A family violence prevention program for incarcerated male offenders was evaluated. One hundred and one (101) offenders incarcerated in minimum and medium security facilities participated in a high intensity family violence prevention program offered by Correctional Services of Canada. Thirteen psychological, attitudinal, and behavioural measures were administered to the offenders. The measures were administered either pre-treatment only, pre-and post-treatment, or post-treatment only. Five measures were self-report measures completed by offenders, and eight were administered and scored by qualified corrections personnel. The offenders showed a number of positive pre- to post-treatment changes. Following treatment, offenders reported that they were less likely to rationalize their abusive behaviour or believe that being a man grants one special privileges and entitlements over women. Offenders were less likely to support the use of power and control tactics over women or to endorse an assortment of myths that can foster inequality and abuse. Following treatment, offenders were judged to have shown an improvement in their willingness to sympathize with their partner as well as an improvement in their conflict-resolution skills. Offenders were also judged to show substantial pre- to post-treatment improvements in their compliance with, and response to, treatment, as well as demonstrating an improved ability to apply the knowledge and skills learned from treatment. The Statistical Information on Recidivism (SIR) Scale failed to demonstrate concurrent and predictive validity on a sub-sample of these domestic violent offenders.

I  Sverige  har  antalet  äldre  ökat  de  senaste  årtiondena.  Ju  äldre  människor  blir  desto vanligare blir förekomsten av  sjukdomar och funktionshinder. Vårdplatserna inom  både slutenvård  och  särskilt  boende  har  blivit  färre  och  uppskattningsvis  vårdas  250  000 personer   i   hemvård  idag.   Denna   utveckling   innebär   att   den   närstående,   som   är anhörigvårdare i hemmet har en betydelsefull roll. Syftet med denna studie är att beskriva anhörigvårdarens  erfarenheter  av  kunskapsbehov  för  att  ge  omsorg  och  vård  till  sin make/maka med långvarig sjukdom och/eller funktionshinder i hemmet. Studien baseras på  intervjuer,  som  gjordes  med  anhörigvårdare  dels  genom  en  fokusgrupp  med  fyra deltagare,  dels  genom  fyra  individuella  intervjuer,  det  vill  säga  sammanlagt  åtta informanter.  Intervjumaterialet  har  bearbetats  med  hjälp  av  kvalitativ  innehållsanalys. Studien pågick under åren 2009-2010. I resultatet framkom fem huvudkategorier: Behov av  kunskap  om:  sjukdomen  och  dess  konsekvenser,  hur  man  behärskar  komplexa situationer,  regelverk  och  stödfunktioner,  praktisk  personlig  vård  samt  kunskap  om anhörigvårdarens egen hälsa.  Studien visar också vilka metoder anhörigvårdaren använder för att skaffa sig kunskap. Anhörigvårdaren  efterfrågar  framförallt  individuell  praktisk  handledning  samt  kunskap som  ger  handlingsberedskap  för  att  förstå  behov  av  helhetsvård  och  hantera  nya situationer.  I  diskussionen  har  jag  valt  att  belysa  vilken  slags  kunskap  anhörigvårdaren behöver   för   att   ge   vård   och   omsorg   till   sin   make/maka.   Jag   diskuterar   även anhörigvårdarens syn på sin utsatthet och ensamhet, hur tillvaron kan hanteras samt vilka möjligheter till återhämtning som finns. / In Sweden the number of elderly people has continually increased during the last decades. The older the person grows the more frequent the rate of illness and functional disability. The  number  of  beds  in  both  hospital  care  and  municipality  care  has  been  reduced  and about  250 000  persons  receive  domestic  care  today.  This  means  that  relatives  who  are caregivers play an important role in today’s society. The aim of this study is to describe the caregiver’s experiences and the need for knowledge in order to give care at home to a spouse  suffering  from  a  long-term  illness  and/or  a  disability.  Interviews  with  family caregivers  were  made  partly  through  a  focus  group  with  four  participants  and  partly through  four  individual  interviews  -  in  all  eight  informants.  The  interviews  have  been processed  according to  content  analysis. The study  was  undertaken in the  period  2009-2010.  The  result  can  be  divided  into  five  main  categories.  1.  Need  for  knowledge concerning  the  sick  spouse’s  illness  and  its  consequences.  2.  Need  for  knowledge  in handling complicated situations. 3. Need for knowledge about regulations and care given by  the  municipality.  4.  Need  for  knowledge  in  practical  individual  care.  5.  Need  for knowledge  concerning  the  caregiver’s  own  health.  The  study  also  shows  the  methods used by the caregiver to acquire knowledge. Above all, the caregiver requests individual practical guidance and knowledge in order to understand and cope with new situations. In the discussion I have chosen to illustrate what kind of knowledge the caregiver needs in order  to  care  for  his/her  spouse.  I  also  discuss  the  caregiver’s  view  on  his/her vulnerability  and  loneliness,  how  one  can  cope  with  one’s  life  situation  and  what possibilities there are for recovery.

