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Grief And The Treatment Of Post-Traumatic Stress Disorder, Charles P. Flynn, Alexandra Teguis

The Journal of Sociology & Social Welfare

The effects of grief and grief-repression are described as being critical aspects of Post-Traumatic Stress Disorder. Qualitative interview and extant program material are utilized to assess the role of grief in the PTSD syndrome, and a program that incorporates grief-related therapy is described. Implications of grief-related therapy for the treatment of PTSD are also discussed.

A Comparative Analysis Of Post-Traumatic Stress Syndrome Among Individuals Exposed To Different Stressor Events, John P. Wilson, W. Ken Smith, Suzanne K. Johnson

The Journal of Sociology & Social Welfare

The purpose of the present study was to compare post-traumatic stress syndrome among persons involved in nine different stressor events: combat in the Vietnam War; rape; serious life-threatening events; divorce; the death of a significant other; critical, near fatal illness of a significant other; family trauma; multiple traumatic events; and no stressful event. To assess the severity of the symptoms which define post-traumatic stress disorder (PTSD), the Impact of Event Scale, the Beck Depression Inventory, the Stress Assessment Scale for PTSD from the Vietnam Era Stress Inventory (Wilson & Krauss, 1980) and the Sensation Seeking Scale were administered to the …

Post-Traumatic Stress And Life-Destructive Behavior, Dennis L. Peck

The Journal of Sociology & Social Welfare

Results of content analysis of investigative reports and suicide notes illustrating the association between traumatic stress and life-destructive behavior are reported. A breakdown of interpersonal relationships and the inability to adapt to situational arrangements over which they lack control are shown to be factors critical to understanding committers' motivations to suicide.

Research Issues Surrounding Holocaust Survivors: Adaptability And Aging, Benjamin J. Hodgkins, Richard L. Douglass

The Journal of Sociology & Social Welfare

The thesis of this article is that, in spite of a large body of literature on the subject, a significant need exists for sociological research on the long-term consequences of the trauma experienced by survivors of Nazi concentration camps. Most of what is known about the adjustment of Holocaust survivors is based upon limited case histories of survivors who sought psychiatric aid, or requested assistance in qualifying for indemnification payments from the German government. The social and psychological dynamics of successful adjustment to life after the traumatic Holocaust experience by the majority of survivors has largely been ignored. Reasons for …

Toward An Understanding Of Post-Traumatic Stress Disorders: An Historical And Contemporary Perspective, Sangeeta Singg

The Journal of Sociology & Social Welfare

This article traces the historical views that led to development of current scientific perspectives of the diagnostical concept post-traumatic stress disorder. Examples of the catastrophic precipitants of post-traumatic stress disorder, such as war, natural and man-made disasters, and rape are presented, and a description of the current clinical perspective is provided. Because post-traumatic stress disorder often involves all aspects of a person's life, the use of multimodal therapy soon after the trauma is experienced is recommended to prevent the symptoms from occurring.

Occupational Stress And Depression Among Vietnam Veterans, Christian Ritter

The Journal of Sociology & Social Welfare

An exploratory analysis was conducted to assess the effect of exposure to a distal source of extreme trauma on current levels of depression. The purpose of this study was to assess the nature of the relationships among: (1) exposure to the extreme stressor of combat in Vietnam; (2) persistently difficult life conditions; and (3) psychological distress. The impact of various stressors on current psychological distress is evaluated in light of the mediating influence of personal coping resources. Findings suggest that exposure to combat has neither a direct nor an indirect effect on current levels of depression. Exposure to combat was …

The Effects Of The Holocaust: Psychiatric, Behavioral, And Survivor Perspectives, Zev Harel, Boaz Kahana, Eva Kahana

The Journal of Sociology & Social Welfare

In this paper the authors review perspectives related to Holocaust victims, limitations of Holocaust studies are discussed, and suggestions for viewing the long-range post-traumatic effects of the Holocaust upon its victims from social and behavioral science perspectives are advanced. The views of survivors toward post-war adjustment, drawn from interviews with Holocaust victims, are also presented.

