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Employment and relationship are crucial for social integration. However, individuals with major psychiatric disorders often face challenges in these domains.
Aims
We investigated employment and relationship status changes among patients across the affective and psychotic spectrum – in comparison with healthy controls, examining whether diagnostic groups or functional levels influence these transitions.
Method
The sample from the longitudinal multicentric PsyCourse Study comprised 1260 patients with affective and psychotic spectrum disorders and 441 controls (mean age ± s.d., 39.91 ± 12.65 years; 48.9% female). Multistate models (Markov) were used to analyse transitions in employment and relationship status, focusing on transition intensities. Analyses contained multiple multistate models adjusted for age, gender, job or partner, diagnostic group and Global Assessment of Functioning (GAF) in different combinations to analyse the impact of the covariates on the hazard ratio of changing employment or relationship status.
Results
The clinical group had a higher hazard ratio of losing partner (hazard ratio 1.46, P < 0.001) and job (hazard ratio 4.18, P < 0.001) than the control group (corrected for age/gender). Compared with controls, clinical groups had a higher hazard of losing partner (affective group, hazard ratio 2.69, P = 0.003; psychotic group, hazard ratio 3.06, P = 0.001) and job (affective group, hazard ratio 3.43, P < 0.001; psychotic group, hazard ratio 4.11, P < 0.001). Adjusting for GAF, the hazard ratio of losing partner and job decreased in both clinical groups compared with controls.
Conclusion
Patients face an increased hazard of job loss and relationship dissolution compared with healthy controls, and this is partially conditioned by the diagnosis and functional level. These findings underscore a high demand for destigmatisation and support for individuals in managing their functional limitations.
Chapter 2 provides a theoretical framework for the book. I articulate, first, why it is useful to think in terms of social imaginaries, rather than alternative sociological concepts (such as paradigms or ideologies), for analysing social integration in modern societies. I then explore why, in modernity, it was imaginaries of prosperity that provided the most stable foundations for social integration. These imaginaries can bridge, I argue, the plurality of worldviews and identities, while at the same time play into modernity’s strengths, namely democracy and knowledge governance. However, any particular imaginary of prosperity can provide only a temporary foundation, because it will sooner or later produce too many problems and contradictions to continue fulfilling its integrative role. When such problems mount, imaginaries of prosperity become subject to their own dialectics, having to shift eventually between privatised and collective routes to prosperity. If, however, the pressures for change cannot be institutionalised through democratic channels, we have seen in the past – and are seeing again today – that illiberal and undemocratic tribal imaginaries may take hold, making identity (rather than prosperity) the main vector of politics.
How were freed people represented in the Roman world? This volume presents new research about the integration of freed persons into Roman society. It addresses the challenge of studying Roman freed persons on the basis of highly fragmentary sources whose contents have been fundamentally shaped by the forces of domination. Even though freed persons were defined through a common legal status and shared the experience of enslavement and manumission, many different interactions could derive from these commonalities in different periods and localities across the empire. Drawing on literary, epigraphic, and archaeological evidence, this book provides cases studies that test the various ways in which juridical categories and normative discourses shaped the social and cultural landscape in which freed people lived. By approaching the literary and epigraphic representations of freed persons in new ways, it nuances the impact of power asymmetries and social strategies on the cultural practices and lived experiences of freed persons.
This article presents results of a Dutch randomised experiment, challenging the ‘workfare’ paradigm, which is dominant in many countries. We study whether social assistance (SA) schemes with fewer conditions and more autonomy for recipients stimulate valuable but often overlooked unpaid socio-economic activities (USEA), which are not classified as work. In the qualitative part of the mixed method study, we generated new hypotheses stating that particularly recipients who are older, higher educated, have a migration background, have relatively poor health, or have young children, will spend more time on USEA in less conditional and more autonomous regimes. The quantitative part of the study, where two experimental conditions are compared with the usual treatment of SA recipients, does not show convincing average treatment effects, but does reveal that a less conditional and more autonomy-oriented SA scheme translates into more USEA for older people, people with a migration background and people with relatively poor mental health.
Chapter 2 describes four types of relational features: social support, social integration, social capital, and social norms, collectively referred to as the “four socials.” The ways in which each of these relational factors impact health can be understood as operating through psychological, behavioral, and biological pathways. This chapter presents the definitional distinctions between the four socials and describes the scientific evidence for their pathways.
