Like a fish on a hook: a grounded theory study of incarcerated Filipino elderly agony

ABSTRACT

To date, little to no attempt has been made yet to describe how people experience agony, specifically, the elderly population in the penal setting and how exactly this experience of agony affects these marginalized communities. This grounded theory paper aspires to contribute to the understanding of the complexity of agony specifically, shedding light on what happens to incarcerated elderly when they experience this process of agonizing in prison. The Strauss and Corbin grounded theory method of analysis was utilized to generate theories from systematically obtained and analyzed data. A total of 25 respondents were selected using inclusion criteria and chosen through purposive sampling. Subsequently, a two-part data gathering tool was used consisting of a robotfoto and individual interviews. Lastly, the emerged themes were further subjected to member checking procedures to establish the credibility of the data collected. From the vertical and horizontal analyses of the verbalizations and sharings of a select group of elderly prisoners, the Splash Model of Agony has emerged which describes the Triggering, Escalating, and Plummeting phases of their agony while in prison.     

Graduating organizations and communities as a unique approach for higher education: Creating value for an institution and all in its ecosystem

Following a Mega focus on adding value to society, universities can create social capital by incubating and “graduating” not just individuals but organizations. This article discusses how the Sonora Institute of Technology implemented this new approach and developed the South of Sonora corridor, improving self‐sufficiency, quality of life, and other social indicators by creating new companies and hundreds of high‐quality jobs.     

Extinction with multiple excitors

Four conditioned suppression experiments with rats, using an ABC renewal design, investigated the effects of compounding the target conditioned excitor with additional, nontarget conditioned excitors during extinction. Experiment 1 showed stronger extinction, as evidenced by less renewal, when the target excitor was extinguished in compound with a second excitor, relative to when it was extinguished with associatively neutral stimuli. Critically, this deepened extinction effect was attenuated (i.e., more renewal occurred) when a third excitor was added during extinction training. This novel demonstration contradicts the predictions of associative learning models based on total error reduction, but it is explicable in terms of a counteraction effect within the framework of the extended comparator hypothesis. The attenuated deepened extinction effect was replicated in Experiments 2a and 3, which also showed that pretraining consisting of weakening the association between the two additional excitors (Experiments 2a and 2b) or weakening the association between one of the additional excitors and the unconditioned stimulus (Experiment 3) attenuated the counteraction effect, thereby resulting in a decrease in responding to the target excitor. These results suggest that more than simple total error reduction determines responding after extinction.     

A Structural Equation Model of the Factors Affecting Morale of a Select Group of Filipino Elderly in a Community Setting

While morale among the elderly has been widely and extensively studied, results are varied and at times conflicting. Hence, the purpose of this study is to explore the factors affecting elderly morale of a select group of Filipinos in a community setting. A 64-item questionnaire was utilized to survey 323 Filipinos aged 60 and above residing in the National Capital Region of the Philippines in May 2013. Respondents completed a robotfoto, a checklist of chronic illnesses, and measures of the social support, functional ability, geriatric depression, and morale. Structural equation modeling was used to test the hypothesized model. Two competing models emerged in the study. Model 1 followed causal relationships indicated in the hypothesized model while model 2 considered modification indices that surfaced more acceptable fit indices (X²/df = 1.414, GFI [goodness of fit index] = 0.988, CFI [comparative fit index] = 0.987, RMSEA [root mean square error of approximation] = 0.036). Chronic illness, social support, and depression were found to be major predictors of morale. Number of chronic illnesses and depression were also found to have a negative relationship with functional ability, and chronic illness and social support were negatively correlated. Findings can assist health professionals such as nurses to identify the factors that shape elderly morale vis-a-vis the use of effective strategies that promote the well-being of elderly people. The emerging model can serve as reference to assess the effectiveness of quality of care rendered as manifested by morale.     

Retrospective revaluation of associative retroactive cue interference

Two fear-conditioning experiments with rats assessed whether retrospective revaluation, which has been observed in cue competition (i.e., when compounded cues are followed with an outcome), can also be observed in retroactive cue interference (i.e., when different cues are reinforced in separate phases with the same outcome). Experiment 1 found that after inducing retroactive cue interference (i.e., X-outcome followed by A-outcome), nonreinforced presentations of the interfering cue (A) decreases interference with responding to the target cue (X), just as has been observed in retrospective revaluation experiments in cue competition. Using the opposite manipulation (i.e., adding reinforced presentations of A), Experiment 2 demonstrated that after inducing retroactive cue interference, additional reinforced presentations of the interfering cue (A) increases interference with responding to the target cue (X); alternatively stated, the amount of interference increases with the amount of training with the interfering cue. Thus, both types of retrospective revaluation occur in retroactive cue competition. The results are discussed in terms of the possibility that similar associative mechanisms underlie cue competition and cue interference.     

