Asian Families “Back Home”: An Unexplored Resource

Communities from which Asian migrants to the West originate are often seen by western professionals as a drain upon these new migrants’ resources, and are not included in formulations about problems or their solutions. In this article, a number of case examples are used to illustrate how the authors made use of the relationships of Bangladeshi migrants living in the east end of London to their families back home as a crucial resource in overcoming difficulties encountered in their new country. It is further argued that seeing such families as having transnational loyalties is a more helpful “frame” than seeing them as caught up in cultural conflict.     

Intensive group psychotherapy of borderline patients

The group modality employed by the authors for the past two years to structurally treat borderline personality patients has proven successful and is presented here for consideration by other clinicians. The authors suggest that the ego deficits that can make the borderline patient a problematic group member are the very deficits that are often best treated in a group setting. The inherent curative factors of groups are discussed in parallel with the structural therapeutic needs of the borderline, and specific strategies and interventions for enhancing borderline structural growth are recommended. Inherent risks of treating this challenging patient population within the group modality are discussed, and suggestions for preempting or minimizing such effects are presented.     

Ensoulment and the prohibition of abortion in Islam

This article identifies ways in which philosophical ideas of personhood influence rulings concerning abortion. The terms ‘life’, ‘soul’ and ‘spirit’ are clarified through a comparative study of authoritative Shi&art10;a texts. There is a consensus that ensoulment occurs at four months, when the spirit causes the emergence of potentiality for rational thought. This stage marks a significant change in the status of the foetus, and abortion after this stage is prohibited except in extreme circumstances when the mother's life is threatened. Recent rulings by Shi&art10;a scholars on abortion at earlier stages are interpreted in terms of potentiality for ensoulment. The distinction between active and passive potentiality for ensoulment clarifies the reasons why jurists hold different views on whether the prohibition of abortion applies before the stage of implantation. The relevance of this discussion to some methods of contraception is indicated.     

The Role of Optimism/Pessimism in HRQOL in Chronic Hepatitis C Patients

One hundred and twenty three outpatients with compensated chronic hepatitis C (CHC) completed the SF-36, BSI, and questions regarding the expected impact of CHC on their health. Respondents were categorized as optimists (N = 17, 13.8%), realists (N = 98, 79.6%), and pessimists (N = 8, 6.5%). Pessimism was associated with lower scores on nearly all SF-36 subscales (p < .001 –.03) and higher scores on 6 BSI subscales indicative of greater emotional distress (p < .05). Pessimism was not associated with demographics, liver disease severity, substance abuse, or comorbid medical conditions. However, pessimism was associated with the presence of a psychiatric comorbidity and self-reported health status (p < .05). We conclude that optimism/pessimism may be an important determinant of QOL and emotional status in CHC patients and that additional studies of cognitive predispositions and coping skills in CHC patients are warranted.     

An experimental investigation of the interaction between displays and models in multicriteria decision support

An experiment in multicriteria decision support was conducted that examined two types of information displays, two different multiattribute models and two levels of task complexity in a laboratory setting with students as subjects. The findings focused on the ‘process’ behaviour and the ‘design’ elements of the human-machine interface. Findings concerning the process behaviour suggested that the subjects' actions on data acquisition were guided by their cognitive preference for the attributes, but that the subjects had no discernible search pattern for evaluation. Findings for design included a significant interaction between display and model in weight estimation and assessment. The practical implications for software design are also discussed.     

Evaluation of Psychometric Properties of the Second Version of the Taqwa (Piety) Questionnaire in Bahasa Melayu

The aim of the study is to evaluate the psychometric properties of the Bahasa Melayu version of the Taqwa (piety) questionnaire, used for the measurement of behaviour of Drug Dependency Syndrome (DDS), in Malay patients. A sample of 98 males with a psychiatric diagnosis (DSM-IV-R) as the DDS was randomly selected from Kajang Khafidz Polyclinic Kuala Lumpur, Malaysia. After receiving their agreement to attend the study, they completed the Taqwa (piety) questionnaire. The reliability was assessed by determining the Cronbach’s \( \alpha \) to measure the consistency of related questions for all four dimensions (subscales), including individual, social, cognitional, and emotional Taqwa behaviour. In the next step to evaluate the composite reliability, convergent, and discrimination validity, a measurement model was determined via Conformity Factor Analysis (CFA) based on Partial List Square method (Smart- PLS Ver: 2M3). The reliability of four dimensions of the questionnaire was acceptable (\( \alpha_{1} = 0.881, \;\alpha_{2} - 0.862, \;\alpha_{3} = 0.86, \;{\text{and }}\;\alpha_{4} = 0.90)\; {\text{and}} \) correlated to each other. However, according to the CFA method, the items with low loading factor (<0.5) were excluded from each dimension. Item 24 and 35 that were related to individual Taqwa, and item 35 that belonged to emotional Taqwa were excluded from the analysis. The composite reliability and convergent, and discrimination validity were satisfied in all conformity factor loading that exceeded 0/05. The psychometric properties of the Taqwa questionnaire are acceptable, and the scale is a good instrument for assessing the Islamic attitude, beliefs, and behaviour of the Bahasa Melayu DDS patients.     

Depression in South Asian women: Asian women's beliefs on causes and cures

A qualitative, grounded theory approach within a constructivist paradigm is employed to explore perceptions of causes and cures of depression in South Asian women. Ten Asian women suffering from depression and three of their carers were interviewed about their beliefs around the cause of their own and their relative's depression, and the implications of these beliefs for treatment. Findings suggested that understanding their experience of conflicting cultural expectations, distinctions between psychosocial, spiritual, physical health problems and communication problems (general and culture specific) were central to these women's experiences of depression The implications of results for services are discussed and limitations of the study considered in line with criteria developed for constructivist research.     

Canadian immigration, mexican emigration, and a North American regional interpretation

Comparing Mexico’s US emigrants and Canadian immigrants from diverse global sources reinforces explanations of why (a) North America’s economic fulcrum is shifting south, (b) Mexico-based interests may be gaining greater salience in Washington than Canadian counterparts, (c) migration’s inverse relationship with regional integration threatens integration at the regional level over the longhaul, and (d) sustaining a graying population imposes a greater Canadian burden than elsewhere south. The study shows how, by adding globalization and regional dynamics to traditional push-pull immigration factors, typical bilateral analyses not only shed more light, but also broaden policy perspectives and clarify possible future directions.