Acute myocardial infarction is a serious diagnosis. Both the patient and the loved ones experience an immediate uncertainty. To be able to emotionally support the patient´s spouse, the nurse in the coronary care unit must be prepared to also encounter the world of the spouse. The aim of this study was from a nursing perspective to illuminate how life was experienced during the first two months by the spouse of someone, who was stricken by a first time acute myocardial infarction. Interviews with six spouses were conducted. The methodological approach was phenomenological-hermeneutic, based on the French philosopher Paul Riceour. The result of the qualitative text analysis showed four themes: To lose one´s foothold, To be exposed to the medical and nursing staff, To get a changed relationship to one´s partner, To wish to make the most of one´s life. The first theme highlighted the spouse’s strong feelings of uncertainty concerning the outcome of the patient. The second theme showed the spouse’s confidence in the medical care. It also showed the spouse’s sense of being insulted by the nurses, who did not acknowledge the spouses´ need of obtaining information and emotional support. The third theme demonstrated how the partner cared for and felt responsible for observing the former patient´s health condition. The fourth theme showed that the spouse realized that life has to come to an end and therefore wanted to realize his/her plans for the future before it was too late. The findings from this study emphasize the importance of the medical and nursing staff to show interest in the spouses´ experiences. Thereby the spouses can experience a support in congruence with their needs, and their life situation might thereby be improved. It would be of great interest to study how nurses regard the spouses´ life situation during the patients´ stay in hospital. Further research could also highlight which factors could minimize the sufferings of partners to seriously sick patients, regardless of the patients´ diagnosis.

Idag ökar den palliativa omvårdnaden i hemmet. För att den sjuke ofta har en önskan om att få dö hemma. Det ställer krav på anhörigvårdarna som är dem som kommer att bli dem primära vårdarna. Syftet med studien var att undersöka anhörigvårdarnas upplevelser av att vårda hemma, i livets slutskede, med hjälp av det palliativa teamet. Studien genomfördes som en systematisk litteraturstudie. Genom litteraturstudien fick man fram de positiva och negativa upplevelserna från anhörigvårdarna som vårdat den sjuke i hemmet. Studien visade att anhörigvårdarna skulle välja att vårda den sjuke i hemmet igen med hjälp av det palliativa teamet. Detta trots att flera negativa upplevelser kom fram. Anhörigvårdarna ville vara mer delaktiga i omvårdnadsarbetet och detta gjorde att anhörigvårdarna upplevde en större tillfredställelse av själv, genom att kunna ge något tillbaka till den sjuke. Anhörigvårdarna önskade mer stöd från vårdpersonalen eftersom de ansåg sig ha bristande kompetens om medicinteknik, kroppens hälsa, sjukdomen, dess symptom, behandling, och prognos etc.