This article brings together labour relations, sociological and political perspectives on precarious employment in Australia, identifying local contexts of insecurity and setting them within the economics of regional supply chains involving the use of migrant labour. In developing the concept of precarious work-societies, it argues that precarity is a source of individual and social vulnerability and distress, affecting family, housing and communal security. The concept of depoliticisation is used to describe the processes of displacement, whereby the social consequences of precarious work come to be seen as beyond the reach of agency. Using evidence from social attitudes surveys, we explore links between the resulting sense of political marginalisation and hostility to immigrants. Re-politicisation strategies will need to lay bare the common basis of shared experiences of insecurity and explore ways of integrating precarious workers into new community and global alliances.
Chapter 9 explains Durkheim's understanding of moral facts and the conception of social solidarity at the core of his account of the division of labor's function in organized societies: crucial to what holds societies together and enables them to live are moral facts that inform relations among social members. Durkheim views human society as normatively constituted – governed by rules accepted as authoritative by social members – and claims that social institutions serve moral and not merely "useful" social functions. The chapter articulates the resources Durkheim has for conceiving of social pathology (itself an ethical phenomenon), examines the modern pathology most important to him, anomie, and coins a term for a related social pathology, hypernomie, a condition in which social rules are excessively rigid or constraining. Finally, the chapter reconstructs Durkheim's understanding of what is bad about social pathology – why social members should care whether their society is ill.
The role of the art therapist can be to identify the creative potential, to value it and to support social integration through art. Detecting and developing the outstanding and hidden abilities of the atypical child can lead to a normal behavior and to a better social integration.
Objectives
Increasing self-esteem, through personal satisfaction, emotional development and the development of hidden and outstanding skills.
Methods
Stimulating the child through the environment, works as a non-directive method during the art therapy session. Work environments offer various possibilities of expression, he chooses the materials to which he shows an interest, developing his own technique over time.
The child is encouraged during the art therapy sessions, by exhibiting the works and decorating the work environment.
Through these non-directive methods, the evolution of visual thinking is accelerated. The chromatic diversification, the gestures in painting and the alternation of work techniques such as printing, graphic lines and dripping, are signs of a visual thinking. The child discovers the environment and interacts with it trough art.
Observing the potential of the materials around him and also certains physical phenomena, such as a three-dimensional mask that allows the color to outline its volumes by draining it on the shape, the child uses consciously the properties of materials and the movement of the object.
Results
Discovering artistic and decorative skills; Increased self-esteem; Interaction in the artistic environment and even verbal communication in cases of autism.
Conclusions
Through art, the child can get closer to the social life.
Among psychosocial interventions, recent studies have highlighted that sport-based interventions can positively impact on the long-term outcomes of patients with severe mental disorders, in terms of improving their quality of life and promoting social inclusion. Although sport-based interventions should be considered an effective strategy for promoting patients’ recovery, few data are available on their dissemination in the clinical routine care in Europe.
Objectives
to evaluate the availability of sport-based psychosocial interventions in European countries.
Methods
In the framework of the EU-Erasmus+, the European Alliance for Sport and Mental Health (EASMH) project has been funded. In order to evaluate the availability of sport-based interventions, an ad-hoc online survey, sent to national mental health centres, has been developed.
Results
103 responses were obtained (49 from Italy, 31 from UK, 17 from Finland and 12 from Romania). The respondents were mainly psychiatrists working in community mental health centers. Sport-based interventions were frequently provided by mental health services, in particular in Italy, UK and Finland. While in UK and Finland sport-based interventions are commonly offered to all patients, in the other countries these are provided only by patient’s request. The most frequent types of sport practised were: running, football, volleyball, tennis and table tennis and basketball. Almost all respondents reported to not use a dedicated monitoring tool for evaluating the efficacy of those interventions.
Conclusions
Sport-based interventions are not frequently provided in the routine clinical settings, although no monitoring tools are routinely adopted. The EASMHaims to fill this gap by disseminating good clinical practice related to sport-based interventions.
The European Union introduced ‘European Union citizenship’ in 1992. European Union citizens hold a citizenship that is linked to national citizenship. It is the only form of citizenship in the world that is acquired automatically by those who are nationals of a member state. Citizenship is complex and varied – some countries allow dual citizenship while others do not; individuals can change their citizenship or renounce it but states may not arbitrarily deprive a citizen of this status. As the EU is not a nation state, EU citizenship does not give Union citizens dual nationality. This chapter will explore the character of EU citizenship and the substance of the rights associated with it. EU citizenship may have been the idea that drove a wedge between the UK and the EU resulting in Brexit. A key question is whether it can be given enough substance to act as a ‘glue’ and bind the nationals in the twenty-seven EU member states. Furthermore, what is its value – is it an ‘inviolable’ status, giving rise to rights that exist regardless of any economic activity?
