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The families of cancer patients experience many forms of distress, as a result of their loved one’s cancer diagnosis. However, there have been no reports of suicide attempts of caregivers directly linked to the diagnosis of advanced cancer in a family member.
Methods
We reported a caregiver who attempt suicide two months after his wife was diagnosed with advanced cancer.
Results
The subject was a 69-year-old male who had been caring for his wife, diagnosed with advanced stomach cancer, for two months. The patient’s husband, acting as her caregiver, was referred by his wife (a cancer patient) to meet with a nurse. He reported insomnia and a desire for hastened death. Despite repeated recommendations for specialized care at a caregiver clinic, he declined. Following an argument with his wife at home, he felt unable to cope and attempted suicide. The husband had no psychiatric history but had a history of colon cancer. After the attempt suicide, he began visiting the “Caregivers’ Clinic,” where he received ongoing psychological support that continued until the death of his wife.
Significance of results
In cancer care, it is essential to continuously assess not only the patient’s suicide risk, but also that of closely related family members.
The purpose of this chapter is to describe post-intensive care syndrome-family (PICS-F), its scope, and the significance of the problem. We will describe potential etiologies; problems, including psychological, physical/functional, caregiver burden, employment/financial, and social; and risk factors of PICS-F. Measurement tools used to examine PICS-F among family caregivers are also addressed. We identify the current status of interventions that have been developed and tested to prevent PICS-F and reduce related symptoms among family caregivers. Finally, we discuss future directions for facilitating the advancement of science to support family caregivers of critically ill patients.
The Conclusion summarises the arguments of the book and points to the anxieties that male and female family members felt about childbearing and their efforts to impose order on it. Childbearing was habitually represented as women’s work in prescriptive and personal writings. This was because this fitted with an idealised model of gendered domestic labour. However, male family members invested considerable financial, emotional and bodily energy into securing positive procreative outcomes. This was in equal parts motivated by the centrality of childbearing to male status and honour, and by its prominence in larger familial narratives about godliness and fruitfulness. The Conclusion suggests the important implications this has for history of medicine and everyday life in early modern England.
This interleaf comprises a journey through peri-urban Kiambu, a glimpse of its terrain and inhabitants, as well as an arrival at the homesteads of Ituura, where the book’s narrative is set.
This chapter examines the Italian humanist discourse on vocation in terms of two intersecting binaries: on the one hand, the competing demands of shame culture (as in Cicero’s De officiis) and guilt culture (as in Augustine’s Confessions); on the other, the interplay between individual humanists and the status and expectations of their families. The result was the first substantive articulation of the concept of secular vocation.
This opening chapter outlines the main arguments of the book and introduces the histories of childbirth, domestic medicine and the family. It makes the case for seeing childbearing as a medical and social experience and shows that generation (the early modern term for childbearing) was of great personal, political and cultural significance in the period. The Introduction argues that childbirth was a family affair and shows that family paperwork – diaries, letters, almanacs, account books, commonplace books and other documents – were awash with descriptions of parts of the process of making babies. Generation was framed as being part of the domestic labour that had to be done by family members or by servants to run an orderly household, and was embedded within other everyday practices like healing, clothing and feeding individuals. The literate individuals who kept records in their paperwork were also the individuals who could afford to buy printed books on conduct and medicine that laid out ideal godly practice. By considering paperwork alongside this instructive material, this book uncovers the cultural and practical tensions between prescription and practice.
A significant percentage of listed companies are under the influence of founding families by stock ownership and/or family managers, even in developed countries, including the United States. In the United States, when the founders retire, they tend to hire professional managers and sell out their shares. In Japan, approximately 50% of listed companies are family firms, many of which are managed by founders’ heirs without substantial family ownership. In China, although family firms are relatively new because Chinese law traditionally prohibited private enterprises, family firms have grown rapidly since the transformation from a planned to a market-oriented economy in 1978. Generally speaking, founder firms’ performance is significantly better than that of non-family firms in most countries, but heir-managing firms’ performance varies in different countries. Prevalent types of listed family firms and their relative performance to non-family firms reflect minority shareholder protection law, the size of the manager market, and the corporate governance practice of each country.
