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Full-Text Articles in Medicine and Health Sciences

Moral Theory And Moral Life, Michael Pritchard Dec 1996

Moral Theory And Moral Life, Michael Pritchard

Center for the Study of Ethics in Society Papers

This paper was originally presented as The Distinguished Scholar Award Lecture, January 25, 1996.


Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams Dec 1996

Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams

The Journal of Sociology & Social Welfare

Using an ecological theoretical perspective, this study of white male UAW workers stressed by a plant closing explored predictors of depression at multiple systems levels. The five best predictors of workers' depression were family strengths, age, economic strain, health, and social support. Additional bivariate predictors included self-esteem and having an alcohol problem at the individual level, marital status and family satisfaction at the family system level, and household income, home ownership, and key relationships at the social-environmental level. Implications for collaboration between direct-service and policy-practice social workers are discussed.


Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee Dec 1996

Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee

The Journal of Sociology & Social Welfare

Despite a proliferation of programs targeted for persons who are homeless and mentally ill, few reports in the literature detail the challenges experienced or strategies utilized by workers, the majority of whom are social workers. The present study reports results from two focus group sessions held with staff running a model service intervention for this population at two separate sites. The methodology that was utilized quanitified results, allowing presentation of themes, as well as comparisons of the frequency of responses across categories and by site. Staff perceived barriersa ssociatedw ith client behaviors and characteristicsp redominated at both sites. However, systemic …


A Study Of The Emotional Responses And Coping Strategies Of Male And Female Athletes With Moderate And Severe Injuries, Donna S. Eaton Dec 1996

A Study Of The Emotional Responses And Coping Strategies Of Male And Female Athletes With Moderate And Severe Injuries, Donna S. Eaton

Dissertations

Emotional responses and coping strategies of injured athletes was the focus of the study. Several emotions have been identified in injured athletes such as frustration, depression, anger, and shock. Questions remain whether males and females feel similar emotions and engage similar coping strategies and whether severity of injury is a significant factor in responses and coping.

Quantitative data were obtained on emotional responses and coping strategies using the Emotional Response of Athletes in Injury Questionnaire (ERAIQ), the Profile of Mood States (POMS), and the COPE. The study examined whether gender and severity of injury may influence emotional responses and coping …


Pain Levels And Rating Of Perceived Exertion Of People With Herniated Lumbar Disc While Walking In Two Environments, Brenda L. Cunningham-Boerger Dec 1996

Pain Levels And Rating Of Perceived Exertion Of People With Herniated Lumbar Disc While Walking In Two Environments, Brenda L. Cunningham-Boerger

Masters Theses

The purpose of the study was to investigate if walking in water is an effective substitute for walking on land as an aerobic exercise for people with herniated lumbar disc. The study involved the dependent variables o f perceived pain levels (PPL) and ratings o f perceived exertion (RPE). Independent variables were walking condition and work intensity. Land walking was performed on a treadmill; water walking was performed in an indoor pool 4.5 ft deep and 90*F. Work was set at four different intensities, based on the formula for predicting maximum heart rate (MHR), 220 minus age. The graded work …


Addressing Spirituality In Occupational Therapy Treatment, Barbara R. Howe Dec 1996

Addressing Spirituality In Occupational Therapy Treatment, Barbara R. Howe

Masters Theses

Literature review identified confusion in the definitions of spirituality with religion. However, there have been attempts to separate the two definitions by professionals who consider holism an important concept of clinical practice. This · study was designed to identify occupational therapists' definitions of spirituality in clinical practice. Also under investigation was the therapist's assessment and use of spirituality for treatment purposes.

A survey was sent to a random sample of occupational therapists in order to gather data about their spiritual activities, their personal definitions of spirituality and their use of spirituality in evaluation and treatment of clients.

Occupational therapists who …


Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller Sep 1996

Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller

The Journal of Sociology & Social Welfare

Hospice providers in the U.S. are on the horns of a dilemma. Survival of individual programs may require accreditation for third party reimbursement, but this stronger alignment with the business world of medicine may jeopardize their unique philosophy of care for dying persons. Hospice's current business/philosophy dilemma was expressed succinctly by a study participant as attempting to incarnate heaven. Data gathered through an ongoing participant observation study reveals the effects of current third party reimbursement on hospice practice. Further, these effects have implications for current U.S. health care reform efforts which are discussed in conclusion.


Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin Sep 1996

Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin

The Journal of Sociology & Social Welfare

Social policy decisions are often made based upon socially constructed models of human behavior. As such, understanding the social constructions in a given policy area is of utmost importance. This study examines three competing models within the substance abuse area: the moral model, the disease model, and the biopsychosocial model. Utilizing survey data from a random sample telephone survey of 1,019 residents of Delaware County, Pennsylvania, the study examines a) the degree to which individual models are internally consistent between beliefs about causes and beliefs about solutions, b) whether the assumptions in competing models are in fact different; and c) …


Our Publication Series, Joseph Ellin Aug 1996

Our Publication Series, Joseph Ellin

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


Ethics At The End Of The Century: A Mosaic Form Genesis To Genetics, David H. Smith Aug 1996

Ethics At The End Of The Century: A Mosaic Form Genesis To Genetics, David H. Smith

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


The Ethics Center: Tenth Anniversary, Wmu Center For The Study Of Ethics In Society Aug 1996

The Ethics Center: Tenth Anniversary, Wmu Center For The Study Of Ethics In Society

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


The First Ten Years, Michael Pritchard Aug 1996

The First Ten Years, Michael Pritchard

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


The Place Of Ethics Centers In Higher Education, Douglas Ferraro Aug 1996

The Place Of Ethics Centers In Higher Education, Douglas Ferraro

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.


Effects Of Exercise And Psychosocial Stress On Blood Glucose In Non-Insulin Dependent Diabetics, Lisa Renae Clemensen Aug 1996

Effects Of Exercise And Psychosocial Stress On Blood Glucose In Non-Insulin Dependent Diabetics, Lisa Renae Clemensen

Dissertations

Non-insulin dependent diabetes often has serious consequences for individuals if blood glucose is not maintained within relatively normal ranges. Exercise and stress have been enumerated as important variables for the control of blood glucose in non-insulin dependent diabetics.

This study compared blood glucose and stress for eight exercise and eight matched control non-exercise adult noninsulin dependent participants. A prospective home monitoring design was used to monitor daily blood glucose, stress, and physical activity via multiple measures for six days.

Results indicated that control participants had significantly higher average blood glucose readings and higher blood glucose variability. Daily stress measures did …


Training Nonconventional Autoclitic And Tact Relationships In Children, Ingolfur Bergsteinsson Aug 1996

Training Nonconventional Autoclitic And Tact Relationships In Children, Ingolfur Bergsteinsson

Dissertations

To some extent, one understands a complex aspect of human language if one can produce that kind of language in children who have not already acquired it. Skinner’s (1957) concept of autoclitic secondary verbal behavior is the most complex of his various verbal units, and until recently has not been the subject of experimental analysis. Howard and Rice (1988) made the first attempt to generate an autoclitic repertoire in preschool children, and the present study is an attempt to corroborate and extend their findings. They worked with the autoclitic “like” which identifies the accompanying primary verbal behavior as a form …


Behavior And Attitudes Related To The Prevention Of Sexually Transmitted Disease And Unplanned Pregnancy, J. Lee Hoover Aug 1996

Behavior And Attitudes Related To The Prevention Of Sexually Transmitted Disease And Unplanned Pregnancy, J. Lee Hoover

Dissertations

A sample of 214 persons was tested to determine the impact of gender role orientation, neuroticism, extraversion, authoritarianism, race, gender, and sexual orientation on attitudes and behavior relevant to the prevention of sexually transmitted disease and unintended pregnancy. Specifically measured was the impact of these factors on attitudes toward the condom as contraceptive, attitudes toward the condom as prophylactic, and reported condom use.

Gender role orientation was measured using the short form of the Bern Sex Role Inventory (BSRI) (Bern, 1978), neuroticism and extraversion were measured using the NEO-Five Factor Inventory (NEO-FFI) (Costa & McCrae, 1992), and authoritarianism was measured …


Differences In The Self-Talk Of Students With Language Impairments When Completing Math Computation And Story Problems, Jennifer Shepard Crouse Aug 1996

Differences In The Self-Talk Of Students With Language Impairments When Completing Math Computation And Story Problems, Jennifer Shepard Crouse

Masters Theses

This study was designed to analyze the differences in the self-talk of students with language impairments when compared with students with normal language. Nine fifth grade students with language impairments and nine fifth grade students with normal language, identified by their teachers as average-achieving, participated in this study. Participants were instructed to use a think-aloud technique while completing sets of computational and math story problems. Resulting samples of self-talk were transcribed and coded.

Results indicated several significant differences in the self-talk of students with language impairments when compared with their normal language peers. In regard to quantitative aspects of self-talk, …


An Inquiry: The Concept And Application Of Empowerment, Pamela Kay Wheelock Jun 1996

An Inquiry: The Concept And Application Of Empowerment, Pamela Kay Wheelock

Masters Theses

While empowerment is a dominant concern in mental health care, services often reflect the inadequate use of an empowerment-based frame of reference. This study seeks to enlarge the understanding of empowerment so that more effective services can be established.

