Accidental Communities: Race,Emergency Medicine,and the Problem of PolyHeme®

This article focuses on emergency medical care in black urban populations, suggesting that the classification of a “community” within clinical trial language is problematic. The article references a cultural history of black Americans with pre-hospital emergency medical treatment as relevant to contemporary emergency medicine paradigms. Part I explores a relationship between “autonomy” and “community.” The idea of community emerges as a displacement for the ethical principle of autonomy precisely at the moment that institutionalized medicine focuses on diversity. Part II examines a clinical trial for the blood substitute PolyHeme^® (Northfield Laboratories, Inc., Evanston, IL). It illustrates the ways in which bias in research paradigms and Institutional Review Board decisions attach to the notion and utility of the language of “community.” The conclusion's contemporary anecdote makes apparent the vitality of the issues of prehospital emergency medical care and the ways in which decisions and practices fall too easily into a narrative of culturally biased treatment.     

Wholistic Theology as a Conceptual Foundation for Services for the Oldest Old

SUMMARY

Social service agencies are focusing more and more on the “old-old.” Some organizations have secular missions that address multiple domains (i.e., physiological, economic, social, etc.). Other agencies, developed by the religious community, designate spirituality as a domain to be addressed in serving the “old-old.” This paper examines interfaces between secular social service organizations and those persons (whether staff, board or religious leaders) who attempt to provide a wholistic perspective for service provision to the “old-old.”     

Faith Organizations and Ethnically Diverse Elders: A Community Action Model

SUMMARY

In this article we argue that faith organizations should become involved in developing social service programs for older adults in the community. In the current political climate, the government is providing fewer social service programs, and future prospects for services are bleak. The literature provides evidence that religion and faith-based organizations are important in the lives of Americans, particularly the current cohort of ethnically diverse elders. Our earlier Korean church study found that Korean older people benefit from church-based services and church-involved, older Koreans had higher rates of well-being. Churches remain untapped resources and we believe they should be extensively involved in provision of community programs. We offer a twelve-step model for the development of community programs under the auspices of faith organizations: The Faith-Based Community Action Model (FBCAM).     

Collaboration of Churches and Service Providers: Meeting the Needs of Older African Americans

ABSTRACT

This article describes a community outreach volunteer project designed to reach frail community-based older adults. The project is an example of church and secular agency collaboration in which the church provides leadership in volunteer recruitment and the agency provides training and outreach activity monitoring. The church's role in this project illustrates that small and medium-size African American churches can play an important role in mobilizing volunteer resources and can perform a linking role in helping secular agencies to gain access to frail, hard-to-reach, low-income older adults.     

Religious Research in Gerontology, 1980–1994: A Systematic Review

ABSTRACT

This article presents results of an NIA-funded systematic review of research on religion and aging published from 1980–1994 in mainstream gerontology and religion journals, including the Journal of Religious Gerontology. Findings are summarized from 73 empirical studies, a subset of the 115 articles included in NIA's bibliography on this topic. In general, these studies use multiethnic samples, include multiple religious dimensions, and focus on age comparative analyses and on analyses of religious effects on life satisfaction, health, and well-being. Also summarized is gerontological research on patterns, predictors, outcomes, and measures of religious involvement, and an agenda for future research is proposed.     

Consider the Children

Summary

In this article, we consider interventions for children exposed to family violence in light of the research on children's problems associated with witnessing family violence. Next, we review risk and protective factors related to these children's adjustment with the view that all children are not similarly affected by exposure to family violence. Against this background, we then move to consider directions for interventions from a systemic perspective. We take into account not only the exposure to interactions between their mother and father, but also children's relationships with their mother, father, and siblings, as well as within broader systems such as the peer group, the school, and the community. We consider the critical challenges within each of these important systems for children exposed to family violence, and we propose some potential interventions to address the problems. Finally, we summarize an evaluation of an intervention that incorporates some of the elements identified by a systemic perspective. The evaluation revealed a significant improvement in children's self-reports of depression and anxiety over the course of the program. Mothers rated their children as significantly improved in emotional and hyperactive behaviour problems. There was no relation between mothers' involvement in counselling and children's improvement. Overall, the results suggest that the Peer Group Counselling Program effectively provided support to children exposed to family violence. Finally, we discuss the steps necessary to support children and families in moving toward violence-free lives.     

Forging partnerships for mental health: The case of a prefecture in crisis ravaged Greece

Public health and in particular mental health have been severely affected by the multitude of socioeconomic crises experienced by people in Greece. The severe austerity programmes, have reduced access to health services and increased demand for publically funded health care. This paper presents a case study focusing on the impact of these measures on the lives of mental health providers in one prefecture in Crete. Focus group methodology was applied and the data were analysed using thematic analysis. Analyses revealed three superordinate themes that converge at many levels and appear to be going counter to the circumstances: firstly, ‘forging partnerships for mental health’; secondly, ‘extending our reach’; and thirdly ‘transformations in professional identity through praxis’. These themes are discussed using the words of the participants and the relevant literature.     

The importance of social and ideal social dimensions in self‐congruity research

Chronic or situational self‐construal moderates the effects of four self‐congruity (SC) dimensions (i.e., actual, ideal, social, and ideal social) on brand evaluations. Past research has mainly focused on the actual and ideal SC effects; these effects have been found to be stronger than the social and ideal social SC effects. However, the findings of past research are based on samples from individualistic cultures. Individualists have a dominant independent self‐construal. We conduct two experiments to show that the social and ideal social SC effects are stronger than the actual and ideal SC effects for individuals with a dominant interdependent self‐construal. In Study 1, using samples from collectivistic cultures, four SC effects are compared. In Study 2, we examine how primed self‐construal, whether independent or interdependent, impacts the four SC effects. This research documents the importance of the social and ideal social dimensions in SC research.     

Rehabilitative Beit Midrash as a means for advancing the community integration of Ultra Orthodox Jewish persons with severe mental illness

ABSTRACT

Religious Jews with severe mental illness often encounter barriers to involvement in religious activities in their community affecting their ability to become integrated into their community. Therefore, a study was conducted in Israel examining the contribution to community integration through a programme providing religious persons with mental illness an opportunity to participate in religious studies. An A-B research design was implemented among 42 Ultra-Orthodox Jewish persons with severe mental illness utilising a culturally-oriented structured instrument. The study showed that the opportunity for involvement in religious studies could advance the participants’ sense of social interaction in their community as well as their sense of psychological integration with other religious people. It also strengthened their confidence in their ability to further get involved in religious studies in the community. Rehabilitation services providing persons with severe mental illness an opportunity for involvement in religious studies can act as a springboard for advancing their community integration.