Mental and Social Health Commons^™

Relationship Satisfaction As A Function Of The Discrepancy Between Experienced And Desired Levels Of Intimacy, Joan I. Malcolm

All-Inclusive List of Electronic Theses and Dissertations

The present study investigated the effect of discrepancies between experienced versus desired levels ·of intimacy on relationship satisfaction using data from 13§ undergraduate students. Subjects completed the Personal Assessment of Intimacy in Relationships (PAIR), the Dyaqic Relationship Questionnaire (DRQ), the Dyadic Adjustment Scale (DAS), and a Background Questionnaire (BQ). Correlation and multiple regression analyses indicated that discrepancies between Desired and Experienced Intimacy, as measured by the PAIR and DRQ, was highly predictive of relationship satisfaction, as measured by the DAS. However, Experienced Intimacy was a better predictor of relationship satisfaction. Both males and females ranked Emotional Intimacy as most important …

The Supreme Court As Risk Manager: An Analysis Of Skinner, Todd F. Volyn, James F. Mogan, Lisa M. White

RISK: Health, Safety & Environment (1990-2002)

Examining a recent case in which the U.S. Supreme Court approved the collection of blood and urine samples from railroad employees, the authors conclude that, in attempting to improve railroad safety, both majority and minority opinions reflected undue emphasis on technical issues and inadequate attention to the intangible social values underlying traditional Constitutional rights to privacy.

Characteristics Of Habitual Dysfunctional Behaviors, Carole Ryan Serena

Loma Linda University Electronic Theses, Dissertations & Projects

The suggestion that habitual dysfunctional behavior disorders (HDBs) have a common underlying cluster of addictive characteristics and dynamics is new. A broad research base which would support this theory has not kept current with clinical In order successes. In order to address the need for relevant research, an anonymous cross sectional study was designed to identify, describe and compare variables associated with 15 habitual dysfunctional behaviors (HDBs) in a sample (N =176) from a broad spectrum of socioeconomic groups.

People reporting two different HDBs (alcohol and food-related behaviors) were compared to those not reporting any HDBs on levels of four …

The Mmpi-2 Clinical Scales And Clinical Diagnosis: Differentiating Between Schizophrenic And Bipolar-Manic Disorders, Laura M. Volkmann

Graduate Theses

The validity of the Minnesota Multiphasic Personality Inventory (MMPI-2) clinical scales in differentiating schizophrenia and bipolar-manic disorders was evaluated in terms of MMPI-2 congruence with psychiatric hospital treatment team diagnoses. From a pool of 286 MMPI-2 profiles, valid profiles were obtained on 5 schizophrenia (paranoid type) inpatients and 5 bipolar-manic disordered psychiatric inpatients and were assessed by using each of four MMPI profile classification methods. Overall, the rate of agreement between treatment team diagnosis and the MMPI profile classification methods for both the schizophrenia (paranoid type) and bipolar-manic disordered groups was inconclusive. The results suggest that the MMPI-2 is of …

The Withering Of Community Life And The Growth Of Emotional Disorders, Thomas F. Maher

The Journal of Sociology & Social Welfare

The architecture of this essay is as follows: I begin by assaying the communitarian crisis of the modern western world. Second, I offer a brief narrative of the social and cultural variables that foster rootlessness and social disintegration in much of urban industrial life. Third, I state a strong case for how this same process may be systematically undermining the nuclear family as a life-long community, threatening the dependence of children on care-giving adults, and, thereafter, the psychological development of children.

Social Support For Family Caretakers Of The Chronically Mentally Ill, Gina L. Bankes

Psychology Theses & Dissertations

The present study examined the relation between coping style, social support, family member symptom severity, and negative affect. Fifty-one caretakers of chronically mentally ill family members completed a demographic questionnaire, a general appraisal questionnaire, a family member symptom severity questionnaire, the Coping Strategy Indicator, the Social Support Questionnaire, and the Multiple Affect Anxiety Checklist. Caretakers with family members living at home were different than caretakers with family members living away from home (HOME) in several respects. Controlling for HOME, family member symptom severity was related to negative affect, coping strategies were related to negative affect and the Social Support Questionnaire …

Cognitive Disability Theory As A Basis For Activity Analysis For Elderly Persons With Dementia, Deborah S. Kaeser

Masters Theses

Allen's (1985) Cognitive Disability approach provides a guideline for modifying the cognitive demands of an activity to match the abilities of an individual. Thirty older adults with a mean age of 78.1 years and a diagnosis indicating an irreversible dementia were selected for the study. A counterbalanced design was used to compare the performance of 15 individuals with a Level Three cognitive ability and 15 individuals with a Level Four cognitive ability on two tiling craft activities: one with Level Three cognitive demands and one with Level Four cognitive demands. Analysis of variance indicated a significant interaction between cognitive level …

