{"title":"Complementary roles for formal and informal support groups: a study of nursing homes and mortality rates.","authors":"E Litwak","doi":"10.1177/002188638502100406","DOIUrl":"https://doi.org/10.1177/002188638502100406","url":null,"abstract":"<p><p>Organizational theorists have argued that formal and informal support systems cannot exist in strong form in the same society. In this article, the author argues that such theories fail to consider the complementary of these two systems and the necessity of both for the completion of most tasks. A study of tasks performed for nursing home residents found that the formal organization assumed those tasks that could be standardized and deemed legitimate for Medicaid funding, while the others were either maintained by informal support groups or lost altogether. A study of the influence of informal support groups on mortality rates found that such groups played an important role in reducing death in older persons resulting from causes associated with nontechnical matters. In conclusion, the author finds that formal groups can best manage tasks that require technical knowledge or that can be reduced to simpler, routine components, whereas informal groups can better manage tasks requiring everyday knowledge and characterized by many contingencies or unpredictability. The author stresses that both formal and informal support must be provided when serviing older people.</p>","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"21 4","pages":"407-25"},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100406","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21168221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future of the voluntary agency in a mixed economy.","authors":"R M Kramer","doi":"10.1177/002188638502100404","DOIUrl":"https://doi.org/10.1177/002188638502100404","url":null,"abstract":"<p><p>The growing reliance of voluntary nonprofit organizations on governmental funds ties their future to the fate of the welfare state. A mixed, three-sector, social service economy has blurred organizational differences and made a more rational division of responsibility unlikely. This article suggests that the traditional roles of voluntary agencies can still be reformulated to suggest a more realistic view of their distinctive areas of competence and vulnerability. To avoid goal deflection in the future, the author concludes that voluntary agencies must cope effectively with the dilemmas of entrepreneurialism and vendorism.</p>","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"21 4","pages":"377-91"},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100404","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21146717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disability labeling vs. rehabilitation rhetoric for the chronically ill: a case study in policy contradictions.","authors":"N G Kutner, D R Brogan","doi":"10.1177/002188638502100209","DOIUrl":"https://doi.org/10.1177/002188638502100209","url":null,"abstract":"<p><p>Among persons with chronic renal disease, limited encouragement to use self-care treatment options and easy access to disability income benefits tend to reinforce the concept of disability rather than foster rehabilitation goals. More than 80% of all chronic renal disease patients on dialysis therapy receive treatment in facilities at which they become highly dependent on medical staff, and estimates of unemployment among persons aged 21-59 years suffering from this disease range from 60% to 75%. The authors' data indicate that patients who receive dialysis treatment within facilities experience negative effects on their perceived health status and health locus of control as compared to patients who practice self-care dialysis at home. Although many factors contribute to unemployment among dialysis patients, the availability of disability income benefits seems to act as the most important deterrent to employment. Increasing the emphasis on the rehabilitation of this chronically ill population will require a movement away from disability labeling by providers of care and the patients themselves, as well as adjustment in the dialysis reimbursement system and in the eligibility requirements for disability compensation.</p>","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"21 2","pages":"169-93"},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100209","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21144978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alternative professional roles in health care delivery: leadership patterns in self-help groups.","authors":"M Yoak, M Chesler","doi":"10.1177/002188638502100407","DOIUrl":"https://doi.org/10.1177/002188638502100407","url":null,"abstract":"The increasing professionalization of health care delivery systems, improved client awareness, funding cutbacks, and an emphasis on voluntarism have led recipients of health services to turn increasingly to self-help groups. This article examines the leadership and organizational pattern of such groups, using a study of 43 self-help groups from around the U.S. whose members are parents of children with cancer. Three leadership patterns emerged: groups were independent and parent-led, were led by professionals, or had a shared leadership of parents and professionals. Data indicate that the professionally led groups were the smallest, leastformal, and had the narrowest range of activities. The groups with shared leadership had the greatest longevity, tended most often to retain as members parents of deceased children. The authors conclude that such coalitions of clients and professionals are vital for ensuring proper service delivery at a time when health care systems will likely remain bureaucratic and public resources for professional care are being reduced.","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"21 4","pages":"427-44"},"PeriodicalIF":3.5,"publicationDate":"1985-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638502100407","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21146718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attitudes toward genetic engineering: the dilemma of the genetically abnormal child.","authors":"G Young, C Robinson","doi":"10.1177/002188638402000206","DOIUrl":"https://doi.org/10.1177/002188638402000206","url":null,"abstract":"Ethicists and scientists have grappled with issues of genetic engineering for years, yet the position of the lay public on this topic remains largely unexplored. This study examines the attitudes of potential consumers — i.e., women of