assessment of their competence in the handling of depressive patients and the satisfaction with the cooperation in routine care.

Method

A cross-sectional survey of cognitive-behavioral (n=61) and psychodynamic psychotherapists (n=78) was carried out.

Results

The concordance of clinical diagnoses with diagnoses using the formal ICD-10 criteria was very low. Both groups feel themselves specifically responsible for early detection and differential diagnosis. They neither differ with regard to the frequency of cooperation contacts to other service providers nor with regard to their satisfaction with them or the experienced barriers in the care for depressed patients.

Conclusion

A good psychotherapeutic care exists with options for improvement concerning diagnostic procedures and a stronger connection network.     

Test Difficulty and Stereotype Threat on the GRE General Test1

This study investigated (a) the ability to minimize or eliminate stereotype threat by reducing the difficulty of items administered via a computer‐adaptive version of the Graduate Record Examinations General Test; and (b) the generalizability of these findings for Black students as well as women, and for verbal as well as quantitative sections of the test. Standard and easier versions of the test, and measures of stereotype threat and possible symptoms or sequelae of stereotype threat were administered to students bound for graduate school or already there. Reducing test difficulty did not have any differential effects on test performance or on explicit indexes of stereotype threat for White and Black students, and for men and women, that were statistically and practically significant. However, such effects did occur for some symptoms or sequelae, mainly for White students and women.     

Contracting From Epistemic Hell is Routine

I respond to Erik Olsson's critique of my account of contraction frominconsistent belief states, by admitting that such contraction cannot be rationalized as adeliberate decision problem. It can, however, be rationalized as a routine designed prior toinadvertent expansion into inconsistency when the deliberating agent embraces a consistent point of view.