The Manufacture Of Dependency: Shelterization Revisited, Kostas Gounis

New England Journal of Public Policy

Emergency shelters have been the most comprehensive and enduring response to homelessness in the United States, with New York City leading the way since the early 1980s. Shelters have emerged as a hybrid between a degraded type of "public housing" and a new form of "institutionalization." The persistence of shelter dependency, or "shelterization," is an intractable problem that frustrates policymakers and service providers. Popular among certain circles of professional pathologists is the view that shelterization is a form of "adaptation" to the violent, anomic, and generally antisocial environment of the shelter. This explanation of shelter dependency is theoretically flawed and …

The Pendulum Swings: How Changes In Federal And State Policy Have Affected The Status Of Homeless People With Mental Illness In Ohio, Kim Bryant

New England Journal of Public Policy

Public policy in the problem areas of homelessness and mental illness has been reactive, rather than proactive, for the past thirty to forty years. As a result of this approach, federal and state policies have swung, like a pendulum, from one extreme to the other, taking the homeless mentally ill population on a most difficult ride. Public policies concerning these issues must become proactive, even if it means a complete overhauling of federal and state social service systems. Only with proactive policies will mentally ill individuals, and all people, have the housing, food, and health care they need, and the …

Homelessness, Alcohol, And Other Drug Abuse: Research Traditions And Policy Responses, Gerald R. Garrett

New England Journal of Public Policy

Although homeless alcoholics and other drug abusers more often elicit public scorn than sympathy, ironically they enjoy a celebrity status as research subjects. This article provides an overview of research literature on the homeless and their alcohol and drug problems. The evolution of public policies concerning control, rehabilitation, and treatment of homeless substance abusers is also traced with special attention to the interaction between scientific literature and policy responses over the past century. Although homeless populations today are more diverse than their counterparts in earlier decades, the analysis suggests that the policies and programs developed in response to the crisis …

Classification And Its Risks: How Psychiatric Status Contributes To Homelessness Policy, Anne M. Lovell

New England Journal of Public Policy

This article examines the extent to which psychiatric classification in public policy research contributes to the equation of homelessness and mental illness. Surveys that measure psychiatric status of homeless persons are reviewed to understand whether they contribute to biased rates of mental illness among homeless persons. The relationship between psychiatric classification and the concept of need is examined and alternatives to current classification are proposed. Classification is discussed particularly in relation to policies of segmentation for "single" homeless adults.

Victimization And Homelessness: Cause And Effect, Pamela J. Fischer

New England Journal of Public Policy

The literature on the contemporary homeless population is reviewed to examine the association of victimization with homelessness. Although few studies have specifically focused on victimization, findings derived from studies investigating pathways to homelessness, prevalence of health, mental health, and substance-use disorders, and demographic profiles and life histories suggest that victimization both causes homelessness and is an outcome of losing housing. Causal sequences ending in homelessness most frequently involve domestic violence, which mainly affects women, although other types of abuse may extrude individuals from their established housing. Once they become homeless, the risk of violence escalates for people living on the …

The Needs Of Hartford's Homeless Mentally Ill, Steven Kessler

New England Journal of Public Policy

A state budget deficit in Connecticut threatens the closing of state mental hospitals and holds the potential of displacing chronically mentally ill patients into homelessness. This article explores the historical association between deinstitutionalization of patients from mental hospitals and subsequent homelessness. One third to two thirds of homeless individuals are mentally ill and require intensive, specific, and targeted responses by the community to end their homelessness. Trends in the care of the chronically mentally ill and the conditions of those who are homeless in Connecticut are explored. Model treatment programs are discussed to suggest possible actions, and recommendations that would …

Aggressive Outreach To Homeless Mentally Ill People, Ellen Nasper, Melissa Curry, Elizabeth Omara-Otunnu

New England Journal of Public Policy

Historically, people with chronic mental illnesses have been particularly at risk for homelessness. In 1984, the Connecticut Department of Mental Health (DMH) articulated policy to insure housing for mentally ill persons. One facet of that policy is to increase mental health services to homeless people. The Greater Bridgeport Community Mental Health Center has addressed this need through the formation of the Homeless Outreach Team (HOT). This article describes the development, organization, clinical work, and future of HOT. The team is run jointly by the Mental Health Center (funded through DMH) and Family Service-Woodfield, a United Way-funded agency that provides case …

Mentally Ill Persons In Emergency And Specialized Shelters: Satisfaction And Distress, Russell K. Schutt, Stephen M. Goldfinger

New England Journal of Public Policy

Emergency and specialized mental health shelters represent different service philosophies and are meant to appeal to different segments of the homeless and homeless mentally ill population. This article describes the different characteristics and needs of users of emergency and specialized mental health shelters for homeless persons in Boston. Service satisfaction is described in relation to these characteristics and needs as well as in terms of shelter type. Implications are identified for social and mental health service policies for the homeless.