Holocaust Survivors And Post-Traumatic Stress Disorders: The Need For Conceptual Reassessment And Development, Jerome Rosenberg

The Journal of Sociology & Social Welfare

The recent interest in various aspects of the Holocaust focus on survivors and their children. One major part of this research has focused on the medical and psychological sequels of the concentration camp and other Holocaust related experiences for which Eitinger (1981) identified seven distinct areas of inquiry. The literature in each of these areas is extensive; however, this work is fraught with problems both at the conceptual and at the treatment levels. This paper is specifically concerned with reviewing research and treatment programs, identifying the major problem areas, and concludes with a suggested conceptual alternative to the prevailing clinical …

Coping Strategies Of Female Holocaust Survivors, Marlene Sway

The Journal of Sociology & Social Welfare

This paper describes how Holocaust survivors learned to help themselves and to reestablish their sense of community and self-worth. Sixteen female survivors were interviewed regarding their post-war adjustment. Data from the interviews revealed three themes which the women employed to cope with their post-war stress. These important factors in the adaptation process include establishing a family, building a community, and using work as therapy.

Some Principles Of Decision Making Under Uncertainty In Long-Term Treatment Situations, Julius A. Roth

The Journal of Sociology & Social Welfare

Comparative information from field notes of four studies of long-term treatment institutions form the basis for developing propositions about decisions made under conditions of uncertainty. These propositions fall under the general rubrics of decision making when action involves danger, when decisions are made to control clients' or subordinates' behavior, and when a choice must be made between alternatives. The propositions are illustrated with examples taken from the four studies.

Career Lines In The Area Of Mental Retardation, Charlotte Ballard

Dissertations and Theses

In the past few years there has been a large growth in the number of facilities and services provided to the mentally retarded in the community, as contrasted to the institutional setting.

This thesis reviews some of the factors involved in the transition to community care for the mentally retarded as a background for an examination of the characteristics and perceptions of the persons who provide community care.

Social Work Intervention With The Aged: Toward A Change In The Institutionalized Thought Structure, Shimon S. Gottschalk, Michael Frumkin, Allan V. Kaufman

The Journal of Sociology & Social Welfare

The social problems associated with aging are viewed as derived from a series of socially defined meanings in the areas of: (1) power/authority,(2) responsibility, (3) productivity/work, (4) dependence/ independence,and (5) knowledge/rationality. A parallel series of alternative meanings is proposed which make possible the creation of alternative institutional forms which hold promise for making contemporary problems substantially obsolete. An era of post-professinalism is envisioned in which helping agents become political activists committed to social change on the cognitive, as well as the material level.

Improving The Mental Health Care Delivery System For Elderly Nursing Home Patients, Richard J. Caston, Sharon Kohls, Susanna Bozinovski

The Journal of Sociology & Social Welfare

It is well known that the mental health care delivery system for aged nursing home patients is inadequate. Based on information gained from face to face interviews and from a mail survey of nursing home personnel, the range and usefulness of the resources and services available for mental health care in nursing homes are identified. This information is then used to derive recommendations for the development of a more effective mental health care delivery package for nursing homes.

Empathy/Role Taking: A Theoretical Model For Feminist Therapy, Michele Wilson, Gayle Twilbeck Wykle

The Journal of Sociology & Social Welfare

Feminist therapy is directed not only at individual, but also at social change. Because of this dual aim of feminist therapy, the symbolic interactionist perspective, which describes individual initiative as a source of social change, is suggested as a theoretical orientation which can provide a useful model for feminist therapy. More specifically, the empathy/role-taking model for the clienttherapist relationship is outlined here.

Child Abuse And Mental Health: An Examination Of Some Long Term Effects For Prison Inmates, Michael J. Belyea, Matthew T. Zingraff

The Journal of Sociology & Social Welfare

This study examines the effects of childhood abuse on future adult mental health. A statistically significant relationship was found between abuse and mental health problems. This relationship remained even after controlling for parental characteristics and the effects of an abusive environment. These findings suggest that one way to deal with the consequences of abuse would be to develop long term intervention strategies.

Alcoholics' Self-Esteem And Perceptions Of Support, Linda J. Charkins

Theses Digitization Project

No abstract provided.