Health-Seeking Preferences of Elderly Filipinos in the Community via Conjoint Analysis

Health-seeking encompasses the activities individuals perform in order to restore wellness when they perceive themselves as ill. Alarmingly, it is apparent that there is a decrease in frequency of health-seeking as one ages. While there have been numerous studies about elderly health-seeking behavior across the globe, the need to know about their preferences remains a research imperative, hence this conjoint analysis investigation. The objective of this study is to identify the health-seeking preferences of a select group of Filipino elderly in the community. To measure preferences for health-seeking, a conjoint analysis survey of 304 Filipino elderly aged 60 years and above was conducted from June to July 2012 using the balanced incomplete block design. Results indicate that the most important attribute in terms of health-seeking behavior is the physician's experience. Elderly clients tend to seek health care from expert private practitioners who provide full information regarding illness and charge professional fees of less than 500 pesos (8–9 British pounds or 12–13 U.S. dollars). Results suggest that there are factors that may impede or promote health care seeking in elderly clients, of which physicians’ experience is deemed most important. These preferences, if integrated into the current practice, can help health care practitioners in improving the quality of care provided.     

Filipino Arts Among Elders in Institutionalized Care Settings

The use of traditional art in recreational therapies is unexplored. This paper, thus, attempts to surface the unique power of traditional Filipino arts (TFA) as synergizing lens in capturing the individual and the collective experiences of a select group of Filipino elderly in an institutionalized care setting relative to their feelings of depression and self-esteem. Three Filipino elderly housed in an institutionalized care setting were chosen for this phenomenological study, a robotfoto and a series of semistructured interviews constitute the main data gathering tool. Field texts were subjected to phenomenological reduction via the repertory grid analysis. Emerged themes were subjected to a series of member checking procedures to ensure the trustworthiness of the reported data. Depression and self-esteem were interpreted via two emerged themes. The themes were Me, Myself, and Melancholy and Will Not Let My Worth Wither. Through recreational therapies in the form of traditional Filipino arts, participants found novel psychological crutches that overcame the challenges of depression and give them hope toward more positive views of themselves and life.     

Ego Integrity of Older People with Physical Disability and Therapeutic Recreation

Ego integrity, the last developmental task in Erikson's psychological theory, develops naturally among older people. However, the presence of loss–like physical disability–can considerably affect the quality of life, interactions, and well being of older adults. Hence, older people with physical disabilities need more assistance in accomplishing tasks of ego integrity. This study aimed to utilize traditional Filipino art to capture the essence of the lived experiences of a select group of older people with physical disabilities in relation to their ego integrity. Four Filipino elderly with physical disabilities were purposely selected for this study. Picture prompting and doodling sessions were held as pretest and posttest to ascertain the effectiveness of puni-making in facilitating ego integrity of participants. A series of interviews were pursued to elicit experiences and feelings of participants regarding their disability and old age. From the analysis of the triangulated set of data, two findings emerged. First, four activators of ego integrity, namely: work, family, belief in self and belief in God, were identified as essentials in the formation of the participants' ego-integrity. Second, shifts related to the activators were identified indicating ego integrity's source, meaning and connection elements have become more grounded, certain and integrated. The influence of puni-making in understanding the ego integrity of older people with disabilities was found to be a sound and novel recreational therapy. It can stimulate a select group of Filipino elderly for openness to share their subjective and yet illuminating life experiences.     

Who Says there is No Life After Abandonment? A Grounded Theory on the Coping of Abandoned Filipino Elderly in Nursing Homes

Cases of abandoned elderly are increasing worldwide. By and large, this group struggles with the sudden change in living arrangement as well as abandonment by their families. Consequently, many elderly are forced into living in nursing homes for the remainder of their lives. Abandonment among these elderly negatively affects how they view themselves, which is detrimental to their health and well-being. Thus, exploring the feelings of elderly regarding their abandonment and how they cope becomes a major concern in caring for them. Recognizing the dearth of literature, this grounded theory study purported to describe sthe process by which these elderly cope with abandonment. A total of 24 abandoned Filipino elderly respondents were purposively selected to take part in a semistructured in-depth interview. Following the Glaserian approach, a four-part process emerged to describe the layer of human experience under study. The R.O.P.E. to Cope Theory of Abandonment describes how the elderly progress from the resisting, occupying, pondering, and embracing phases toward successful coping. Understanding this process equips health care providers with knowledge of appropriate interventions in the provision of holistic care to the elderly. Ultimately, findings of this study will be helpful in assisting abandoned elderly individuals in their path to achieving an improved quality of life and a happier perspective on it.