The Experiences of Rural VhaVenda Women Involved in Polygamous Marriages

The study explored the experiences of five rural VhaVenda women involved in polygamous marriages aged between twenty seven and sixty four years. The five participants were selected through snowball sampling method from four villages in Vhembe District (Limpopo Province). Data were analysed qualitatively using Mostyn's (1985) four phases of content analysis. Participants considered polygamous marriage among the vhaVenda to be a cultural phenomenon that has both positive and negative effects. On the positive side, the participants found polygamy to provide social support and to minimise divorce and promiscuity. On the negative side, polygamy was found to lower the quality of life for women involved in such a marriage arrangement. Other negative consequences associated with polygamy included feelings of distress and entrapment, the lack of control that these women have over their sexuality, the humiliation that they experience due to constant conflicts with co-wives, favouritism and neglect by husbands, and the risk of contracting HIV/AIDS because of the multiple relationships.     

口腔临床医疗实践中知情同意的实现

知情同意是一项重要的伦理学原则和患者自主权的具体表现形式。本文分析了在口腔临床医疗实践中知情同意存在的突出问题和原因,并探讨了实现的方法和途径。本文认为只有遵循全面、精确、真实的告知原则,让患者在充分理解的基础上做出自主地选择,才能保障知情同意原则的实现。     

Intergenerational practice in the community: A focused ethnographic evaluation

An intergenerational community intervention based on contact theory and using ‘photovoice’ methods was designed to change negative age‐group stereotypes and promote sense of community. A focused ethnographic approach was adopted. Participants were 18 young people and 13 older adults. Data from focus groups, carried out with each generation separately, and observational field notes were analysed using thematic analysis; credibility checks were carried out by auditing and respondent validation. Before the intergenerational intervention, both generations presented age‐group stereotypes and both experienced only a weak sense of community. After the intervention, both generations felt that intergenerational contact had reduced age‐group stereotypes and enhanced recognition of intergenerational similarity; many also articulated a positive sense of community. The intervention has promise for helping young people and older adults to feel more socially included. Copyright © 2011 John Wiley & Sons, Ltd.     

Managing boundaries under pressure: A qualitative study of therapists’ experiences of sexual attraction in therapy

Aim: To identify therapists’ views on sexual boundaries and the strategies they employ to manage them in therapeutic practice. Method: In‐depth qualitative interviews were conducted with a sample of 13 accredited, experienced practitioners of psychotherapy or counselling. A grounded theory approach, informed by principles from Free Association Narrative methodology, was employed, in which team members used debriefing sessions for extending depth of understanding of the interviews. Findings: There is consensus about boundaries at the extremes, but variability about fantasy, flirtation and touch. A core process was generated from accounts of successful management of sexual attraction. We identified four problematic ways of reacting to boundary pressure, each with potential to harm clients and therapy. Discussion: A participant‐observer stance was conceptualised as essential for managing threats to boundaries, consistent with the empathic stance. Minor boundary crossings were viewed by interviewees as both potential precursors of more serious transgressions, and as opportunities for understanding the client's difficulties. Implications for practice: These span training, accrediting organisations, supervision and therapy practice.     

Evidence‐Based Practices Reduce Juvenile Recidivism: Can State Government Effectively Promote Implementation Among Probation Departments?

California places tens of thousands of juveniles into its 58 county-based justice systems every year. The offenders do not generally experience reduced rates of recidivism. Evidence-based practices can reliably and significantly reduce these rates. Probation departments have infrequently chosen to implement these practices, in large part because of the training, data collection, and organizational change required. Current state law does not effectively mandate these practices and more importantly fails to recognize and fund the substantial and ongoing training and technical assistance that would be required to implement these practices. State government could best promote evidence-based practices by working collegially with probation departments to obtain and distribute private and public funding to support effective implementation.     

Technology and the evolution of clinical methods for stuttering

The World Wide Web (WWW) was 20 years old last year. Enormous amounts of information about stuttering are now available to anyone who can access the Internet. Compared to 20 years ago, people who stutter and their families can now make more informed choices about speech-language interventions, from a distance. Blogs and chat rooms provide opportunities for people who stutter to share their experiences from a distance and to support one another. New technologies are also being adopted into speech-language pathology practice and service delivery. Telehealth is an exciting development as it means that treatment can now be made available to many rural and remotely located people who previously did not have access to it. Possible future technological developments for speech-language pathology practice include Internet based treatments and the use of Virtual Reality. Having speech and CBT treatments for stuttering available on the Internet would greatly increase their accessibility. Second Life also has exciting possibilities for people who stutter.Educational objectives: The reader will (1) explain how people who stutter and their families can get information about stuttering from the World Wide Web, (2) discuss how new technologies have been applied in speech-language pathology practice, and (3) summarize the principles and practice of telehealth delivery of services for people who stutter and their families.     

对几种临床定势思维的思考

思维定势有权威定势、从众定势、经验定势、唯书本定势、情感定势。思维定势制约我们创新思想的发展,要更好实践临床工作,必须客观评价各种思维定势,主动进行创新思维训练。本文分别对各种思维定势在临床工作中的体现、优劣进行表述,并举例说明。     

Latina Re-Visionings of Participatory Health Promotion Practice: Cultural and Ecosystemic Perspectives Linking Personal and Social Change

This article presents Latina re-visionings of ecosystemic and participatory health promotion practice linking personal and social change in gender, culture, and politics of shared development. The authors, a Cuban-American clinical psychologist and a Chicana/Italian-American PhD student, apply transnational and multiracial frameworks informing strengths-based, collaborative practice connecting women's lived experiences of struggle and striving with resources promoting wellness and equity. We describe how massive workplace raids in New Bedford, MA required re-examining sociopolitical implications of our practice, expanding collaborations with Community-Based Organizations while making connections between politics of every day life, culturally meaningful gender justice, and practice of social change.