Program Design And Clinical Operation Of Two National Va Initiatives For Homeless Mentally Ill Veterans, Robert Rosenheck, Catherine A. Leda, Peggy Gallup

New England Journal of Public Policy

In 1987, in response to reports of large numbers of veterans among America's homeless, the Department of Veterans Affairs established two new national health care initiatives, which have seen over 40,000 homeless veterans since their inception. We present here evaluation and treatment data on a sample of 14,000 of them. Because of differences in their design, the two programs vary in the degree to which they emphasize community outreach, homelessness prevention, and the provision of aftercare services to patients discharged from other VA programs. In spite of these differences, veterans treated in the two programs have similar health care problems …

The New England Shelter For Homeless Veterans: A Unique Approach, Ken Smith, James M. Yates

New England Journal of Public Policy

It has been estimated that veterans comprise one third of the homeless population. To combat this national disgrace, many small veterans' groups have been formed nationwide to serve their homeless "brothers" in such settings as shelters, group homes, and outreach centers.

A Boston group, the Vietnam Veterans Workshop, based its New England Shelter for Homeless Veterans on the simple but powerful concept of veteran helping veteran. The shelter created a program to accomplish three important functions: providing the basic necessities of a bed, a meal, clothing, and a hot shower; rehabilitating the veterans by offering various activities to comfort and …

Ending Homelessness Among Mentally Disabled People, Steven A. Hitov

New England Journal of Public Policy

This article examines some of the many shortcomings of the mental health system operated by the Massachusetts Department of Mental Health (DMH) and explores the impact of that system on single homeless individuals who suffer from some form of serious or long-term mental disability. To afford that discussion context, however, the article first briefly examines those forces which have, and have not, significantly contributed to the large number of mentally disabled homeless persons. It suggests certain changes, including a shift in departmental focus from hospitals to community services and the creation of a housing subsidy system exclusively for DMH clients, …

The Kindred Bonds Of Mentally Ill Homeless Persons, Richard C. Tessler, Gail M. Gamache, Peter H. Rossi, Anthony F. Lehman, Howard H. Goldman

New England Journal of Public Policy

While the unraveling of the kinship bond has long been suspected to play a role in the epidemiology of homelessness, the connection between kinship and homelessness has been little studied. Based on a normative analysis of the role of family structure in response to adversity, this article explores the impact of the amount and quality of kinship ties on episodes of homelessness experienced by discharged psychiatric patients in Ohio. Survey data derived from personal interviews with both former patients and their kin indicate more strain in relations with kin of the homeless than the nonhomeless. The strain in the kinship …

Housing, Community Support, And Homelessness: Emerging Policy In Mental Health Systems, Paul J. Carling

New England Journal of Public Policy

This article summarizes the dramatic changes in public policy through which public mental health systems are attempting to meet the housing and community support needs of persons with severe and persistent mental illnesses, including those who are homeless. It traces the historical approach to meeting these needs through defining people principally as patients and providing some combination of psychotropic medications, outpatient therapy, and structured, supervised quasi-institutional settings such as group homes, shelters, and segregated single-room-occupancy, or board-and-care facilities. A transition phase in public policy has emphasized defining these individuals essentially as service recipients who need greater or lesser amounts of …

Alcoholic Women's Relationships As Related To Intimacy And Trust, Cara Leona Forth

Theses Digitization Project

Community college women -- Variable : parental drinking -- The Personal Assessment of Intimacy in Relationship Inventory -- The Trust Scale.

Empirical Analysis And Evaluation Of The California Department Of Youth Authority's Post Parole Substance Abuse Treatment Program: El Centro, California, Don Allen Josi

Theses Digitization Project

Adolescent parolee revocations.

List: Planned Parenthood Of Northeast Florida, Inc. 1992 Board Of Directors

Saffy Collection - All Textual Materials

A list of the 1992 board of directors and officers.

