Family and social networks after bereavement: experiences of support,change and isolation

The role of family and social support networks on grief experiences following the death of a family member in a road traffic accident is explored. Twenty‐one bereaved informants were interviewed and the data analysed using grounded theory methodology. We outline the ways in which a crash fatality impacts upon familial and social relationships. The data clearly demonstrate that although the death of a loved one precipitated closer familial and social bonds in some instances, it was more common that those relationships deteriorated and collapsed. Implications for service delivery, grief education and research are discussed.     

胎盘提前老化分娩时间与方式决策的浅思

胎盘提前老化(Premature aging of placenta)是指妊娠足月前胎盘提前出现退行性的结构改变,是妊娠结局不良的一个敏感预测指标。因此分娩时间及方式是胎盘提前老化临床处理的关键问题。临床上需要对其病因、产科合并症、健康效益、医疗代价、产前监测等进行辩证综合分析,进行正确判断,科学决策,从而减少不良后果发生。     

宫内生长受限分娩时间决策

宫内生长受限（IUGR）是导致围产儿死亡的常见原因之一。分娩时间是IUGR临床决策的关键问题,IUGR分娩时间的临床决策需对其病因、病理生理、健康效益、医疗代价、产前检测等进行辩证综合分析,采用循证医学的方法,科学决策,个体化决策,力求减少不良后果发生。     

How well can the theory of planned behavior account for occupational intentions?

We tested the capacity of an extended version of the theory of planned behavior (TPB) to account for intentions to work for the UK’s National Health Service (NHS) as a nurse, physiotherapist or radiographer amongst three groups: professionally unqualified (N = 507), in professional training (N = 244), and professionally qualified (N = 227). We found strong support for the three core TPB variables attitude, subjective norm and perceived behavioral control as predictors of behavioral intention, and limited support for two additional variables: moral obligation and identification. There were some differences in the relative importance of TPB variables between groups. We conclude that the TPB has utility for more complex behaviors as well as simpler ones that are more frequently researched. However, more attention should be paid to differences in people’s circumstances, particularly regarding past vocational decisions and behavior, and to obstacles to implementing an intention.     

Ageism in Mental Health and Health Care: A Critical Review

Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly little empirical evidence for age bias among mental health providers. Considerable evidence does suggest differential medical treatment for older adults in such diverse areas as physician–patient interaction, use of screening procedures, and treatment of varied medical problems, although it is unclear whether age bias accounts for these differences. We suggest that innovations in delivery of psychological services, such as collaborative medical/psychological care in primary care settings, may ultimately prove more useful in improving access to mental health services than efforts to combat ageism.     

Cracks in a postdisaster service delivery network

Poor linkage cracks are defined and identified empirically in a postdisaster service delivery network. These cracks exist when essential services are provided only by isolated or peripheral clusters of organizations. Network analysis is used to identify the isolated and peripheral clusters of organizations. Measures of experience in responding to disasters and service capacity are used to identify the organizations whose services are essential in the network. Cracks prevent the network from responding effectively in the aftermath of a disaster. Suggestions are made for using network analysis to identify cracks and to improve planning and coordination in all kinds of service networks. Collection of the data for this work was supported by the National Science Foundation (NSF), Societal Response to Earthquake Hazards Mitigation Program, Grant No. CEE-8314421. The analysis and writing were accomplised with support from the National Science Foundation, Grant No. BCS-8920472. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the authors and do not necessarily reflect the views of the National Science Foundation. An early version of this paper was presented at the annual meetings of the Midwest Sociological Society, Des Moines, Iowa, April 1991. This paper was distinctly improved through our response to extensive and perceptive suggestions given by the editor and reviewers of theAmerican Journal of Community Psychology. We thank them for the help.     

Analysis of word comprehension in a case of pure word deafness

A case of pure word deafness due to a left temporal infarct is reported. The results of dichotic tests suggest that auditory verbal material may be processed in the right hemisphere. The inability to repeat nonsense words, the frequent semantic paraphasias in real-word repetition tasks, and the capacity to give a partial account of the meaning of a word that the patient cannot repeat show that despite the impairment of the phonological analysis, lexical semantic processing is possible. An attempt is made to demonstrate that the patient resorts to this semantic processing and that this reflects the linguistic competence of the right hemisphere.     

Gerstmann syndrome without aphasia: a longitudinal study

A case of "pure" and complete Gerstmann syndrome resulting from a focal vascular lesion in the posterior parietal area of the left hemisphere and not associated with aphasic disorder or general mental impairment is described. The initial symptom presentation of this patient supported the concept of the autonomous nature of the Gerstmann aggregate but longitudinal findings suggested that these symptoms did not in fact represent a coherent syndrome.     

School reform disorder: Alternative audience responses to nonsense

Neither general education nor special education now offers appropriate and therapeutic treatment to all children and youth with emotional or behavioral disorders. Substantial improvements are needed in both general and special education, but the needed changes may not be those suggested by many proponents of school reform. Some suggested reforms are tenuously connected to reality in ways that suggest comedic intent or thought disorder, yet audiences typically respond as if these suggestions were both serious and rational. The disorder of school reform may be as much a problem of inappropriate audience response as it is a matter of nonsensical suggestions. One possible response to serious but highly questionable suggestions for reform is articulation of postulates on which a comprehensive educational service delivery system might be based. I present eight such postulates and correlates.This article is based on a keynote presentation at the First Annual Conference on Multiple Perspectives on Children and Adolescents with Serious Emotional Disturbance, Virginia Beach, VA, October 8, 1991. Portions of the paper are based on Kauffman and Hallahan (in press).     

Surprise but not coherence: Sensitivity to verbal humor in right-hemisphere patients

Verbal humor deficits were investigated in right-hemisphere-damaged patients. It was hypothesized that the appreciation of jokes presupposes two elements: sensitivity to the surprise element entailed in the punch line of a joke and apprehension of the coherence which results when the punch line has been integrated with the body of the joke. The possible dissociation between these elements was tested by asking subjects to select from four alternatives the appropriate ending to a joke. Right-hemisphere patients exhibited a selective attraction to endings which contained an element of surprise but which were not otherwise coherent with the body of the joke. This finding suggests that right-hemisphere patients have difficulty in integrating content across parts of a narrative and confirms the psychological reality of the proposed distinction between the surprise and coherence elements of humor processing.