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51.
A cluster analysis of the 16 Personality Factor Questionnaire, Hostility and Direction of Hostility Questionnaire and Psychological Screening Inventory scores from 181 delinquents at Deerbolt Borstal, England, revealed four personality types which were labelled ‘Withdrawn’, ‘Normal’, ‘Disturbed’ and ‘Truculent’. A 3-year reconviction follow-up showed that the groups differed in terms of recidivism. Sixty-four percent of the Withdrawn group reconvicted whilst 87% of the Normal, 79% of the Disturbed and 76% of the Truculent group reconvicted. Controlling for the influence of number of previous convictions the Withdrawn group differed significantly from the other groups in terms of recidivism. The results are discussed with reference to similar results obtained in a previously reported study in a detention centre.  相似文献   
52.
Middle-aged and older couples are divorcing at increasing rates, and statistics indicate this trend will continue. Separating or divorcing people over 50 are similar to but different from younger separating or divorcing people. This article describes one model for addressing the mental health needs of this older population. A group format was used with 66 people who were divorced after 19 or more years of marriage. Recruitment of participants, organization, group process, outcome, problems, and successes of this model are offered as a method for mental health professionals to consider.  相似文献   
53.
In response to the articles by Eibach and Groenhut in this issue, I argue that there is a general connection between sickness and the entrance of sin into the world. There are times when there is a causal link between more specific sin and sickness, though often the patient is the one who has been sinned against. Illness can also expose sin in a patient's life. Integrating the reality of illness into the life history of a patient is a significant pastoral care issue and can be done with humility and sensitivity if done in accordance with the teaching of Job and Ecclesiastes. These books argue that "under the sun" or this side of eternity, human beings can't grasp the coherence of life, including the "why" of illness. Rather, God provides His loving presence, through His people as a comfort to those suffering from illness.  相似文献   
54.
Many women of low socioeconomic status who have contracted HIV qualify for individual, dual, and multiple psychiatric diagnoses that predate their knowledge of their HIV infection. Two case studies of HIV-infected women are presented. Psychoactive substance use disorders are the most common Axis I diagnoses, followed by depression. The most frequently diagnosed Axis II disorders are borderline and antisocial personality disorders. These women reported histories that often included alcohol and other drug use, childhood sexual abuse, violent interpersonal relationships, depression, and learning disabilities. Earlier intervention addressing these problems might have prevented the onset of psychiatric disorders as well as high-risk behaviors that lead to HIV infection.  相似文献   
55.
Clergy suffer from chronic disease rates that are higher than those of non-clergy. Health interventions for clergy are needed, and some exist, although none to date have been described in the literature. Life of Leaders is a clergy health intervention designed with particular attention to the lifestyle and beliefs of United Methodist clergy, directed by Methodist LeBonheur Healthcare Center of Excellence in Faith and Health. It consists of a two-day retreat of a comprehensive executive physical and leadership development process. Its guiding principles include a focus on personal assets, multi-disciplinary, integrated care, and an emphasis on the contexts of ministry for the poor and community leadership. Consistent with calls to intervene on clergy health across multiple ecological levels, Life of Leaders intervenes at the individual and interpersonal levels, with potential for congregational and religious denominational change. Persons wishing to improve the health of clergy may wish to implement Life of Leaders or borrow from its guiding principles.  相似文献   
56.
It is widely recognised that sexual and reproductive health services are underutilised by culturally and linguistically diverse migrant communities, leading to risk of poor health outcomes. This study examined the constructions and experiences of reproductive and sexual health, and associated services, in Assyrian and Karen women who had arrived in Australia as refugees. Forty two women, across a range of age groups and marital status, participated in five focus groups, with thematic analysis and positioning theory used to analyse the results. Two major themes were identified. The first, the ??Premarital Chastity Imperative?? centres on the cultural prohibition of coital hetero-sex before marriage, and taboos associated with same-sex relationships. This has implications for unmarried women??s access to sexual health services, such as contraception, cervical screening, and abortion; prohibition of sex education and communication about sex; and lack of recognition of non-heterosexual identities. The second theme, ??Marital Sex and Reproductive Imperative??, positioned coital sex and motherhood as mandatory within marriage, and was associated with women??s inability to refuse marital sex, limited knowledge about contraception and sexual pain, acceptance of fertility services, as well as lack of recognition of post-natal depression. It is concluded that health care workers need to be aware of cultural constructions of sex and sexuality, as well as the construction of gendered roles within heterosexual relationships, when designing and offering sexual health services to non English speaking or migrant communities.  相似文献   
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Abstract

Deleuze’s differential ontology is a sustained attempt to think and affirm difference as opposed to the unity of identity he insists philosophical thought has tended to privilege. However, by distinguishing between three senses of identity, termed identity of the identical, same, and common, I show that, while Deleuze’s differential ontology offers a powerful critique of identity in the senses of the identical and same, at numerous points in his analysis, such as the virtual-actual movement, the transcendental conditions defining different forms of thinking, and the relationship between the forms of thinking, it appears Deleuze’s affirmation of difference depends on identity in the sense of the common. Rather than using these instances to offer a critique of Deleuze’s differential ontology, I follow his exhortation to read a philosopher creatively and suggest that distinguishing between three senses of identity reveals the complexity of the difference-identity relationship and acts as a stimulus to rethinking this relationship.  相似文献   
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Military unit cohesion has been shown to correlate with physical and psychological outcomes. However, little is known about the development of cohesion in the early days of military service during Basic Combat Training (BCT) and how it relates to positive support and the negative stressors of training. The current study assessed the development of unit cohesion across the 10-week BCT period (N = 1,939), and the relation of cohesion to stress, resilience, mental health measures, and BCT outcomes (graduation, passing the Army Physical Fitness Test, and final Basic Rifle Marksmanship scores). The sample was primarily male (62%), under age 25 (88%), and unmarried (88%). All putative mediators showed significant change over time. Unit cohesion increased over time (slope 0.22; p < .001), and these increases were associated with decreases in psychological distress (p < .001), sleep problems (p < .001), and tolerance of BCT stressors (p < .001), as well as increases in resilience (p < .001), confidence managing stress reactions (p < .001), and positive states of mind (p < .001). Unit cohesion was indirectly associated with successful graduation and passing the Army Physical Fitness Test through cohesion-related improvement in psychological distress, resilience, and confidence managing reactions to stress. Sleep problems also mediated BCT graduation. Cohesion effects on the Basic Rifle Marksmanship scores were mediated by psychological distress and tolerance of BCT stressors only. These results suggest that unit cohesion may play a key role in the development of psychological health among new soldiers.  相似文献   
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