Effects Of Adventist Engaged Encounter On Role Expectations And Growth In Premarital Relations, Jeffrey O. Brown

Dissertations

Problem. There is a growing concern in present society over what have come to be known as 'family values.' At the heart of these values lies marriage, and the erosion of this ancient institution has caused practitioners and researchers alike to focus on possible opportunities afforded by premarital intervention. With the proliferation of enrichment programs, there is a need in the church for an evaluation of Adventist Engaged Encounter (AEE), the largest group premarital intervention program in the Seventh-day Adventist denomination, especially as it relates to two of its primary foci: role expectations and growth.

Method. Demographic details were obtained …

The Relationships Between Marital Adjustment, Family Functioning, Task Management And Family Relationship Concerns In Couples Incorporating A Second Child, Amy Diguiseppe Bade

Dissertations

The purpose of this study was to examine the relationships among variables identified as potentially significant during the transition to second time parenthood. The theoretical framework for this study was based on the Circumplex Model of family systems (Olson, Sprenkle & Russell, 1979; Olson, Russell & Sprenkle, 1983), and a five domain structural model of marital and family adaptation (Cowan & Cowan, 1988).

The convenience sample consisted of 49 Caucasian middle class couples all expecting their second child. This was a one group pretest-posttest design with the birth of the second child functioning as the independent variable. The dependent variables …

Body-Image Attitudes And Perceptions Among African-Americans And Whites As A Function Of Socioeconomic Class, Christopher Eugene Huffine

Psychology Theses & Dissertations

While many facets of body image have been extensively researched, relatively few studies have examined racial and social class differences in body image. The present paper consists of two studies examining racial and class differences in body image among males and females. Study 1 utilized a national sample of respondents to a 1985 Psychology Today survey to examine racial (Black and White) and educational differences in body image among men and women. Study 2 utilized a smaller sample of Black subjects, half drawn from several Southeastern universities and the other half from non-academic locations in the Tidewater area of Virginia …

A Validation Of The Family Of Origin Scale Using Alcoholic And Mental Health Patients, Arthur J. Fedor

Dissertations

The purpose of this study was to add to the knowledge of family of origin assessment by demonstrating the utility of the Family of Origin Scale (FOS; Hovestadt, Anderson, Piercy, Cochran, & Fine, 1985) as a posttreatment measure of change with clinical samples. In this context, a second feature of the study was a further validation of the FOS.

Eighty-one clinical subjects in inpatient alcoholism treatment centers and outpatient mental health clinics were administered the FOS prior to treatment and again following treatment. Although the pretest-posttest model of the study was a quasi-experimental design, the focus was on the FOS's …

Gender Effects On Recall, Clinical Judgement And Treatment Recommendations For A Combination Of Major Depression And Alcohol Dependence Symptoms, Jodi L. French

Psychology Theses & Dissertations

This study investigated the effect of client gender on several aspects of clinical decision-making processes and clinical judgement when a client presented with a combination of depressive and alcohol-dependent symptoms. Forty-four male and 44 female clinicians, who came from various mental health disciplines (i.e., psychology, social work, counseling, nursing, and psychiatry), volunteered to participate as subjects.

The subjects were assigned to hear one of four audiotapes (two male tapes and two female tapes) in which mock clients gave the same initial presentation of symptoms and problems. After listening to the tapes, the clinicians were asked to engage in a number …

The Development Of Mental Health Services In Sub-Saharan Africa: The Case Of Rwanda, Froduald Gatarayiha, Franz Baro, Morton O. Wagenfeld, Rene Stockman

The Journal of Sociology & Social Welfare

This paper considers several aspects of the evolution, organization and current status of the mental health system of Rwanda. The centerpiece of the Rwandan mental health system is the neuropsychiatric hospital in Ndera. Resource constraints preclude development of an extensive system of specialty mental health care. The World Health Organization has proposed that mental health services can best be delivered in developing countries through decentralization and integration with primary health care services. The accomplishments and problems encountered in implementing this model in Rwanda are described and, based on this experience, some recommendations are offered for other developing countries.

Mental Health Services In Hong Kong: History, Modern Development, And Issues, Wai-Kwong Mak

The Journal of Sociology & Social Welfare

This paper provides a comprehensive account of the history, current mental health services, and related-issues in Hong Kong. Psychiatric services provided by the Government such as inpatient, outpatient, and daypatient treatments are highlighted. Community mental health services rendered by the voluntary sector such as the counseling and casework, care in half-way houses, and psychiatric nursing are also discussed. Recent statistical information provides a detailed picture of psychiatric institutions and characteristics of patients. Mental health issues typical of developed countries are discussed.