Suchergebnisse

As interest grows in examining women's lives and writings in colonial Latin America, the autobiographical accounts written by scores of nuns during the seventeenth and eighteenth centuries have been undergoing a reevaluation by historians and literary critics alike. Studies of the literary production and the circumstances surrounding the life of the most famous nun of the period, Sor Juana Inés de la Cruz (1651-1695), have long been in vogue, but writings by her contemporaries have only recently caught the attention of many scholars. These colonial documents illustrate a well-established feminine literary tradition and reveal the female experience with religious institutions and spirituality: the appeal of the religious life for many women, the roles they played in the convent, and the relationships among nuns, confessors, and other members of the hierarchy of the Catholic Church. Less frequently, autobiographical accounts include significant details about the author's life before taking the veil. Although rare, such manuscripts provide information on the makeup of upper-class creole households and the roles of women in the family that helps fill the gaps in knowledge about women's daily lives in Latin America. The focus of this article is the first volume written by an Augustinian Recollect nun describing her secular life on an agricultural farm (hacienda de labor) from 1656 to 1687.

Machine generated contents note: Section One Introduction to Telemental Health -- 1.Introduction / Kathleen Myers -- Introduction -- The Telemental Health Imperative -- Current Trends Supporting the Broader Adoption of Telemental Health -- Organization of This Book -- References -- 2.Telemental Health as a Solution to the Widening Gap Between Supply and Demand for Mental Health Services / Michael Flaum -- Workforce Shortages in Mental Health: The Example of Psychiatry -- What Is the Current Supply of Psychiatrists in the United States? -- Rate of Growth in Psychiatrists and All Physicians Over Time -- The Psychiatry Pipeline: Trends in Residency Training -- The Aging-Out Effect -- What Is the Current Need or Demand for Psychiatrists in the United States? -- Quantifying the need for different kinds of providers of mental health services -- The Distribution of Psychiatrists: The Iowa Example -- Telepsychiatry as a Key Strategy for Closing the Gap -- Workforce Issues of Psychology Health Service Providers -- Conclusions: The Optimal Use of Telemental Health to Address Workforce Shortages -- References -- Section Two Developing a Therapeutic Space During Telemental Health -- 3.Establishing Therapeutic Rapport in Telemental Health / Dehra Glueck -- Introduction -- Review of the Literature on Rapport and Alliance -- Technological Considerations Impacting Rapport -- Establishing Therapeutic Rapport with the Patient -- Explaining Telemental Health to Patients -- Developing Rapport with Special Populations -- Establishing Therapeutic Rapport with the Referring Clinic -- Building Rapport with Staff: An Open-Door Policy -- The Importance of a Clinical Coordinator in Facilitating Rapport at the Patient Site -- Establishing Rapport with the Broader Community -- Conclusion -- References -- 4.Ethical Considerations in Providing Mental Health Services Over Videoteleconferencing / Sarah E. Velasquez -- Introduction -- Applying Ethical Principles in Telemental Health -- Principle A Beneficence and Nonmaleficence -- Principle B Fidelity and Responsibility -- Principle C Integrity -- Principle D Justice -- Principle E Respect for People's Rights and Dignity -- Concerns Specific to Research -- Emerging VTC-Related Technologies -- Home Telehealth and VTC -- Mobile Devices and VTC -- Integration of Technologies -- Conclusion -- References -- 5.Integrating Culturally Appropriate Care into Telemental Health Practice / Jay H. Shore -- Culturally Appropriate Care and Telemental Health: An Introduction -- What Is Culturally Appropriate Care? -- The Use of Telemental Health with Rural, Distant, and Underserved Populations -- The Interplay Between Culture and Telemental Health -- Prior Research Examining Telehealth with Cultural Subgroups -- American Indian Veteran Telemental Health Clinics -- Telehealth Treatment with the Elderly, Child, and Adolescent Populations -- Treatment with Linguistically Diverse Populations -- Treatment with Other Cultural Subgroups -- The Appropriateness of Telemedicine -- Understanding the Patient Culture and Community -- Community Leaders and Key Informants -- Local Outreach Workers -- Utilizing Local Information -- Incorporating the Community for Effective Telemental Health Services -- Establishing Local Partnerships and Collaborations -- Dual Relationships in Rural Areas -- Technological Considerations When Working with Diverse Populations -- Communication -- Technological Knowledge and Comfort -- Conclusion -- Case Studies -- The Use of Talking Circles in Telemental Health Group Therapy -- Using Telemental Health to Increase Access in a Medically Underserved Area -- The Use of Asynchronous Technology to Bridge Language Barriers -- References -- 6.Managing Risk and Protecting Privacy in Telemental Health: An Overview of Legal, Regulatory, and Risk-Management Issues / Jay H. Shore -- Introduction -- Legal and Regulatory Issues -- Licensure -- Malpractice -- Credentialing and Privileging -- Security and Privacy Considerations -- Data Security for Electronic Protected Health Information -- Special Considerations for Mobile Devices in TMH Care -- Other Privacy Considerations -- Clinical Practices to Manage Risk -- Informed Consent -- Safety Plans and Emergency Management -- Risk