Poverty is a risk factor for poor health. We sought to determine the practices, barriers, knowledge and comfort with poverty screening and intervention amongst family physicians (FPs), family medicine residents (FMRs) and family nurse practitioners (NPs) in Saskatchewan, Canada during the COVID-19 pandemic.
Methods:
A survey was distributed by email and newsletters to FPs, FMRs and NPs in Saskatchewan during 2022.
Results:
Eighty-three FPs, 35 FMRs and 25 NPs responded. Time, patient factors, practitioner knowledge and availability of community resources/services were reported barriers. Comfort discussing government benefits with patients was low, with slight differences amongst provider groups (p =.042). Thirty-one (40.3%) FPs, 7 (20.6%) FMRs and 17 (68.0%) NPs had referred a patient to a government benefit. Eight (6%) respondents used the Poverty Screening Tool.
Discussion:
Further research and training is needed to integrate poverty screening and intervention into primary care, given practitioners’ role as healthcare’s initial point of contact.
This article explores how psychiatrists conceptualised the role of family relations and emotional atmospheres in the context of schizophrenia research in the second half of the twentieth century. It traces how families became the primary site to be mined and measured to explain schizophrenia’s onset, course and outcome, and zooms in on global psychiatric investigations of expressed emotion in families of schizophrenic patients, which aimed to offer a theoretical framework for understanding one of the most intriguing and influential findings of transcultural psychiatry: that schizophrenia appeared to have a shorter course and favourable recovery rates outside the Western world. The article engages with a wealth of research materials from schizophrenia and expressed emotion studies, and a variety of voices – clinicians, patients, families – which shaped these investigations. It also draws a comparison between this discussion of ‘traditional’ families as a beneficial environment for schizophrenia, and critical psychiatric and psychoanalytic discourses from the middle decades of the century which focused on the reportedly extreme psychopathological potential of ‘schizophrenogenic’ family relations in the Western world. Analyzed through this prism, expressed emotion research constructed the Global South as a preferable, even romanticized, alternative to the Western model of family interaction. On closer inspection, however, this idealization of the traditional family involved a variety of essentializing and romanticizing ideas which reinforced the ever-present binary of the modern West versus backward Global South, and perpetuated the belief in the decolonising and developing world’s cultural and intellectual simplicity.
The paper investigates processes and consequences of ‘philanthropic kinning’, that is the use of kinship and family idioms in constructing and maintaining personal relations between donors and recipients in philanthropy. Usual studies collapse the occurrence of kinship metaphors in philanthropy either as evidence of ‘prosociality’ (e.g. trust, care or love) or more frequently as evidence of ‘paternalism’ (power and domination of donors over recipients, and their objectification). This paper claims that introducing kinship and parenting studies into researching philanthropy would greatly refine our understanding of donor–recipient relations. In the framework of a qualitative case study of a philanthropic ‘godparenthood’ programme organised in Hungary supporting ethnic Hungarian communities in Romania, this paper looks at the roles, responsibilities and obligations various forms of philanthropic kinship offer for the participants; and relations of power unfolding in helping interactions. With such concerns, this paper complements earlier research on hybridisation of philanthropy, through its sectoral entanglements with kinship and family. Also, it contributes to research on inequalities in philanthropy, by showing how philanthropic kinning may recreate, modify or reshape donor–recipient power relations in diverse ways.
The paper revisits Fukuyama’s (Trust: The social virtues and the creation of prosperity, 1995) work on the effect of social trust on economic development and considers further the relation between family and social entrepreneurship. Specifically focusing on social care services in Taiwan, the paper highlights the role of family in social entrepreneurship. With family as a starting point, social entrepreneurship is grounded, emerges, and evolves in distinctive contexts of each society even in a society with the paradox of ‘familism’. By exploring the evolution of a social entrepreneurship case in Taiwan, this paper, expanding on Fukuyama, concludes that it is possible for the societies traditionally characterized by the paradox of familism to become more inclusive with higher trust through social entrepreneurship.