Wartime destruction and postwar redrawing of borders sparked a refugee crisis in Poland massive in dimensions and very particular in character. Two million ethnic Poles, driven out of the territories annexed by the Soviet Union at the end of the war, had to find new homes in the German territory ceded to Poland in 1945. The refugees did not encounter a “host society” per se, as the region’s former ethnic German population had been expelled, nor did they settle entirely unpopulated land. Some 2.5 million other Poles had migrated from the war-torn towns and villages of central Poland to the country’s new west shortly before the refugees’ arrival. These groups of Poles were joined by 200,000 Polish Jews who had survived the Holocaust, 200,000 Ukrainian-speakers forcibly resettled from southern and eastern Poland in 1947, and 1,000,000 so-called autochthones in Upper Silesia and Masuria, former German citizens allowed to stay in Poland because of their presumed Polish background. This essay explores strategies used to integrate this diverse population and the long-term consequences of forced migration.
This introductory chapter sets out the rationale for the book and in particular for its focus on the relationship between social integration and language development in the experiences of newcomer school students with English as an additional language. It also provides a critical examination and definitional review of key terms and concepts at the heart of the discussion: EAL, newly arrived, mainstreaming, language development and social integration.
Suicide in the elderly is a complex and significant public health problem. The purpose of our study was to examine the role of loneliness and social integration as potential mediators in the relationship between physical pain and suicidal ideation in the elderly.
Design:
Descriptive, bivariate correlations, and moderated mediation analyses were performed.
Setting:
Personal meetings were held with participants in their homes.
Participants:
A total of 198 elderly men aged 65 and over.
Measurements:
Self-report measures: Beck Scale for Suicidal Ideation, Physical pain subscale, Multidimensional Social Integration in Later Life Scale, and University of California, Los Angeles (UCLA) Loneliness Scale (Version 3).
Results:
Our findings showed that the association between physical pain and suicidal ideation was mediated by loneliness and social integration. Further analyses revealed that this mediation model was significant among single, but not married, men.
Conclusions:
Physical pain and social factors are both important in understanding suicidality in late life. Elderly single men who experience physical pain may be lonelier and less socially integrated, and these factors may contribute to higher risk of suicidal ideation.
Healthy older adults typically retain high functioning in the social realm. Nevertheless, social networks, social support, and qualities of relationships vary in late life. This chapter addresses three questions: (1) What areas of cognitive functioning are associated with the social realm? (2) What mechanisms account for these associations? (3) Do these patterns extend to pathological declines associated with dementia? Individuals with a diversity of social partners retain general cognitive functioning more so than individuals with a limited set of social partners. Social integration provides stimulation and activities, and mitigates negative emotion in ways that contribute to cognitive health. Findings suggest that social ties cannot deter pathological declines associated with dementia. In sum, a wide range of social partners appears to be one of multiple resources (e.g., higher socioeconomic status, better locus of control, better health behaviors) that help maintain cognitive functioning in late life.
Following reunification in Germany in 1990 the new states in the Federal Republic faced the task of restructuring and rebuilding the structures of complementary care for the chronically mentally ill. First and foremost, residential facilities had to be established that would correspond to and meet the currently high need for de-hospitalization by making different types of care and care concepts available. Five groups of patients with chronic schizophrenic psychoses (N = 245 patients) who live in different types of psychiatric care facilities (psychiatric nursing home, social therapeutic hostel, sheltered community residence) or at home, either with or without a family network, were studied. In addition to the sociodemographic data, the psychopathology and the extent of social disabilities were also surveyed, as well as data on the living situation and the subjective quality of life with an emphasis on ‘social relationships’, ‘recreation/leisure activities’, and ‘general independence’.
The five groups differed with regard to various sociodemographic and disorder-related variables, particularly with regard to the extent of social disabilities. Especially relevant, however, are the differences among the patient groups in the extent of daily social life and recreational/leisure activities that are partially reflected in their statements on the subjective quality of life. Primarily for the two groups of home residents, but also in part for the patients living in sheltered community care, social contacts are more or less limited to the residential situation and patients are more or less otherwise socially isolated. This is due among other things to the fact that patients who have been hospitalized for long periods do not as a rule return to their prior area of residence; thus, the available compensatory mediation of relationships with the social environment does not suffice. Demands for the further development of complementary systems of psychiatric care derive from these findings.