Government promotes developmental assessment and early intervention for more than ten years, and has good results. In recent years, bicultural family increased and children born to foreign women increased to more than 10%. Some studies pointed out that the children born to foreign spouse are prone to specific developmental delay. However, the research about this topic is still little and the conclusions vary. This study analyzes the demography and results of children with developmental delay between native and foreign spouse family. And the present study explores the physiological factors, family environmental factors, the similarities and differences between the types of developmental delay. This study was performed in a Multidisciplinary Child Assessment Center in a regional education hospital. From 2005 to 2009, 482 children, aged less than 6 y/o (inclusive), diagnosed as developmental delay were enrolled, 404 born to native women, and 78 born to foreign women. The personal base data and results of assessment were analyzed by descriptive and logistic regression analysis. Diagnosis months was (42.57¡Ó16.79) months; male to female ratio was 2.33:1. Among the factors to affect developmental delay, parity, paternal age, maternal age, with or without care in the intensive care unit, place of residence, father¡¦s occupation, father¡¦s education level, maternal education are significant differences (p <. 05) between the two groups. Children born to foreign spouse are referred more by the education and welfare system (15.4% vs. 11.3%; p<.05), and children born to native spouse are referred more by the health care system (12.3% v.s. 5.1%; p<.05). The incidences, from high to low, of six types in the two groups are the same. They (native group v.s. foreign group, respectively) are language developmental delay (81.3% v.s. 84.6%), cognitive developmental delay (68.7% v.s. 79.2%, p=.046; if other factors are included and analyzed by logistic regression, the p value is >.05), motor developmental delay (62.8% v.s. 67.9%), emotional developmental delay (39.4% v.s. 46.2%), sensory perception developmental delay (1% v.s. 1.3%), and nonspecific developmental delay (1.5% v.s.3.8%). There are no significant difference between the two groups in the type of developmental delay (p>.05) and the amount of types of developmental delay (p=.113). Impact of various factors on type of developmental delay was evaluated by logistic regression analysis. Diagnosis age is related to cognitive and emotional developmental delay. Father¡¦s education level is related to cognitive developmental delay. Mode of partum, and delay of initial crying after birth are related to language developmental delay. With or without related physiological disorders is related to language developmental delay and emotional developmental delay. Father¡¦s occupation is related to emotional developmental delay. Father¡¦s education level and occupation are more important than the mother¡¦s, and the impact is significant. The nationality of the mother is not significant in types of developmental delay. In conclusion, in children diagnosed as developmental dealy, there are only few differences in physiological factors, but there are obvious differences in family environment factors between the two groups. The difference of family environment factors between these two groups is similar to the general community. The delay in the type of developmental delay and the amount of types of developmental delay are no significant difference. And some risk factors, particularly the role of the father, are related to particular types of developmental delay. These results will serve as the reference for Government in formulating health policy and social health promotion.

<p>Acute myocardial infarction is a serious diagnosis. Both the patient and the loved ones experience an immediate uncertainty. To be able to emotionally support the patient´s spouse, the nurse in the coronary care unit must be prepared to also encounter the world of the spouse. The aim of this study was from a nursing perspective to illuminate how life was experienced during the first two months by the spouse of someone, who was stricken by a first time acute myocardial infarction. Interviews with six spouses were conducted. The methodological approach was phenomenological-hermeneutic, based on the French philosopher Paul Riceour. The result of the qualitative text analysis showed four themes: To lose one´s foothold, To be exposed to the medical and nursing staff, To get a changed relationship to one´s partner, To wish to make the most of one´s life. The first theme highlighted the spouse’s strong feelings of uncertainty concerning the outcome of the patient. The second theme showed the spouse’s confidence in the medical care. It also showed the spouse’s sense of being insulted by the nurses, who did not acknowledge the spouses´ need of obtaining information and emotional support. The third theme demonstrated how the partner cared for and felt responsible for observing the former patient´s health condition. The fourth theme showed that the spouse realized that life has to come to an end and therefore wanted to realize his/her plans for the future before it was too late. The findings from this study emphasize the importance of the medical and nursing staff to show interest in the spouses´ experiences. Thereby the spouses can experience a support in congruence with their needs, and their life situation might thereby be improved. It would be of great interest to study how nurses regard the spouses´ life situation during the patients´ stay in hospital. Further research could also highlight which factors could minimize the sufferings of partners to seriously sick patients, regardless of the patients´ diagnosis.</p>