The Perceptual Effect Of Patients' First Name On The Clinical Judgment Of Psychopathology By Psychotherapists, Dennis G. Cowan

Dissertations

The purpose of this study was to explore the relationship between a patient's first name (desirable versus undesirable) and the clinical judgment of psychopathology by mental health professionals. Specifically, this study examined how a patient's first name affected the diagnosis of maladjustment.

A total of 266 mental health professionals viewed a standardized video taped interview with a patient. Through the analysis of two surveys, the following first names were randomly presented with the viewed patient: Christopher, David, Mortimer and Junior. It was found, at the .00001 level of probability, that when the patient possessed the less desirable first name of …

The Politics Of Mental Health After Care, Steve Rose

The Journal of Sociology & Social Welfare

Essential to the development of a positive practice in mental health after-care is a precise formulation of clients' needs. Clarity about a statement of needs provides added information about anticipated obstacles to meeting those needs, both at the client and systemic levels. To accomplish this preliminary task, it becomes necessary to create what we refer to as a "problem definitional" level of theory. Problem defining theory mediates between more global theory, which establishes a larger context for understanding the broad policy issues and direct implications,* and the articulation of practice theory.

The Non-Orthodox Cancer Therapy Movement: Emergent Organization In Health Care Crisis, Joseph Behar

The Journal of Sociology & Social Welfare

The ideology and organization of the non-orthodox cancer therapy movement are analyzed as social constructions in an area of professional ambiguity and failure. The movement articulates, integrates, and orders the personally and socially disabling consequences of health care failure in cancer. The protest activities of the movement are characterized by political opposition to medical "orthodoxy" and "monopoly." The challenges of the non-orthodox movement are generally ineffective, non-legitimated, or coopted. Yet, in providing conceptual and organizational frames for the disordering consequences of medical failure and in establishing a politically polarized deviant position in relation to conventional practice, this movement socially organizes …

Regional Planning Of Mental Health Services: An Illinois Case Example, Wynne Sandra Korr

The Journal of Sociology & Social Welfare

Now that Reagan has ended a twenty-year pattern of federal involvement in setting mental health policy priorities, states must develop models for implementing and maintaining services to the mentally ill. The Illinois model of regional offices which plan and monitor programs is described. A case example showing how one such office developed services in a minority community is given. Examples of the work of other offices illustrate the flexibility of this model in meeting special community needs.

Disinnovation In The American States: Policy Toward Health Systems Agencies, Keith Mueller, John Comer

The Journal of Sociology & Social Welfare

Requiring the states to involve consumers in health planning through local health planning boards (HSAs) was an attempt by the federal government to control health care costs. Elimination of this requirement more recently has meant some states have discontinued the program. The elimination of HSAs can be considered a case of policy disinnovation. Drawing on the innovation literature, the following variables were expected to correlate, although negatively, with elimination of HSAs: value added to manufacturing, average acre value of farms, per capita income, population living in metropolitan areas, and party competition. All were found to correlate negatively. Predisposition to spend …

Collaboration Between Lawyers And Mental Health Professionals: Making It Work, Donald N. Duquette

Book Chapters

Many questions presented to the court in child welfare cases are resolved with the direction, professional advice, and judgment of mental health professionals. Lawyers and judges look to a number of different professions for this guidance; chief among them are psychiatrists, psychologists, and clinical social workers. The focus of this chapter is on ways for lawyers to enhance and improve the performance of the mental health professionals in the courtroom.