This chapter sets the stage for the book by describing broad trends in family configuration before situating fathers in a policy context that targets and promotes their financial responsibility for their children. We first argue that the story of how fathers’ parenting matters for children’s development should be told in two parts: the “money story” and the “love story.” Next, we describe the best available data on the demographic characteristics of resident and nonresident fathers to explain how their parenting is associated with children’s vocabulary, academic achievement and social emotional development. We then describe theories of father involvement that have shaped some of the research that examines fathers’ emotional support. We conclude the chapter by making a case for the integration of the two stories of what it is to be a father to better support father and children. Finally, we offer suggestions for bringing these two stories together across disciplines.
This comparative analysis of business systems examines firms and enterprises across three major economies in the world: the US, China and Japan. It asks how the law relates to business practice, economic growth and social development; and how enterprise law maximizes firm value in these three jurisdictions. The divergent legal, social and economic approaches towards the market, firms, and business and corporate law in these three major economies justify a close scrutiny of enterprise law with the aim of better understanding legal and economic models for social and economic development in a comparative context. This book will be of interest to academics and practitioners in law, business, management, public policy, political science, and economics. It offers a useful framework for legislative policy makers across the world - particularly in developing countries.
Play has a significant role in children's learning and development. Play in the Early Years examines the central questions about play from the perspectives of children, families and educators, providing a comprehensive introduction to the theory and practice of play for children from birth to eight years. In its fourth edition, Play in the Early Years has been thoroughly updated in line with the revised Early Years Learning Framework and the new version of the Australian Curriculum. It takes both a both a theoretical and a practical approach, and covers recent research into conceptual play and wellbeing. The text looks at social, cultural and institutional approaches to play, and explores a range of strategies for successfully integrating play into early years settings and primary classrooms. Each chapter features case studies and play examples, with questions and reflection activities incorporated throughout to enhance learners' understanding.
The bulk of this chapter is devoted to the family as part of a dynamic system that includes the child, but also the community and the larger society. In the latter part of the chapter we examine the role of formal schooling, neighborhoods, and media, especially online media, as socializing agents for children and adolescents.
Royal tribute was a tax based on ancestry that linked free people to the colonial government and the Spanish monarch. For families, royal tribute was about more than the immediate pressure of tax payment. Registration as a taxpayer could alter a family’s status, or calidad, for generations. Using tax rolls and case studies of people who resisted registration, this chapter argues that families took varied strategies to try to keep off the tax registers and establish alternative expressions of their loyalty to the Spanish crown. The cases demonstrate the interpersonal, political, and gendered conflicts that arose when individuals with African ancestry resisted the obligation of royal tribute. Officials and bureaucrats denounced the actions of those who confronted agents of the tribute regime. By refusing registration, or discouraging others from complying, men and women prompted officials to reflect on what loyalty from Afro-descendants entailed.
Creative careers can complicate daily living. In this chapter, we talk about complications that arise in romantic and family relationships. Some people talk about the challenges of financial instability, others emphasize the need for selfishness and time to focus on creative work. Some discuss interactions between their creative work and parenting. Ultimately, compromise is key.
An artist’s entire family can help nurture and mentor them. This can include grandparents and siblings. In this chapter, artists share their experiences with extended family. Sometimes, supportive family members can make up for less supportive parents; other times, it can be a full familial unit that helps a young artist.
This chapter looks at local priests and their kinship relations, as recorded chiefly in archives from what is today France. The historiographical focus in this area has been on priests and their wives, but this chapter instead begins with priests and their parents, with a special focus on their mothers. The chapter then turns to priests and their children and wives, and the evidence for how priests made arrangements for these relatives, before turning to their uncles and nephews. The chapter concludes with a study of priests’ families as church owners. Overall, it argues that priests’ kinship ties were not noticeably different from those of the laity, with the possible exception of relations with their mothers, and that change in how these priests feature in charters from the mid eleventh century could be due to shifts in documentary practice.