Kintzer’s (1972) The President’s Wife: A Handbook for Wives of New Community College Presidents was the first publication that provided insight into the world of the community college president’s spouse. Written for female spouses, when community colleges were growing at a rate of one new college a week, this timely and relevant “how to guide” outlined in detail the do’s and don’ts to being a successful community college presidential spouse. Forty years later, women have transitioned from the spousal role to leading the college. Today women represent nearly 30% of all community college presidents. Research regarding the female president and her pathway to the presidency continues to emerge, but little attention has been focused on the president’s husband and his role as a presidential spouse. Understanding and investigating the role of the male spouse is significant as more women continue their pathway to the presidency, and there is anecdotal evidence that the spouse of a community college president can be influential, albeit the college does not employ the spouse. ix This qualitative study examined the role of the female community college president’s spouse. Utilizing Vaughan (1987) and Smith’s (2001) studies regarding the role of the community college spouse as a framework, this study posed the following research questions: 1. How do male spouses describe their roles? 2. How do female community college presidents describe their spouse’s roles? 3. How do members of the boards of trustees describe the roles of male spouses? Fifteen participants, including five female college presidents, five male spouses, and five trustees were interviewed for this study. Participants reside throughout the Southeast, Southwest, and Northwest regions of the United States, representing rural and suburban community colleges at both single and multi-campus institutions. Findings suggest the male spouse plays an important role in his wife’s pathway presidency and supporting her throughout the entire presidency. The male spouse also has a public life role and a private life role. Ultimately, the role of the male spouse is to support his wife so she can be a successful community college leader. / text

Persons with aphasia (PWA) have language difficulties and their Quality of Life (QoL) has most likely been affected. Because of their loss of language abilities, it is difficult to use PWA in QoL studies. This can lead to the use of proxy responses (a person who answers for the PWA). The aim of this study was to compare the rankings from QoL questionnaires for PWA with the rankings from their spouses/caregivers (i.e., proxyresponse). We also wanted to find out which of the 11 aspects of life PWA andspouses/caregivers ranked as the most respectively the least impacted ones. A totalnumber of 57 persons participated in the study. The participants consisted of two groups, one group with PWA and one group of their spouses/caregivers. A questionnaire-based cross-sectional survey completed via a face-to-face interview was used to collect data from both groups. The results showed that there was poor internal consistency and a weak correlation between the two groups. The two groups ranked different aspects of life as “most impacted” and “least impacted”. The PWA ranked Vocation/Occupation as the “most impacted” and Family life as the “least impacted”aspects of life. The spouses/caregivers ranked Overall ability to communicate as the“most impacted” and Ability to self-care as the “least impacted” aspects of life. The results indicate that proxy responses may not be appropriate and should be interpreted with caution in QoL studies with PWA.

Santuokos nutraukimo dėl vieno iš sutuoktinių kaltės teisinės pasekmės Šeima yra mūsų visuomenės ir valstybės pagrindas. Ši nuostata įtvirtinta Lietuvos Respublikos Konstitucijos 38 straipsnio 1 dalyje. Tokiu būdu akcentuojamas vaidmuo, priskiriamas šeimai, kaip natūraliai ir pagrindinei visuomenės grupei, užtikrinančiai visuomenės ir valstybės stabilumą. Santuokos nutraukimas yra vienas iš šeimos teisės institutų. Tinkamas santuokos nutraukimo teisinis reglamentavimas turi labai didelę reikšmę, nes leidžia užtikrinti asmeninės laisvės apsaugą, sąžiningo sutuoktinio teisių gynimą, sumažinti teisinių ginčų skaičių ir gali daryti įtaką šeimos stabilumui. Nuo 2001 m. liepos 1 d. įsigaliojus naujajam Lietuvos Respublikos Civiliniu kodeksui santuokos nutraukimo teisinis reglamentavimas pasikeitė, nes įtvirtinta daug naujovių. Viena iš tokių naujovių – santuokos nutraukimas dėl sutuoktinio (ių) kaltės. Taikymo praktika pagal šį kodeksą dar nėra pilnai susiformavusi. Todėl nagrinėjama tema ,,Santuokos nutraukimo dėl vieno iš sutuoktinių kaltės teisinės pasekmės” yra labai aktuali. Taigi darbe yra nagrinėjamas santuokos nutraukimo institutas, analizuojamos santuokos nutraukimo teisinės pasekmės dėl vieno iš sutuoktinių kaltės. Pirmiausiai aptariama santuokos nutraukimo samprata, toliau analizuojamas sutuoktinio kaltės klausimas, galiausiai, per nagrinėjamus atskirų santuokos nutraukimo būdų ypatumus, siekiama išaiškinti santuokos nutraukimo teisines pasekmes kaltam sutuoktiniui... [toliau žr. visą tekstą] / The legal consequences of a divorce by the fault of one spouse Family is the basis of our society and our state. This provision is established in the first part of the thirty-eighth particle of the Constitution of Lithuania. The role that is emphasized in such way is subsumed to the family as natural and main group of society, which secures the stability of society and country. Divorce is one of the institutes of Family Law. Proper legal regulation of divorce is very important, because it allows to warrant the security of personal freedom, the defense of conscientious spouse rights, it allows to reduce the number of legal issues and can influence the stability of the family. When in 2005-07-01 the new Civil code of Lithuanian Republic came into force the juridical regulation of conjugality abatement has changed, because it consolidates a lot of innovations. One of these innovations is a divorce by the fault of one (or both) spouse. The application practice according this code has not been totally formed yet. That is why the studied theme “The legal consequences of a divorce by the fault of one spouse” is very important. The institute of divorce, the legal consequences of a divorce by the fault of one spouse are under consideration in this work. Foremost, sets forth the conception of divorce, further analyses the issue of fault spouse and seeks to discover the legal consequences of a divorce by the fault of one spouse by analyzing separated discipline of divorce, discuss the... [to full text]

