Background: When accessing mental healthcare services, transgender and gender nonconforming (TGNC) individuals face systemic barriers to gender-affirmative care. Initial points of contact, like intake forms, may show limited consideration for the heterogeneity of TGNC identities and can lead to negative consequences prior to face-to-face interaction with providers. Aims: The first aim was to mimic a likely pathway a TGNC individual may follow to seek mental healthcare services in the USA and to describe the extent to which they may encounter enacted stigma or affirmative messages that may impede or facilitate access to care. The second aim was to determine if a positive State legal climate for TGNC people was associated with more affirmative provider materials. Methods: Content analysis was used to examine a national sample of websites and intake forms of mental healthcare providers who advertise online as working with TGNC clients. Intake forms were coded for usage of affirmative language in gender/sex questions and including questions for a client's pronouns and preferred name. Websites were coded for mentioning a variety of services or resources for TGNC clients. Results: While provider websites were found through Google searches for a “gender therapist,” only 56.6% of websites stated a provider specialty to work with TGNC clients and 32.1% of websites had no mention of services or resources for TGNC people. Additionally, a significantly larger proportion of intake forms from States with legal protections for TGNC people used affirmative language in gender/sex questions and asked for a client's pronouns than intake forms from States without legal protections. Discussion: Barriers to affirmative healthcare for TGNC people within patient and provider interactions have been identified in previous research and these data show TGNC individuals may face enacted stigma even in their search for a provider, particularly those TGNC people living in States without legal protections. 相似文献
ABSTRACTThis article analyzes patterns of transformation in a specific majority religious institution, the Evangelical Lutheran Church in Denmark (ELCD), through a case study of communicative actions related to new church practices. The argument is that the patterns most often identified in the study of the religion of late-modern individuals, which is an “ever-changing, multifaceted, often messy—even contradictory—amalgam of beliefs and practices” (McGuire 2008, 4), are also relevant when scholars describe changes at the level of religious organizations. Meredith McGuire’s concepts are supplemented with other discussions of the transformation of traditions in a contemporary context. Our research question is: what characterizes the communicative actions concerning the transformation of traditions within the ELCD today? The empirical material consists of communicative actions related to practices associated with Halloween and Valentine’s Day from two distinct contexts: 1) the public debate about the Church in the newspaper The Christian Daily and 2) public announcements in the official online Church calendar. This leads to a discussion of the creative agency of religious institutions as part of the complex pattern of contemporary religion. The article argues in favor of an increased focus on the development of new practices in churches as examples of lived religion at the level of institutional religion. 相似文献
ABSTRACTThe prevalence of trauma and its negative impact on humankind has created a burgeoning awareness of the need for systems that are trauma-informed across the lifespan. A collaborative project with the National Partnership to End Interpersonal Violence (NPEIV) sought out research as a call-to-action to mitigate the impact of trauma. The following is an introduction to a special double-issue focused on theoretical and applied approaches to using trauma-informed care in multi-disciplinary, mental and physical health, criminal justice, school-based, and community settings. Consideration is given to essential issues such as resilience, self-care, and cultural awareness. 相似文献
Until recently, objective data have been lacking on the extent to which older adults modify their driving by driving less or avoiding situations considered challenging; a process commonly referred to as self-regulation. Advances in technology now make it possible to examine driving exposure, patterns, and habits using low-cost global positioning system (GPS) technology to record a vehicle’s location on a continuous basis along with the date and time. The purpose of this exploratory study was to better understand the process of self-regulation among older adults by examining their trip-specific driving patterns using objectively-derived GPS measures of driving and comparing these patterns with drivers’ self-reports. The study used a sample of 156 adults age 75 or older, recruited from the greater Melbourne area of Australia as part of the Ozcandrive project, a partnership between Monash University Accident Research Centre and the Canadian Driving Research Initiative for Vehicular Safety in the Elderly (Candrive), a prospective cohort study of older drivers. Objective driving data were collected through equipment installed in participants’ personal vehicles. Participants were asked to drive as they normally would with the equipment installed in their vehicle. After approximately the first 4 months of driving with the device, data were downloaded and participants completed a computer-based questionnaire on self-regulation of driving. Results suggest that there was correspondence, albeit not perfect, between some objective driving measures and their comparable self-reported measures, but a lack of correspondence for others. For avoidance of various driving situations, comparisons were statistically significant for driving at night, driving in unfamiliar areas, and on high speed roads. For each driving situation, participants’ actual driving predicted the likelihood of reporting trying to avoid that situation, although perfect one-to-one correspondence between the self-reported and objective data on self-regulatory driving patterns was lacking. For measures of driving exposure, self-reported and objective driving exposure measures were correlated, but participants tended to underreport their average number of days per week and kilometers per week driven. This discrepancy between self-reported and objective measures is of concern as the ability to measure driving exposure not only contributes to a better understanding of the complex process of self-regulation, but is also a critical element in understanding crash risk. 相似文献
Despite the fact that Stanley Hauerwas has not taken up many of the topics normally associated with virtue ethics, has explicitly distanced himself from the enterprise known as “virtue ethics,” and throughout his career has preferred other categories of analysis, ranging from character and agency to practices and liturgy, it is nevertheless clear that his work has had a deep and transformative impact on the recovery of virtue within Christian ethics, and that this impact has largely to do with the ways in which his thought resists normalization. This essay traces the evolution of Hauerwas's reflections on virtue and the virtues over the course of his career, with special attention to how this has been bound up with an increasingly emphatic theological particularism that has remained ambivalent between what I term “comprehensive” versus “exclusive” particularism. I argue that it is important to distinguish between these, and suggest that grasping the destructive tendencies of “exclusive” particularism should cement our commitment to shouldering the responsibilities associated with comprehensive particularism. 相似文献
Objective: Checklists for registering stressful life events (SLEs) generally correlate negatively, but weakly, with mental health outcome measures. Thus, the present study examined various methodological approaches for improving these relationships.
Design: A total of 1679 participants (women?=?943, men?=?736, M age-39.8) were randomly drawn from the general Norwegian population (response rate 34%). This prospective cohort study included two follow-ups at 10 (n?=?1181) and 23 months (n?=?942).
Main outcome measures: Satisfaction with life and absence of psychological distress (i.e. anxiety and depression) represented a joint measure for indexing ‘mental wellness’ (MW).
Results: A simple count of SLEs weakly predicted MW, as expected, whereas the addition of a moderator (i.e. manageability of the event) substantially improved predictive power. Four additional moderators were examined: duration, impact, help-seeking and time since onset, but these were non-significant after inserting manageability into the model. This SLE counting method also retained its predictive power after including multiple criterion-related variables that substantially adjusted the longitudinal statistical model.
Conclusion: This new SLE counting method exhibited a considerable improvement to predicting mental health and well-being. It is well suited for use in epidemiological research requiring a short SLE checklist format with high predictive power. 相似文献