Negative consequences of community group participation for women's mental health and well‐being: Implications for gender aware social capital building

Participation in community groups is argued to be an important way to create health‐promoting social capital. However, relatively little attention has been paid to the ways in which gender affects the health promotion potential of participation. This paper reports on a qualitative study of women's experiences of participation in a diverse range of community groups, and considers how such involvement can potentially have a negative impact upon mental well‐being. In‐depth interviews were conducted with 30 women in Adelaide, South Australia. Women's accounts of their group involvement reflected that their identities as mothers were particularly important in shaping their participation. Some women reported difficulties in combining group involvement with their family responsibilities. Stress attached to negotiating social interaction within groups was also raised as an issue. It was found that participation can reinforce gender inequality and potentially have severe negative consequences for mental health, issues that need to be considered alongside the potential health benefits. The findings are considered in light of Bourdieu's critical conceptualization of social capital. Copyright © 2008 John Wiley & Sons, Ltd.     

医院管理:为医患和谐筑平台——医患和谐的需要、可能与实现

医患和谐是医患双方的共同需要,也是医院存在和发展的需要,更是百姓安康和社会和谐的需要.但由医患和谐的需要到医患和谐的可能,再由可能真正变成医患和谐的现实,离不开一定的条件,离不开医院管理为医患和谐筑建医患双方沟通、双向规范及传播医学人文精神的平台.     

Social support, sense of community in school, and self-efficacy as resources during early adolescence: an integrative model

Influences of different sources of social support (from parents and friends), school sense of community, and self-efficacy on psychosocial well being (as measured by self-reported life satisfaction and psychological symptoms) in early adolescence were investigated in an integrative model. The model was tested using structural equation modeling. Multi-group comparisons were used to estimate differences between sex and age groups. The survey sample was composed of 7,097 students in Northern Italy (51.4% male) divided into three age cohorts (equivalent to 6th, 8th, and 10th grades with median ages of 11, 13, and 15). Findings obtained using SEM were consistent with self-efficacy and school sense of community mediating effects of social support on psychosocial adjustment. The multi-group comparison indicates a need for more complex developmental models and more research on how changing forms of support interact with each other as their effects also change during this important stage of the life. Implications for primary prevention and cross-cultural comparisons are discussed.     

The Multidimensional Nature of Social Cohesion: Psychological Sense of Community, Attraction, and Neighboring

Items from the Neighborhood Cohesion Instrument were completed by 1,732 individuals from a random sample of households in 20 rural communities across Canada during the summer of 2001. Confirmatory factor analysis of the NCI items based on polychoric correlations and weighted least squares estimation found three underlying latent variables. Although items were related to the three latent variables in a somewhat different manner than they were in Buckner's original study, the same three latent variables were evident, providing convincing evidence that social cohesion has at least three subscales: psychological sense of community, neighboring, and attraction. Correlations between subscales were relatively high (between .67 and .87). Intraclass correlation coefficients for the three scales were .115, .127, and .112. In addition, the community means differed on different subscales in a manner that related to recognized characteristics of the communities. Thus the subscales are appropriate measures for both individuals and communities and can be recommended for further research on social cohesion.     

Juvenile prostitution and community rehabilitation: an exploratory analysis of beliefs and values

A community, juvenile prostitution rehabilitation programme in Bogotá, Colombia, South America is described; and beliefs and values of the residents were explored. Multiple sorting procedures and multi‐dimensional scaling analysis elicited qualitative, structured, self‐report data, and investigated cognitive constructs. Participants discriminated between belief‐statements along two global dimensions: street‐life and prostitution; and rehabilitation. These were comprised of qualitatively different elements. Clinical implications for interventions with this group and the rehabilitation programme are discussed. Copyright © 2007 John Wiley & Sons, Ltd.     

Oppression and empowerment: perceptions of violence among urban youth

Youth violence in the United States has emerged as a major concern for communities, policymakers and community researchers. This paper reports on the efforts of a child mental health clinic to build a community consensus around addressing violence that affects youth and all members of the community. We describe and give case examples regarding our approach to acquiring the perspectives of the community, particularly that of youth, discuss key themes and implications that emerged from our work, and offer preliminary recommendations for designing a youth violence prevention initiative in a disenfranchised community. Copyright © 2007 John Wiley & Sons, Ltd.     

Young people's perceptions and experiences of leaving high school early: an exploration

Research suggests it is important for students to feel a sense of belonging to their school. Students who do not belong at school often attempt to satisfy this need through membership in antisocial groups, or they drop out from school altogether. The current study explored the perceptions and experiences of the school context held by young people who have left school early. Twelve young people aged 16–19 years were interviewed on their experiences of school and their wellbeing as a result of leaving school early. Constructionist grounded theory methodology formed the basis of the data analysis. The early leaving process was identified as having three phases; exclusion from school, the transition into workforce and the ‘now’ phase. The results identified factors in the school context that contributed to early student withdrawal. Furthermore, the research has implications for creating a ‘normative narrative’ (Rappaport, 2000 ) in relation to early school leavers. Copyright © 2007 John Wiley & Sons, Ltd.     

Diary reports on emotional experiences in the onset of a psychosocial transition: becoming drug‐free

The process of becoming drug free is viewed as a psychosocial transition in the life of drug addicts. A specific form of treatment of heroin addiction within residential communities is based on the importance of interpersonal relationships for change. Well‐being of 65 drug addicts during the first 2 weeks in a residential community is explored using a time‐sampling diary which was completed four times a day. The influence of subjects' history, situational context, and motive activation on well‐being and emotions is investigated. Results show that well‐being and emotions differ mainly according to subjects' history, but not — at least at the beginning of treatment within the community — according to situations. This is interpreted as a ‘state of shock’ in the new environment and highlights the necessity for special individual care for subjects with a long drug career. Copyright © 2001 John Wiley & Sons, Ltd.     

来自基层医生的呼吁：重视社区医疗—《行医日记》选载

《行医日记》用行医实践说明了社区医疗的作用、地位、服务方式、服务内容以及社区医疗的诸多困难,社区医疗应该有其特定的社会地位和学术地位,以下几篇内容是根据日常所做、所想、所感而作的总结。对基层医疗的社区服务性质应该有个全新的认识。     

Harmony and Justice

The reason why justice and harmony are the most-prized values and the highest aims of human beings is that these qualities are the foundation which makes possible the realization of all other positive goals. Interpersonal conflicts and conflicts between individuals and the society lead to social, cultural, and moral crises. Confucian culture argues that moral reason is only possessed by human beings, and that this is what can make human existence harmonious and rational. Harmony creates power, and power can defeat impediments. As a result, physical qualities are humanized, and moral qualities increase. Goodness promotes the establishment of mutually beneficial systems and procedural justice in a society. Therefore, Chinese traditional culture provides a method for resolving contemporary social conflicts and crises, including accumulating goodness to increase virtue, constructing social integrity and harmonious righteousness, and the building up of a just society.