Issues in Home-Based TMH -- Conclusion -- References -- Section Three Establishing a Telemental Health Practice -- 7.Business Aspects of Telemental Health in Private Practice / Dehra Glueck -- Introduction -- Choosing a Telemedicine Group or Technology-Only Support -- Technology-Only Models -- Group-Practice Models -- Institution-Based Practice Model -- Direct-to-Consumer Model -- Deciding on the Model of Care -- Direct Care Versus Consultation -- Direct Care -- Evaluation of Patients -- Direct Care -- Ongoing Treatment of Patients -- Consultative Care -- Deciding on a Model: Strength and Needs Assessments -- Financial Feasibility -- Understanding Costs: Patient and Provider Perspective -- Impact of Patient Volume on Costs -- Impact of No-Show Appointments on Costs -- Reimbursement: Insurance -- Reimbursement: Private Payment -- Reimbursement: Contracted Time -- Practical Considerations -- Malpractice, Licensure, and Consent -- Informed Consent and Standard of Care -- Staffing -- Sharing Records -- Technology -- Selection, Use, and Technical Support -- Technology: Bandwidth -- Technical Support -- Building a Referral Base and Growing a Practice -- Lifestyle Benefits -- Conclusion -- References -- 8.Technology Options for the Provision of Mental Health Care Through Videoteleconferencing / Carolyn L. Turvey -- Introduction -- Standards-Based Versus Consumer-Grade Software -- Hardware-Based Codecs -- Software-Based Applications -- Mobile -- Dedicated, Direct Connections to VTC Equipment and End Points -- Bandwidth -- Impact of Cloud Computing -- Audio -- Microphones -- Echo Cancelation -- Video -- Video Standards -- H.264 -- Screen-in-Screen -- Camera Options and Clinical Implications -- Screen Size -- Video Issues and Troubleshooting -- Packet Loss -- Technology and Privacy -- HIPAA Compliance and Videoteleconferences -- What Behaviors Are Important to Maintain Privacy -- Security Standards -- Backup Technologies and Protocols Should VTC Equipment Fail -- Conclusion -- References -- Section Four Improving Access for Special Populations Through Telemental Health -- 9.Telemental Health in Primary Care / Caroline Bonham -- The Rationale for Collaborative and Integrative Care -- A Continuum of Collaboration -- Four Key Concepts in Collaborative Care -- Tailoring TMH to Models of Care -- TMH Consultation and Collaboration for Children, Adolescents, and Their Families -- Primary Care Sites -- School-Based Health Centers -- TMH Consultation and Collaboration for Adults -- Direct Care Models -- Consultation Care Model -- Collaborative Care Models -- Asynchronous Telepsychiatry -- Cultural Considerations -- Conclusion -- References -- 10.Geriatric Telemental Health / Terry Rabinowitz -- Introduction -- The Need for Better Geriatric Mental Health Services -- Barriers to Mental Health Care for the Elderly -- Studies on Geriatric Telemental Health Services -- Acceptability of Telemental Health Among the Elderly -- Telepsychiatry in Nursing-Home Settings -- Remote Telemonitoring and Geriatric Mental Health Care -- Suicidality -- Case Presentations: Three Examples of the Use of Telehealth with Geriatric Populations -- Telepsychiatry in Nursing-Home Settings -- Tele-DCM for Elderly Rehabilitation Patients -- Telemonitor-Based Depression Care Management in Home Care -- Conclusions -- Acknowledgment -- References -- 11.Child and Adolescent Telemental Health / L. Lee Carlisle -- Introduction -- Literature Review -- Developmental and Clinical Considerations -- The Practice of Child and Adolescent Telemental Health -- Models of Care and Clinical Practice: Primary Care -- Models of Care and Clinical Practice: Other Sites of Practice -- Optimizing the Virtual Clinical Encounter with Children and Families -- Treatment in Child and Adolescent Telemental Health -- Telepsychiatry in a Youth's System of Care -- Summary and Conclusions -- References -- 12.Rural Veterans and Telemental Health Service Delivery / Karen Kloezeman -- Introduction -- Rural Veteran Population -- Mental Health Disorders in Veterans -- Rural-Urban Health Disparities in Veterans -- Access to Care -- VA Health-Care Service Utilization -- Barriers to Access to Care -- Limitations in the Access to Care Literature -- TMH and the Department of Veterans Affairs -- Clinical Effectiveness of Psychotherapies Delivered via CVT -- Considerations Associated with CVT Delivery -- Challenges Associated with CVT Delivery -- Limitations in the CVT Literature -- Future Directions -- Conclusions -- References -- 13.Videoteleconferencing in Forensic and Correctional Practice / Robert D. Morgan -- Videoteleconferencing Health in Forensic and Correctional Practices -- The Development of Videoteleconferencing in Forensic and Correctional Settings -- Barriers to Health Care -- How Can VTC Improve Services in Criminal Justice Settings? -- Demonstrating the Effectiveness of VTC -- Challenges Facing VTC in Corrections -- The Need for Specialty Best Practice Guidelines -- Future Directions -- Spotlight on TMH and Telelaw Programs -- Summary -- References -- Section Five Assessment and Intervention -- 14.Special Considerations in Conducting Neuropsychology Assessment over Videoteleconferencing / Maria C. Grosch -- Background and Scope -- Why Teleneuropsychology? -- Limiting Factors -- Availability of Equipment -- Data Transmission Speeds -- VTC Environment -- Setting Up Teleneuropsychology Services -- Evidence for VTC-Based Diagnosis and VTC-Based Cognitive Assessment -- Consumer Satisfaction with VTC-Based Services -- Practical and Ethical Issues in Teleneuropsychology -- Mobile Teleneuropsychology Applications -- Future Directions -- Summary -- References --

