Empowerment through Dialogue: Women’s Experience with Division of Labor as a Leisure Constraint in Family Life
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Families & Family Life
Division Of Labor
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AbstractWomen in American society experience high levels of stress and the resultant physical and psychological challenges. While leisure is often seen as a context for stress relief, a variety of leisure constraints make it difficult for many women to have this experience. A focus group was conducted with five women who are mothers of young children to explore the division of labor in family travel. This paper reports on the experience of participant empowerment, which occurred through the dialogue that took place. Findings from this study have implications for those seeking to empower people who experience discrimination and marginalization in a variety of settings. We explore the value of creating safe spaces and facilitating dialogue as a means of mitigating against alienation, enhancing community building, and creating solidarity.
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Child and Family Clinic-Plus Program: How to Involve Children and Families in Mental Health Screenings in a Clinic SettingTsou, Yao-Szu; The College at Brockport (2009-01-01)This study was aimed at using a survey to seek strategies to improve the mental health screening rate for the Child and Family Clinic-Plus program in a clinic setting. The Child and Family Clinic-Plus program is a package involving broad-based screening in natural environments, comprehensive assessment, and evidence-based treatment. A questionnaire was conducted to collect the Clinic-Plus practitioners’ experiences and strategies regarding improvement of the screening rate and ways to better engage children and families in the Clinic-Plus Program in Western New York. Themes emerged from the results including participants utilizing multiple screening sites and personnel to conduct screenings, face to face encounter with families working well, learning collaborative meeting held by Office of Mental Health being helpful, and participants providing their challenges regarding screenings and strategies to engage families. Areas of future research developments were discussed. It concluded with the implications for practitioners to improve their practice of involving children and families in mental health screenings.
Mutations in the CYLD gene in Brooke-Spiegler syndrome, familial cylindromatosis, and multiple familial trichoepithelioma: lack of genotype-phenotype correlation.Bowen, Sarah; Gill, Melissa; Lee, David A; Fisher, Galen; Geronemus, Roy G; Vazquez, Marialuisa Espinel; Celebi, Julide TokBrooke-Spiegler syndrome (BSS), familial cylindromatosis (FC), and multiple familial trichoepithelioma (MFT), originally described as distinct entities, share overlapping clinical findings. Patients with BSS are predisposed to multiple skin appendage tumors such as cylindroma, trichoepithelioma, and spiradenoma. FC, however, is characterized by cylindromas and MFT by trichoepitheliomas as the only tumor type. These disorders have recently been associated with mutations in the CYLD gene. In this report, we describe three families with BSS, one with FC, and two with MFT phenotypes associated with novel and recurrent mutations in CYLD. We provide evidence that these disorders represent phenotypic variation of a single entity and lack genotype-phenotype correlation.
Developing community-based health education strategies with family history: Assessing the association between community resident family history and interest in health education.Prom-Wormley, Elizabeth C; Clifford, James S; Bourdon, Jessica L; Barr, Peter; Blondino, Courtney; Ball, Kevin M; Montgomery, Joshua; Davis, Jonathan K; Real, Joseph E; Edwards, Alexis C; et al. (2019-02-19)Background: Family history (FH) is an underutilized genetically informative tool that can influence disease prevention and treatment. It is unclear how FH fits into the development of community-based health education. This study examines the role that FH plays in perceived threat and health education related to mental and chronic physical conditions in the context of the health belief model. Methods: Data were collected from 1,048 adult participants aged 18-90 years. Approximately 76% of participants indicated African-American race/ethnicity and 35% had less than high school level education. Self-report data were collected on FH of four disorders: anxiety, depression, diabetes, and high blood pressure. Interest in receiving information regarding prevention as well as future testing efforts was assessed broadly. A series of logistic regressions examined the association between FH for each of the disorders and interest in receiving information on (1) prevention of diseases in general and (2) testing for diseases in general. These associations were also analyzed after accounting for the influence of perceived threat of conditions. Results: Interest in receiving general health education was significantly associated with FH of depression (OR = 2.72, 95% CI = 1.74-4.25), anxiety (OR = 2.26, 95% CI = 1.45-3.22), and high blood pressure (OR = 2.54, 95% CI = 1.05-6.12). After adjustment for perceived threat, the magnitude of these associations was reduced substantially. The associations between perceived threat and either interest in receiving information on disease testing or receiving general health education were strong and significant across all conditions (OR = 2.11-3.74). Discussion: These results provide evidence that perceived threat mediates the association between FH and engagement with health education. Currently available health education programs may benefit from considering the role of FH in an individual's motivation for participation in health education activities alongside other factors.