Using naturalistic inquiry methodology, this study explores the lived experience of empowerment through direct dialogue with both mental health consumer advocates and mental health occupational therapists. Data were collected and evaluated using a hermeneutic dialectic process. A series of three interviews were done with six respondents.

Analysis of the interviews revealed striking contrasts between the therapists' and advocates' perspectives in relation …


Poverty, Family Support, And Well-Being Of Infants: Mexican Immigrant Women And Childbearing, Margaret Sherrard Sherraden, Rossana E. Barrera Jun 1996

Poverty, Family Support, And Well-Being Of Infants: Mexican Immigrant Women And Childbearing, Margaret Sherrard Sherraden, Rossana E. Barrera

The Journal of Sociology & Social Welfare

Data reveal that despite high levels of poverty, Mexican immigrants have relatively few low birth weight babies. This unusual pattern suggests that there are "protective" social factors mediating the effects of povertyperhaps especially family support. Our study, based on in-depth interviews with immigrant women in Chicago, finds that family support does protect some women from delivering a low birth weight infant but it does not protect women living in extreme poverty. Implications for services to Mexican immigrant women in childbearing years and their families are presented. These findings also speak to broad issues in social policy, especially the need for …


Speak Of The Devil: Rhetoric In Claims-Making About The Satanic Ritual Abuse Problem, Mary Deyoung Jun 1996

Speak Of The Devil: Rhetoric In Claims-Making About The Satanic Ritual Abuse Problem, Mary Deyoung

The Journal of Sociology & Social Welfare

This paper uses Toulmin's (1958) scheme to conduct a rhetorical analysis of claims being made in the construction of the satanic ritual abuse of children problem. The analysis reveals that the persistence of these claims over the last fifteen years is the product not of their compelling facts or their effective conclusions, but of their persuasive warrants. These implicit, "self-evident truths" resonate well with recent cultural concerns about the vulnerability of children to abuse, and the satanic menace.


A Thracian Charm And Socratic Teaching: The Politics Of Education, Arlene W. Saxonhouse May 1996

A Thracian Charm And Socratic Teaching: The Politics Of Education, Arlene W. Saxonhouse

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, May, 1996. Dr. Saxonhouse's lecture was sponsored by the Institute for the Study of Politics and Government and was part of the Sam Clark Lectures. We extend our appreciation to the Institute and its director, James Butterfield.


A Validation Of Target Heartrate Formulas Used In Swimming, Tasha Kay Litwinski Apr 1996

A Validation Of Target Heartrate Formulas Used In Swimming, Tasha Kay Litwinski

Masters Theses

The purpose of this study was to explore whether procedures used to establish target heart rates (THRs) for running are applicable to front crawl swimming. Eight male and 22 female fitness swimmers from Western Michigan University participated in this study. Their exercise durations under three experimental conditions were compared. The conditions were: (a) Condition 1, a treadmill run at an intensity equal to a THR of 85% of heart rate reserve (HRR); (b) Condition 2, a front crawl swim at an intensity equal to 85% of HRR; and (c) Condition 3, a front crawl swim at an intensity equal to …


The Discriminative Stimulus Properties Of Morphine And U-50,488h In A Three-Key Assay: A Mu And Kappa Opioid Discrimination In The Pigeon, Malath Makhay Apr 1996

The Discriminative Stimulus Properties Of Morphine And U-50,488h In A Three-Key Assay: A Mu And Kappa Opioid Discrimination In The Pigeon, Malath Makhay

Dissertations

Opiate drugs have been classified in two-choice assays according to their ability to produce generalization in animals to the prototypicix opiate, morphine, versus vehicle, or to the k opioid, U -50,488H versus vehicle injections (Picker & Dykstra, 1987). A three-choice discrimination procedure, in which subjects discriminate among morphine, U -50,488H , and vehicle injections, might afford a greater degree of precision in characterizing the subjective effects of opioids. The feasibility of such a procedure was demonstrated in the present study, in which five pigeons were trained to discriminate among injections of 5 .6 m g/kg morphinel 5 .6 m g/kg …


Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera Mar 1996

Market Mechanisms And Consumer Involvement In The Delivery Of Mental Health Services: A Uk-Us Comparison, Wes Shera

The Journal of Sociology & Social Welfare

Both the United Kingdom and the United States Are in the midst of health care reform. By focusing on services for the severely mentally ill this paper compares recent developments in managed care in the U.S. and care management in the U.K. It particularly focuses on the use of market mechanisms and consumer involvement in these reforms.


Civility In America, Brian Schrag Jan 1996

Civility In America, Brian Schrag

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, October 5, 1995.