childbearing age — toward seven medical procedures for genetic engineering. We define genetic engineering as the use of medical procedures to terminate the life or prevent the birth of a genetically abnormal child. This article considers the following procedures: passive euthanasia, amniocentesis, abortion, genetic screening, sterilization, artificial insemination with donor sperm, and in vitro fertilization with a donor egg. The only two procedures that a majority of the women surveyed find acceptable are genetic screening and amniocentesis. Many women, however, apparently do not know enough about genetic engineering procedures to make informed decisions about their use. By far the most important predictor of attitudes toward genetic engineering procedures is frequency of participation in religious observances; the more frequent the participation, the more negative the attitudes. This suggests that decisions about genetic engineering are now and will continue to be based on both ideology and information. Thus, any campaign designed to raise the level of public understanding about genetic science and technology should confront the moral issues inherent in this field and in its application to human beings.","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"20 2","pages":"155-66"},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effects of emotional support on perceived job stress and strain.","authors":"S Jayaratne, W A Chess","doi":"10.1177/002188638402000205","DOIUrl":"https://doi.org/10.1177/002188638402000205","url":null,"abstract":"This article uses a national sample of social workers to examine the relationship between work stress, strain, and emotional support. These results indicate negative associations between support and perceived stress and strain. The authors, however, found no evidence for the buffering effects of emotional support. The authors discuss the implications of these findings.","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"20 2","pages":"141-53"},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21137800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The importance of employee expectations in organizational diagnosis.","authors":"S B Pond, A A Armenakis, S B Green","doi":"10.1177/002188638402000207","DOIUrl":"https://doi.org/10.1177/002188638402000207","url":null,"abstract":"In this article, the authors advance arguments for empirically assessing expectations in terms of their importance in organizational diagnosis and the implementation of a change program. This study explores the feasibility of including in an organizational diagnostic survey a scale to measure employee expectations of the changeability of selected facets of organizational functioning. Exactly 437 employees from all levels of a mental health hospital completed a diagnostic survey. Each of the items on the survey included four parts pertaining to (a) a facet of organizational climate, (b) expectations of facet changeability, (c) facet importance, and (d) employee satisfaction with the facet indicated. Correlational analyses of responses to the four parts indicated that expectations of changeability could be measured independently of the remaining three parts. Moderated regression analyses clarify their nature and potential use.","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"20 2","pages":"167-80"},"PeriodicalIF":3.5,"publicationDate":"1984-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000207","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21137801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Methodological observations on applied behavioral science.","authors":"W J Gingerich","doi":"10.1177/002188638402000113","DOIUrl":"https://doi.org/10.1177/002188638402000113","url":null,"abstract":"<p><p>Policy makers and administrators have become frustrated with single-subject designs because these designs appear unable, at first blush, to provide them with essential information that they can use in planning or change at the organizational or institutional level of management. Practitioners have become frustrated with prior exclusive reliance on traditional group experimental designs because they fail to provide useful information for conducting therapy or delivering services. The following article by Professor Gingerich makes a large and important contribution toward mitigating these two apparently divergent needs. Gingerich describes how meta-analysis can provide useful information for managers through aggregations of data obtained from single-subject, time-series designs. The article also discusses the use of meta-analysis of time-series data as a basis for improving the quality of scientific investigations.</p>","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"20 1","pages":"71-9"},"PeriodicalIF":3.5,"publicationDate":"1984-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638402000113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21135100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Employee assistance programs in Australia and the United States: comparisons of origin, structure, and the role of behavioral science research.","authors":"P M Roman","doi":"10.1177/002188638301900312","DOIUrl":"https://doi.org/10.1177/002188638301900312","url":null,"abstract":"","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"19 3","pages":"367-79"},"PeriodicalIF":3.5,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638301900312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21134904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Team building and the problem of regression: the personal management interview as an intervention.","authors":"R W Boss","doi":"10.1177/002188638301900108","DOIUrl":"https://doi.org/10.1177/002188638301900108","url":null,"abstract":"<p><p>This article describes the characteristics of a Personal Management Interview (PMI) and reports the results of its implementation in 16 different organizational contexts. Based upon Group Behavior Inventory and personal interview data collected from 208 participants (135 experimental and 71 comparison group members), the results show that the implementation of regular PMIs can prevent the regression or fade-out which often occurs after off-site team-building sessions.</p>","PeriodicalId":515858,"journal":{"name":"The Journal of Applied Behavioral Science","volume":"19 1","pages":"67-83"},"PeriodicalIF":3.5,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/002188638301900108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21126753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}