The paper describes the construction and validation of a brief self-rating scale for social integration in the elderly: the 17-item Social Integration and Independence Questionnaire (SIIQ). The questionnaire was tested on a sample of 160 individuals over the age of 65. Principle component analysis elicited four factors accounting for 48.8% of the cumulative variance: ‘Independence’, ‘Social Integration’, ‘Familial’ and ‘Depression’ (20.7, 10.6, 9.0 and 8.4% of the cumulative variance). The four factors measure the adjustment of elderly people in the community.
Key questions for every state: Who may enter and on what terms? How to integrate migrants and how to define and assess integration? A particularly thorny question is whether a goal of integration should be acceptance of legacy majority's core moral norms. Answers to both questions should reflect the priority of defeating electoral threats to liberal government. The illiberal political mood is stoked by felt threats to identity as well as disproportionate burdens of globalization.
Nous avons documenté et comparé les caractéristiques environnementales potentiellement associées à la participation sociale de Québécois âgés, selon le niveau de ruralité. Une enquête a été réalisée auprès de Québécois âgés de 65 ans et plus recrutés par différents regroupements d’aînés et les réseaux sociaux. Les répondants ont rempli le Questionnaire du potentiel de participation sociale, développé à partir d’une recension systématique des écrits. Selon les 515 aînés, âgés en moyenne de 71,5 ans, les caractéristiques environnementales liées à la participation sociale, ainsi que la convivialité des villes et des quartiers, sont perçues plus favorablement dans les milieux métropolitains et urbains que dans les milieux ruraux. Toutefois, l’accès à l’autobus ainsi que l’accueil et l’ouverture des gens du quartier sont davantage appréciés par les aînés ruraux. Ces résultats témoignent de la présence d’inégalités de participation sociale selon le niveau de ruralité et permettent d’envisager de nouvelles pistes d’action.
En las sociedades andinas actuales las relaciones de parentesco determinan el tipo de matrimonio y el patrón de residencia posmarital que garantizan el manejo de los recursos, la supervivencia y la estabilidad reproductiva de la población. Sin embargo, es escasa la información disponible en el Área Andina Centro-Sur (AACS) para explicar los sistemas de parentesco durante el poblamiento original del territorio y su impacto en la estructura de las poblaciones locales posteriores a la conquista y colonización europea. En el presente trabajo se investiga el patrón residencial en dos sectores del AACS a partir de datos bioarqueológicos disponibles para el Noroeste Argentino y Norte de Chile. La información necesaria pudo ser recuperada a partir de la arqueología y de la antropología física regional. La muestra proviene de 8 localidades y 44 sitios con fechados que cubren el intervalo cronológico desde 3000 aC hasta 1450 dC, desde grupos arcaicos tempranos hasta comunidades agroalfareras tardías. Se emplearon 1.897 observaciones y 27 variables craneométricas. El análisis se realizó con técnicas estadísticas multivariadas: el cálculo de la varianza generalizada (determinante de la matriz de varianzas y covarianzas) para cada sexo y la estimación de los estadísticos de distancia (D2) y divergencia fenotípica (Fst) entre grupos y sexos. Los resultados revelan el efecto de distintos flujos migratorios que determinaron la estructura de las poblaciones. En todos los casos la varianza generalizada masculina es mayor que la femenina indicando una mayor variabilidad entre sitios y una mayor actividad migratoria. Los valores de D2 y Fst femeninos son mayores entre regiones y localidades con una menor tasa migratoria. Estos resultados indican, en general, la prevalencia de una estrategia de supervivencia basada en un sistema de parentesco que favoreció un modelo de residencia matrilocal.
Objective: Individuals with traumatic brain injury (TBI) can experience social isolation, which is damaging to well-being and counterproductive to successful rehabilitation. It has been proposed that social cognitive deficits that commonly result from TBI may contribute to weakened social integration. However, the consequences of specific social cognitive deficits in TBI are still being delineated. The current work sought to better characterize the relationship between community integration and facial affect recognition (FAR) in TBI. Participants and Methods: A total of 27 participants with moderate to severe TBI and 30 healthy controls (HCs) completed two tests of FAR, which employed either static photographic stimuli or dynamic video stimuli (The Awareness of Social Inference Test). The Community Integration Questionnaire was also administered to participants. Results: Participants with TBI were significantly impaired on both the static and dynamic FAR measures, yet the deficits were most pronounced within the dynamic task. Furthermore, participants with TBI reported lower community integration compared with HCs. FAR was positively associated with community integration in both groups, such that participants with proficient affect recognition skills were better integrated into their communities. Conclusions: FAR deficits may contribute to the lack of community integration often observed in TBI; thus, interventions designed to improve FAR may be beneficial to this population’s ability to successfully reintegrate into society.