This chapter presents a step-b/step process for lawyer collaboration with mental health professionals in child protection and foster care cases, which is relevant for attorneys representing the child welfare agency, …

"Medical Democracy In A Health Systems Agency: The Role Of Staff", James Latimore

The Journal of Sociology & Social Welfare

The performance of consumers or laypersons in government programs has been studied extensively, usually from the standpoint of the control exercised by providers or other professionals, or correlative, what consumers need in order to be on an equal footing with the experts. At stake is lay control -i.e., democracy. This case study of one Health Systems Agency (HSA) in contrast, focuses attention on the crucial role of the HSA staff in the democratization of health care. Outcomes, such as cost-containment and allocation of resources, can be examined in terms of the staff's interests and the constraints of its multi-leveled environment. …

Scientific Ideologies And Conceptions Of Drinking Behavior And Alcoholism, Keith M. Kilty

The Journal of Sociology & Social Welfare

Conventional explanations of drinking behavior and alcoholism suffer from serious inadequacies, due in large part to their unquestioning acceptance of certain assumptions about the effects of alcohol on human behavior that are rooted in moral prescriptions. That is, most contemporary models of drinking behavior assume that the consumption of alcohol leads to the loss of inhibitions or self-control, ultimately leading to behaviors that are not predictable by either the drinker or society. This perspective has become so deeply ingrained in the social scientific literature that it is no longer even perceived as hypothetical; instead, it has taken on the character …

Shared Ethnicity As A Correlate Of Acceptance Of The Formerly Hospitalized Mentally Ill, Jonathan Rabinowitz

The Journal of Sociology & Social Welfare

This study looked at shared ethnicity of former mental patient and community member as a possible correlate of acceptance of the formerly hospitalized mental patient as a potential tenant. This study is an exploratory study with a comparative perspective using a design in which the willingness to accept a former mental patient as a renter in one of four groups is explored. Current research in this field has ignored the variable of shared ethnicity. The findings of this study did not reach the .05 level of significance, however the results seem to indicate that in some cases shared ethnicity is …

A Contest Of Values: A Cultural History Of Approaches Toward Alcohol, John E. Tropman

The Journal of Sociology & Social Welfare

This is a smaller version of a manuscript prepared for the special seminar on Alcohol and Social Policy, School of Social Work, University of Michigan, Winter 1978. The assistance of Kim Hoa Granville and Craig King is gratefully acknowledged. The support and encouragement of Dr. Edith Gomberg also needs to be recognized; without it, this paper never would have materialized.

Measuring Interpersonal Dependency In Adolescent Psychiatric Inpatients, Susan D. Schaffer

Ellmer School of Nursing Theses & Dissertations

The successful inpatient treatment of emotionally troubled adolescents must facilitate their achievement of developmentally appropriate independence while minimizing the maladaptive dependency that can be fostered by the hospitalization experience. Levels of interpersonal dependency were measured in seven adolescent psychiatric inpatients over a ninety day period. The Interpersonal Dependency Inventory by Hirschfeld, Klerman, Gough, Barrett, Korchin, & Chodoff was utilized. The individual therapist of each participant independently assessed the participant's response to hospitalization at forty-five and ninety days using a five point Leikert type scale. The study demonstrated no significant changes in dependency levels at forty-five and ninety days. The therapist's …

Meaning In Work: Toward A Clinical Approach To Work Dissatisfaction, Shimshon M. Neikrug

The Journal of Sociology & Social Welfare

This paper deals with issues relating to the meaning of work for the worker and clinical implications for the social worker intervening in the field of industrial and occupational social work. The problems of work dissatisfaction and alienation in work are analyzed. The author presents two concepts, work as play and logotherapy, as being useful in the clinical intervention in work related problems. It is concluded that the absence of work dissatisfaction need not be the goal of intervention, rather the clinical encounter can strive for meaningfulness, growth, and self-discovery.

Program In Social Work With Groups: A Jungian Perspective, Herman Borenzweig

The Journal of Sociology & Social Welfare

In their text Social Group Work Practice, published in 1949 and affectionately called, "The Green Bible," by many social workers trained within its tradition, Wilson and RylandI portray program as, "the use of activities for attaining and maintaining mental health." By deemphasizing recreational modalities, social group workers have sacrificed their holistic practice, allowing other professionals to fill this vacuum. Recently, for example, "Sing your way back to health," is a "new" therapy in Los Angeles. Also, many Gestalt therapy exercises owe a debt to J.L. Moreno's psychodrama. Singing, drama, are but two of the many program tools taught as practice …

Assessment Of Mental Health Services And Needs In Hispanic Communities, Raul Gonzalo Guilarte

Theses Digitization Project

No abstract provided.