Stroke är en av de vanligaste orsakerna till död och funktionsnedsättning. Det är främst personer över 65 år som drabbas. Fysisk, psykisk och social påverkan förekommer ofta. Hjärninfarkt och hjärnblödning är de två orsakerna till stroke och högt blodtryck är en bidragande orsak. Symtom på stroke kan till exepmpel vara förlamning eller talsvårigheter. Att bli sjuk eller uppleva ohälsa innebär påfrestningar och omställningar i livet för hela familjen. Syftet var att beskriva hur partnern påverkas av att leva med en person som drabbats av stroke. Litteraturöversikt har valts som design och tolv artiklar, som är kvalitetsgranskade och etiskt godkända, har inkluderats i resultatet. De databaser som användes var CINAHL, Medline och PsycInfo. Artiklarna analyserades i fem steg. I resultatet framkom sex teman: Förändringar i hälsan, Förändringar i relationen, Förändringar i vardagslivet, Förändringar inför framtiden, Vägen tillbaka till det tidigare livet och Behovet av stöd och information. Det framkom att deltagarna upplevde stora individuella förändringar som var fysiskt och psykiskt påfrestande. Partners upplevde att deras hälsa också påverkades negativt. De upplevde även sociala förändringar, till exempel isolering i hemmet. Det framkom i artiklarna att god kunskap och information hade underlättat bearbetningen av situationen. Partnerna upplevde att deras ansvar för sin livskamrat hade ökat i samband med strokehändelsen. I diskussionen diskuterades vikten av information och kunskap för att upprätthålla god hälsa. / Stroke is one of the most common causes of death and disability. It´s most common that people who are older than 65 years is affected. Physical, mental and social symptoms are common occurrences. Cerebral infarction and haemorrhage are the two causes of stroke and may occur because of high blood pressure, among other factors. Symptoms may present themselves as paralysis and dysarthria. Being sick or experience poor health can cause stress in life for the whole family. The aim of this study was to describe how the spouse is affected by living with a person affected by stroke. Literature review has been chosen as design, twelve articles, that has been quality and ethical approved is included in the result. Databases used in this study were CINAHL, Medline and PsycInfo. These articles were analyzed with five steps. In the result, six themes emerged: Changes in health, Changes in the relationship, Changes in everyday life, Changes for the future, Finding a way back to a normal life and The need for information and support. The result of the studies showed that the participants experienced individual changes that physical and mentally demanding. The spouses experienced that their health was affected negatively. They also experienced social changes in their lives, such as isolation. It emerged from the studies that knowledge and information was important, but was inadequate. The participants experienced that their responsibility for their sick partner had increased after the stroke. The importance of information and knowledge to maintain good health was also discussed in the conclusion.