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This paper examines the means by which Estonian national identity was preserved during 50years of Soviet occupation. The study upon which it is based explored such factors as family environments; memories, in the form of oral narratives; and life experiences. This research was informed by the sociocultural approach to mediated action, and it employed both quantitative and qualitative research methods. In 1993, a quota-sampling technique was used to interview a cross section of Estonian society (N=930). Descriptive statistics, and factor and multiple regression analyses were performed. Fifteen qualitative interviews were also conducted. When woven together, these personal histories create a fabric that is representative of the greater Estonian history during the occupation. The implications of these findings may reach beyond the Estonian context to further inform our understanding of the complexities and the vicissitudes of human action.
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An Estonian saying holds that everyone has a unique song in their heart. This profound theme resonates throughout the pages of Song of my Soul. This work is not merely a memoir but a visceral journey through the heart of a besieged nation and a family’s unwavering struggle for survival. Rakfeldt’s narrative immerses the reader in the turbulent twentieth century, when Estonia became a pawn in Stalin and Hitler’s brutal power plays, marked by the devastating impact of three successive occupations. The author recounts his family’s harrowing escape to Sweden, their flight through Europe, and the process of building a new life in the West. He weaves together poignant episodes from his parents’ lives in Estonia, which were shattered by the Soviet invasion, forcing them to flee into forests and marshes and live as partisans hunted by Russian death squads. Beyond the historical account, Song of my Soul is a deeply personal journey. Rakfeldt begins to reclaim his ancestral heritage and fill the void left by displacement and loss. He grapples with questions of identity and belonging. This book serves as a testament to the resilience of refugee families and chronicles the suffering of the Baltic people. It resonates with anyone who has faced immigration challenges and with those seeking to understand the lasting strength of the human spirit.
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The studies reviewed here reflect many important aspects of the onset, course, and outcome of schizophrenia; that is, premorbid factors, childhood and late-life onset, the positive-negative syndrome dichotomy, co-occurring substance abuse, outcome research, and theoretical issues. Unsurprisingly, heterogeneity of course and outcome emerges as a major theme., (C) Lippincott-Raven Publishers.
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lessons learned from previous efforts with the goal of "getting it right" this time. In response to the common refrain that we know about and 'do' recovery already, the authors set the recovery movement within the conceptual framework of major thinkers and achievers in the history of psychiatry, such as Philippe Pinel, Dorothea Dix, Adolf Meyer, Harry Stack Sullivan, and Franco Basaglia. The book reaches beyond the usual boundaries of psychiatry to incorporate lessons from related fields, such as psychology, sociology, social welfare, philosophy, political economic theory, and civil rights. From Jane Addams and the Settlement House movement to Martin Luther King, Jr., and Gilles Deleuze, this book identifies the less well-known and less visible dimensions of the recovery concept and movement that underlie concrete clinical practice. In addition, the authors highlight the limitations of previous efforts to reform and transform mental health practice, such as the de-institutionalization movement begun in the 1950s, in the hope that the field will not have to repeat these same mistakes. Their thoughtful analysis and valuable advice will benefit people in recovery, their loved ones, the practitioners who serve them, and society at large. Foreword by Fred Frese, Founder of the Community and State Hospital Section of the American Psychological Association and past president of the National Mental Health Consumers' Association. © 2010 John Wiley & Sons, Ltd.
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The purpose of this study was to examine substance abuse treatment referrals that were made by outreach workers in a homeless outreach project. Ten outreach workers completed questionnaires on each of their clients who they had referred to a substance abuse treatment program over the previous year. Additional data was collected on the client's motivation level at the point the referral was made, which agencies the client was referred to, and if the client was rejected from any of the treatment programs. Bivariate correlation analyses were used to examine relationships between the variables. Of 73 project clients who were referred to substance abuse treatment in a one-year period of time, 41% successfully entered treatment. As might be expected, there was a statistically significant relationship between clients' motivation level and completed referral, and between referrals made and program acceptance. This study provides evidence that assertive outreach is effective in engaging and linking homeless persons with substance use disorders to substance abuse treatment services.
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The authors hypothesized that schizophrenic communication disturbances reflect specific cognitive deficits in the areas of working memory and attention. They examined the cognitive correlates of communication disturbances, as measured by linguistic reference performance, in schizophrenic (n = 48), bipolar (n = 24), and nonpsychiatric control (n = 23) individuals. Reference performance ratings in the schizophrenic patients were associated with scores on tests of working memory and attention and were not related to performance on concept formation or verbal fluency tests. In contrast, in the bipolar and nonpsychiatric individuals, reference performance was associated with concept formation and verbal fluency test scores but was not related to performance on tests of working memory. Implications with respect to the processes underlying schizophrenic communication disturbances are discussed.
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A measure of citizenship was developed and validated by Rowe and colleagues (O’Connell, Clayton, & Rowe, 2017). The items clustered around the 5 Rs of citizenship as defined by Rowe et al.: relationships, rights, resources, roles, and rights, and a sense of belonging. Although a measure has its utility in clinical settings, to address time constraints and other administrative burdens expressed by providers in their day-to-day practice, a citizens tool was developed as a practical way that providers can enhance dialogue between providers and clients on citizenship for clients served in mental health and criminal justice reentry settings. This article describes the development of the tool, testing of the tool’s utility with case managers, and implications for practice. © 2017 Taylor & Francis.
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