This book draws on the life stories told by shepherds, farmers, and their families in the Andalusian region in Spain to sketch out the landscapes, actions, and challenges of people who work in pastoralism. Their narratives highlight how local practices interact with regional and European communities and policies, and they help us see a broader role for extensive grazing practices and sustainability.

A Country of Shepherds is timely, reflecting the growing interest in ecological farming methods as well as the Spanish government's recent work with UNESCO to recognise the seasonal movement of herd animals in the Iberian Peninsula as an Intangible Cultural Heritage.

Demonstrating the critical role of tradition, cultural geographies, and sustainability in the Mediterranean, this book will appeal to academicians but also to general readers who seek to understand, in very human terms, the impact of the world-wide environmental crisis we are now experiencing.

This paper reports one of the first investigations of adult fears. Demographic variables included: sex, race, college degree status, and sibling position for a broadly defined middle class population. Additionally, it reports a new entity, "fisity" which accounts for both the popularity and strength of a fear in a single calculated measure. Women, in general, endorsed greater overall fearfulness than men, but this differential was not observed in an all white subsample. This male-female difference is similar to trends noted in studies of children's foars. However, college degree status did not correlate with fearfulness for the total population, or for an all white male subsample; although non-degreed females did express significantly greater fearfulness than their degreed cohort. Finally, increasing birth order in the sibship also correlated with increasing fearfulness.

The paper reports the first of adult fears according to ethnicity The Chinese endorsed greater fearfulness than the whites. This difference was more marked for the women than the men. However, the Chinese and Japanese, two well-acculturated Asian minorities, expressed no differences in their and Chinese living in two different sites demonstrated only small changes in their pattern of fears. By contrast, Vietnamese "boat people" expressed greatly increased total fearfulness as well as increased fear in all individual fear categories studied, However, unlike the Chinese and whites, sex had no effect on the "boat people's" fears. These results suggest that ethnicity influences overall fearfulness and the patterns of fears held by adults. Furthermore, sex and socioenviromental factors may interact with ethnicity to modify the pattern of these fears.

"The book proposes a visual and cultural history of the legacy of the contact between Spaniards and indigenous societies of Mexico by following the route of Hernán Cortés and by conducting personal interviews with ordinary Mexican people along these territories once crossed by the army of Spaniards"--Provided by publisher